NCLEX PN EXAM QUESTIONS,ANSWERS 2022
UPDATE
The nurse is making initial rounds on a client with a C5 fracture and crutchfield
tongs. Which equipment should be kept at the bedside?
A. A pair of forceps
B. A torque wrench
C. A pair of wire cutters
D. A screwdriver
An infant weighs 7 pounds at birth. The expected weight by 1 year should be:
A. 10 pounds
B. 12 pounds
C. 18 pounds
D. 21 pounds
A client is admitted with a Ewing’s sarcoma. Which symptoms would be expected due
tothis tumor’s location?
A. Hemiplegia
B. Aphasia
C. Nausea
D. Bone pain
The nurse is caring for a client with epilepsy who is being treated with
carbamazepine (Tegretol). Which laboratory value might indicate a serious side effect of this
drug?
,NCLEX PN EXAM QUESTIONS,ANSWERS 2022
UPDATE
A. Uric acid of 5mg/dL
B. Hematocrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter
A 6-month-old client is admitted with possible intussuception. Which question during
thenursing history is least helpful in obtaining information regarding this diagnosis?
A. “Tell me about his pain.”
B. “What does his vomit look like?”
C. “Describe his usual diet.”
D. “Have you noticed changes in his abdominal size?”
The nurse is assisting a client with diverticulosis to select appropriate foods. Which
foodshould be avoided?
A. Bran
B. Fresh peaches
C. Cucumber salad
D. Yeast rolls
A client has rectal cancer and is scheduled for an abdominal perineal resection.
Whatshould be the priority nursing care during the post-op period?
A. Teaching how to irrigate the illeostomy
B. Stopping electrolyte loss in the incisional area
C. Encouraging a high-fiber diet
D. Facilitating perineal wound drainage
,NCLEX PN EXAM QUESTIONS,ANSWERS 2022
UPDATE
The nurse is performing discharge teaching on a client with diverticulitis who has been
placed on a low-roughage diet. Which food would have to be eliminated from this client’s
diet?
A. Roasted chicken
B. Noodles
C. Cooked broccoli
D. Custard
A client arrives in the emergency room with a possible fractured femur. The nurse
shouldanticipate an order for:
A. Trendelenburg position
B. Ice to the entire extremity
C. Buck’s traction
D. An abduction pillow
A client with cancer is to undergo an intravenous pyelogram. The nurse should:
A. Force fluids 24 hours before the procedure
B. Ask the client to void immediately before the study
C. Hold medication that affects the central nervous system for 12 hours pre- and post-test
D. Cover the client’s reproductive organs with an x-ray shield
The nurse is caring for a client with a malignancy. The classification of the primary
tumor is Tis. The nurse should plan care for a tumor:
A. That cannot be assessed
, NCLEX PN EXAM QUESTIONS,ANSWERS 2022
UPDATE
B. That is in situ
C. With increasing lymph node involvement
D. With distant metastasis
A client is 2 days post-operative colon resection. After a coughing episode, the
client’swound eviscerates. Which nursing action is most appropriate?
A. Reinsert the protruding organ and cover with 4×4s
B. Cover the wound with a sterile 4×4 and ABD dressing
C. Cover the wound with a sterile saline-soaked dressing
D. Apply an abdominal binder and manual pressure to the wound
The nurse is preparing a client for surgery. Which item is most important to
removebefore sending the client to surgery?
A. Hearing aid
B. Contact lenses
C. Wedding ring
D. Artificial eye
The nurse on the 3–11 shift is assessing the chart of a client with an abdominal
aneurysm scheduled for surgery in the morning and finds that the consent form has been
signed, but the client is unclear about the surgery and possible complications. Which is the
most appropriate action?
A. Call the surgeon and ask him or her to see the client to clarify the information
B. Explain the procedure and complications to the client
C. Check in the physician’s progress notes to see if understanding has been documented
D. Check with the client’s family to see if they understand the procedure fully
UPDATE
The nurse is making initial rounds on a client with a C5 fracture and crutchfield
tongs. Which equipment should be kept at the bedside?
A. A pair of forceps
B. A torque wrench
C. A pair of wire cutters
D. A screwdriver
An infant weighs 7 pounds at birth. The expected weight by 1 year should be:
A. 10 pounds
B. 12 pounds
C. 18 pounds
D. 21 pounds
A client is admitted with a Ewing’s sarcoma. Which symptoms would be expected due
tothis tumor’s location?
A. Hemiplegia
B. Aphasia
C. Nausea
D. Bone pain
The nurse is caring for a client with epilepsy who is being treated with
carbamazepine (Tegretol). Which laboratory value might indicate a serious side effect of this
drug?
,NCLEX PN EXAM QUESTIONS,ANSWERS 2022
UPDATE
A. Uric acid of 5mg/dL
B. Hematocrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter
A 6-month-old client is admitted with possible intussuception. Which question during
thenursing history is least helpful in obtaining information regarding this diagnosis?
A. “Tell me about his pain.”
B. “What does his vomit look like?”
C. “Describe his usual diet.”
D. “Have you noticed changes in his abdominal size?”
The nurse is assisting a client with diverticulosis to select appropriate foods. Which
foodshould be avoided?
A. Bran
B. Fresh peaches
C. Cucumber salad
D. Yeast rolls
A client has rectal cancer and is scheduled for an abdominal perineal resection.
Whatshould be the priority nursing care during the post-op period?
A. Teaching how to irrigate the illeostomy
B. Stopping electrolyte loss in the incisional area
C. Encouraging a high-fiber diet
D. Facilitating perineal wound drainage
,NCLEX PN EXAM QUESTIONS,ANSWERS 2022
UPDATE
The nurse is performing discharge teaching on a client with diverticulitis who has been
placed on a low-roughage diet. Which food would have to be eliminated from this client’s
diet?
A. Roasted chicken
B. Noodles
C. Cooked broccoli
D. Custard
A client arrives in the emergency room with a possible fractured femur. The nurse
shouldanticipate an order for:
A. Trendelenburg position
B. Ice to the entire extremity
C. Buck’s traction
D. An abduction pillow
A client with cancer is to undergo an intravenous pyelogram. The nurse should:
A. Force fluids 24 hours before the procedure
B. Ask the client to void immediately before the study
C. Hold medication that affects the central nervous system for 12 hours pre- and post-test
D. Cover the client’s reproductive organs with an x-ray shield
The nurse is caring for a client with a malignancy. The classification of the primary
tumor is Tis. The nurse should plan care for a tumor:
A. That cannot be assessed
, NCLEX PN EXAM QUESTIONS,ANSWERS 2022
UPDATE
B. That is in situ
C. With increasing lymph node involvement
D. With distant metastasis
A client is 2 days post-operative colon resection. After a coughing episode, the
client’swound eviscerates. Which nursing action is most appropriate?
A. Reinsert the protruding organ and cover with 4×4s
B. Cover the wound with a sterile 4×4 and ABD dressing
C. Cover the wound with a sterile saline-soaked dressing
D. Apply an abdominal binder and manual pressure to the wound
The nurse is preparing a client for surgery. Which item is most important to
removebefore sending the client to surgery?
A. Hearing aid
B. Contact lenses
C. Wedding ring
D. Artificial eye
The nurse on the 3–11 shift is assessing the chart of a client with an abdominal
aneurysm scheduled for surgery in the morning and finds that the consent form has been
signed, but the client is unclear about the surgery and possible complications. Which is the
most appropriate action?
A. Call the surgeon and ask him or her to see the client to clarify the information
B. Explain the procedure and complications to the client
C. Check in the physician’s progress notes to see if understanding has been documented
D. Check with the client’s family to see if they understand the procedure fully
