NCLEX PN TESTBANK QUESTIONS
AND WELL-DETAILED ANSWERS WITH
RATIONALES / NCLEX PN TESTBANK
BEST FOR EXAM PRACTICE|A+
GRADED|
, lOM oA R c P S D| 898 14 23
NCLEX-PN®TESTQUESTIONS
CHAPTER1
1.1Aclientisbeingdischargedandneeds Answer:a
instructions on wound Rationale:Toprovidethemostappropriateteaching,thenursefirstneedstoidentifywhat
care.Whenplanningtoteachtheclient, theclientneedstoknowanddeterminetheclient’seducationallevelandlearningabilit
thenurseshould: y.
a. identifytheclient’slearningneedsa Comprehension
ndlearningability. Implementation
b. identifytheclient’slearningneedsa HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems
ndadvisehimwhattodo.
c. identifytheclient’sproblemsandm
aketheappropriatereferral.
d. providepamphletsorvideotapesforo
ngoinglearning.
1.2Aclientisrequestingasecondopinion.T Answer:d
henursewhosupportsandpromotesthecli Rationale:Thenurse’sroleasclientadvocateinvolvesactivelypromotingclients’right
ent’srightsisactingastheclient’s: stomakedecisionsandchoices.
a. teacher. Comprehension
b. adviser. Assessment
c. supporter. Safe,EffectiveCareEnvironment:CoordinatedCare
d. advocate. HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems
1.3Theclient tellsthenurse Answer:a
shehasbeensmokingonepackofcigarettes Rationale:Datacollectionoccursduringtheassessmentphase;theinformationcan be
adayforthepast20years.Thenurserecogniz obtained during the initial assessment as well as during ongoingassessment.
es thisiswhatpartofthenursingprocess? Knowledge
a. assessment Assessment
b. planning HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems
c. implementation
d. evaluation
1.4During the assessment step of Answer:b
thenursing process, the nurse Rationale:Informationobtainedduringtheassessmentstepisusedinplanningandim
collectssubjectiveandobjectivedata.Thenu plementingnursingcare, basedontheproblemsidentifiedfromtheassessmentdata.
rseusesthe information to identify: Analysis
a. medicaldiagnoses. Planning
b. actualorpotentialproblems. HealthPromotion:Preventionand/orEarlyDetectionofHealthProblem
c. client’sresponsetoillness.
d. needforcommunitysupportgroups.
1.5Thenurseperformsdaily,routine Answer:b
equipment checks to detect Rationale:Qualityofcareisevaluatedthroughdocumentationreviews,inte
possiblemalfunction. This is part of rviewsandsurveys,observationandequipmentchecks.
the nurse’sroleinthe: ApplicationImpl
a. nursingprocess. ementation
b. qualityassuranceplan. HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems
c. caremanagement.
d. assessmentplan.
1.6Thenurseisdevelopinganursing Answer:a
diagnosis for a client who Rationale:Nursingdiagnosesreflectclientproblemsthatthenursecantreatindependently
has pneumonia. The nurse .
recognizesthe diagnosis describes an Application
actual orpotentialproblemthat: Planning
a.thenursecantreatindependently. Safe,EffectiveCareEnvironment:CoordinatedCare
, lOM oA R c P S D| 898 14 23
b. thenursecantreatwithaphysician’s
order.
c. requiresphysician’sintervention.
d. relatestotheclients’primarydia
gnosis.
1.7Afteradministeringpainmedication,t Answer:d
henursereturnstochecktheclient’slevelof Rationale:Intheevaluationstepthenursedeterminesiftheinterventionswereeffec
comfort.Thisstageofthenursingprocessi tive.
sknownas: Analysis/Diagnosis
a. assessment. Evaluation
b. planning. Safe,EffectiveCareEnvironment:CoordinatedCare
c. implementation.
d. evaluation.
1.8A client has lost 10 pounds Answer:b
relatedtonauseaandvomiting.Thenursei Rationale: Expected outcomes should reflect a goal that is client
dentifies an appropriate centered,realistic,andmeasurable.Answersaandcarenotmeasurable;disnotrealistic.
expectedoutcome:Theclientwill: Analysis/Diagnosis
a. gain weight. Planning
b. gain2poundswithin1week. PhysiologicalIntegrity:PhysiologicalAdaptation
c. notloseweight.
d. gain10poundsin 2days.
1.9A problem-solving process Answer:a
thatrequiresempathy, knowledge, Rationale:Criticalthinkinginvolvesself-
divergentthinking, discipline, and directedthinking,combiningthenurse’scognitiveskillsaswellasattitude,experience,empat
creativity isknownas: hy,anddiscipline.
a. criticalthinking. ComprehensionA
b. nursingprocess. nalysis/Diagnosis
c. frameworkfornurses. Safe,EffectiveCareEnvironment:CoordinatedCare
d. caremanagement.
1.10Attheendoftheshift,thenurseisreadyt Answer:a
oleavebuthasnotbeenrelievedbytheonco Rationale: The Code of Ethics guides the behavior of nurses. The nurse’s
mingshiftnurse.Thenurse’sresponsibility primarycommitmentistotheclient, ensuringheorshereceivessafe, competent,
to provide care for andcontinualcare.
clientsispartofthenurse’s: Comprehension
a. CodeofEthics. Implementation
b. nursingprocess. Safe,EffectiveCareEnvironment:CoordinatedCare
c. criticalthinking.
d. qualityassurance.
CHAPTER2
2.1AccordingtoHavighurst,the Answer:a
developmentaltasksthatdescribeadults Rationale:Thesetasksoccurpredominantlyintheyoungadultagegroup.
aslearningtolivewithamate,have Knowledge
children,andholdajobarefoundin Assessment
whichofthefollowingstages? HealthPromotion:GrowthandDevelopment
a.youngadult(18–35yearsofage)
b.middleadult(36–60yearsofage)
c.olderadult(over60yearsofage)
d.productiveadult(18–60yearsofage)
2.2Whencaring forthemiddleage Answer:c
adultthenurserecognizesamajorrisk Rationale:Duetoadecreaseinbasalmetabolicrateandoftenactivitylevelas
factoris: well,themiddleadultisatriskforweightgainandobesity.
a.cigarettesmoking. Comprehension
b.multiple sex partners. Integrativeprocess:Assessment
c.decreasedphysicalactivity. Testplan:HealthPromotion:Preventionand/orEarlyDetectionofHealth
d.obesity. Problems
399
, lOM oA R c P S D| 898 14 23
2.3Becauseofthephysiologicchanges Answer:b
inthegastrointestinalsystem,thenurseshou Rationale:Adecreaseinperistalsiscanleadtoconstipation;increasingfiberinthedietwil
ldencouragetheolderadulttoconsumeadiet lhelptocombatthis.
highin: Comprehension
a. Na. Planning
b. fiber. HealthPromotion:GrowthandDevelopment
c. carbohydrates.
d. calories.
2.4Women in the middle adult Answer:d
agegroupareatriskforcancerofthebreasta Rationale:Thisoptiongivesthemostspecificrecommendationsforteststhatshould
ndreproductiveorgans. bedonetodetectcancer. Theotheroptionsprovidemoregeneralinformation.
Thenursecansuggestthefollowinginhealth ApplicationImpl
promotionteaching: ementation
a. “You need to contact your HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems
physicianaboutmammography.”
b. “If there is not a history of cancer
inthe women of your family, you
neednotbeconcerned.”
c. “Anannualphysicalexamisimporta
nttodetectearlysignsandsymptoms
ofcancer.”
d. “Self-
breastexammonthlyandanannualPa
psmeararenecessaryforearlydetecti
onofcancer.”
2.5When teaching the old-old Answer:a
adult(over age 85) who has been Rationale:Duetoneurovascularandsensorylosses,olderadultsneedadjustmentinteachi
diagnosedwithanewillness,thenursereco ngmethods,althoughtheystillhavetheabilitytolearn.
gnizesthisagegroup: Application
a. needs client teaching at a Planning
slowerpace,withvisualaidsandrepetiti HealthPromotion:GrowthandDevelopment
on.
b. doesnotprofitfrompatientt
eaching.
c. learnsatthesamerateasyoung-
oldadults.
d. isgenerallycognitivelyimpairedandu
nabletolearnnewinformation.
2.6Whenplanningcareforelderlyclientsinl Answer:c
ong- Rationale:Althoughalltheoptionsareimportant,maintenanceofasafeenvironmentis
termcarefacilities,thenursegiveshighestpr alwaysofhighestpriority.
iorityto: ApplicationImpl
a. ensuringthattheyconsumeatleast1, ementation
200caloriesaday. Safe,EffectiveCareEnvironment:SafetyandInfectionControl
b. providing regular periods of
exercisedaily.
c. maintainingasafeenvironment.
d. providing opportunities for
socialinteractions.
2.7 Answer:a
Thenursevisitsanelderlyclientwholivesalo Rationale:Assessingtheclient’sabilitytoobtainfoodwouldbeessentialtodetermin
ne, isnoteatingwell, ewhytheclientisn’teatingandhas littlefoodavailable.
andhasverylittlefoodavailableinthehome AnalysisAss
.Thenursemayalsowanttoassesstheclient’s essment
: HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems
a. abilitytodoherowngrocerysh
opping.
b. accesstolocalrestaurants.
c. numberofvisitsbyfamily.
d. availabilityoflocalgrocerystores.
400
AND WELL-DETAILED ANSWERS WITH
RATIONALES / NCLEX PN TESTBANK
BEST FOR EXAM PRACTICE|A+
GRADED|
, lOM oA R c P S D| 898 14 23
NCLEX-PN®TESTQUESTIONS
CHAPTER1
1.1Aclientisbeingdischargedandneeds Answer:a
instructions on wound Rationale:Toprovidethemostappropriateteaching,thenursefirstneedstoidentifywhat
care.Whenplanningtoteachtheclient, theclientneedstoknowanddeterminetheclient’seducationallevelandlearningabilit
thenurseshould: y.
a. identifytheclient’slearningneedsa Comprehension
ndlearningability. Implementation
b. identifytheclient’slearningneedsa HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems
ndadvisehimwhattodo.
c. identifytheclient’sproblemsandm
aketheappropriatereferral.
d. providepamphletsorvideotapesforo
ngoinglearning.
1.2Aclientisrequestingasecondopinion.T Answer:d
henursewhosupportsandpromotesthecli Rationale:Thenurse’sroleasclientadvocateinvolvesactivelypromotingclients’right
ent’srightsisactingastheclient’s: stomakedecisionsandchoices.
a. teacher. Comprehension
b. adviser. Assessment
c. supporter. Safe,EffectiveCareEnvironment:CoordinatedCare
d. advocate. HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems
1.3Theclient tellsthenurse Answer:a
shehasbeensmokingonepackofcigarettes Rationale:Datacollectionoccursduringtheassessmentphase;theinformationcan be
adayforthepast20years.Thenurserecogniz obtained during the initial assessment as well as during ongoingassessment.
es thisiswhatpartofthenursingprocess? Knowledge
a. assessment Assessment
b. planning HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems
c. implementation
d. evaluation
1.4During the assessment step of Answer:b
thenursing process, the nurse Rationale:Informationobtainedduringtheassessmentstepisusedinplanningandim
collectssubjectiveandobjectivedata.Thenu plementingnursingcare, basedontheproblemsidentifiedfromtheassessmentdata.
rseusesthe information to identify: Analysis
a. medicaldiagnoses. Planning
b. actualorpotentialproblems. HealthPromotion:Preventionand/orEarlyDetectionofHealthProblem
c. client’sresponsetoillness.
d. needforcommunitysupportgroups.
1.5Thenurseperformsdaily,routine Answer:b
equipment checks to detect Rationale:Qualityofcareisevaluatedthroughdocumentationreviews,inte
possiblemalfunction. This is part of rviewsandsurveys,observationandequipmentchecks.
the nurse’sroleinthe: ApplicationImpl
a. nursingprocess. ementation
b. qualityassuranceplan. HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems
c. caremanagement.
d. assessmentplan.
1.6Thenurseisdevelopinganursing Answer:a
diagnosis for a client who Rationale:Nursingdiagnosesreflectclientproblemsthatthenursecantreatindependently
has pneumonia. The nurse .
recognizesthe diagnosis describes an Application
actual orpotentialproblemthat: Planning
a.thenursecantreatindependently. Safe,EffectiveCareEnvironment:CoordinatedCare
, lOM oA R c P S D| 898 14 23
b. thenursecantreatwithaphysician’s
order.
c. requiresphysician’sintervention.
d. relatestotheclients’primarydia
gnosis.
1.7Afteradministeringpainmedication,t Answer:d
henursereturnstochecktheclient’slevelof Rationale:Intheevaluationstepthenursedeterminesiftheinterventionswereeffec
comfort.Thisstageofthenursingprocessi tive.
sknownas: Analysis/Diagnosis
a. assessment. Evaluation
b. planning. Safe,EffectiveCareEnvironment:CoordinatedCare
c. implementation.
d. evaluation.
1.8A client has lost 10 pounds Answer:b
relatedtonauseaandvomiting.Thenursei Rationale: Expected outcomes should reflect a goal that is client
dentifies an appropriate centered,realistic,andmeasurable.Answersaandcarenotmeasurable;disnotrealistic.
expectedoutcome:Theclientwill: Analysis/Diagnosis
a. gain weight. Planning
b. gain2poundswithin1week. PhysiologicalIntegrity:PhysiologicalAdaptation
c. notloseweight.
d. gain10poundsin 2days.
1.9A problem-solving process Answer:a
thatrequiresempathy, knowledge, Rationale:Criticalthinkinginvolvesself-
divergentthinking, discipline, and directedthinking,combiningthenurse’scognitiveskillsaswellasattitude,experience,empat
creativity isknownas: hy,anddiscipline.
a. criticalthinking. ComprehensionA
b. nursingprocess. nalysis/Diagnosis
c. frameworkfornurses. Safe,EffectiveCareEnvironment:CoordinatedCare
d. caremanagement.
1.10Attheendoftheshift,thenurseisreadyt Answer:a
oleavebuthasnotbeenrelievedbytheonco Rationale: The Code of Ethics guides the behavior of nurses. The nurse’s
mingshiftnurse.Thenurse’sresponsibility primarycommitmentistotheclient, ensuringheorshereceivessafe, competent,
to provide care for andcontinualcare.
clientsispartofthenurse’s: Comprehension
a. CodeofEthics. Implementation
b. nursingprocess. Safe,EffectiveCareEnvironment:CoordinatedCare
c. criticalthinking.
d. qualityassurance.
CHAPTER2
2.1AccordingtoHavighurst,the Answer:a
developmentaltasksthatdescribeadults Rationale:Thesetasksoccurpredominantlyintheyoungadultagegroup.
aslearningtolivewithamate,have Knowledge
children,andholdajobarefoundin Assessment
whichofthefollowingstages? HealthPromotion:GrowthandDevelopment
a.youngadult(18–35yearsofage)
b.middleadult(36–60yearsofage)
c.olderadult(over60yearsofage)
d.productiveadult(18–60yearsofage)
2.2Whencaring forthemiddleage Answer:c
adultthenurserecognizesamajorrisk Rationale:Duetoadecreaseinbasalmetabolicrateandoftenactivitylevelas
factoris: well,themiddleadultisatriskforweightgainandobesity.
a.cigarettesmoking. Comprehension
b.multiple sex partners. Integrativeprocess:Assessment
c.decreasedphysicalactivity. Testplan:HealthPromotion:Preventionand/orEarlyDetectionofHealth
d.obesity. Problems
399
, lOM oA R c P S D| 898 14 23
2.3Becauseofthephysiologicchanges Answer:b
inthegastrointestinalsystem,thenurseshou Rationale:Adecreaseinperistalsiscanleadtoconstipation;increasingfiberinthedietwil
ldencouragetheolderadulttoconsumeadiet lhelptocombatthis.
highin: Comprehension
a. Na. Planning
b. fiber. HealthPromotion:GrowthandDevelopment
c. carbohydrates.
d. calories.
2.4Women in the middle adult Answer:d
agegroupareatriskforcancerofthebreasta Rationale:Thisoptiongivesthemostspecificrecommendationsforteststhatshould
ndreproductiveorgans. bedonetodetectcancer. Theotheroptionsprovidemoregeneralinformation.
Thenursecansuggestthefollowinginhealth ApplicationImpl
promotionteaching: ementation
a. “You need to contact your HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems
physicianaboutmammography.”
b. “If there is not a history of cancer
inthe women of your family, you
neednotbeconcerned.”
c. “Anannualphysicalexamisimporta
nttodetectearlysignsandsymptoms
ofcancer.”
d. “Self-
breastexammonthlyandanannualPa
psmeararenecessaryforearlydetecti
onofcancer.”
2.5When teaching the old-old Answer:a
adult(over age 85) who has been Rationale:Duetoneurovascularandsensorylosses,olderadultsneedadjustmentinteachi
diagnosedwithanewillness,thenursereco ngmethods,althoughtheystillhavetheabilitytolearn.
gnizesthisagegroup: Application
a. needs client teaching at a Planning
slowerpace,withvisualaidsandrepetiti HealthPromotion:GrowthandDevelopment
on.
b. doesnotprofitfrompatientt
eaching.
c. learnsatthesamerateasyoung-
oldadults.
d. isgenerallycognitivelyimpairedandu
nabletolearnnewinformation.
2.6Whenplanningcareforelderlyclientsinl Answer:c
ong- Rationale:Althoughalltheoptionsareimportant,maintenanceofasafeenvironmentis
termcarefacilities,thenursegiveshighestpr alwaysofhighestpriority.
iorityto: ApplicationImpl
a. ensuringthattheyconsumeatleast1, ementation
200caloriesaday. Safe,EffectiveCareEnvironment:SafetyandInfectionControl
b. providing regular periods of
exercisedaily.
c. maintainingasafeenvironment.
d. providing opportunities for
socialinteractions.
2.7 Answer:a
Thenursevisitsanelderlyclientwholivesalo Rationale:Assessingtheclient’sabilitytoobtainfoodwouldbeessentialtodetermin
ne, isnoteatingwell, ewhytheclientisn’teatingandhas littlefoodavailable.
andhasverylittlefoodavailableinthehome AnalysisAss
.Thenursemayalsowanttoassesstheclient’s essment
: HealthPromotion:Preventionand/orEarlyDetectionofHealthProblems
a. abilitytodoherowngrocerysh
opping.
b. accesstolocalrestaurants.
c. numberofvisitsbyfamily.
d. availabilityoflocalgrocerystores.
400
