NCLEX-PN Exam
Questions for Practice with Verified Answers
Latest.
1. A 62-year-old woman who lives alone tripped on a rug in her home and fractured her hip at the
proximal end of the femur. Which predisposing factor should the PN identify that most likely
contributed to the fracture?
Answer: Osteoporosis resulting from declining hormone levels.
2. While caring for a client with trigeminal neuralgia the PN observes the client experience facial
spasms. What action should the PN implement?
Answer: Notify the charge nurse of the finding
3. A client with cancer who has been receiving fentanyl (Duragesic) for several weeks reports to
the PN that the medication is not effectively controlling the pain. Which intervention should the
PN take?
Answer: Notify the RN or health care provider of the need for dose adjustment.
4. When turning an immobile bedfast client without assistance, action by the PN
best ensures client safety?
Answer: Put the bed rails up on the opposite side of the bed.
5. A mother is being discharged following the birth of her second child. The mother tells the PN
that her first child died at 6 weeks of age due to SIDS, and she fears that this infant will also
develop SIDS. Which response is best for the PN to provide this mother?
Answer: The fear of losing another child to SIDS is very realistic. Have you thought about
what you are going to do?
6. A client is admitted to the hospital after an injury in a motor vehicle collision and has the right
knee in skeletal traction. The PN reviews the plan of care and identifies the client's priority
nursing diagnosis as "potential for impairment of skin integrity related to immobility from
traction." Which nursing intervention should the PN implement for this nursing diagnosis?
Answer: Provide back and skin care while maintaining the traction.
, 7. The PN is reinforcing discharge instructions for a 22-year-old male client diagnosed with
Beurger disease (thromboangitis obliterans). Which referral is most important for this client?
Answer: Smoking cessation program
8. Urinary catheterization is prescribed for a postoperative female client who has been unable to
void for 8 hours. The PN inserts the catheter, but no urine is seen in the tubing. What action
should the PN take next?
Answer: Leave the catheter in place and reattempt with another catheter.
9. During the admission process, the PN determines that a male client who is scheduled for
surgery in the morning has a blood pressure of 160/85. He is drinking coffee and says his blood
pressure has never been that high. The PN plans to retake the blood pressure in 30 minutes. This
action indicates that the PN recognizes that the elevated blood pressure is likely due to which
factor?
Answer: Preoperative anxiety
10. The PN is caring for a client with symptoms of paranoia and psychosis. Which intervention is
most important for the PN to implement for the nursing diagnosis, of "Impaired social
interactions related to inability to trust?":
Answer: Greet the client by first name during each social interaction.
11. An adolescent female client with a diagnosis of anorexia nervosa wants to help serve dinner
trays to other clients on a psychiatric unit. What action should the PN take?
Answer: Suggest another way for this client to participate in the unit's activities.
12. A client in a long-term care facility reports to the PN that he has not had a bowel movement
in 2 days. Which intervention should the PN implement first?
Answer: Access the client's medical records to determine the client's normal bowel pattern.
13. What types of medications should the PN expect to administer to a client during an acute
respiratory distress episode?
Answer: Bronchodilators and steroids
Questions for Practice with Verified Answers
Latest.
1. A 62-year-old woman who lives alone tripped on a rug in her home and fractured her hip at the
proximal end of the femur. Which predisposing factor should the PN identify that most likely
contributed to the fracture?
Answer: Osteoporosis resulting from declining hormone levels.
2. While caring for a client with trigeminal neuralgia the PN observes the client experience facial
spasms. What action should the PN implement?
Answer: Notify the charge nurse of the finding
3. A client with cancer who has been receiving fentanyl (Duragesic) for several weeks reports to
the PN that the medication is not effectively controlling the pain. Which intervention should the
PN take?
Answer: Notify the RN or health care provider of the need for dose adjustment.
4. When turning an immobile bedfast client without assistance, action by the PN
best ensures client safety?
Answer: Put the bed rails up on the opposite side of the bed.
5. A mother is being discharged following the birth of her second child. The mother tells the PN
that her first child died at 6 weeks of age due to SIDS, and she fears that this infant will also
develop SIDS. Which response is best for the PN to provide this mother?
Answer: The fear of losing another child to SIDS is very realistic. Have you thought about
what you are going to do?
6. A client is admitted to the hospital after an injury in a motor vehicle collision and has the right
knee in skeletal traction. The PN reviews the plan of care and identifies the client's priority
nursing diagnosis as "potential for impairment of skin integrity related to immobility from
traction." Which nursing intervention should the PN implement for this nursing diagnosis?
Answer: Provide back and skin care while maintaining the traction.
, 7. The PN is reinforcing discharge instructions for a 22-year-old male client diagnosed with
Beurger disease (thromboangitis obliterans). Which referral is most important for this client?
Answer: Smoking cessation program
8. Urinary catheterization is prescribed for a postoperative female client who has been unable to
void for 8 hours. The PN inserts the catheter, but no urine is seen in the tubing. What action
should the PN take next?
Answer: Leave the catheter in place and reattempt with another catheter.
9. During the admission process, the PN determines that a male client who is scheduled for
surgery in the morning has a blood pressure of 160/85. He is drinking coffee and says his blood
pressure has never been that high. The PN plans to retake the blood pressure in 30 minutes. This
action indicates that the PN recognizes that the elevated blood pressure is likely due to which
factor?
Answer: Preoperative anxiety
10. The PN is caring for a client with symptoms of paranoia and psychosis. Which intervention is
most important for the PN to implement for the nursing diagnosis, of "Impaired social
interactions related to inability to trust?":
Answer: Greet the client by first name during each social interaction.
11. An adolescent female client with a diagnosis of anorexia nervosa wants to help serve dinner
trays to other clients on a psychiatric unit. What action should the PN take?
Answer: Suggest another way for this client to participate in the unit's activities.
12. A client in a long-term care facility reports to the PN that he has not had a bowel movement
in 2 days. Which intervention should the PN implement first?
Answer: Access the client's medical records to determine the client's normal bowel pattern.
13. What types of medications should the PN expect to administer to a client during an acute
respiratory distress episode?
Answer: Bronchodilators and steroids
