Page 1 of 81
PN NCLEX REAL EXAM STUDY GUIDE EXAM|
NCLEX PN PRACTICE QUESTIONS WITH 100%
CORRECT ANSWERS NEW MODIFIED TESTED
AND APPROVED!!!
The boards of nursing have the right to revoke, deny, or suspend any license to practice as a
practical/vocational nurse within their jurisdiction. There are several causes or actions which
are considered to be cause for disciplinary action by the board of nursing. identify the cause
for disciplinary action which is incorrect.
a) informing your superior that you cannot assume nursing duties until sufficient preparation
for the specific duty has been provided.
b) conduct which is unprofessional and could affect the health of the public in an adverse
way.
c) abusing a patient physically or verbally.
d) falsifying a patient's record. -- ANSWER--a
An LPN/LVN is obtaining the vital signs of a toddler who is in the pediatrician's office for his
18 month check up and scheduled immunizations. Which set of vital signs would need to be
brought to the attention of the pediatrician?
a) Temperature- 97.6F axillary, Respirations- 22, Pulse- 100, B/P- 86/56 mm Hg.
b) Temperature- 99.6F axillary, Respirations- 30, Pulse- 112, B/P- 82/54 mm Hg.
c) Temperature- 97.0F axillary, Respirations- 20, Pulse- 82, B/P- 84/54 mm Hg.
d) Temperature- 98.6F axillary, Respirations- 32, Pulse- 122, B/P- 90/58 mm Hg. --
ANSWER--b- The axillary temperature reading is too high. Since the toddler is scheduled
,Page 2 of 81
for possible immunizations, the pediatrician should be alerted to the elevated temperature.
The pediatrician will most likely make the decision to postpone the immunizations. The
other vital signs are all within normal range. The set of vital signs which includes
respirations of 32 and a pulse of 122 could be elevated due to the toddler being upset or
crying. This last set of vital signs seems to be in the low range, however is still considered
normal. This toddler may be more calm and goodnatured. This would not be a reason to
alert the pediatrician unless there was some other physical symptom of concern.
A long-term care facility nurse has received an assignment which includes an 85-year old,
hearing impaired client. What is the MOST appropriate way to communicate with this
patient?
a) face the client when speaking
b) ask the client if they would prefer to communicate through sign language
c) speak as loudly and slowly as possible
d) when speaking, exaggerate lip movements to help the client lip read. -- ANSWER--a- The
nurse must be careful to not assume that the client cannot hear at all. He may simply have
a hearing aid and/or be hard of hearing. If the nurse asked if the client would like to
communicate through sign language, this would be making the assumption that the client
knows sign language. It is not appropriate to shout or speak as loudly and slowly as
possible- this may actually make it more difficult for the client to understand. It is
ineffective to exaggerate lip movements as this changes the way in which words are
communicated when a person is able to lip read. The initial and most effective
communication strategy is to face the client when speaking and speak in a normal
unhurried fashion to enable their interpretation.
Which of these would be an appropriate meal for a client with celiac disease?
a) chicken and rice, apple, and tapioca pudding
b) turkey sandwich with rye bread and carrots.
,Page 3 of 81
c) granola and dried apricots with cow's milk.
d) egg noodles with cream sauce and broccoli, oat cookie, and almond milk. -- ANSWER--a-
Rice, fruits, vegetables, meat, dairy, and tapioca are all safe gluten-free options. Oats can
be a gluten-free food if they are specially labeled, but many are processed on the same
equipment as wheat and so they should not automatically be considered a safe item. Unless
marked, granola typically contains oats that could have been exposed to gluten. While
fresh fruit is safe, dried and prepackaged fruits may contain additives that contain gluten.
Rye is wheat derivative, and many cream sauces contain flour as a base.
the LPN is caring for a 32 year old female client who is 8 hours post-op after a tonsillectomy.
which of these would be an appropriate action taken by the nurse?
a) inform the client that ear pain may occur and is normal
b) provide ice water and a straw to promote easy fluid consumption
c) provide hot tea to sooth the throat
d) monitor vitals every 15 minutes. -- ANSWER--a- Referred pain in the ear is normal after a
tonsillectomy because of related nerve pathways. Vitals should be monitored every 15
minutes in the immediate postoperative period and then every 4 hours thereafter. Straws
and hot beverages should be avoided as they may irritate the throat and disturb healing.
A nurse is planning assignments for the upcoming shift. which of the following would be the
most appropriate assignment for a nursing assistant?
a) obtain vital signs of all patients on the floor and record the results in their medical chart.
b) perform a bed bath on a diabetic patient who is bedridden.
c) accompanying an alzheimer's patient to the bathroom.
d) provide feeding assistance to a client who experienced a stroke three days ago. --
ANSWER--b
, Page 4 of 81
Vitamin K is typically given during the immediate post delivery period to the healthy
newborn infant. The IM injection is administered in the vastus lateralis muscle of the infant's
thigh. Which is the most appropriate response for the nurse to give if questioned by the
parents about the reason for the injection.
a) "the newborns sensitivity to pain is not as strong as ours is, so you don't need to worry. this
is for their own good"
b) " I can contact Dr. Jones for you, if you would prefer you infant not receive this injection."
c) " Vitamin K is a necessary evil for the newborn and it will prevent bleeding problems
later"
d) "this is a vitamin K injection. Infants are deficient in Vitamin K for the first 5-8 days of
life. Vitamin K helps their blood clot. This injection is administered to all healthy
newborns to help their blood clot better. -- ANSWER--d
A nurse has received orders to administer a RhoGAM injection IM to a postpartum patient.
Which situation is NOT a contraindictation for administration of this injection?
a) Administration to a patient who has a history of a systemic allergic reaction to preparations
containing human immunoglobulins.
b) administrations of the injection within 72 hours after delivery.
c) administration to an RH-positive female patient
d) Administration to a patient with an elevated temperature. -- ANSWER--b- The injection is
given to an Rh-negative mother to prevent isoimmunization from the possibility of
exposure to Rh-positive blood. Exposure can occur not only through delivery of an Rh-
positive infant but also by transfusion, amniocentesis, chorionic villus sampling,
abdominal injury or trauma, bleeding during pregnancy, and termination of a pregnancy.
The injection should never be administered to an Rh-positive patient, a patient with an
elevated temperature, or a patient with a history of an allergic reaction to preparations
PN NCLEX REAL EXAM STUDY GUIDE EXAM|
NCLEX PN PRACTICE QUESTIONS WITH 100%
CORRECT ANSWERS NEW MODIFIED TESTED
AND APPROVED!!!
The boards of nursing have the right to revoke, deny, or suspend any license to practice as a
practical/vocational nurse within their jurisdiction. There are several causes or actions which
are considered to be cause for disciplinary action by the board of nursing. identify the cause
for disciplinary action which is incorrect.
a) informing your superior that you cannot assume nursing duties until sufficient preparation
for the specific duty has been provided.
b) conduct which is unprofessional and could affect the health of the public in an adverse
way.
c) abusing a patient physically or verbally.
d) falsifying a patient's record. -- ANSWER--a
An LPN/LVN is obtaining the vital signs of a toddler who is in the pediatrician's office for his
18 month check up and scheduled immunizations. Which set of vital signs would need to be
brought to the attention of the pediatrician?
a) Temperature- 97.6F axillary, Respirations- 22, Pulse- 100, B/P- 86/56 mm Hg.
b) Temperature- 99.6F axillary, Respirations- 30, Pulse- 112, B/P- 82/54 mm Hg.
c) Temperature- 97.0F axillary, Respirations- 20, Pulse- 82, B/P- 84/54 mm Hg.
d) Temperature- 98.6F axillary, Respirations- 32, Pulse- 122, B/P- 90/58 mm Hg. --
ANSWER--b- The axillary temperature reading is too high. Since the toddler is scheduled
,Page 2 of 81
for possible immunizations, the pediatrician should be alerted to the elevated temperature.
The pediatrician will most likely make the decision to postpone the immunizations. The
other vital signs are all within normal range. The set of vital signs which includes
respirations of 32 and a pulse of 122 could be elevated due to the toddler being upset or
crying. This last set of vital signs seems to be in the low range, however is still considered
normal. This toddler may be more calm and goodnatured. This would not be a reason to
alert the pediatrician unless there was some other physical symptom of concern.
A long-term care facility nurse has received an assignment which includes an 85-year old,
hearing impaired client. What is the MOST appropriate way to communicate with this
patient?
a) face the client when speaking
b) ask the client if they would prefer to communicate through sign language
c) speak as loudly and slowly as possible
d) when speaking, exaggerate lip movements to help the client lip read. -- ANSWER--a- The
nurse must be careful to not assume that the client cannot hear at all. He may simply have
a hearing aid and/or be hard of hearing. If the nurse asked if the client would like to
communicate through sign language, this would be making the assumption that the client
knows sign language. It is not appropriate to shout or speak as loudly and slowly as
possible- this may actually make it more difficult for the client to understand. It is
ineffective to exaggerate lip movements as this changes the way in which words are
communicated when a person is able to lip read. The initial and most effective
communication strategy is to face the client when speaking and speak in a normal
unhurried fashion to enable their interpretation.
Which of these would be an appropriate meal for a client with celiac disease?
a) chicken and rice, apple, and tapioca pudding
b) turkey sandwich with rye bread and carrots.
,Page 3 of 81
c) granola and dried apricots with cow's milk.
d) egg noodles with cream sauce and broccoli, oat cookie, and almond milk. -- ANSWER--a-
Rice, fruits, vegetables, meat, dairy, and tapioca are all safe gluten-free options. Oats can
be a gluten-free food if they are specially labeled, but many are processed on the same
equipment as wheat and so they should not automatically be considered a safe item. Unless
marked, granola typically contains oats that could have been exposed to gluten. While
fresh fruit is safe, dried and prepackaged fruits may contain additives that contain gluten.
Rye is wheat derivative, and many cream sauces contain flour as a base.
the LPN is caring for a 32 year old female client who is 8 hours post-op after a tonsillectomy.
which of these would be an appropriate action taken by the nurse?
a) inform the client that ear pain may occur and is normal
b) provide ice water and a straw to promote easy fluid consumption
c) provide hot tea to sooth the throat
d) monitor vitals every 15 minutes. -- ANSWER--a- Referred pain in the ear is normal after a
tonsillectomy because of related nerve pathways. Vitals should be monitored every 15
minutes in the immediate postoperative period and then every 4 hours thereafter. Straws
and hot beverages should be avoided as they may irritate the throat and disturb healing.
A nurse is planning assignments for the upcoming shift. which of the following would be the
most appropriate assignment for a nursing assistant?
a) obtain vital signs of all patients on the floor and record the results in their medical chart.
b) perform a bed bath on a diabetic patient who is bedridden.
c) accompanying an alzheimer's patient to the bathroom.
d) provide feeding assistance to a client who experienced a stroke three days ago. --
ANSWER--b
, Page 4 of 81
Vitamin K is typically given during the immediate post delivery period to the healthy
newborn infant. The IM injection is administered in the vastus lateralis muscle of the infant's
thigh. Which is the most appropriate response for the nurse to give if questioned by the
parents about the reason for the injection.
a) "the newborns sensitivity to pain is not as strong as ours is, so you don't need to worry. this
is for their own good"
b) " I can contact Dr. Jones for you, if you would prefer you infant not receive this injection."
c) " Vitamin K is a necessary evil for the newborn and it will prevent bleeding problems
later"
d) "this is a vitamin K injection. Infants are deficient in Vitamin K for the first 5-8 days of
life. Vitamin K helps their blood clot. This injection is administered to all healthy
newborns to help their blood clot better. -- ANSWER--d
A nurse has received orders to administer a RhoGAM injection IM to a postpartum patient.
Which situation is NOT a contraindictation for administration of this injection?
a) Administration to a patient who has a history of a systemic allergic reaction to preparations
containing human immunoglobulins.
b) administrations of the injection within 72 hours after delivery.
c) administration to an RH-positive female patient
d) Administration to a patient with an elevated temperature. -- ANSWER--b- The injection is
given to an Rh-negative mother to prevent isoimmunization from the possibility of
exposure to Rh-positive blood. Exposure can occur not only through delivery of an Rh-
positive infant but also by transfusion, amniocentesis, chorionic villus sampling,
abdominal injury or trauma, bleeding during pregnancy, and termination of a pregnancy.
The injection should never be administered to an Rh-positive patient, a patient with an
elevated temperature, or a patient with a history of an allergic reaction to preparations
