NCLEX-PN EXAM – QUESTIONS AND ANSWERS | VERIFIED AND WELL DETAILED
ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST EXAM UPDATE
CORE DOMAINS*
• Fundamentals of Nursing*
• Pharmacology and Medication Administration*
• Medical-Surgical Nursing*
• Maternal and Newborn Nursing*
• Pediatric Nursing*
• Mental Health Nursing*
• Infection Control and Safety*
, • Leadership and Delegation*
• Ethical and Legal Nursing Practice*
• Nutrition and Health Promotion*
INTRODUCTION*
The NCLEX-PN examination evaluates the competency of
SECTION ONE: QUESTIONS 1–50
1. A nurse is caring for a client with dehydration. Which assessment finding indicates
improvement in the client’s fluid status?
A. Urine specific gravity of 1.035
B. Blood pressure of 86/50 mmHg
C. Moist mucous membranes
D. Heart rate of 124 beats/min
🟢 Correct Answer: C. Moist mucous membranes
,🔴 Explanation: Moist mucous membranes indicate improved hydration, while
concentrated urine, hypotension, and tachycardia suggest ongoing dehydration.
2. Which action should the nurse take first when a client reports chest pain?
A. Obtain vital signs
B. Notify the healthcare provider
C. Place the client in Trendelenburg position
D. Assess the pain characteristics
🟢 Correct Answer: D. Assess the pain characteristics
🔴 Explanation: The nurse should first assess the pain to determine severity, location,
duration, and associated symptoms before implementing additional interventions.
3. A nurse is preparing to administer insulin. Which action is most important?
A. Warm the insulin vial
B. Verify the client’s blood glucose level
C. Shake the insulin vigorously
D. Administer after meals only
🟢 Correct Answer: B. Verify the client’s blood glucose level
🔴 Explanation: Checking blood glucose before insulin administration ensures safe and
accurate dosing.
, 4. Which client should the nurse assess first?
A. Client with a temperature of 99°F
B. Client requesting pain medication
C. Client with sudden shortness of breath
D. Client waiting for discharge instructions
🟢 Correct Answer: C. Client with sudden shortness of breath
🔴 Explanation: Sudden shortness of breath may indicate respiratory compromise and
requires immediate assessment.
5. A nurse is teaching infection control. Which statement by the client indicates
understanding?
A. “I only wash my hands when visibly dirty.”
B. “Hand hygiene helps prevent infection spread.”
C. “Gloves replace handwashing.”
D. “Antibiotics prevent all infections.”
🟢 Correct Answer: B. “Hand hygiene helps prevent infection spread.”
🔴 Explanation: Proper hand hygiene is the most effective method to reduce transmission
of infections.
ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST EXAM UPDATE
CORE DOMAINS*
• Fundamentals of Nursing*
• Pharmacology and Medication Administration*
• Medical-Surgical Nursing*
• Maternal and Newborn Nursing*
• Pediatric Nursing*
• Mental Health Nursing*
• Infection Control and Safety*
, • Leadership and Delegation*
• Ethical and Legal Nursing Practice*
• Nutrition and Health Promotion*
INTRODUCTION*
The NCLEX-PN examination evaluates the competency of
SECTION ONE: QUESTIONS 1–50
1. A nurse is caring for a client with dehydration. Which assessment finding indicates
improvement in the client’s fluid status?
A. Urine specific gravity of 1.035
B. Blood pressure of 86/50 mmHg
C. Moist mucous membranes
D. Heart rate of 124 beats/min
🟢 Correct Answer: C. Moist mucous membranes
,🔴 Explanation: Moist mucous membranes indicate improved hydration, while
concentrated urine, hypotension, and tachycardia suggest ongoing dehydration.
2. Which action should the nurse take first when a client reports chest pain?
A. Obtain vital signs
B. Notify the healthcare provider
C. Place the client in Trendelenburg position
D. Assess the pain characteristics
🟢 Correct Answer: D. Assess the pain characteristics
🔴 Explanation: The nurse should first assess the pain to determine severity, location,
duration, and associated symptoms before implementing additional interventions.
3. A nurse is preparing to administer insulin. Which action is most important?
A. Warm the insulin vial
B. Verify the client’s blood glucose level
C. Shake the insulin vigorously
D. Administer after meals only
🟢 Correct Answer: B. Verify the client’s blood glucose level
🔴 Explanation: Checking blood glucose before insulin administration ensures safe and
accurate dosing.
, 4. Which client should the nurse assess first?
A. Client with a temperature of 99°F
B. Client requesting pain medication
C. Client with sudden shortness of breath
D. Client waiting for discharge instructions
🟢 Correct Answer: C. Client with sudden shortness of breath
🔴 Explanation: Sudden shortness of breath may indicate respiratory compromise and
requires immediate assessment.
5. A nurse is teaching infection control. Which statement by the client indicates
understanding?
A. “I only wash my hands when visibly dirty.”
B. “Hand hygiene helps prevent infection spread.”
C. “Gloves replace handwashing.”
D. “Antibiotics prevent all infections.”
🟢 Correct Answer: B. “Hand hygiene helps prevent infection spread.”
🔴 Explanation: Proper hand hygiene is the most effective method to reduce transmission
of infections.
