Prepare for your exam certification with our NCLEX-PN Certified NCLEX
Free NCLEX NCLEX-PN Exam 2023 Practice Materials Collection
The NCLEX-PN exam consists of 85-205 multiple-choice questions, and the test-taker has up to five hours to complete it. The exam is computer-adaptive, meaning that the difficulty of the questions will adjust based on how well the test-taker is performing. The exam covers four main categories: Safe and Effective Care Environment, Health Promotion and Maintenance, Psychosocial Integrity, and Physiological Integrity. These categories are further divided into subcategories, such as infection control, pharmacology, and mental health nursing. The NCLEX-PN exam is a rigorous and comprehensive assessment of a candidate's knowledge and skills, and passing it demonstrates that the candidate is ready to begin working as a practical nurse.
NEW QUESTION # 291
Select the following fire emergency interventions in correct sequential order.
- A. C, B, A, D
- B. C, A, B, D
- C. C, A, D, B
- D. A, C, B, D
Answer: B
Explanation:
Section: Safe and Effective Care Environment
Explanation
Explanation:
The RACE acronym is used to prioritize and sequence the steps that must be followed when a fire occurs.
R stands for rescue patients;
A is pulling the fire alarm;
C is to contain the fire by closing doors, etc.; and
E is extinguishing the fire with a fire extinguisher when possible.
NEW QUESTION # 292
A nurse is caring for a patient who has experienced burns to the right lower extremity. According to the Rule of Nines which of the following percents most accurately describes the severity of the injury?
- A. 9%
- B. 27%
- C. 36%
- D. 18%
Answer: D
Explanation:
Each lower extremity is scored as 18% according to the Rule of Nines.
NEW QUESTION # 293
Which of the following might be an appropriate nursing diagnosis for an epileptic client?
- A. Urinary Retention
- B. Unbalanced Nutrition
- C. Dysreflexia
- D. Risk for Injury
Answer: D
Explanation:
The epileptic client is at risk for injury due to the complications of seizure activity, such as possible head trauma associated with a fall. The other choices are not related to the question.Reduction of Risk Potential
NEW QUESTION # 294
Which of the following is likely to increase the risk of sexually transmitted disease?
- A. alcohol use
- B. all of the above
- C. certain types of sexual practices
- D. oral contraception use
Answer: B
Explanation:
Explanation/Reference:
Explanation:
STDs affect certain groups in groups in greater numbers. Factors associated with risk include being younger than 25 years of age, being a member of a minority group, residing in an urban setting, being impoverished, and using crack cocaine. Physiological Adaptation
NEW QUESTION # 295
Ethical and moral issues concerning restraints include all of the following except:
- A. client's quality of life.
- B. policies and procedures.
- C. dignity of the client.
- D. emotional impact on the client and family.
Answer: B
Explanation:
Policies and procedures, though important, are not in the category of ethical and moral issues. The other options are ethical and moral issues.Safety and Infection Control
NEW QUESTION # 296
People who live in poverty are most likely to obtain health care from:
- A. specialists.
- B. Emergency Departments or urgent care centers.
- C. a neighborhood clinic.
- D. their primary care physician (family doctor).
Answer: B
Explanation:
Explanation/Reference:
Explanation:
Statistical patterns of health care utilization indicate that Emergency Departments and urgent care centers provide a large portion of health care to those who live in poverty. Coordinated Care
NEW QUESTION # 297
The hydraulic lift (Hoyer lift) is:
- A. not an assistive device for special needs.
- B. used for all clients who are not able to stand and for extremity obese clients.
- C. used for all clients who've had orthopedic surgery.
- D. used for all clients, both old and young, in a hospital setting.
Answer: B
Explanation:
The hydraulic lift is used for safe transfer when a client is not able to stand or is too heavy for the health care workers to lift safely.Basic Care and Comfort
NEW QUESTION # 298
The LPN reviews a patient's ABG results:
pH 7.41,
PO2 86 mmHg,
PCO2 39 mmHg,
HCO3 32 mEq/L.
Which of the results is out of range?
- A. PCO2
- B. PO2
- C. pH
- D. HCO3
Answer: D
Explanation:
Section: Physiological Integrity
NEW QUESTION # 299
Chemotherapeutic agents often produce a degree of myelosuppression including leukopenia. Leukopenia does not present immediately but is delayed several days or weeks because:
- A. red blood cells are affected first.
- B. the current white cell count is not affected by chemotherapy.
- C. the client's hemoglobin and hematocrit are normal.
- D. folic acid levels are normal.
Answer: B
Explanation:
Explanation/Reference:
Explanation:
Time is required to clear circulating cells before the effect that chemotherapeutic drugs have on precursor cell maturation in the bone marrow becomes evident. Leukopenia is an abnormally low white blood cell count. Choices 1, 2, and 3 pertain to red blood cells. Pharmacological Therapies
NEW QUESTION # 300
A hospital discharge planning nurse is making arrangements for a client who has an epidural catheter for continuous infusion of opioids to be placed in a long-term care facility. The family prefers a facility in its neighborhood to facilitate visiting. The neighborhood facility has never cared for a client with this type of need. What is the most appropriate action by the discharge planning nurse?
- A. Encourage the family to hire private duty nurses skilled in epidural catheter pain management to allow the client to be transferred to the neighborhood facility.
- B. Ask the physician for an extension of hospitalization until the epidural catheter is discontinued to allow for placement at the neighborhood facility.
- C. Arrange for immediate in-services for the long-term care facility staff on pain management using epidural catheters.
- D. Explain the situation to the client and family and seek another long-term care facility for discharge from the hospital.
Answer: D
Explanation:
Explanation/Reference:
Explanation:
Safety demands that a client be transferred to a facility that can deliver care equal to the hospital. Basic Care and Comfort
NEW QUESTION # 301
A mother that has never breast-feed a child before is having trouble getting the baby to latch on to the breast.
The baby has lost 3% of its' birth weight within the first 2 days of life.
The best statement is __________.
- A. I can fix up a bottle if you want to try that
- B. a small amount of weight loss in the first few days is normal
- C. I can get the charge nurse to come and talk to you about breast-feeding
- D. the baby will eventually take to the breast
Answer: B
Explanation:
Section: Health Promotion and Maintenance
Explanation:
5-10% of birth weight loss following birth is normal for the first few days of life.
NEW QUESTION # 302
A high school nurse observes a 14-year-old female rubbing her scalp excessively in the gym.
The most appropriate course of action for the nurse to do is ___________.
- A. Request a private evaluation of the female's scalp from her parents.
- B. Contact the student's physician.
- C. Observe the hairline and scalp for possible signs of lice.
- D. Contact the female's parents about the observations.
Answer: C
Explanation:
Section: Safe and Effective Care Environment
Explanation:
Observation of the student's hair is the next step.
NEW QUESTION # 303
A client with sickle cell disease is worried about passing the disease on to children. Which of the following statements by the PN is most appropriate for this client?
- A. "Sickle cell disease is genetically based and is not passed on to children."
- B. "Sickle cell disease is caused by an infection and cannot be passed on to children."
- C. "You should discuss this with your physician."
- D. "Sickle cell disease is genetically based and might be passed on to children."
Answer: D
Explanation:
A client with sickle cell disease passes on the least sickle cell trait and possibly sickle cell disease, depending on the sickle status of the other parent. Choice 1 is not helpful to the client. Choices 3 and 4 are not true.
Physiological Adaptation
NEW QUESTION # 304
Teaching about the need to avoid foods high in potassium is most important for which client?
- A. a client receiving diuretic therapy
- B. a client with metabolic alkalosis
- C. a client with renal disease
- D. a client with an ileostomy
Answer: C
Explanation:
Clients with renal disease are predisposed to hyperkalemia and should avoid foods high in potassium. Choices 1, 2, and 3 are incorrect because clients receiving diuretics with ileostomy or with metabolic alkalosis are at risk for hypokalemia and should be encouraged to eat foods high in potassium.
Physiological Adaptation
NEW QUESTION # 305
After group therapy, the female victim of intimatepartner violence confides to the nurse that
she does not feel in any immediate danger. Which of the following statements about victims of domestic violence is true?
- A. Victims of domestic violence know that keeping peace with their partner is the best method of preventing another attack.
- B. Victims of domestic violence are often the best predictors of their risk of harm.
- C. Victims of domestic violence are typically in a state of denial.
- D. Victims of domestic violence often overestimate their safety risk.
Answer: B
Explanation:
Victims of domestic violence are often correct at predicting their risk of harm. However, the nurse should ensure that the client is expressing herself authentically and is not trying to convince the nurse that there is no immediate danger. Further, proper authorities, such as the police, should be alerted to this reportable offense.Psychosocial Integrity
NEW QUESTION # 306
Which of the following is the World Health Organization's (WHO) definition of health?
- A. A use of health promotion activities
- B. A holistic state of wellbeing
- C. The absence of any comorbidities
- D. The absence of all illness and disease
Answer: B
Explanation:
Section: Health Promotion and Maintenance
Explanation:
The World Health Organization (WHO) defines health as a holistic (wholistic) state of wellbeing.
This state of wellbeing is far more than the absence of illness, diseases and comorbidities.
Lastly, the use of health promotion activities does promote health but these activities do not define health according to the World Health Organization.
NEW QUESTION # 307
Which of the following statements is correct regarding rape?
- A. Legally, a woman can be raped by her spouse.
- B. The most common location of rape is the victim's own home.
- C. Prosecution and conviction for rape is easy.
- D. Most rapes are reported.
Answer: A
Explanation:
Explanation/Reference:
Explanation:
The definition of rape is sexual intercourse against someone's will. It is a degrading, brutal crime of violence and can occur between any two persons regardless of their marital status. Psychosocial Integrity
NEW QUESTION # 308
Which of the following attitudes is essential in a nurse who assists clients during crises?
- A. wanting to help clients solve all problems identified
- B. viewing crisis intervention as the first step in solving bigger problems
- C. feeling that work requires identification with all of a client's problems
- D. taking an active role in guiding the process
Answer: B
Explanation:
Viewing crisis intervention as the first step in solving bigger problems is essential in a nurse who assists clients during crises. Assessment of the present problem should be viewed as necessary. Time and limitations of crisis work need to be remembered. Complete diagnostic assessment is unnecessary, and unrelated material should not be explored. Referrals might be necessary for other identified problems.Psychosocial Integrity
NEW QUESTION # 309
Safety measures for using crutches must be taught to clients.
Safety measures for the use of crutches include __________.
- A. properly fitting crutches with rubber tips at the end that provide a four-point gait
- B. both legs touching the floor for all gaits
- C. crutches that fit the way the client chooses and a gait chosen by client
- D. properly fitting crutches, education in the appropriate gait, and strength in the arms
Answer: D
Explanation:
Section: Physiological Integrity
Explanation:
In addition to the rubber tips on the ends of the crutches, the client needs to know the appropriate gait.
Arm strength exercises are important, and it is critical that the client be fitted properly for the crutches.
NEW QUESTION # 310
A client goes to the mental health center for difficulty concentrating, insomnia, and nightmares. The client reports being raped as a child. The nurse should assess the client for further signs of:
- A. general anxiety disorder.
- B. bipolar disorder.
- C. schizophrenia.
- D. post-traumatic stress disorder.
Answer: D
Explanation:
Childhood sexual abuse is associated with adult-onset depression and with an increased risk for lifetime and current post-traumatic stress disorder (PTSD). About one-third of all victims of sexual abuse meet the diagnostic criteria for PTSD. A person with PTSD has three main types of symptoms: (1) Re-experiencing the traumatic event with flashbacks, nightmares, and exaggerated reactions to triggers that remind the person of the event. (2) Emotional numbing is evidenced by avoidance of activities, places, thoughts, feelings, or conversations related to the trauma; feelings of detachment from others; and restricted or blunted emotions. (3) Increased activity is seen in bursts of anger, difficulty sleeping, hypervigilence, difficulty concentrating, and an exaggerated startle response. Other problems associated with PTSD are panic attacks, suicidal thoughts and feelings, substance abuse, eating disorders, feelings of alienation and isolation, and feelings of mistrust and betrayal.Psychosocial Integrity
NEW QUESTION # 311
A client reports that someone is in the room and trying to kill him. The nurse's best response is:
- A. "No one can hurt you here."
- B. "Just tell the person to go away."
- C. "I do not see anyone, but you seem to be very frightened."
- D. "No one is in your room. Let's get you more medicine."
Answer: C
Explanation:
Explanation/Reference:
Explanation:
It is important to acknowledges the client's fear. The other responses deny the client's perceptions.
Psychosocial Integrity
NEW QUESTION # 312
In a disaster, triage situation, the nurse should be least concerned with which of the following regarding a client in crisis?
- A. ability to breathe
- B. pallor or cyanosis of the skin
- C. number of accompanying family members
- D. motor function
Answer: C
Explanation:
Explanation/Reference:
Explanation:
The least important factor (of those listed) during an emergency situation is the number of accompanying family members. Safety and Infection Control
NEW QUESTION # 313
......
Pass NCLEX NCLEX-PN Actual Free Exam Q&As Updated Dump: https://www.vceengine.com/NCLEX-PN-vce-test-engine.html
