NCLEX-PN NCLEX National Council Licensure Examination(NCLEX-PN) Free Practice Exam Questions (2025 Updated)

Parents must be careful when warming bottles in a microwave oven because the milk can become superheated.

When a microwave oven is used, the defrost setting should be chosen, and the temperature of the formula should

be checked before giving it to the baby. Refrigerated, partially used bottles should be discarded after 4 hours

because the baby might have introduced some pathogens into the formula. Returning the bottle to the refrigerator

does not destroy pathogens. Formula concentrate and water are usually mixed in a 1:1 ratio of one part concentrate

and one part water. Infants should be offered fresh formula at each feeding. Partially used bottles should not have

fresh formula added to them. Pathogens can grow in partially used bottles of formula and be transferred to the new

formula.Health Promotion and Maintenance

There are several guidelines for evaluating kinetic family drawings, including Choice 4. Effective nursing

actions include asking the child to explain what each family member is doing, encouraging him or her to tell as

much as possible about the drawing, noting physical intimacy or distance, noting placement of family members in

the drawing, noting facial expressions of family members and noting if they are facing each other or turned away.

Choice 1 is initial instruction, not evaluation. Only general encouragement should be given to avoid suggesting

themes to the child.Health Promotion and Maintenance

Kegel exercises, tightening and releasing the pelvic floor muscles, might improve stress incontinence. Choice 1

is not an appropriate treatment for stress incontinence. Several effective surgical treatments exist. Lifestyle and

dietary modifications can also be helpful.Physiological Adaptation

Morton’s neuroma is a small mass or tumor in a digital nerve of the foot. Hallux valgus is referred to in lay

terms as abunion.Hammertoe is where one toe is cocked up over another toe. Plantar fasciitis is an inflammation

of, or pain in, the arch of the foot.Basic Care and Comfort

Pathologic fractures are not common to the disease process. Its treatment through osteoporosis is a potential

complication of steroid use. Hodgkin’s disease most commonly affects young adults (males), is spread through

lymphatic channels to contiguous nodes, and also might spread via the hematogenous route to extradal sites (GI,

bone marrow, skin, and other organs). A working staging classification is performed for clinical use and care.

Physiological Adaptation

Effective Heparin therapy should stop the process of intravascular coagulation and result in increased

availability of fibrinogen. Heparin administration interferes with thrombin-induced conversion of fibrinogen to

fibrin. Bleeding should cease due to the increased availability of platelets and coagulation factors.Physiological

Adaptation

Greenish amniotic fluid passed when the fetus is in a cephalic (head) presentation might indicate fetal distress. A fetus in the breech presentation passes meconium due to compression on the intestinal tract.Physiological Adaptation

The client cannot speak to alert the nurse to his pain state. The nurse needs to provide alternate methods of communication with the client.Basic Care and Comfort

ADH level is increased in the client with nephrogenic diabetes insipidus.Reduction of Risk Potential

Superficial heat and cold, massage, pressure, or vibration can be applied to alleviate pain associated with muscle tension, pain, or spasms.Nonpharmacological Therapies

The blood pressure should be checked first for a client who has just vomited 300 cc of bright red blood, to determine whether the client is hypotensive. The other actions can be taken later.Reduction of Risk Potential

The nail beds and the tissue surrounding the nails should be assessed for abnormal discoloration, lesions, paronychia (infection of tissue surrounding the nail), tissue dryness, breaks in the skin, pressure areas, or other abnormal appearances.Basic Care and Comfort

A client with renal insufficiency should not start a low CHO diet because it could result in an increased renal solute load. Clients who have renal disease (renal failure, endstage renal disease [ESRD], dialysis, and transplant) or liver disease (liver failure, hepatic encephalopathy, cirrhosis, transplant, and hepatitis) require some form of protein control in dietary patterns to preventcomplications from an inability to handle protein solute load. Proteins used in the diet must be of high biologic value, and protein intake is usually weight based, starting at 0.8 g/kg of dry weight, depending on the client’s underlying clinical condition. Protein levels may be increased as necessary to account for metabolic response to dialysis and regeneration of liver tissue (1.5–2.0 g/kg/day). A minimum level of CHOs are needed in the diet (50–100 g/day) to spare protein. Vitamin and mineral supplements might be indicated with clients who have liver failure. The dietician is instrumental in calculating specific nutrient requirements for these clients and reviewing fluid intake and output, medication profile, and daily weight to monitor client outcomes in conjunction with dialysis technicians and nurses.Physiological Adaptation

If there are indications of a body image disturbance, the nursing care plan should include body disturbances, related to a functional or physical problem. The disturbance might be an anticipated one—that is, weight gain and pregnancy. Stressors can include a change in physical appearance, sexuality concerns, or an unrealistic ideal self.

Psychosocial Integrity

Parathyroid hormone depresses renal tubular reabsorption of phosphorus. All of the other choices are functions of parathyroid hormone.Reduction of Risk Potential

Normal serum potassium levels fall in a range of 3.5–5.5mEq/L. The other choices listed fall below or above this range.Reduction of Risk Potential

These interventions (strategies) help the client in all areas of client well-being. Focusing on perception and thought, cognitive techniques are designed to influence how one interprets events and bodily sensations.BasicCare and Comfort

Due to the loud noises from the scanner moving to obtain images, earplugs need to be worn. No metal objects are allowed, including jewelry, pacemakers, and artificial joints.Reduction of Risk Potential

Assemble all equipment first; place the client in a side-lying position so that fluid can easily flow out or pool in the side of the mouth for suctioning (to prevent aspiration); and then place a towel under the client’s chin and a curved basin against the chin. Gloves should be worn.Basic Care and Comfort

Urinary frequency is least indicative of UTI during pregnancy because it is a common minor discomfort of pregnancy and is caused by pressure of the growing uterus on the bladder. As the uterus rises in the second trimester, there are no problems. Frequency returns in the third trimester when the uterus drops into the pelvic cavity. A UTI has the symptoms of frequency, back pain, supra pubic discomfort, and malaise and is diagnosed by laboratory findings.Physiological Adaptation

Leptin (recessive obesity gene—protein hormone) is expressed in fat cell coding for the protein that reacts to the percentage of fat cells in the body. Leptin is associated with increased energy expenditure and decreased food intake via hypothalamic control. Obese clients might have insensitivity or resistance to the effects of leptin. Leptin can affect other body hormones such as insulin. Genetic factors include leptin, uncoupling proteins, and the amount of brown/white fat in the body.Physiological Adaptation

Disturbed Body Image is the most appropriate nursing diagnosis for a client with a new colostomy, due to the adjustments that need to be made with the physical alteration of a colostomy. The other diagnoses are not applicable.Reduction of Risk Potential

Objective anthropometric measurements such as triceps skinfold and mid-arm circumference (MAC), along with weight, are usually used to diagnose malnutrition. While all the other choicesrepresent tests that might provide useful information, they also might be affected by variables other than malnutrition.Physiological Adaptation

The client needs to wash his hair to remove hair spray, cream, or oil that might interfere with attaching the electrodes to the scalp. Food or fluids do not need to be restricted, with the exception of caffeinated fluids. There is no restriction on metal objects. Aspirin is not a medication that needs to be held before the test (just anticonvulsants, tranquilizers, barbiturates, and other sedatives).Reduction of Risk Potential

All of the strategies listed are included in home care for the client with Cushing’s syndrome. Choice 3 is the best answer because wearing a medical ID is a visible sign that something is wrong and a constant reminder to the client that he or she has a loss of body function. Choice 1 might enhance body image because it prevents falls that could cause further injury and debilitation. Taking medications as prescribed should enhance body image because it decreases the symptoms present. Having regular health assessments indicates an enhanced body image because it signals the desire to take care of the body and keep it at its best.Health Promotion and Maintenance

Two-year-old children are very egocentric. They believe everything and everyone is concerned about them. They believe other children want them to have their toys. This is different than believing they can make other children want them to have all the toys, as in magical thinking, which normally occurs in preschool-age children. Toddlers are very negative, but this is expressed by refusal of requests made to them. Domestic imitation does occur in preschool-age children, but it refers to the imitation of household chores and roles performed by adults, not the imitation of other children.Health Promotion and Maintenance

Apples are a source of high fiber, which decreases constipation. A constipated client needs to increase fluids and activity level. Milk is not a high-fiber food.Reduction of Risk Potential

The ingestion of nonfood substances (alcohol) can lead to a clinical iron deficiency and might actually be the first sign of a problem. The client might substitute alcohol for a nutrition program that fosters a positive health habit.Physiological Adaptation

Infection occurs in a predictable sequence requiring virulence, movement from a reservoir, and entry into a susceptible host.Physiological Adaptation