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

Prepare effectively for your NCLEX NCLEX-PN National Council Licensure Examination(NCLEX-PN) certification with our extensive collection of free, high-quality practice questions. Each question is designed to mirror the actual exam format and objectives, complete with comprehensive answers and detailed explanations. Our materials are regularly updated for 2025, ensuring you have the most current resources to build confidence and succeed on your first attempt.

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Total 725 questions

Which of the following microorganisms is easily transmitted from client to client on the hands of health care workers?

A.

mycobacterium tuberculosis

B.

clostridium tetani

C.

staphylococcus aureus

D.

human immunodeficiency virus

Which of the following blood pressure parameters indicates PIH? Elevation over a baseline of:

A.

30 mmHg systolic and/or 15 mmHg diastolic.

B.

40 mmHg systolic and/or 20 mmHg diastolic.

C.

10 mmHg systolic and/or 5 mmHg diastolic.

D.

20 mmHg systolic and/or 20 mmHg diastolic.

A client with urinary tract calculi needs to avoid which of the following foods?

A.

lettuce

B.

cheese

C.

apples

D.

broccoli

What does client and family communication and education concerning restraints do?

A.

confuses both groups more

B.

helps with coping and stress levels

C.

encourages cooperation with the client and family

D.

puts the responsibility on the client and family, not the nurse

As part of the teaching plan for a client with type I diabetes mellitus, the nurse should include that carbohydrate needs might increase when:

A.

an infection is present.

B.

there is an emotional upset.

C.

a large meal is eaten.

D.

active exercise is performed.

All of the following clients are in need of an emergency assessment except:

A.

a bleeding client who has an injury from falling debris.

B.

an unresponsive client.

C.

a client with an old injury.

D.

a pregnant woman with imminent delivery.

During the work phase of the nurse-client relationship, the client says to her primary nurse, “You think that I could walk if I wanted to, don’t you?” What is the best response by the nurse?

A.

“Yes, if you really wanted to, you could.”

B.

“Tell me why you’re concerned about what I think.”

C.

“Do you think you could walk if you wanted to?”

D.

“I think you’re unable to walk now, whatever the cause.”

The NSAID that is comparable to morphine in efficacy is:

A.

Feldene.

B.

Stodal.

C.

Toradol.

D.

Elavil.

In administering NSAID adjunctive therapy to an elderly client with cancer, the nurse must monitor:

A.

BUN and creatinine.

B.

creatinine and calcium.

C.

Hgb and Hct.

D.

BUN and CFT.

With a breech presentation, the nurse must be particularly alert for which of the following?

A.

quickening

B.

ophthalmia neonatorum

C.

pica

D.

prolapsed umbilical cord

When a middle-age woman says to the nurse, “I’m really worried about menopause. When my mom went through it, she got really depressed.” The nurse’s best response is:

A.

“It is a myth that women get depressed because of menopause.”

B.

“Menopause is a normal developmental process.”

C.

“It sounds like you are worried that you might become depressed during menopause.”

D.

“When women experience depression during menopause it is usually because of social stresses.”

A physician orders a serum creatinine for a hospitalized client. The nurse should explain to the client and his family that this test:

A.

is normal if the level is 4.0 to 5.5 mg/dl.

B.

can be elevated with increased protein intake.

C.

is a better indicator of renal function than the BUN.

D.

reflects the fluid volume status of a person.

The nurse is turning a client who has a new prosthetic hip. Which position should be avoided to prevent injury to the new prosthetic hip?

A.

abduction of the hip

B.

adduction of the hip

C.

flexing the hip at 80° flexion

D.

flexing the hip at 90°

Which of the following infant behaviors demonstrates the concept of object permanence?

A.

The infant cries when his mother leaves the room.

B.

The infant looks at the floor to find a toy that he was playing with and dropped.

C.

The infant picks up another toy after the one he was playing with rolls under the couch.

D.

The infant participates in a game of patty-cake.

Clients who take iron preparations should be warned of the possible side effects, which might include:

A.

dizziness and orthostatic hypotension.

B.

nausea, vomiting, diarrhea or constipation, and stomach cramps.

C.

drowsiness, lethargy, and fatigue.

D.

neuropathy and tingling in the extremities.

To ensure proper immobilization and increase client comfort when using a rigid splint:

A.

place the client on a stretcher before splinting.

B.

place the client on a long spine board before splinting.

C.

pad the spaces between the body part and the splint.

D.

ensure that the splint conforms to the body curves.

A preschooler has successfully completed the test item “counts 5 blocks” on the Denver II test. This pass is evidence of which of the following developmental concepts?

A.

centration

B.

causality

C.

C.nonreversibility

D.

D.conservation

Jane Love, a 35-year old gravida III para II at 23 weeks gestation, is seen in the Emergency Department with painless, bright red vaginal bleeding. Jane reports that she has been feeling tired and has noticed ankle swelling in the evening. Laboratory tests reveal a hemoglobin level of 11.5 g/dL. After evaluating the situation, the nurse determines that Jane is at risk for placenta previa, based on which of the following data?

A.

anemia

B.

edema

C.

painless vaginal bleeding

D.

fatigue

A client with jaundice has which skin color?

A.

pale

B.

ruddy

C.

yellow

D.

pink

A client is admitted with a diagnosis of Multiple Drug Use. The nurse should plan care based on knowledge that:

A.

multiple drug use is very uncommon.

B.

people might use more than one drug to enhance the effect or relieve withdrawal symptoms.

C.

alcohol and barbiturates used together are not dangerous because one is a stimulant and the other is a depressant.

D.

assessment and intervention are easier with multiple drug use because of the synergistic effect.

Which of the following statements by a client with gastroesophageal reflux disease (GERD) indicates adequate understanding?

A.

“I should eat right before bedtime.”

B.

“I should eat large meals.”

C.

“I should sit up after eating.”

D.

“I should lie flat after eating.”

Which of the following NSAIDS is most commonly used for a brief time for acute pain?

A.

Advil

B.

Aleve

C.

Toradol

D.

Bextra

An effective intervention for a client diagnosed with Obsessive-Compulsive Disorder is:

A.

discussing the repetitive action.

B.

insisting the client not perform the repetitive act.

C.

informing the client that the act is not necessary.

D.

encouraging daily exercise.

In managing nausea related to Morphine epidural analgesia, the nurse should administer:

A.

Indocin

B.

Codeine

C.

Motrin

D.

Compazine

Melissa Smith came to the Emergency Department in the last week before her estimated date of confinement complaining of headaches, blurred vision, and vomiting. Suspecting PIH, the nurse should best respond to Melissa’s complaints with which of the following statements?

A.

“The physician will probably want to admit you for observation.”

B.

“The physician will probably order bed rest at home.”

C.

“These are really dangerous signs.”

D.

“The physician will probably prescribe some medicine for you.”

Which of the following describes the stages of domestic violence in an intimate relationship?

A.

happiness, crisis, angry outburst, intervention

B.

honeymoon period, escalation of stress, outburst, reconciliation

C.

acting out and making up

D.

peace and calm, angry outburst, peace and calm, denial

The nurse is transferring a client from a wheelchair to the bed. Which is the correct procedure?

A.

Pull the client toward you, and pivot him on the unaffected limb.

B.

Pull the client toward you, and pivot him on the affected limb.

C.

Push the client toward the bed, and pivot him on the affected limb.

D.

Stand the client on both legs, and push him toward the bed.

When a client who is having trouble conceiving says to the nurse, “I have started taking ginseng,” the best response by the nurse is:

A.

“No studies show that ginseng is effective for infertility.”

B.

“Some studies show that ginseng enhances in vitro sperm motility.”

C.

“Why don’t you try acupuncture instead. Many studies have shown it to be effective for infertility.”

D.

“It’s probably not going to hurt you, but it’s also probably not going to help. Let’s look at some other alternatives.”

The best lab test to diagnose disseminated intravascular coagulation (DIC) is:

A.

platelet count.

B.

protime (PT).

C.

partial thromboplastin time (PTT).

D.

D-dimer.

The nurse has completed client teaching about introducing solid foods to an infant. To evaluate teaching, the nurse asks the mother to identify an appropriate first solid food. Which of the following is an appropriate response?

A.

pureed canned squash

B.

pureed apples

C.

yogurt

D.

infant rice cereal

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Total 725 questions
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