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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 is true concerning human immunodeficiency virus (HIV)?

A.

HIV infection involves CD4 receptor protein on the surface of helper T-cells.

B.

The presence of circulating antibodies that neutralize HIV is evidence that the individual has immunity-HIV.

C.

HIV replication occurs extracellularly.

D.

DNA replication

Incidences of child abuse apperar to be higher in the African-American community and might be explained by:

A.

the increased number of African Americans viewing violence on television.

B.

more single-parent households in African- American communities.

C.

stricter child-rearing practices in African- American households.

D.

a higher occurrence of rage in African Americans.

A client with a nasogastric (NG) tube begins vomiting. What action should the nurse take?

A.

Retape the NG tube.

B.

Clamp the NG tube.

C.

Remove the NG tube.

D.

Check the NG tube placement.

Which of the following should not be included in the teaching for clients who take oral iron preparations?

A.

Mix the liquid iron preparation with antacids to reduce GI distress.

B.

Take the iron with meals if GI distress occurs.

C.

Liquid forms should be taken with a straw to avoid discoloration of tooth enamel.

D.

Oral forms should be taken with juice, not milk.

The nurse should teach a client in the Emergency Department, who has suffered an ankle sprain, to:

A.

use cold applications to the sprain during the first 24–48 hours.

B.

expect disability to decrease within the first 24 hours of injury.

C.

expect pain to decrease within 3 hours after injury.

D.

begin progressive passive and active range of motion exercises immediately.

An 8-year-old Asian child is being examined during a school screening. The nurse notices small bruises on the anterior and posterior ribs. The nurse should ask the child:

A.

if the family practices coining.

B.

who hit him.

C.

if the child has fallen.

D.

how long the abuse has been occurring.

A client with Parkinson’s disease has difficulty performing voluntary movements. This is known as:

A.

akinesia.

B.

dyskinesia.

C.

chorea.

D.

dystonia.

The nurse is caring for a postpartum woman who has relinquished her baby for adoption. The care plan for the client should include which of the following priority strategies?

A.

Make a referral for grief counseling.

B.

Allow the woman to see her baby initially, and then discourage further visits.

C.

Provide opportunities for the woman to express her feelings.

D.

Inform the woman she has the right to change her mind about relinquishment.

Pressure ulcers usually occur:

A.

when clients are left in one position in bed for extended periods of time.

B.

when clients are underweight.

C.

when clients are overweight.

D.

only in underweight and overweight clients.

An elevation in which of the following enzymes is indicative of pancreatitis?

A.

alkaline phosphatase

B.

acid phosphatase

C.

creatine phosphokinase

D.

amylase

When caring for a client with a possible diagnosis of placenta previa, which of the following admission procedures should the nurse omit?

A.

perineal shave

B.

enema

C.

urine specimen collection

D.

blood specimen collection

Which type of hepatitis is transmitted via the fecal-oral route?

A.

A

B.

B

C.

C

D.

D

The test used to differentiate sickle cell trait from sickle cell disease is:

A.

sickle cell preparation.

B.

peripheral smear.

C.

sickledex.

D.

hemoglobin electrophoresis.

Which medication might the physician order if the client expresses discomfort with being in the enclosed space of a CT scanner?

A.

Valium (diazepam)

B.

Clozaril (clozapine)

C.

Catapress (clonidine)

D.

Lasix (furosemide)

A client describes her cervical mucus as clear, thin, and elastic. Upon examination, the nurse demonstrates that the cervical mucus can be stretched 8–10 cm. The nurse correctly documents the finding as:

A.

ferning capacity.

B.

lack of ferning.

C.

spinnbarkheit.

D.

inhospitable.

When assessing a client with amytrophic lateral sclerosis (ALS), the nurse should expect which of the following findings?

A.

mental confusion

B.

muscular weakness

C.

sensory loss

D.

emotional liability

The method of splinting is always dictated by:

A.

location of the injury and whether it is open or closed.

B.

the severity of the client’s condition and the priority decision.

C.

the number of available rescuers and the type of splints.

D.

all of the above.

When the nurse is determining the appropriate size of a nasopharyngeal airway to insert, which body part should be measured on the client?

A.

corner of the mouth to tragus of the ear

B.

corner of the eye to top of the ear

C.

tip of the chin to the sternum

D.

tip of the nose to the earlobe

A client’s postoperative pain seems to be getting worse instead of better. When the nurse asks the client, “Why do you think it’s getting worse?” the client replies, “My wife died last month. It’s all I can think about.” The nurse must now consider:

A.

calling the physician for an increased dosage of pain medication.

B.

calling the physician for a sedative.

C.

referring the client for a psychiatric consult.

D.

developing interventions for grief and loss.

Which statement best describes electrolytes in intracellular and extracellular fluid?

A.

There is a greater concentration of sodium in extracellular fluid and potassium in intracellular fluid.

B.

There is an equal concentration of sodium and potassium in extracellular fluid.

C.

There is a greater concentration of potassium in extracellular fluid and sodium in intracellular fluid.

D.

There is an equal concentration of sodium and potassium between intracellular and extracellular fluid.

A client newly diagnosed with Diabetes Mellitus needs education. Which of the following statements should the nurse include in this education?

A.

“You can eat anything you want, but no foods with sugar.”

B.

“You need to lose weight, so your diet must be a restricted one.”

C.

“You need a diet and exercise program.”

D.

“You must eliminate all salt, fat, and sugar from your diet.”

A client with asthma develops respiratory acidosis. Based on this diagnosis, what should the nurse expect the client’s serum potassium level to be?

A.

normal

B.

elevated

C.

low

D.

unrelated to the pH

A 4-year-old client is unable to go to sleep at night in the hospital. Which nursing intervention best promotes sleep for the child?

A.

turning out the room light and closing the door

B.

tiring the child during the evening with play exercises

C.

identifying the child’s home bedtime rituals and following them

D.

encouraging visitation by friends during the evening

The physician orders the antibiotics ampicillin (Omnipen) and gentamicin (Garamycin) for a newly admitted client with an infection. The nurse should:

A.

administer both medications simultaneously.

B.

give the medications sequentially, and flush well between them.

C.

ask the physician or pharmacy which medication to give first and how long to wait before giving the other drug.

D.

start one medication now and begin the other medication in 2–4 hours.

Support-system enhancement includes all of the following except:

A.

determining the barriers to using support systems.

B.

discussing ways to help with others who are concerned.

C.

exploring life problems of the support-team members.

D.

involving spouse, family, and friends in the care and planning.

A client recently lost a child due to poisoning. The client tells the nurse, “I don’t want to make any new friends right now.” This is an example of which of the following indicators of stress?

A.

emotional behavioral indicator

B.

spiritual indicator

C.

sociocultural indicator

D.

intellectual indicator

The family carries out its health care functions in which of the following ways?

A.

Family provides very little preventive health care to its members at home.

B.

Family provides sick care to its members.

C.

Family pays for most health services.

D.

Family decides when and where to hospitalize its members.

The nurse wishes to decrease a client’s use of denial and increase the client’s expression of feelings. To do this the nurse should:

A.

tell the client to stop using the defense mechanism of denial.

B.

positively reinforce each expression of feelings.

C.

instruct the client to express feelings.

D.

challenge the client each time denial is used.

The most effective nursing strategy to assist a client in recognizing and using personal strength includes:

A.

encouraging the client’s self-identification of strengths.

B.

promoting the client’s active external thinking.

C.

listening to the client and providing advice as needed.

D.

assisting the client in maintaining an external locus of control.

At what point in the nurse-client relationship should termination first be addressed?

A.

in the working phase

B.

in the termination phase

C.

in the orientation phase

D.

when the client initially brings up the topic

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Total 725 questions
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