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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

The 24-hour day-night cycle is known as:

A.

circadian rhythm.

B.

infradium rhythm.

C.

ultradian rhythm.

D.

non-REM rhythm.

Which of the following ethnic groups is at highest risk in the United States for pesticide-related injuries?

A.

Native American

B.

Asian-Pacific

C.

Norwegian

D.

Hispanic

In a disaster situation, the nurse assessing a diabetic client on insulin assesses for all of the following except:

A.

diabetic signs and symptoms.

B.

nutritional status.

C.

bleeding problems.

D.

availability of insulin.

A client is given an opiate drug for pain relief following general anesthesia. The client becomes extremely somnolent with respiratory depression. The physician is likely to order the administration of:

A.

naloxone (Narcan).

B.

labetalol (Normodyne).

C.

neostigmine (Prostigmin).

D.

thiothixene (Navane).

A client states, “I eat a well-balanced diet. I do not smoke. I exercise regularly, and I have a yearly checkup with my physician. What else can I do to help prevent cancer?” The nurse should respond with which of the following statements?

A.

Sleep at least 6–8 hours a night.

B.

Practice monthly self-breast examination.

C.

Reduce stress.

D.

All of the above.

Signs of impaired breathing in infants and children include all of the following except:

A.

nasal flaring.

B.

grunting.

C.

seesaw breathing.

D.

quivering lips.

A 35-year-old Latin-American client wishes to lose weight to reduce her chances of developing heart disease and diabetes. The client states, “I do not know how to make my diet work with the kind of foods that my family eats.” What should the nurse do first to help the client determine a suitable diet for disease prevention?

A.

Provide her with copies of the approved dietary guidelines for the American Diabetic Association and the American Heart Association.

B.

Ask the client to provide a list of the types of foods she eats to determine how to best meet her needs.

C.

Provide a high-protein diet plan for the client.

D.

Provide the client with information related to risk factors for heart disease and diabetes.

A couple from the Philippines living in the United States is expecting their first child. In providing culturally competent care, the nurse must first:

A.

review their own cultural beliefs and biases.

B.

respectfully request that the couple utilize only medically approved health care providers.

C.

realize that the clients have to learn their new country’s accepted medical practices.

D.

study family dynamics to understand the male and female gender roles in the clients’ culture.

In performing a psychosocial assessment, the nurse begins by asking questions that encourage the client to describe problematic behaviors and situations. The next step is to elicit the client’s:

A.

feelings about what has been described.

B.

thoughts about what has been described.

C.

possible solutions to the problem.

D.

intent in sharing the description.

The nurse observes bilateral bruises on the arms of an elderly client in a long-term care facility. Which of the following questions should the nurse ask this client?

A.

“How did you get those bruises?”

B.

“Did someone grab you by your arms?”

C.

“Do you fall often?”

D.

“What did you bump against?”

A 12-year-old male is brought to his primary care provider to determine whether sexual abuse has occurred. The mother states, “Because there is no permanent physical damage, he does not need any more treatment.” The nurse’s response should be based on which of the following pieces of information?

A.

Male victims of sexual abuse seldom have long-term psychological problems.

B.

Survivors of male sexual abuse might become confused about their sexual identity.

C.

Unless treated, all male sex abuse survivors grow up to abuse other children.

D.

All children who have been sexually abused have the same needs, regardless of gender.

Vaccines provide what type of immunity?

A.

active

B.

passive

C.

transplacental

D.

active and passive

According to the ANA Code of Ethics for Nurses, professional nurses have an ethical obligation to:

A.

clients (patients).

B.

the profession of nursing.

C.

provide high-quality care.

D.

all of the above.

A nurse is planning a brief treatment program for a client who was raped. A realistic, short-term goal is to:

A.

identify all psychosocial problems.

B.

eliminate the client’s enticing behaviors.

C.

resolve feelings of trauma and fear.

D.

verbalize feeling about the event.

Nursing considerations when caring for African- American clients include that:

A.

families are generally distant and unsupportive.

B.

special hair, skin, and nail care might be required.

C.

fad diets are a cultural norm.

D.

clients are generally future-oriented.

Rehabilitation services begin:

A.

when the client enters the health care system.

B.

after the client requests rehabilitation services.

C.

after the client’s physical condition stabilizes.

D.

when the client is discharged from the hospital.

In an emergency situation, the nurse determines whether a client has an airway obstruction. Which of the following does the nurse assess?

A.

ability to speak

B.

ability to hear

C.

oxygen saturation

D.

adventitious breath sounds

The most common cause of injury from a house fire is:

A.

explosion.

B.

falls from second-story windows.

C.

thermal damage to skin and body surfaces.

D.

inhalation injury.

Following the change of shift report, the nurse should analyze the information and set priorities accordingly. When the plan has been formulated, at what point during the shift can or should the nurse’s plan be altered or modified?

A.

halfway through the shift

B.

at the end of the shift before the nurse reports off

C.

when needs change

D.

after the top-priority tasks have been completed

A client is diagnosed with HIV. Which of the following are antiviral drug classes used in the treatment of HIV/AIDS?

A.

nucleoside reverse transcriptase inhibitors

B.

protease inhibitors

C.

HIV fusion inhibitors

D.

all of the above.

Ethical and moral issues concerning restraints include all of the following except:

A.

emotional impact on the client and family.

B.

dignity of the client.

C.

client’s quality of life.

D.

policies and procedures.

An assessment of the skull of a normal 10-monthold baby should identify which of the following?

A.

closure of the posterior fontanel.

B.

closure of the anterior fontanel.

C.

overlap of cranial bones.

D.

ossification of the sutures.

People who live in poverty are most likely to obtain health care from:

A.

their primary care physician (family doctor).

B.

a neighborhood clinic.

C.

specialists.

D.

Emergency Departments or urgent care centers.

A 45-year-old client with type I diabetes is in need of support services upon discharge from a skilled rehabilitation unit. Which of the following services is an example of a skilled support service?

A.

shopping for groceries

B.

house cleaning

C.

transportation to physician’s visits

D.

medication instruction

A 57-year-old woman is recently widowed. She states, “I will never be able to learn how to manage the finances. My husband did all of that.” Select the nurse’s response that could help raise the client’s self-esteem.

A.

“You feel inadequate because you have never learned to balance a checkbook.”

B.

“You should have insisted your husband teach you about the finances.”

C.

“You are strong and will learn how to manage your finances after awhile.”

D.

“Why don’t you take a class in basic finance from the local college?”

A corporate executive works 60–80 hours a week. The client is experiencing some physical signs of stress. The nurse teaches the client biofeedback techniques. This is an example of which of the following health-promotion interventions?

A.

structure

B.

relaxation technique

C.

time management

D.

regular exercise

Which is the best way to position a client’s neck for palpation of the thyroid?

A.

flexed toward the side being examined

B.

hyperextended directly backward

C.

flexed away from the side being examined

D.

flexed directly forward

A client is given an opiate drug for pain relief following general anesthesia. The client becomes extremely somnolent with respiratory depression. The physician is likely to order the administration of:

A.

naloxone (Narcan).

B.

labetalol (Normodyne).

C.

neostigmine (Prostigmin).

D.

thiothixene (Navane).

A 15 year-old high school wrestler has been taking diuretics to loose weight to compete in a lower weight class. Which of the following medical tests is most like to be given?

A.

Lab values of Potassium and Sodium

B.

Lab values of glucose and hemoglobin

C.

ECG

D.

CT scan

Which of the following arterial blood gas values indicates a patient may be experiencing a condition of metabolic acidosis?

A.

PaO2 (90%)

B.

Bicarbonate 159

C.

CO(2) 47 mm Hg

D.

pH 7.34

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Total 725 questions
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