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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

A patient has recently been prescribed Lidocaine Hydrochloride. Which of the following symptoms may occur with over dosage?

A.

Memory loss and lack of appetite

B.

Confusion and fatigue

C.

Heightened reflexes

D.

Tinnitus and spasticity

A nurse is assessing a 18 year-old female who has recently suffered a TBI. The nurse notes a slower pulse and impaired respiration. The nurse should report these findings immediately to the physician, due to the possibility the patient is experiencing which of the following conditions?

A.

Increased intracranial pressure

B.

Increased function of cranial nerve X

C.

Sympathetic response to activity

D.

Meningitis

An adult who had been abused as a child is discussing the group therapy program. Which statement indicates that the client has gained insight?

A.

“I think I was a lonely child because I could not tell anyone about my abuse.”

B.

“I am now aware of how deep-seated my anger is. Before I did not realize I was angry.”

C.

“The program has given me the courage to tell my mother how I felt about her role in my hurt.”

D.

“There are so many people just like me, who are just normal people that had bad things happen to them.”

The best nursing diagnosis for a client with newly diagnosed Diabetes Mellitus is:

A.

Impaired Skin Integrity.

B.

Knowledge Deficit: New Diabetes Diagnosis.

C.

Alteration in Nutrition: More than Body Requirements.

D.

Fluid Volume Deficit.

A primigravida begins labor when her family is unavailable and she is alone. She is very upset that her family is not with her. Which approach can the nurse take to meet the client’s needs at this time?

A.

asking whether another individual wants to be her support person

B.

assuring her that the nursing triage group will be with her at all times

C.

telling her you will try to locate her family

D.

reinforcing the woman’s confidence in her own abilities to cope and maintain a sense of control

When a client describes their family as having multiple wives, all of whom are sisters, married to one man, the nurse documents the family structure as?

A.

polyandry

B.

soronal

C.

nonsororal

D.

sororate

Spirituality affects a client’s life in all of the following areas except:

A.

nutritional intake.

B.

ability to handle stress.

C.

sexual expression.

D.

genetic makeup.

A newborn has been delivered. An Apgar score is given. What does this scoring system indicate?

A.

heart rate, respiratory effort, color, muscle tone, reflex irritability

B.

heart rate, bleeding, cyanosis, edema

C.

bleeding, reflex, edema

D.

respiratory effort, heart rate, seizures

The nurse sustains a needle puncture that requires HIV prophylaxis. Which of the following medication regimens should be used?

A.

an antibiotic such as Metronidazole and a protease inhibitor (Saquinivir)

B.

two non-nucleoside reverse transcriptase inhibitors

C.

one protease inhibitor such as Nelfinavir

D.

two protease inhibitors

Which intervention should the nurse take first to assist a woman who states that she feels incompetent as the mother of a teenage daughter?

A.

Recommend that she discipline her daughter more strictly and consistently.

B.

Make a list of things her husband can do to help her improve.

C.

Assist the mother to identify what she believes is preventing her success and what she can do to improve.

D.

Explore with the mother what the daughter can do to improve her behavior.

Which type of dressing is recommended to place over a site when a chest tube is removed by the physician?

A.

transparent dressing

B.

colloidal dressing

C.

petrolatum gauze

D.

nonadherent dressing

A client has been placed in isolation because he is diagnosed with a contagious illness. The nurse should be aware that:

A.

Linens from the client’s bed should be double-bagged.

B.

Meals should be served on washable dishes.

C.

Extensive isolation rarely causes psychological problems.

D.

Paper trays and plastic utensils prevent disease transmission.

An example of a process standard on a med-surg unit is:

A.

a procedure for changing IV tubing.

B.

a policy for staffing.

C.

the job description of the CEO (chief executive officer).

D.

a procedure for checking waveforms on a client being treated on an intra-aortic balloon pump.

A person using over-the-counter nasal decongestant drops who reports unrelieved and worsening nasal congestion should be instructed to:

A.

switch to a stronger dose of the medication.

B.

discontinue the medication for a few weeks.

C.

continue taking the same medication, but use it more frequently.

D.

use a combination of medications for better relief.

Which of the following vaccines is a live virus?

A.

varicella

B.

IPV

C.

DTaP

D.

hepatitis B

How is the information documented on incident reports used?

A.

to analyze risk categories

B.

to make sure procedures are in compliance with regulations

C.

to identify the educational needs of the staff

D.

all of the above

A 64 year-old Alzheimer’s patient has exhibited excessive cognitive decline resulting in harmful behaviors. The physician orders restraints to be placed on the patient. Which of the following is the appropriate procedure?

A.

Secure the restraints to the bed rails on all extremities.

B.

Notify the physician that restraints have been placed properly.

C.

Communicate with the patient and family the need for restraints.

D.

Position the head of the bed at a 45 degree angle.

The highest incident of child abuse occurs in children in which age group?

A.

birth–3 years old

B.

4–6 years old

C.

6–10 years old

D.

more than 10 years old

A nurse notes that an elderly client suddenly does not keep appointments and is not wearing appropriate clothing. Which statement by the client raises the suspicion of financial abuse?

A.

“I am having difficulty paying for this new antibiotic the physician prescribed.”

B.

“I am a little short on cash since my daughter moved in to help me.”

C.

“I have not felt like shopping since the weather has gotten worse.”

D.

“People do not realize how difficult it is to make ends meet on a fixed income.”

A gastroenterologist should be consulted for clients suffering from:

A.

digestive system diseases.

B.

urinary system diseases.

C.

female reproductive system diseases.

D.

nervous system diseases.

Which of the following substances need to be assessed when completing a family health assessment?

A.

coffee, tea, cola, and cocoa

B.

alcohol, tobacco, and illegal substances

C.

medicines prescribed by a physician

D.

all of the above

A 32 year-old male with a complaint of dizziness has an order for Morphine via. IV. The nurse should do which of the following first?

A.

Check the patient’s chest x-ray results.

B.

Retake vitals including blood pressure.

C.

Perform a neurological screen on the patient.

D.

Request the physician on-call assess the patient.

A nurse doing a home health visit consults with a male patient that has a diagnosis of CAD and COPD. The patient is currently taking Ventolin, Azmacort, Aspirin, and Theophylline. The patient complains of upset stomach, nausea and feeling uncomfortable. The nurse should:

A.

Contact the patient’s physician immediately

B.

Recommend the patient position himself in right sidelying.

C.

Recommend the patient schedule a doctor’s visit the next day.

D.

Recommend a hold on the drug-Azmacort

The nurse provides a postoperative client with an analgesic medication and darkens the room before the client goes to sleep for the night. The nurse’s actions:

A.

help the client’s circadian rhythm.

B.

stimulate hormonal changes in the brain.

C.

decrease stimuli from the cerebral cortex.

D.

alert the hypothalamus in the brain.

A nurse is working in a pediatric clinic and a mother brings in her 13 month old child who has Down Syndrome. The mother reports, “My child’s muscles feel weak and he isn’t moving well. My RN friend check his reflexes and she said they are diminished.” Which of the following actions should the nurse take first?

A.

Contact the physician immediately

B.

Have the patient go to X-ray for a c-spine work-up.

C.

Start an IV on the patient

D.

Position the child’s neck in a neutral position

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.

The baby will eventually take to the breast.

B.

I can fix up a bottle if you want to try that.

C.

A small amount of weight loss in the first few days is normal.

D.

I can get the charge nurse to come and talk to you about breast-feeding.

A paraplegic client is in the hospital to be treated for an electrolyte imbalance. Which level of care is the client currently receiving?

A.

primary prevention

B.

secondary prevention

C.

tertiary prevention

D.

health promotion

A nurse is caring for a retired MD. The MD asks the question, “What type of cells create exocrine secretions?” The correct answer is:

A.

alpha cells

B.

beta cells

C.

acinar cells

D.

plasma cells

The nurse supporting a family who has just experienced a sudden and unexpected death needs to know:

A.

that survivors have greater emotional turmoil and shock than when death is expected.

B.

that survivors have less emotional turmoil and shock than when death is expected.

C.

that survivors have the same emotional turmoil and shock as when death is expected.

D.

that survivors have little emotional turmoil and shock because they were not there.

Two staff nurses were considered for promotion to head nurse. The promotion is announced via a memo on the unit bulletin board. The nurse who was not promoted tells a friend, “Oh, well, I really didn’t want the job anyway.” This is an example of:

A.

rationalization.

B.

denial.

C.

projection.

D.

compensation.

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Total 725 questions
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