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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 instructions should the nurse give a client who will be undergoing mammography?

A.

Be sure to use underarm deodorant.

B.

Do not use underarm deodorant.

C.

Do not eat or drink after midnight.

D.

Have a friend drive you home.

Which of the following is most likely to impact the body image of an infant newly diagnosed with Hemophilia?

A.

immobility

B.

altered growth and development

C.

hemarthrosis

D.

altered family processes

When administering intravenous electrolyte solution, the nurse should take which of the following precautions?

A.

Infuse hypertonic solutions rapidly.

B.

Mix no more than 80 mEq of potassium per liter of fluid.

C.

Prevent infiltration of calcium, which causes tissue necrosis and sloughing.

D.

As appropriate, reevaluate the client’s digitalis dosage. He might need an increased dosage because IV calcium diminishes digitalis’s action.

A safety measure to implement when transferring a client with hemiparesis from a bed to a wheelchair is:

A.

standing the client and walking him or her to the wheelchair.

B.

moving the wheelchair close to client’s bed and standing and pivoting the client on his unaffected extremity to the wheelchair.

C.

moving the wheelchair close to client’s bed and standing and pivoting the client on his affected extremity to the wheelchair.

D.

having the client stand and push his body to the wheelchair.

Teaching the client with gonorrhea how to prevent reinfection and further spread is an example of:

A.

primary prevention.

B.

secondary prevention.

C.

tertiary prevention.

D.

primary health care prevention.

A 20-year-old obese female client is preparing to have gastric bypass surgery for weight loss. She says to the nurse, “I need this surgery because nothing else I have done has helped me to lose weight.” Which response by the nurse is most appropriate?

A.

“If you eat less, you can save some money.”

B.

“Exercise is a healthier way to lose weight.”

C.

“You should try the Atkins diet first.”

D.

“I respect your decision to choose surgery.”

When a client needs oxygen therapy, what is the highest flow rate that oxygen can be delivered via nasal cannula?

A.

2 liters/minute

B.

4 liters/minute

C.

6 liters/minute

D.

8 liters/minute

What is the primary nutritional deficiency of concern for a strict vegetarian?

A.

vitamin C

B.

vitamin B12

C.

vitamin E

D.

magnesium

The nurse teaching about preventable diseases should emphasize the importance of getting the following vaccines:

A.

human papilloma virus, genital herpes, measles.

B.

pneumonia, HIV, mumps.

C.

syphilis, gonorrhea, pneumonia.

D.

polio, pertussis, measles.

When a client informs the nurse that he is experiencing hypoglycemia, the nurse provides immediate intervention by providing:

A.

one commercially prepared glucose tablet.

B.

two hard candies.

C.

4–6 ounces of fruit juice with 1 teaspoon of sugar added.

D.

2–3 teaspoons of honey.

A woman asks, “How much alcohol can I safely drink while pregnant?” The nurse’s best response is:

A.

“The amount of alcohol that is safe during pregnancy is unknown.”

B.

“Consuming one or two beers or glasses of wine a day is considered safe for a healthy pregnant woman.”

C.

“Drinking three or more drinks on any given occasion is the only harmful type of drinking during pregnancy.”

D.

“You can have a drink to help you relax and get to sleep at night.”

An appropriate intervention for the client with suspected genitourinary trauma and visible blood at the urethral meatus is:

A.

insertion of a Foley catheter.

B.

in and out catheter specimen for urinalysis.

C.

a voided urine specimen for urinalysis.

D.

a urologist consult.

A client with an ileus is placed on intestinal tube suction. Which of the following electrolytes is lost with intestinal suction?

A.

calcium

B.

magnesium

C.

potassium

D.

sodium chloride

A pregnant Asian client who is experiencing morning sickness wants to take ginger to relieve the nausea. Which of the following responses by the nurse is appropriate?

A.

“I will call your physician to see if we can start some ginger.”

B.

“We don’t use home remedies in this clinic.”

C.

“Herbs are not as effective as regular medicines.”

D.

“Just eat some dry crackers instead.”

Which of the following is the primary force in sex education in a child’s life?

A.

school nurse

B.

peers

C.

parents

D.

media

Which of the following indicates a hazard for a client on oxygen therapy?

A.

A No Smoking sign is on the door.

B.

The client is wearing a synthetic gown.

C.

Electrical equipment is grounded.

D.

Matches are removed.

Which of the following foods should be avoided by clients who are prone to develop heartburn as a result of gastroesophgeal reflux disease (GERD)?

A.

lettuce

B.

eggs

C.

chocolate

D.

butterscotch

Which of the following medications is a serotonin antagonist that might be used to relieve nausea and vomiting?

A.

metoclopramide (Reglan)

B.

onedansetron (Zofran)

C.

hydroxyzine (Vistaril)

D.

prochlorperazine (Compazine)

Which condition is associated with inadequate intake of vitamin C?

A.

rickets

B.

marasmus

C.

kwashiorkor

D.

scurvy

Which of the following methods of contraception is able to reduce the transmission of HIV and other STDs?

A.

intrauterine device (IUD)

B.

Norplant

C.

oral contraceptives

D.

vaginal sponge

Which of the following neurological disorders is characterized by writhing, twisting movements of the face and limbs?

A.

epilepsy

B.

Parkinson’s

C.

muscular sclerosis

D.

Huntington’s chorea

Following a classic cholecystectomy resection for multiple stones, the PACU nurse observes a serosanguious drainage on the dressing. The most appropriate intervention is to:

A.

notify the physician of the drainage.

B.

change the dressing.

C.

reinforce the dressing.

D.

apply an abdominal binder.

Which of the following physical findings indicates that an 11–12-month-old child is at risk for developmental dysplasia of the hip?

A.

refusal to walk

B.

not pulling to a standing position

C.

negative Trendelenburg sign

D.

negative Ortolani sign

Major competencies for the nurse giving end-oflife care include:

A.

demonstrating respect and compassion, and applying knowledge and skills in care of the family and the client.

B.

assessing and intervening to support total management of the family and client.

C.

setting goals, expectations, and dynamic changes to care for the client.

D.

keeping all sad news away from the family and client.

A teenage client is admitted to the hospital because of acetaminophen (Tylenol) overdose. Overdoses of acetaminophen can precipitate life-threatening abnormalities in which of the following organs?

A.

lungs

B.

liver

C.

kidneys

D.

adrenal glands

The major electrolytes in the extracellular fluid are:

A.

potassium and chloride.

B.

potassium and phosphate.

C.

sodium and chloride.

D.

sodium and phosphate.

Assessment of the client with an arteriovenous fistula for hemodialysis should include:

A.

inspection for visible pulsation.

B.

palpation of thrill.

C.

percussion for dullness.

D.

auscultation of blood pressure.

A 10-month-old child is brought to the Emergency Department because he is difficult to awaken. The nurse notes bruises on both upper arms. These findings are most consistent with:

A.

wearing clothing that is too small for the child.

B.

the child being shaken.

C.

falling while learning to walk.

D.

parents trying to awaken the child.

To remove a client’s gown when she has an intravenous line, the nurse should:

A.

temporarily disconnect the intravenous tubing at a point close to the client and thread it through the gown.

B.

cut the gown with scissors.

C.

thread the bag and tubing through the gown sleeve, keeping the line intact.

D.

temporarily disconnect the tubing from the intravenous container and thread it through the gown.

A health care worker is concerned about a new mother being overwhelmed by caring for her infant. The health care worker should:

A.

immediately contact child protective services.

B.

provide the mother with literature about child care.

C.

consult a therapist to help the mother work out her fears.

D.

refer the mother to parenting classes.

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Total 725 questions
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