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NCLEX Exam NCLEX-PN

National Council Licensure Examination(NCLEX-PN)

Version: 5.0

[ Total Questions: 725 ]

NCLEX NCLEX-PN : Practice Test

Topic break down

Topic No. of Questions

Topic 1: Questions Set A 100

Topic 2: Questions Set B 100

Topic 3: Questions Set C 100

Topic 4: Questions Set D 91

Topic 5: Questions Set E 91

Topic 6: Questions Set F 243

Question No : 1 - (Topic 1)

Question No : 2 - (Topic 1)

NCLEX NCLEX-PN : Practice Test

Topic 1, Questions Set A

Teaching the client with gonorrhea how to prevent reinfection and further spread is anexample

of:

A. primary prevention.

B. secondary prevention.

C. tertiary prevention.

D. primary health care prevention.

Answer: B

Explanation:

Secondary prevention targets the reduction of disease prevalence and disease morbiditythrough

early

diagnosis and treatment. Physiological Adaptation

Which of the following foods is a complete protein?

A. corn

B. eggs

C. peanuts sunflower seeds

Answer: B

Explanation:

Eggs are a complete protein. The remaining options are incomplete proteins. Health

Promotion and

Maintenance

Question No : 4 - (Topic 1)

Question No : 5 - (Topic 1)

NCLEX NCLEX-PN : Practice Test

Broccoli, oranges, dark greens, and dark yellow vegetables can be eaten to:

A. supplement vitamin pills.

B. balance body molecules.

C. cure many diseases.

D. help improve body defenses.

Answer: D

Explanation:

Controversy over what types of food to eat and not eat is still under investigation. Certainfoods

can help

improve body defenses to possibly prevent certain diseases.Nonpharmacological

Therapies

The major electrolytes in the extracellular fluid are:

A. potassium and chloride.

B. potassium and phosphate.

C. sodium and chloride.

D. sodium and phosphate.

Answer: C

Explanation:

Sodium and chloride are the major electrolytes in the extracellular fluid.Physiological

Adaptation

Question No : 3 - (Topic 1)

Question No : 6 - (Topic 1)

NCLEX NCLEX-PN : Practice Test

Which of the following nursing diagnoses might be appropriate as Parkinson’s disease progresses

and complications develop?

A. Impaired Physical Mobility

B. Dysreflexia

C. Hypothermia

D. Impaired Dentition

Answer: A

Explanation:

The client with Parkinson’s disease can develop a shuffling gait and rigidity, causing

impaired physical

mobility. The other diagnoses do not necessarily relate to a client with Parkinson’sdisease.

Reduction of Risk

Potential

Which of the following is an inappropriate item to include in planning care for a severely

neutropenic client?

A. Transfuse neutrophils (granulocytes) to prevent infection.

B. Exclude raw vegetables from the diet.

C. Avoid administering rectal suppositories.

D. Prohibit vases of fresh flowers and plants in the client’s room.

Answer: A

Explanation:

Granulocyte transfusion is not indicated to prevent infection. Produced in the bone marrow,

granulocytes

normally comprise 70% of all WBCs. They are subdivided into three types based onstaining

properties:

neutrophils, eosinophils, and basophils. They can be beneficial in a selected population ofinfected,

severely

granulocytopenic clients (less than 500/mm3) who do not respond to antibiotic therapy andwho are

expected

Question No : 7 - (Topic 1)

Question No : 8 - (Topic 1)

NCLEX NCLEX-PN : Practice Test

to experience prolonged suppression of granulocyte production.Physiological Adaptation

A primary belief of psychiatric mental health nursing is:

A. most people have the potential to change and grow.

B. every person is worthy of dignity and respect.

C. human needs are individual to each person.

D. some behaviors have no meaning and cannot be understood.

Answer: B

Explanation:

Every person is worthy of dignity and respect. Every person has the potential to changeand

grow. All people

have basic human needs in common with others. All behavior has meaning and can be

understood from the

client’s perspective.Psychosocial Integrity

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

Answer: B

Explanation:

Question No : 9 - (Topic 1)

Question No : 10 - (Topic 1)

NCLEX NCLEX-PN : Practice Test

Acetaminophen is extensively metabolized in the liver. Choices 1, 3, and 4 are incorrect because

prolonged

use of acetaminophen might result in an increased risk of renal dysfunction, but a single

overdose does not

precipitate life-threatening problems in the respiratory system, renal system, or adrenal

glands.Pharmacological

Therapies

All of the following factors, when identified in the history of a family, are correlated with

poverty except:

A. high infant mortality rate.

B. frequent use of Emergency Departments.

C. consultation with folk healers.

D. low incidence of dental problems.

Answer: D

Explanation:

Dental problems are prevalent because of the lack of preventive care and access to care.

High infant mortality

is one of the most significant problems correlated with poverty. Pregnant women who donot have

access to

care might come to the Emergency Department when in labor. Those in poverty are likelyto use

Emergency

Departments because they may not be turned away. Those in poverty might also turn tofolk

healers or other

persons in their community for care who might be easier to access and might not demand

payment.Health

Promotion and Maintenance

Question No : 11 - (Topic 1)

NCLEX NCLEX-PN : Practice Test

Acyclovir is the drug of choice for:

A. HIV.

B. HSV 1 and 2 and VZV.

C. CMV.

D. influenza A viruses.

Answer: B

Explanation:

Acyclovir (Zovirax) is specific for treatment of herpes virus infections. There is no cure forherpes.

Acyclovir

is excreted unchanged in the urine and therefore must be used cautiously in the presenceof renal

impairment.

Drugs that treat herpes inhibit viral DNA replication by competing with viral substrates toform

shorter,

ineffective DNA chains.Physiological Adaptation

Ashley and her boyfriend Chris, both 19 years old, are transported to the Emergency Department

after being involved in a motorcycle accident. Chris is badly hurt, but Ashley has no apparent

injuries, though she appears confused and has trouble focusing on what isgoing on around her. She

complains of dizziness and nausea. Her pulse is rapid, and she is hyperventilating. The nurse should

assess Ashley’s level of anxiety as:

A. mild.

B. moderate.

C. severe.

D. panic.

Answer: C

Explanation:

The person whose anxiety is assessed as severe is unable to solve problems and has apoor grasp

of what’s

happening in his or her environment. Somatic symptoms such as those described byAshley

are usually present.

Question No : 12 - (Topic 1)

Question No : 13 - (Topic 1)

NCLEX NCLEX-PN : Practice Test

Vital sign changes are observed. The individual with mild anxiety might report being mildly

uncomfortable and

might even find performance enhanced. The individual with moderate anxiety grasps less

information about the

situation, has some difficulty problem-solving, and might have mild changes in vital signs.

The individual in

panic demonstrates markedly disturbed behavior and might lose touch with

reality.Psychosocial Integrity