2025 NCLEX PN Practice Exam New Latest Version
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Correct Answer
Question...A 62 year old woman who lives alone tripped on a rug in her home and fractured her
hip at the proximal end of the femur. Which predisposing factor should the PN identify that most
likely contributed to the fracture? ----------- Correct Answer ----------- Answer... osteoporosis
resulting from declining hormone levels.
Question... While caring for a client with trigeminal neuralgia the PN observes the client
experience facial spasms. What action should the PN implement? ----------- Correct Answer ------
----- Answer... Notify the charge nurse of the finding
Question...A client with cancer who has been receiving fentanyl (Duragesic) for several weeks
reports to the PN that the medication is not effectively controlling the pain. Which intervention
should the PN take? ----------- Correct Answer ----------- Answer...Notify the RN or health care
provider of the need for dose adjustment.
Question...When turning an immobile bedfast client without assistance, which action by the PN
best ensures client safety? ----------- Correct Answer ----------- Answer...Put the bed rails up on
the opposite side of the bed.
Question... A mother is being discharged following the birth of her second child. The mother
tells the PN that her first child dies at 6 weeks of age due to SIDS, and she fears that this infant
will also develop SIDS. Which response is best for the PN to provide this mother? -----------
Correct Answer ----------- Answer... The fear of losing another child to SIDS is very realistic.
Have you thought about what you are going to do?
Question... A client is admitted to the hospital after an injury in a motor vehicle collision and has
the right knee in skeletal traction. The PN reviews the plan of care and identifies the client's
priority nursing diagnosis is "potential for impairment of skin integrity related to immobility
from traction." Which nursing intervention should the PN implement for this nursing diagnosis?
----------- Correct Answer ----------- Answer... Provide back and skin care while maintaining the
traction.
Question... The PN is reinforcing discharge instructions for a 22-year old male client diagnosed
with Beurger disease (thromboangitis obliterans). Which referral is most important for this
client? ----------- Correct Answer ----------- Answer... Smoking cessation program
Question... Urinary catheterization is prescribed for a postoperative female client who has been
unable to void for 8 hours. The PN inserts the catheter, but no urine is seen in the tubing. What
action should the PN take next? ----------- Correct Answer ----------- Answer... Leave the catheter
in place and reattempt with another catheter.
Question... During the admission process, the PN determines that a male client who is scheduled
, for surgery in the morning has a blood pressure of 160/85. He is drinking coffee and says his
blood pressure has never been that high. The PN plans to retake the blood pressure in 30
minutes. This action indicates that the PN recognizes that the elevated blood pressure is likely
due to which factor? ----------- Correct Answer ----------- Answer... Preoperative anxiety
Question... The PN is caring for a client with symptoms of paranoia and psychosis. Which
intervention is most important for the PN to implement for the nursing diagnosis, "Impaired
social interactions related to inability to trust?" ----------- Correct Answer ----------- answer...
Greet the client by first name during each social interaction.
Question... An adolescent female client with a diagnosis of anorexia nervosa wants to help serve
dinner trays to other clients on a psychiatric unit. What action should the PN take? -----------
Correct Answer ----------- Answer... Suggest another way for this client to participate in the unit's
activities.
Question... A client in a long-term care facility reports to the PN that he has not had a bowel
movement in 2 days. Which intervention should the PN implement first? ----------- Correct
Answer ----------- Answer... Access the client's medical records to determine the client's normal
bowel pattern.
Question... What types of medications should the PN expect to administer to a client during an
acute respiratory distress episode? ----------- Correct Answer ----------- Answer... Bronchodilators
and steroids
Question... A mother who is breastfeeding her baby receives instructions from the PN. Which
instruction is most effective in preventing nipple soreness? ----------- Correct Answer -----------
Answer... Ensure the baby is positioned correctly for latch-on
Question... The PN observes that a male client has removed the covering from the ice pack
applied to his knee. What action should the PN take first? ----------- Correct Answer -----------
Answer... Observe the appearance of the skin under the ice pack.
Question... A primipara presents to the perinatal unit describing spontaneous rupture of the
membranes (SROM) that occurred 12 hours before coming to the hospital. 8 hours after
admission, the client's contractions are irregular and mild. What vital sign should the PN monitor
with greater frequency that the typical protocol? ----------- Correct Answer ----------- Answer...
Maternal temperature
Question... Which statement reflects the highest priority nursing diagnosis that the PN should
identify for an elderly client recently admitted to the hospital for a new onset cardiac
dysrhythmia? ----------- Correct Answer ----------- Answer... Risk for injury related to syncope
and confusion
Question... During a well-child clinic visit, the PN is teaching the parents of a toddler about
prevention of accidental poisonings. What information should the PN reinforce? -----------
Correct Answer ----------- Answer... Store all toxic agents and medicines in locked cabinets
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