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NCLEX-PN Exam Questions
- Topic 1: Safe and Effective Care Environment: This section of the exam measures skills of Licensed Practical Nurses and covers how they contribute to a safe and efficient care environment. It is divided into two parts. The first, Coordinated Care, focuses on how the LPN collaborates with healthcare teams, prioritizes client care, supports informed consent processes, and operates within legal and ethical boundaries. The second, Safety and Infection Control, includes protecting clients and staff from hazards, using protective equipment, and responding to environmental threats such as infections and emergencies.
- Topic 2: Health Promotion and Maintenance: This section of the exam measures skills of Vocational Nurses and covers preventive care, early detection of illness, and promoting healthy behaviors. It includes care across all age groups, understanding developmental stages, supporting life transitions, and providing immunization guidance and health education to individuals and communities.
- Topic 3: Psychosocial Integrity: This section of the exam measures skills of Licensed Practical Nurses and covers emotional, mental, and social well-being. It includes communication techniques, support for clients with behavioral disorders, stress management, substance abuse recognition, and care for clients with cognitive impairments. It also emphasizes therapeutic interactions and understanding cultural and spiritual beliefs.
- Topic 4: Physiological Integrity: This section of the exam measures skills of Vocational Nurses and focuses on maintaining and restoring clients' physical health. It includes four subcategories. Basic Care and Comfort addresses daily living support and non-pharmacological pain relief. Pharmacological Therapies covers medication administration, client monitoring, and drug safety. Reduction of Risk Potential involves identifying and mitigating health risks from procedures or conditions. Physiological Adaptation tests the ability to manage acute, chronic, or life-threatening conditions, including interventions and monitoring for clients on ventilators, dialysis, or in surgical recovery.
Free NCLEX NCLEX-PN Exam Actual Questions
Note: Premium Questions for NCLEX-PN were last updated On Jul. 07, 2026 (see below)
The home health nurse has made a visit to an 85-year-old female client's home who has recently had surgery to replace her left knee. The client has been discharged from a rehab facility and has been able to walk on her own. The nurse assesses the need for teaching related to fall prevention. What should the nurse include in this teaching plan?
Rugs and clutter are a primary cause of falls in the home and should be eliminated if possible to decrease the risk of a fall. The elderly and those with gait issues are at an increased risk for a fall at home. The client should have a raised toilet seat and grab bars available in the bathroom to aid in movement in this potential slippery area of the home. Some clients find it difficult to rise up and down from the toilet and to get in and out of the shower. These items are all important in maintaining safety in the home. The client should not limit her movement within the home unless ordered by the physician. This decreases the ability of the client to perform activities of daily living and hinders the client's return to a normal lifestyle after surgery. The client should notwear baggy clothing such as long robes, and the client should not wear socks on slippery floors. These items can cause the client to trip, slip, or fall.Health Promotion and Maintenance
A client has been diagnosed with Disseminated Intravascular Coagulation (DIC) and transferred to the medical intensive care unit (ICU) subsequent to an acute bleeding episode. In the ICU, continuous Heparin drip therapy is initiated. Which of the following assessment findings indicates a positive response to Heparin therapy?
Effective Heparin therapy should stop the process of intravascular coagulation and result in increased
availability of fibrinogen. Heparin administration interferes with thrombin-induced conversion of fibrinogen to
fibrin. Bleeding should cease due to the increased availability of platelets and coagulation factors.Physiological
Adaptation
An elderly client denies that abuse is occurring. Which of the following factors could be a barrier for the client to admit being a victim?
Barriers to reporting elder abuse include victim shame, fear of reprisals, fear of loss of caregiver, and lack of
knowledge of agencies that provide services. Many elders fear that reporting abuse results in their placement in
long-term care because the current caregiver is the abuser. Choices 1 and 3 are incorrect. Choice 2 might be true
but is not the best choice.Psychosocial Integrity
An 85-year-old client is eligible for Medicarereimbursable home care services. Referral is contingent on meeting which of the following criteria?
The requirements for Medicare-reimbursable home care services include the client being homebound and requiring a skilled service, such as PT/OT/ST/nursing/social work.Coordinated Care
The nurse can best communicate to a client that he or she has been listening by:
Restating allows the client to validate the nurse's understanding of what has been communicated. It's an active listening technique. Regarding Choice 2, judgments should be suspended in a nurse-client relationship. Choice 3 is incorrect because leading questions ask for more information rather than showing understanding. Choice 4 communicates understanding, but the client has no way of measuring the understanding.PsychosocialIntegrity
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