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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 Apr. 12, 2026 (see below)
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:
Children who are shaken are frequently grasped by both upper arms. Symptoms of brain injury associated
with shaking include decreased level of consciousness.Psychosocial Integrity
Which of the following is a predisposing factor for cancer of the tongue?
Tobacco use is a predisposing factor for cancer of the tongue; the other choices are not.Reduction of Risk
Potential
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
A 28 year-old male has a diagnosis of AIDS. The patient has had a two year history of AIDS. The most likely cognitive deficits include which of the following?
Cognitive changes may include confusion and disorientation.
Which of the following might be an appropriate nursing diagnosis for an epileptic client?
The epileptic client is at risk for injury due to the complications of seizure activity, such as possible head
trauma associated with a fall. The other choices are not related to the question.Reduction of Risk Potential
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