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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 Aug. 20, 2025 (see below)
The advanced directive in a client's chart is dated August 12, 1998.The client's daughter produces a Power of Attorney for Health Care, dated 2003, which contains different care direction(s). The nurse is supposed to:
The document dated 2003 supersedes the previous version and should be used as a basis for care direction.
Choices 1 and 2 are incorrect because the 1998 version is now outdated. Choice 4 is incorrect because the nurse can be held negligent for not responding to the 2003 document as directed.Coordinated Care
When medications have an additive, synergistic, or antagonistic effect on a tissue, a ________ reaction has occurred.
Pharmacodynamics pertain to the effect of a drug on receptors. Pharmaceutical reactions are chemical reactions between drugs prior to administration or absorption. Pharmacokinetic reactions refer to the body's effect on the drug. Drug incompatibilities are another term for pharmaceutical reactions.Pharmacological Therapies
Which of the following medications is not considered a neuromuscular blocker?
Pitressin is a hormone replacement medication.
A 50 milliliter (ml) bolus of normal saline fluid is ordered by the physician. The physician wants it to infuse in 30 minutes. The nurse should set the pump rate at:
One hundred ml in one hour equals 50 ml in 30 minutes, which is what the physician prescribed. Choice 2 is 10 ml more than the physician prescribed for 30 minutes. Choice 3 is the same asChoice 2; it is 10 ml more than the physician prescribed for 30 minutes. Choice 4 only provides 25 ml over 30 minutes, or half the volume prescribed.Pharmacological Therapies
After breast reconstruction secondary to breast cancer, the nurse should recognize which of the following expected client outcomes as evidence of a favorable response to nursing interventions related to disturbed body image?
A sense of restored body integrity is an expected outcome for interventions related to disturbed body image.
Adequate tissue perfusion is an outcome for risk of injury and risk of infection, not disturbed body image.
Demonstrating behaviors that might reduce fears is an outcome for anxiety. Remaining free of infection is an
outcome for risk of infection.Health Promotion and Maintenance
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