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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 Jun. 24, 2025 (see below)
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
The chemotherapeutic DNA alkylating agents such as nitrogen mustards are effective because they:
Alkylating agents are highly reactive chemicals that introduce alkyl radicals into biologically active molecules
and thereby prevent their proper functioning, replication, and transcription. Choice 2 is incorrect because alkylating
agents have numerous side effects including alopecia, nausea, vomiting, and myelosuppression. Choice 3 is incorrect because nitrogen mustards have a broad spectrum of activity against chronic lymphocytic leukemia, non-Hodgkin's lymphoma, and breast and ovarian cancer, but they are effective chemotherapeutic agents because of DNA crosslinkage. Choice 4 is incorrect because alkylating agents are non-cell-cycle-specific agents.PharmacologicalTherapies
A nurse is caring for a retired MD. The MD asks the question, ''What type of cells secrete insulin?'' The correct answer is:
Beta cells secrete insulin.
When a woman is receiving postpartum epidural morphine, the nurse should plan to observe for which of the following side effects to occur within the first 3 hours?
A side effect of postpartum epidural morphine is the onset of itching within 3 hours of injection and lasting up to 10 hours. Nausea and vomiting might occur 4--7 hours after injection. Urinary retention is a side effect of postpartum epidural morphine but is not assessed as such within the first 3 hours. Somnolence is a rare side effect.Health Promotion and Maintenance
What do the following ABG values indicate: pH 7.38, PO2 78 mmHg, PCO2 36mmHg, and HCO3 24 mEq/L?
These ABG values are within normal limits. Choices 1, 3, and 4 are incorrect because the ABG values
indicate none of these acid-base disturbances.Physiological Adaptation
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