NCLEX-PN Practice Test Questions

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The NCLEX-PN examination is the National Council Licensure Examination for Licensed Practical Nurses. In the past, a similar examination was referred to as the “State Board” for a nursing license. Passing the NCLEX-PN examination gives your state the authority to grant you a nursing license after the completion of a state approved school for practical nursing.

The content of the NCLEX-PN Test Plan consists of four major sections, each of which test your knowledge, skills and abilities to meet these client needs. These categories, or sections, and the percentage of questions you should expect to see in this examination are:

  1. Safe and Effective Care Environment
    • Coordinated Care (16% to 22%)
    • Safety and Infection Control (10% to16%)
  1. Health Promotion and Maintenance (7% to 13%)
  1. Psychosocial Integrity (8% to 14%)
  1. Physiological Integrity
    • Basic Care and Comfort (7% to 13%)
    • Pharmacological Therapies (11% to 17%)
    • Reduction of Risk Potential (10% to 16%)
    • Physiological Adaptation (7% to 13%)

In addition to the above categories, the questions will also contain ongoing essential themes and skills such as clinical problem solving using the nursing process, communication, caring/compassion, teaching/learning and documentation.

Lastly, most of the questions are multiple choices questions with four items, only one of which is correct. Others are alternative format questions such as choosing all the items where more than one item is correct, fill in the blanks and listing priorities or steps in a procedure from the first to the last. You will see all types of questions in our practice examination for licensed practical nurses.

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1. Select the member of the healthcare team that is paired with one of the main functions of this team member.

  • Occupational therapist: Gait exercises
  • Physical therapist: The provision of assistive devices to facilitate the activities of daily living
  • Speech and language therapist: The treatment of swallowing disorders
  • Case manager: Ordering medications and treatments

Correct Response: C

Speech and language therapists assess and treat patients with a swallowing disorder; they also assess and treat patients with speech and communication problems as often occurs after a cerebrovascular accident, or stroke. Occupational therapists assist patients with their activities of daily living and they also provide patients with assistive devices to facilitate eating and dressing. Physical therapists perform rehabilitation and restorative care including help with ambulation and balance/gait exercises. Lastly, case managers coordinate care along the continuum of care and they manage insurance reimbursements.

2. The recommended daily caloric intake for sedentary older men, active adult women and children is:

  • 2400 calories
  • 1600 calories
  • 2800 calories
  • 2000 calories

Correct Response: D

Sedentary older men, active adult women and children should all have 6 ounces of grains, 2½ cups of vegetables, 2 cups of fruits, and 3 cups of milk to help make up their 2000 calorie requirement. Sedentary adolescents require 2400 calories, sedentary women and children require 1600 calories and active adolescents need 2800 calories daily.

3. Ill health, malnutrition, and wasting as a result of chronic disease are all associated with:

  • Surgical asepsis
  • Catabolism
  • Cachexia
  • Venous stasis

Correct Response: C

Ill health, malnutrition, and wasting as a result of chronic disease are all associated with cachexia. Cachexia can also result from dehiscence of a surgical incision or rupture of wound closure. Surgical asepsis refers to using a sterile technique to protect against infection before, during, and after surgery. The breakdown of tissue, especially after severe trauma or crush injuries is known as catabolism. Venous stasis is a disorder related to pooling of blood in a vein of the body; venous stasis typically occurs in the lower extremities and it is one of the many hazards, or complications, of immobilization.

4. Select all the possible opportunistic infections that adversely affect HIV/AIDS infected patients.

  • Visual losses
  • Kaposi’s sarcoma
  • Wilms’ sarcoma
  • Tuberculosis
  • Peripheral neuropathy
  • Toxoplasma gondii

Correct Response: B, D, F

Kaposi’s sarcoma, tuberculosis, toxoplasma gondii, mycobacterium avium, herpes simplex, histoplasmosis and salmonella infections are HIV/AIDS associated opportunistic infections. Although many affected patients can experience blindness and peripheral neuropathy, these disorders result from impaired nervous system damage rather than an infection. Lastly, Wilms’ tumor is a pediatric form of kidney cancer and it is neither an infection nor something that typically affects the patient with HIV/AIDS.

5. What can help reduce a patient’s anxiety and postsurgical pain?

  • Preoperative teaching
  • Preoperative checklist
  • Psychological counseling
  • Preoperative medication

Correct Response: A

Patient teaching before surgery not only helps to reduce a patient’s anxiety and postsurgical pain but it also decreases the amount of anesthesia needed and a lack of anxiety additionally speeds up wound healing. Preoperative checklists are a form of nursing documentation that is used to guide and document the care of the patient before surgery. Psychological counseling is typically NOT necessary except under highly unusual circumstances and preoperative medication can decrease the amount of anesthetic needed and respiratory tract secretions but it does not help with postoperative pain.

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