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NCLEX-PN TESTBANK with 500+ Questions and Answers / Summer 2022
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NCLEX-PN Practice Test
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NCLEX-PN Practice Test Questions
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ATI COMPREHENSIVE PRACTISE QUIZ
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NCLEX-PN® TEST QUESTIONSThe following questions are similar to those that may appear on the NCLEX-RN® exam. Some questions may have more
than one correct response. During this review, you should select the one best response.
CHAPTER 1
1.1 A client is being discharged and Answer: a
needs instructions on wound care.When Rationale: To provide the most appropriate teaching, the nurse first needs to
planning to teach the client, the nurse identify what the client needs to know and determine the client’s educational
should: level and learning ability.
a. identify the client’s learning needs Comprehension
and learning ability. Implementation
b. identify the client’s learning needs Health Promotion: Prevention and/or Early Detection of Health Problems
and advise him what to do.
c. identify the client’s problems and
make the appropriate referral.
d. provide pamphlets or videotapes for
ongoing learning.
1.2 A client is requesting a second Answer: d
opinion. The nurse who supports and Rationale: The nurse’s role as client advocate involves actively promoting clients’
promotes the client’s rights is acting as rights to make decisions and choices.
the client’s: Comprehension
a. teacher. Assessment
b. adviser. Safe, Effective Care Environment: Coordinated Care
c. supporter. Health Promotion: Prevention and/or Early Detection of Health Problems
d. advocate.
1.3 The client tells the nurse she has Answer: a
been smoking one pack of cigarettes a Rationale: Data collection occurs during the assessment phase; the information
day for the past 20 years. The nurse can be obtained during the initial assessment as well as during ongoing
recognizes this is what part of the assessment.
nursing process? Knowledge
a. assessment Assessment
b. planning Health Promotion: Prevention and/or Early Detection of Health Problems
c. implementation
d. evaluation
1.4 During the assessment step of the Answer: b
nursing process, the nurse collects Rationale: Information obtained during the assessment step is used in planning
subjective and objective data. The nurse and implementing nursing care, based on the problems identified from the
uses the information to identify: assessment data.
a. medical diagnoses. Analysis
b. actual or potential problems. Planning
c. client’s response to illness. Health Promotion: Prevention and/or Early Detection of Health Problem
d. need for community support groups.
1.5 The nurse performs daily, routine Answer: b
equipment checks to detect possible Rationale: Quality of care is evaluated through documentation reviews,
malfunction. This is part of the nurse’s interviews and surveys, observation and equipment checks.
role in the: Application
a. nursing process. Implementation
b. quality assurance plan. Health Promotion: Prevention and/or Early Detection of Health Problems
c. care management.
d. assessment plan.
1.6 The nurse is developing a Answer: a
nursing diagnosis for a client who Rationale: Nursing diagnoses reflect client problems that the nurse can treat
has pneumonia. The nurse recognizes independently.
the diagnosis describes an actual or Application
potential problem that: Planning
a. the nurse can treat independently. Safe, Effective Care Environment: Coordinated Care
398 NCLEX-PN® Test Bank Questions © 2007 Pearson Education, Inc.
,b. the nurse can treat with a physician’s
order.
c. requires physician’s intervention.
d. relates to the clients’ primary
diagnosis.
1.7 After administering pain Answer: d
medication, the nurse returns to check Rationale: In the evaluation step the nurse determines if the interventions were
the client’s level of comfort. This stage effective.
of the nursing process is known as: Analysis/Diagnosis
a. assessment. Evaluation
b. planning. Safe, Effective Care Environment: Coordinated Care
c. implementation.
d. evaluation.
1.8 A client has lost 10 pounds related Answer: b
to nausea and vomiting. The nurse Rationale: Expected outcomes should reflect a goal that is client centered,
identifies an appropriate expected realistic, and measurable. Answers a and c are not measurable; d is not realistic.
outcome: The client will: Analysis/Diagnosis
a. gain weight. Planning
b. gain 2 pounds within 1 week. Physiological Integrity: Physiological Adaptation
c. not lose weight.
d. gain 10 pounds in 2 days.
1.9 A problem-solving process that Answer: a
requires empathy, knowledge, divergent Rationale: Critical thinking involves self-directed thinking, combining the nurse’s
thinking, discipline, and creativity is cognitive skills as well as attitude, experience, empathy, and discipline.
known as: Comprehension
a. critical thinking. Analysis/Diagnosis
b. nursing process. Safe, Effective Care Environment: Coordinated Care
c. framework for nurses.
d. care management.
1.10 At the end of the shift, the nurse is Answer: a
ready to leave but has not been relieved Rationale: The Code of Ethics guides the behavior of nurses. The nurse’s primary
by the oncoming shift nurse. The nurse’s commitment is to the client, ensuring he or she receives safe, competent, and
responsibility to provide care for clients continual care.
is part of the nurse’s: Comprehension
a. Code of Ethics. Implementation
b. nursing process. Safe, Effective Care Environment: Coordinated Care
c. critical thinking.
d. quality assurance.
CHAPTER 2
2.1 According to Havighurst, the Answer: a
developmental tasks that describe adults Rationale: These tasks occur predominantly in the young adult age group.
as learning to live with a mate, have Knowledge
children, and hold a job are found in Assessment
which of the following stages? Health Promotion: Growth and Development
a. young adult (18–35 years of age)
b. middle adult (36–60 years of age)
c. older adult (over 60 years of age)
d. productive adult (18–60 years of age)
2.2 When caring for the middle age Answer: c
adult the nurse recognizes a major risk Rationale: Due to a decrease in basal metabolic rate and often activity level as
factor is: well, the middle adult is at risk for weight gain and obesity.
a. cigarette smoking. Comprehension
b. multiple sex partners. Integrative process: Assessment
c. decreased physical activity. Test plan: Health Promotion: Prevention and/or Early Detection of Health
d. obesity. Problems
© 2007 Pearson Education, Inc. NCLEX-PN® Test Bank Questions 399
,2.3 Because of the physiologic changes Answer: b
in the gastrointestinal system, the nurse Rationale: A decrease in peristalsis can lead to constipation; increasing fiber in
should encourage the older adult to the diet will help to combat this.
consume a diet high in: Comprehension
a. Na. Planning
b. fiber. Health Promotion: Growth and Development
c. carbohydrates.
d. calories.
2.4 Women in the middle adult age Answer: d
group are at risk for cancer of the breast Rationale: This option gives the most specific recommendations for tests that
and reproductive organs. The nurse can should be done to detect cancer. The other options provide more general
suggest the following in health information.
promotion teaching: Application
a. “You need to contact your physician Implementation
about mammography.” Health Promotion: Prevention and/or Early Detection of Health Problems
b. “If there is not a history of cancer in
the women of your family, you need
not be concerned.”
c. “An annual physical exam is
important to detect early signs and
symptoms of cancer.”
d. “Self-breast exam monthly and an
annual Pap smear are necessary for
early detection of cancer.”
2.5 When teaching the old-old adult Answer: a
(over age 85) who has been diagnosed Rationale: Due to neurovascular and sensory losses, older adults need adjustment
with a new illness, the nurse recognizes in teaching methods, although they still have the ability to learn.
this age group: Application
a. needs client teaching at a slower Planning
pace, with visual aids and repetition. Health Promotion: Growth and Development
b. does not profit from patient
teaching.
c. learns at the same rate as young-old
adults.
d. is generally cognitively impaired and
unable to learn new information.
2.6 When planning care for elderly Answer: c
clients in long-term care facilities, the Rationale: Although all the options are important, maintenance of a safe
nurse gives highest priority to: environment is always of highest priority.
a. ensuring that they consume at least Application
1,200 calories a day. Implementation
b. providing regular periods of exercise Safe, Effective Care Environment: Safety and Infection Control
daily.
c. maintaining a safe environment.
d. providing opportunities for social
interactions.
2.7 The nurse visits an elderly client Answer: a
who lives alone, is not eating well, and Rationale: Assessing the client’s ability to obtain food would be essential to
has very little food available in the determine why the client isn’t eating and has little food available.
home. The nurse may also want to assess Analysis
the client’s: Assessment
a. ability to do her own grocery Health Promotion: Prevention and/or Early Detection of Health Problems
shopping.
b. access to local restaurants.
c. number of visits by family.
d. availability of local grocery stores.
400 NCLEX-PN® Test Bank Questions © 2007 Pearson Education, Inc.
, 2.8 A client is experiencing a significant Answer: d
change from his normal health. In the Rationale: Pain is the most frequently reported manifestation of acute illnesses.
first stage of an acute illness, the nurse Analysis
can expect the client to report having: Assessment
a. bleeding. Physiological Integrity: Physiological Adaptation
b. cough.
c. fever.
d. pain.
2.9 When caring for a client with a Answer: a
chronic illness, the nurse is aware the Rationale: Chronic illness is characterized by impaired functioning of one or
client will have: more body systems. Persistent pain and severity of symptoms vary with the client
a. impaired function. and condition. Chronic conditions are not reversible.
b. persistent pain. Comprehension
c. reversible conditions. Assessment
d. severe symptoms. Physiological Integrity: Physiological Adaptation
2.10 The nurse is planning interventions Answer: b
beneficial to clients with chronic illness. Rationale: Nursing interventions should focus on promoting independence,
The nurse should focus on: reducing health care costs, and improving quality of life.
a. pain management. Application
b. education to promote independent Intervention
functioning. Safe, Effective Care Environment: Coordinated Care
c. securing assistance from family
members.
d. assisting the client to accept her illness.
CHAPTER 3
3.1 The nurse is planning to teach an Answer: c
older client how to check her blood Rationale: Repetitive presentations promote short memory retention. All of the
sugar. To promote short-term memory other options are helpful to the learning process, but c is the best option.
activity, the nurse should: Application
a. have the client repeat the steps of Planning
the procedure back to the nurse. Health Promotion and Maintenance; Growth and Development
b. ensure environment is free of
distracting stimuli.
c. review the procedure with client on
several occasions.
d. limit teaching session to 5 to 10
minutes in length.
3.2 When doing a physical assessment Answer: d
of an old-old client, the nurse could Rationale: Age-related physical changes include decreased scalp, axillary, and
expect to see which of the following? pubic hair. Pupils are smaller. Nails often become thick and brittle. Tear
a. dilated pupils production decreases.
b. thin and brittle nails Comprehension
c. an increase in tear production Assessment
d. a decrease in pubic hair Health Promotion and Maintenance; Growth and Development
3.3 A client who was previously Answer: b
independent with bathing is Rationale: Restriction of activity allows the elder client to adapt to an acute
hospitalized for a possible bowel illness or change in routine. Restriction of activity may be misinterpreted as
obstruction.When the client asks the dependent or attention-seeking behavior.
nurse for help with bathing the nurse Application
recognizes the client’s need to: Evaluation
a. revert to a more dependent stage of Health Promotion and Maintenance; Growth and Development
development.
b. adjust for disease symptoms by
restricting activity.
c. use the physical ailment to solicit
more attention for himself.
d. have more physical contact with
another human being.
© 2007 Pearson Education, Inc. NCLEX-PN® Test Bank Questions 401
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