[Aug 07, 2025] NCLEX-PN Dumps PDF and Test Engine Exam Questions - Prep4pass
Verified NCLEX-PN exam dumps Q&As with Correct 725 Questions and Answers
Passing the NCLEX-PN exam is a requirement for acquiring a nursing license to practice as a practical nurse in the United States. Students must successfully pass the exam within two years of their graduation or completion of practical nursing education to apply for a state license. Failure to pass the exam within the specified time frame will require the student to retake a nursing program.
NEW QUESTION # 193
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?
- A. Disorientation
- B. Sensory changes
- C. Hearing deficits
- D. Inability to produce sound
Answer: A
Explanation:
Cognitive changes may include confusion and disorientation.
NEW QUESTION # 194
Laboratory tests reveal the following electrolyte values for Mr. Smith: Na 135 mEq/L, Ca 8.5 mg/dL, Cl 102 mEq/L, and K 2.0 mEq/L.
Which of the following values should the nurse report to the physician because of its potential risk to the client?
- A. Ca
- B. K
- C. Na
- D. Cl
Answer: B
Explanation:
Section: Physiological Integrity
Explanation:
Normal serum potassium level ranges between 3.5 and 5.5 mEq/L.
The levels in choices 1, 3, and 4 are within normal ranges.
NEW QUESTION # 195
Incidences of child abuse apperar to be higher in the African-American community and might be explained by
___________.
- A. more single-parent households in African-American communities.
- B. stricter child-rearing practices in African-American households.
- C. a higher occurrence of rage in African Americans.
- D. the increased number of African Americans viewing violence on television.
Answer: A
Explanation:
Section: Psychosocial Integrity
Explanation:
Child abuse is higher in households with lower socioeconomic status and single parents.
The increased incidence might be due to increased stress and fewer support systems.
NEW QUESTION # 196
The LPN is receiving report on a newly admitted 14-year-old boy. He is described as being very bright and a good communicator, but his social interactions seem a bit "off." He spends much of his time playing with his baseball card collection, which he has organized in a meticulous fashion.
Given this information, which diagnosis does the nurse suspect the patient may have?
- A. autism spectrum disorder
- B. Asperger's syndrome
- C. ADHD
- D. Rett syndrome
Answer: A
Explanation:
Section: Psychosocial Integrity
NEW QUESTION # 197
Which of the following vaccines are not part of the regular schedule of immunizations for children?
- A. DTaP
- B. hepatitis A
- C. Hib
- D. MMR
Answer: B
Explanation:
Hepatitis A is not part of the regular immunization schedule for children. DTaP, MMR, and Hib are all regularly scheduled vaccines for children.Health Promotion and Maintenance
NEW QUESTION # 198
At what point in the nurse-client relationship should termination first be addressed?
- A. in the orientation phase
- B. when the client initially brings up the topic
- C. in the termination phase
- D. in the working phase
Answer: A
Explanation:
The client has a right to know the parameters of the nurse-client relationship. If the relationship is to be time limited, the client should be informed of the number of sessions. If it is open-ended, the termination date is not known at the outset, and the client should know that this is an issue that is negotiated at a later date.Coordinated Care
NEW QUESTION # 199
Common problems for supervisors include all of the following except __________.
- A. the supervisor wants to control the style in which a staff member correctly performs a task.
- B. the supervisor micromanages staff members.
- C. the supervisor facilitates development of staff members.
- D. the supervisor does not delegate.
Answer: C
Explanation:
Section: Safe and Effective Care Environment
Explanation:
Facilitating the development of staff members is an important goal for a supervisor.
Micromanagement, intolerance for individual differences in style, and inability to delegate all interfere with team building and overall effectiveness.
NEW QUESTION # 200
To manage time most effectively, the nurse responds to which of the following stimuli first:
- A. the physician's loud verbal direction.
- B. the care needs of the returning postoperative client just exiting the elevator.
- C. unit staff leaving on a break.
- D. the nursing supervisor who is going to a meeting.
Answer: B
Explanation:
Explanation/Reference:
Explanation:
While many environmental stimuli might compete for attention and time, the client care needs of complex or unstable clients and those requiring assessment and care must take priority. Coordinated Care
NEW QUESTION # 201
A client with sickle cell disease is worried about passing the disease on to children. Which of the following statements by the PN is most appropriate for this client?
- A. "Sickle cell disease is genetically based and might be passed on to children."
- B. "Sickle cell disease is caused by an infection and cannot be passed on to children."
- C. "You should discuss this with your physician."
- D. "Sickle cell disease is genetically based and is not passed on to children."
Answer: A
Explanation:
Explanation/Reference:
Explanation:
A client with sickle cell disease passes on the least sickle cell trait and possibly sickle cell disease, depending on the sickle status of the other parent. Choice 1 is not helpful to the client. Choices 3 and 4 are not true. Physiological Adaptation
NEW QUESTION # 202
Select the stage of viral hepatitis that is accurately paired with its characteristic(s).
- A. The prodromal stage: Jaundice begins.
- B. The preicteric stage: Elevated urine bilirubin levels.
- C. The posticteric stage: Jaundice and dark urine occurs.
- D. The icteric stage: Flu like symptoms occur.
Answer: B
Explanation:
Section: Physiological Integrity
Explanation:
During the preicteric stage of viral hepatitis, elevated urine bilirubin levels, nausea, chills, anorexia, fever and mild upper right quadrant pain occur.
The icteric stage is marked with pruritis, clay stools, darkened urine and jaundice.
The posticteric stage occurs when the patient returns to near normal physical status.
There is no prodromal stage of viral hepatitis.
NEW QUESTION # 203
A patient that has delivered a 8.2 lb. baby boy 3 days ago via c-section, reports white patches on her breast that aren't going away. Which of the following medications may be necessary?
- A. Loritab
- B. Amoxil
- C. Nystatin
- D. Atropine
Answer: C
Explanation:
Explanation/Reference:
Explanation:
Thrush may be occurring and the patient may need Nystatin.
NEW QUESTION # 204
Which of the following clients require airborne precautions?
- A. a client suspected of varicella (chickenpox)
- B. a client with fever, chills, vomiting, and diarrhea
- C. a client with abdominal pain and purpura
- D. a client diagnosed with AIDS
Answer: A
Explanation:
Chickenpox (varicella) is an acute, infectious, airborne illness that requires others in direct contact to wear a respirator mask.Safety and Infection Control
NEW QUESTION # 205
Assessment of the client with an arteriovenous fistula for hemodialysis should include:
- A. inspection for visible pulsation.
- B. palpation of thrill.
- C. auscultation of blood pressure.
- D. percussion for dullness.
Answer: B
Explanation:
Explanation/Reference:
Explanation:
Thrill should be present. The client should be taught to check this daily at home. Pulsation is not typically visible. Percussion gives no information about the patency of a fistula. Blood pressure is not auscultated in a limb with an AVF. Auscultation of the AVF, for a bruit, is part of an assessment for patency. Physiological Adaptation
NEW QUESTION # 206
How does the ANA define the psychiatric nursing role?
- A. a specialized area of nursing practice that employs theories of human behavior as its science and the powerful use of self as its art
- B. assisting the therapist to relieve the symptoms of clients
- C. having a client committed to long-term therapy with the nurse
- D. to solve clients' problems and give them the answers
Answer: A
Explanation:
The ANA sets standards of practice for psychiatric and mental health nursing roles. Quality of care, performance appraisal, education, ethics, collaboration, and research are covered through the use of the Nursing Process.Psychosocial Integrity
NEW QUESTION # 207
A patient being treated for sickle cell disease has an order for pain medication. Morphine was ordered, but the nurse is having difficulty deciphering the dose.
The nurse should __________.
- A. call the physician to verbally verify the order including correct medication, dose, route, and frequency
- B. call the charge nurse to reach out to the ordering physician to verify the order including the correct medication, dose, route, and frequency
- C. ask the attending physician to come back to the unit and to help read what the order states regarding the correct medication, dose, route, and frequency
- D. just go with his or her gut on what the typical dose is for this medication and administer to the patient so they do not have to wait on the physician
Answer: A
Explanation:
Section: Safe and Effective Care Environment
Explanation/Reference:
NEW QUESTION # 208
When a couple experiencing infertility presents for a fertility workup, which of the following procedures should the nurse prepare the couple to have first?
- A. semen analysis
- B. hysterosalpingography
- C. transvaginal ultrasound
- D. endometrial biopsy
Answer: A
Explanation:
Explanation/Reference:
Explanation:
Because semen analysis is the least invasive of the tests listed and because in 35% of the cases the infertility is related to a male factor, semen analysis should be one of the first diagnostic tests performed.
Hysterosalpingography fills the uterus and fallopian tubes with a radiopaque substance that can be seen with an X ray. It demonstrates tubal patency or any distortion of the uterine cavity. Endometrial biopsy provides information about the effects of progesterone after ovulation and the endometrial receptivity.
Transvaginal ultrasound is mostly used in the treatment of infertility. For diagnosis it allows the endocrinologist to evaluate the developing follicle, assess oocyte maturity, and diagnose luteal phase defects. All the tests listed in Choices 1, 3, and 4 are more invasive, require greater expertise to evaluate and treat, and are more costly. If the semen analysis is normal, the couple can expect to progress through these tests as well. Health Promotion and Maintenance
NEW QUESTION # 209
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There are many resources available to help candidates prepare for the NCLEX-PN exam, including study guides, practice tests, and review courses. Candidates should also take advantage of any support or guidance offered by their nursing program or employer. Some candidates may also choose to work with a tutor or study group to help them prepare for the exam.
NCLEX-PN exam is a computerized adaptive test (CAT), which means that the questions presented to each test-taker are based on their performance. If a test-taker answers a question correctly, the next question presented will be slightly more difficult, while an incorrect answer will result in a slightly easier question. This allows the exam to accurately measure the test-taker's knowledge and abilities in real-time, resulting in a more precise assessment of their competency.
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