general tests NCLEX-PN Exam Questions

Questions for the NCLEX-PN were updated on : Nov 21 ,2025

Page 1 out of 49. Viewing questions 1-15 out of 725

Question 1

A nurse is implementing a community awareness campaign about accidental poisoning. Which of the
following should she teach in the class?

  • A. The child should be given milk.
  • B. The child should be given syrup of Ipecac
  • C. The poison control center should be contacted
  • D. The child should be taken to the ER
Answer:

C

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Explanation:
The poison control center should be contacted first.

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Question 2

A nurse is teaching a client about self-administration of Haldol 15 mg po hs. For which side effect/s
must the client seek medical attention?

  • A. SOB and fatigue
  • B. restlessness and muscle spasms
  • C. dry mouth
  • D. diarrhea
Answer:

B

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Explanation:
Muscle spasms and restlessness are side effects of Haldol

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Question 3

A patient is scheduled for electro-convulsive therapy treatment scheduled in the morning. What
must the evening nurse do to provide the client ECT treatment possible?

  • A. Patient signs an informed consent form
  • B. Patient is given morning medications
  • C. Patient gets a good night’s sleep
  • D. Patient has a good breakfast
Answer:

A

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Explanation:
An informed consent is required prior to surgery.

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Question 4

A nurse runs into the significant other of a patient with end stage AIDS crying during her smoke
break. Which of the following is most appropriate action for the nurse to take?

  • A. Allow her to grieve by herself.
  • B. Tell her go ahead and cry, after all your husband’s pretty bad off.
  • C. Tell her you realize how upset she is, but you don’t want to talk about it now.
  • D. Approach her, offering tissues and encourage her to verbalize her feelings.
Answer:

D

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Explanation:
Being left alone during the grief process, isolates individuals. These individuals need an outlet for
their feelings and to talk to someone who is empathetic.

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Question 5

If your patient is acutely psychotic, which of the following independent nursing interventions would
not be appropriate?

  • A. Conveying calmness with one on one interaction
  • B. Recognizing and dealing with your own feelings to prevent escalation of thepatient’s anxiety level
  • C. Encourage client participation in group therapy
  • D. Listen and identify causes of their behavior
Answer:

C

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Explanation:
Acutely psychotic patients will disrupt group activities.

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Question 6

A violation of a patient’s confidentiality occurs if two nurses are discussing client information in
which of the following scenarios?

  • A. With a physical therapist treating the patient
  • B. With a social worker planning for discharge
  • C. With another nurse on duty to plan for break time
  • D. In the hallway outside the patient’s room.
Answer:

D

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Explanation:
Hallway discussions should not occur, because you do not who is listening, even though it may be a
professional discussion.

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Question 7

A nurse gave medications to the wrong client. She stated the client responded to the name called.
What is the nurse’s appropriate documentation?

  • A. Note in medication records the drug given
  • B. The client was not hurt, no need for documentation
  • C. Note the client’s orientation
  • D. Completely fill out an incident report
Answer:

D

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Explanation:
The incident report should always be filled out involving medication errors.

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Question 8

A nurse is assigned to do pre-operative teaching on a blind patient who is scheduled for surgery the
following morning. What teaching strategy would best fit the situation?

  • A. Verbal teaching in short sessions throughout the day
  • B. Pre-operative booklet on the surgery in Braille
  • C. Provide a tape for the client
  • D. Have the blind patient’s family member instruct the patient.
Answer:

A

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Explanation:
Information is smaller amounts is easier to retain. Teaching the day before the procedure is best
accomplished in a one on one format.

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Question 9

A patient 3 hours post-op from a hysterectomy is complaining of intense pain at the incision site.
When assessing the patient the nurse notes a BP of 169/93, pulse 145 bpm and regular. What action
should the nurse take?

  • A. Reassure patient that pain is normal following surgery.
  • B. Administer prn Nifedipine and assess client’s response.
  • C. Administer prn Meperidine HCL and assess client’s response.
  • D. Recheck BP and pulse rate every 20 minutes for the next hour.
Answer:

C

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Explanation:
A sinus tachycardia is a physiological response to pain. Treating the cause of the increased pulse rate
requires pain medication.

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Question 10

A client is 36 hours post-op a TKR surgery. 270 cc’s of sero-sanguinous accumulates in the surgical
drains. What action should the nurse take?

  • A. Notify the doctor
  • B. Empty the drain
  • C. Do nothing
  • D. Remove the drain
Answer:

A

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Explanation:
The physician should be notified if excessive drainage is noted from the surgical site.

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Question 11

A nurse is administering an antibiotic to a 4 year old girl, who does not have an identification
bracelet. What action should the nurse take?

  • A. Ask another staff member who the child is.
  • B. Ask the child’s mother to state the child’s name.
  • C. Ask the child for her name.
  • D. Withhold the medication until an ID bracelet can be set-up.
Answer:

B

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Explanation:
Timely delivery of medication can be given if the mother provides the child’s name. Do not rely on
children to identify their name correctly.

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Question 12

When choosing a needle gauge for an intramuscular injection in a 12 year old boy. Which of the
following gauges would you choose?

  • A. 27 gauge
  • B. 25 gauge
  • C. 22 gauge
  • D. 20 gauge
Answer:

C

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Explanation:
22 gauge is recommended for school age children, toddlers, and adolescents while 23-25 gauge is
recommended for infants.

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Question 13

When giving an intramuscular injection to an infant. Which of the following sites is preferred?

  • A. Ventrogluteal region
  • B. Deltoid
  • C. Vastus lateralis
  • D. Dorsogluteal region
Answer:

C

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Explanation:
Vastus lateralis is the ideal choice for infants.

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Question 14

Which of the following is not considered one of the five rights of medication administration?

  • A. client
  • B. drug
  • C. dose
  • D. routine
Answer:

D

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Explanation:
Dose, client, drug, route and time are considered the five rights of medication.

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Question 15

A nurse is reviewing a patient’s medical record. The record indicates the patient has limited shoulder
flexion on the left. Which plane of movement is limited?

  • A. Horizontal
  • B. Sagittal
  • C. Frontal
  • D. Vertical
Answer:

B

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Explanation:
Sagittal motion occurs in the midline plane of the body.

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