NCLEX-PN Practice Tests

Congratulations - you have completed NCLEX-PN Practice Tests. You scored %%SCORE%% out of %%TOTAL%%. Sign up for unlimited NCLEX-PN practice!
Your answers are highlighted below.
Question 1
The nurse wishes to position the casted leg of a patient with a recent fracture.  Which would be the appropriate action?
A
Keep the leg level
B
Keep the leg lowered to improve blood flow
C
Elevate the leg and lower the leg alternately every 4 hours
D
Keep the leg elevated for 24 to 48 hours
Question 1 Explanation: 
The nurse should elevate the leg for 24 to 48 hours to reduce swelling and to allow fluid and blood to drain downhill to the patient's heart.
Question 2
A client who has been prescribed Chlordiazepoxide (Librium) has come into the clinic for a check-up.  Which of the following behaviors indicates that the client has been taking the assigned dosage?
A
The client feels very energetic
B
The client complains of general fatigue
C
The client gets easily confused
D
The client is always thirsty
Question 2 Explanation: 
A common side effect of Chlordiazepoxide (Librium) is fatigue. The client should not feel energetic, get confused, or always be thirsty in relation to taking the prescribed dosage.
Question 3
It is best if Cyclobenzaprine is used for the following length of time:
A
Indefinitely
B
1 year
C
2-3 weeks
D
3-6 months
Question 3 Explanation: 
Cyclobenzaprine should be used for 2-3 weeks. Cyclobenzaprine should be used only for short periods because there is no evidence of effectiveness for administration over a longer period, and because muscle spasm associated with acute and painful muscoskeletal conditions is generally of short duration.
Question 4
If the client is experiencing fatigue while taking the medication Baclofen (Lioresal) it is best for the nurse to advise the following:
A
Immediately notify the physician
B
Check for rash and report to a physician
C
Restrict the fluid intake
D
The client doe not need to notify the physician about fatigue
Question 4 Explanation: 
Fatigue is a common and minor side effect of Baclofen (Lioresal), thus the patient does not need to notify the physician unless other side effects occur, or the fatigue escalates.
Question 5
The success of pericardiocentesis performed to treat cardiac tamponade is indicated by:
A
Rising blood pressure
B
Client expresses relief
C
Clearly audible heart sounds
D
Rising central venous pressure
Question 5 Explanation: 
Cardiac tamponade is an acute pericardial effusion where fluid accumulates in the pericardium. Hypotension often occurs due to decreased stroke volume. When this fluid is removed during pericardiocentesis, normal stroke volume should resume, increasing blood pressure.
Question 6
The most important nursing action included in the care plan for the client taking morphine sulfate for pain is to:
A
Monitor the client's temperature
B
Encourage fluids
C
Maintain the client in a supine position
D
Encourage the client to cough and deep-breathe
Question 6 Explanation: 
A patient taking morphine sulfate should control secretions by coughing and breathing deeply. The nurse should also encourage fluids for the patient, however the best answer is encouraging coughing and deep breathing.
Question 7
The nurse is caring for a patient with severe claustrophobia.  What area of the hospital should the nurse avoid with the patient?
A
Areas with lots of needles
B
Wide-open areas
C
Areas with lots of people
D
Enclosed areas
Question 7 Explanation: 
A patient with claustrophobia has a fear of enclosed areas, such as elevators, small rooms, and closets.
Question 8
Severe pulmonary edema can cause the client to experience:
A
Slight anxiety
B
Extreme anxiety
C
Moderate anxiety
D
Mild anxiety
Question 8 Explanation: 
Severe pulmonary edema can cause extreme anxiety in patients. The patient may also experience extreme shortness of breath or difficulty breathing, a feeling of suffocating or drowning, a cough that produces frothy sputum, excessive sweating, pale skin, chest pain, and a rapid irregular heart rate.
Question 9
The following medications relieve muscle weakness by blocking acetylcholine breakdown at the neuromuscular junction:
A
Antiparkinsonians
B
Antimyasthenic
C
Non Opioid Analgesics
D
Hydantoins
Question 9 Explanation: 
Antimyasthenics relieve muscle weakness by blocking acetylcholine breakdown at the neuromuscular junction. They are used frequently in the treatment of myasthenia gravis.
Question 10
The client in the termination phase of the nurse-client relationship is being very confrontational.  How should the nurse interpret this behavior?
A
The nurse has done something to offend the client
B
The patient should be admitted to the hospital
C
The treatment should revisit the working phase
D
This behavior is common for a client in the termination phase
Question 10 Explanation: 
Confrontational behavior is very common for a client in the termination phase. The nurse should not assume that she offended the client, and further action in terms of therapy should not be addressed until completing the termination phase.
Once you are finished, click the button below. Any items you have not completed will be marked incorrect. Get Results
There are 10 questions to complete.
List
Return
Shaded items are complete.
12345
678910
End
Return

Practical Nurse Exam Practice

Practice for the NCLEX-PN exam using our database of 3000+ nursing practice questions.  You will get access to:

  • Full-length NCLEX-PN practice tests and focus quizzes
  • Progress tracking  to identify weak knowledge areas
  • Questions to mimic the content and test format you will see on the real NCLEX-PN exam written by practical nurse experts
  • Online access, 24/7, from any computer or device

Our testing platform randomly draws from our nursing practice question database, so you can take unlimited unique NCLEX-PN practice tests. Your NCLEX-PN practice test will be graded instantly, so you can review areas that need improvement.  We are so confident in our test preparation method, we offer a 100% pass guarantee.

Other Featured Practice Test Resources:

NCLEX-RN Practice Test