NCLEX-PN Practice Test

Answer choices

1. A. Ask focused follow-up questions using a pain-assessment framework such as PQRSTU to clarify the discrepancy, for the described technical objective.
2. B. Conclude that the client is exaggerating because the statements do not match, under organization-wide implementation-governance requirements.
3. C. Administer an antiemetic before obtaining any additional information, for the described technical objective and its associated operational control requirements, as configured.
4. D. End the interview and document only the numeric pain rating, for the described technical objective and its associated operational control requirements, in the described situation.

Wrong-answer review

• B. Conclude that the client is exaggerating because the statements do not match, under organization-wide implementation-governance requirements.: Inconsistent responses require clarification, not judgment about the client’s credibility.
• C. Administer an antiemetic before obtaining any additional information, for the described technical objective and its associated operational control requirements, as configured.: Medication does not resolve the need to clarify the chief complaint.
• D. End the interview and document only the numeric pain rating, for the described technical objective and its associated operational control requirements, in the described situation.: Documenting only one statement leaves important assessment data unresolved.

Answer choices

1. A. Document that the client reports having an advance directive and follow the institution’s process to ensure the information is included in the record, under the documented operational and governance requirements.
2. B. Ignore the statement because advance directives apply only in intensive care, for the described technical objective and its associated operational control requirements, for consideration.
3. C. Ask the nurse to decide what the living will should contain, for the described technical objective and its associated operational control requirements, within the described operational context.
4. D. Tell the client that hospitals are not expected to honor advance directives, for the described technical objective and its associated operational control requirements, as the primary proposed approach.

Answer choices

1. A. Provide a long list of restrictions before asking about the client’s goals, under the organization’s defined implementation and exception-management process.
2. B. Tell the client that motivation is irrelevant because the diet is medically necessary, for the described technical objective and its associated operational control requirements, for this task.
3. C. Use motivational interviewing to explore readiness for change and involve the client in setting achievable learning goals, within organization-wide risk-and-accountability boundaries.
4. D. Postpone all education until the client independently requests a formal class, as the selected response to the described condition.

Answer choices

1. A. Repeat a four-year prelicensure nursing program from the beginning, under the documented operational and governance requirements.
2. B. Remain in the same role and disregard the hospital’s education condition, for the stated security, delivery, and accountability requirements.
3. C. Apply for an LPN program before pursuing further RN education, for the described technical objective.
4. D. Enroll in an RN-to-BSN or other appropriate baccalaureate-completion program, for review.

Answer choices

1. A. Document the rate as expected because pneumonia always causes tachypnea, for this scenario.
2. B. Perform a focused respiratory assessment, including oxygenation and work of breathing, in this situation.
3. C. Administer an opioid to slow the respiratory rate, under the documented operational and governance requirements.
4. D. Recheck the respiratory rate at the end of the shift without further assessment, within the stated policy framework.

Answer choices

1. A. Encourage exposure to visitors so the client develops natural immunity, as the recommended implementation across the complete governed service lifecycle.
2. B. Delay infection-prevention measures until a fever occurs, for the described technical objective and its associated operational control requirements, for this requirement.
3. C. Focus only on treating infection if cultures later become positive, as the proposed physiological adaptation (10%) approach.
4. D. Implement meticulous infection-prevention measures and closely monitor for signs of infection according to agency policy, under this approach.

Answer choices

1. A. Discuss the situation with the colleague providing care to the client with the low acuity score, for the stated requirement.
2. B. Continue to provide care to the client with the low acuity score, for the described technical objective and its associated operational control requirements.
3. C. Document the observation in the client’s chart, as the proposed design for the complete governed operational workflow.
4. D. Notify the charge nurse about the perceived inequity in workload distribution, as the proposed design for the complete governed operational workflow.

Answer choices

1. A. Administer a calming medication as prescribed, as the selected approach for the stated technical and business outcome.
2. B. Provide the client with a distraction, such as a magazine, for the stated scenario.
3. C. Review the client’s medication schedule and administer medications as ordered
4. D. Affirm the client’s effort and courage in showing up, for the required psychosocial integrity (12%) outcome.

Answer choices

1. A. Administer a sedative medication as prescribed, for the required business outcome.
2. B. Contact the interpreter to facilitate communication, as the primary implementation for the described business requirement.
3. C. Attempt to communicate with the client using gestures and simple words, within this design.
4. D. Document the client’s inability to communicate in the medical record, for the stated implementation and support requirements.

Answer choices

1. A. Remove the old dressing, document the wound’s appearance, and have the RN assess healing to determine whether the current treatment remains effective.
2. B. Independently establish a new wound-treatment plan without RN assessment, for the described technical objective and its associated operational control requirements, in this situation.
3. C. Diagnose the cause of delayed wound healing and prescribe a new topical medication, for the described technical objective and its associated operational control requirements, as configured.
4. D. Skip wound documentation because the RN performed the initial assessment, for the described technical objective and its associated operational control requirements, under the documented operational and governance requirements.