Nclex 2021 Practice Test Questions Guide PDF

Preview

Summary

NCLEX 2021 2020 2019 Practice Questions for NCLEX Review Nursing Notes ATI fundamentals, Medsurg, Pediatrics, Complex, Adult Health...

Description

LPN Programs



LPN to RN Programs

(https://www.practicalnursing.org/)



How to Become an LPN



LPN Jobs

NCLEX-PN Practice Test Questions Last Updated/Veried: Aug 5, 2021

The NCLEX-PN examination is the National Council Licensure Examination for Licensed Practical Nurses. In the past, a similar examination was referred to as the “State Board” for a nursing license. Passing the NCLEX-PN examination (https://www.practicalnursing.org/nclex-pn-exam) gives your state the authority to grant you a nursing license after the completion of a state approved school for practical nursing. The content of the NCLEX-PN Test Plan consists of four major sections, each of which test your knowledge, skills and abilities to meet these client needs. These categories, or sections, and the percentage of questions you should expect to see in this examination are: 1. Safe and Eective Care Environment Coordinated Care (16% to 22%) Safety and Infection Control (10% to16%) 2. Health Promotion and Maintenance (7% to 13%) 3. Psychosocial Integrity (8% to 14%) 4. Physiological Integrity Basic Care and Comfort (7% to 13%) Pharmacological Therapies (11% to 17%) Reduction of Risk Potential (10% to 16%) Physiological Adaptation (7% to 13%) In addition to the above categories, the questions will also contain ongoing essential themes and skills such as clinical problem solving using the nursing process, communication, caring/compassion, teaching/learning and documentation.

Lastly, most of the questions are multiple choices questions with four items, only one of which is correct. Others are alternative format questions such as choosing all the items where more than one item is correct, ll in the blanks and listing priorities or steps in a procedure from the rst to the last. You will see all types of questions in our practice examination for licensed practical nurses.

Let's get started...

1. Select the member of the healthcare team that is paired with one of the main functions of this team member. A. Occupational therapist: Gait exercises B. Physical therapist: The provision of assistive devices to facilitate the activities of daily living C. Speech and language therapist: The treatment of swallowing disorders D. Case manager: Ordering medications and treatments Show Correct Response >>>

2. The recommended daily caloric intake for sedentary older men, active adult women and children is: A. 2400 calories B. 1600 calories C. 2800 calories D. 2000 calories Show Correct Response >>>

3. Ill health, malnutrition, and wasting as a result of chronic disease are all associated with: A. Surgical asepsis B. Catabolism C. Cachexia

D. Venous stasis Show Correct Response >>>

4. Select all the possible opportunistic infections that adversely aect HIV/AIDS infected patients. A. Visual losses B. Kaposi’s sarcoma C. Wilms’ sarcoma D. Tuberculosis E. Peripheral neuropathy F. Toxoplasma gondii Show Correct Response >>>

5. What can help reduce a patient’s anxiety and postsurgical pain? A. Preoperative teaching B. Preoperative checklist C. Psychological counseling D. Preoperative medication Show Correct Response >>>

6. Which disease decreases the metabolic rate? A. Cancer B. Hypothyroidism C. Chronic obstructive pulmonary disease D. Cardiac failure Show Correct Response >>>

7. When caring for an infant during cardiac arrest, which pulse must be palpated to determine cardiac function? A. Carotid B. Brachial C. Pedal D. Radial Show Correct Response >>>

8. The patient should be sitting when deep breathing and coughing because this position: A. Is physically more comfortable for the patient B. Helps the patient to support their incision with a pillow C. Loosens respiratory secretions D. Allows the patient to observe their area and relax Show Correct Response >>>

9. Which procedures necessitate the use of surgical asepsis techniques? Select all that apply. A. Intramuscular medication administration B. Central line intravenous medication administration C. Donning gloves in the operating room D. Neonatal bathing E. Foley catheter insertion F. Emptying a urinary drainage bag Show Correct Response >>>

10. What is the ultimate purpose and goal of performance improvement activities? A. To increase eciency

B. To contain costs C. To improve processes D. To improve policies Show Correct Response >>>

11. The primary dierence between practical nursing licensure and a nursing certication in an area of practice is that nursing licensure is: A. Insures competency and a nursing certication validates years of experience. B. Mandated by the American Nurses Association and a nursing certication are not. C. Is legally mandated by the states and a nursing certication is not. D. Renewed every two years and a nursing certication is renewed every ve years. Show Correct Response >>>

12. What intervention is the best to relieve constipation during pregnancy? A. Increasing the consumption of fruits and vegetables B. Taking a mild over-the-counter laxative C. Lying at on back when sleeping D. Reduction of iron intake by half or more Show Correct Response >>>

13. You are the LPN working on 2 east with adult medical surgical patients. Your unit has been instructed to perform a horizontal evacuation of your patients because there is a re on 1 east. Where will you evacuate your patients to? A. 3 west B. 3 east C. 2 west D. 1 west Show Correct Response >>>

14. Which electrolyte is essential for enzyme and neurochemical activities? A. Chloride B. Magnesium C. Potassium D. Phosphate Show Correct Response >>>

15. Number the choices below to reect the correct sequence for using a re extinguisher: A. Aim at the base of the re B. Squeeze the handle C. Sweep back and forth D. Pull the pin Show Correct Response >>>

16. As you are working you suspect that another licensed practical nurse is verbally and physically abusing a patient. What is the rst thing that you will do? A. Nothing because you are not certain that it is occurring B. Nothing because you only suspect the abuse C. Call the police or the security department D. Report your suspicions to the charge nurse Show Correct Response >>>

17. Which of the following is the World Health Organization’s (WHO) denition of health? A. The absence of all illness and disease B. The absence of any comorbidities

C. A holistic state of wellbeing D. A use of health promotion activities Show Correct Response >>>

18. Which nursing theorist believes that most patients are capable of performing self care? A. Dorothea Orem B. Madeleine Leininger C. Martha Rogers D. Sister Callista Roy Show Correct Response >>>

19. What element is minimally assessed during a basic prenatal physical examination? A. Palpation and auscultation of the abdomen B. Examination of the anus and rectum C. Urinalysis for glucose, protein and ketones D. Visual assessment of cervix and vagina Show Correct Response >>>

20. A positive over-the-counter pregnancy test is considered a: A. Possible sign of pregnancy. B. Presumptive sign of pregnancy. C. Probable sign of pregnancy. D. Positive sign of pregnancy. Show Correct Response >>>

21. Select all of the signs and symptoms of hyperthyroidism.

A. Cool skin B. Thickened bodily hair C. Heat intolerance D. Constipation E. Insomnia F. Increased appetite G. Palpitations Show Correct Response >>>

22. During which phase of the nursing process does data get collected and validated with the patient and/or family members by the nurse? A. The implementation phase B. The assessment phase C. The evaluation phase D. The planning phase Show Correct Response >>>

23. Which of the following is the best worded expected outcome? A. “The nurse will provide for adequate hydration” B. “The nurse will insure that the patient is safe” C. “The patient will cough and deep breathe every two hours” D. “The patient will value health” Show Correct Response >>>

24. What is a major dierence between a problem oriented medical record and a source oriented medical record? A. The problem oriented medical system has a centralized part of the chart for interdisciplinary progress notes and the source oriented medical record has separate areas for each profession’s

progress notes. B. The problem oriented medical system consists of narrative progress notes and the source oriented medical record uses SOAP. C. The source oriented medical system uses charting by exception and the source oriented medical record system does not. D. The source oriented medical system has a centralized part of the chart for interdisciplinary progress notes and the problem oriented medical record has separate areas for each profession’s progress notes. Show Correct Response >>>

25. Which of the following are necessary elements of malpractice? Select all that apply. A. A breach of duty B. An intentional act C. A nonintentional act D. Forseeability E. Patient harm F. Causation Show Correct Response >>>

26. Select the following re emergency interventions in correct sequential order. A. Pull the re alarm. B. Contain the re. C. Rescue patients in danger. D. Extinguish the re. Show Correct Response >>>

27. After your patient has been told that they have Cushing’s syndrome, the patient asks you what Cushing’s syndrome is. How would you respond to this patient’s question? A. “Cushing’s syndrome is a type of irritable bowel syndrome.” B. “Cushing’s syndrome is a disorder of the adrenal gland.” C. “Cushing’s syndrome often occurs among patients who are getting radiation therapy.” D. “Cushing’s syndrome often occurs among patients who are chemotherapy.” Show Correct Response >>>

28. You are preparing a sterile eld for a operating room surgical procedure. When should you stop the preparation of this sterile eld? A. When you have placed a sterile item only 1 inch and not 2 inches from the edge of the sterile eld B. When you have completely nished the eld. You cannot stop the set up until it is all done. C. When you have accidentally poured a sterile liquid into a container that was on the sterile eld D. When you turn your upper body only away from the eld because the surgeon calls your name Show Correct Response >>>

29. Avulsed teeth should be placed in: A. Normal saline. B. Cold water. C. Milk. D. Warm water. Show Correct Response >>>

30. You are working in a pediatric unit of the hospital and caring for a six year old boy who is hospitalized with cystic brosis and respiratory compromise. Which developmental task is the challenge for this boy at his age? A. To cough, deep breathe and improve respiratory status

B. To establish industry and self condence C. To develop autonomy and self control D. To develop initiative and a sense of purpose Show Correct Response >>>

31. The embryonic period during pregnancy takes place from: A. Weeks 1 to 12. B. Weeks 1 to 10. C. Weeks 3 to 5. D. Weeks 6 to 10. Show Correct Response >>>

32. Place these human needs in order from the greatest priority to the least priority using # 1 as the greatest priority and # 5 as the least of all in terms of priority. A. Self esteem and esteem by others B. Self actualization C. Psychological needs D. Love and belonging E. Physiological needs Show Correct Response >>>

33. During which week does the fetal heart begin pumping its own blood? A. 3rd week B. 5th week C. 9th week D. 6th week Show Correct Response >>>

34. Which of the following is a vector of infection? A. A contaminated ball B. A contaminated thermometer C. An infected person D. An infectious y Show Correct Response >>>

35. Which oral disorder appears as yellow or white spots on the oral mucosa that are not possible to scrape o without bleeding? A. Herpes simplex B. Candidiasis C. Alphthous ulcers D. Leukoplakia Show Correct Response >>>

36. Which type of cancer has the poorest prognosis? A. Squamous cell carcinoma B. Breast cancer C. Pancreatic cancer D. Gastric cancer Show Correct Response >>>

37. States throughout our nation vary somewhat in terms of things that nursing assistants can and cannot legally do. Which statements about these state to state dierences are accurate? Select all that apply. A. Nursing assistants can change catheter tubings but not catheters B. Nursing assistants can change sterile dressings

C. Nursing assistants have an expanding role in many states. D. Nursing assistants cannot assess the physical status of the patients. E. Nursing assistants can apply topical medication lotions to intact skin. F. The trend is moving toward nurses only stang patterns. Show Correct Response >>>

38. A cesarean mode of delivery, often utilized for various reasons, is the most common mode for females with which pelvic type? A. Android B. Anthropoid C. Gynecoid D. Platypelloid Show Correct Response >>>

39. How many bones make up a newborn’s skull? A. 8 B. 4 C. 6 D. 5 Show Correct Response >>>

40. Your patient has just returned from the diagnostic imaging department and the doctor has told the patient that they have a Mallory-Weiss tear. The patient asks you what a Mallory-Weiss tear is. How should you respond to this patient? A. “A Mallory-Weiss tear is a kind of diverticulitis.” B. “A Mallory-Weiss tear is an esophageal tear” C. “A Mallory-Weiss tear is a lacrimal gland disorder.” D. “A Mallory-Weiss tear is a tear that results from a peptic ulcer.”

Show Correct Response >>>

41. You have been asked to speak at a new nursing assistants' orientation class about infection control and handwashing techniques. What would you include in this teaching? A. Demonstrate the correct one minute handwashing procedure using soap and running water. B. Demonstrate the correct 2 minute handwashing procedure using soap and running water. C. Using hot water so that the natural fats on the skins are emulsied with the soap. D. Using cold water so that the natural fats on the skins are emulsied with the soap. Show Correct Response >>>

42. How many minims are contained in 1 milliliter? A. Between 10-11 B. 12 C. 20 D. Between 15 or 16 Show Correct Response >>>

43. Periwound maceration occurs when: A. The skin around the wound softens and is damaged. B. Selecting a dressing individualized to the type of wound. C. Negative-pressure to “air out” the wound is used. D. The skin around the wound dries out and hardens. Show Correct Response >>>

44. Which patient is at greatest risk for cholelithiasis and choledocholithiasis? A. A 70 year old male patient who has liver disease

B. A 70 year old female patient who has liver disease C. A 50 year old male patient who is Asian D. A 50 year old female patient who is Asian Show Correct Response >>>

45. Select the method of special precautions that is accurately paired with the personal protective equipment that is minimally required in order to prevent the spread of infection. A. Contact precautions: Gowns, gloves and mask B. Droplet precautions: Face mask C. Airborne transmission precautions: Negative pressure room D. Contact precautions: Gloves Show Correct Response >>>

46. Which statement about Meniere’s disease is accurate and true? A. Meniere’s disease most commonly occurs among members of the elderly population. B. Meniere’s disease is insidious and it always aects both ears. C. Meniere’s disease occurs with an impairment of the second cranial nerve. D. Antiemetic drugs are used for the treatment of patients aected with Meniere’s disease. Show Correct Response >>>

47. Which of these patients is aected with a healthcare acquired infection? A. A 18 year old male patient who developed a intravenous line infection two days after insertion B. A 72 year old male patient who is at risk for infection secondary to AIDS/HIV C. A 67 year old female patient who was admitted with a urinary tract infection D. A 5 year old pediatric patient who develops the measles rash 3 days after admission Show Correct Response >>>

48. The stages of infection in correct sequential order are: A. The prodromal, incubation, illness and convalescence stages B. The incubation, prodromal, illness and convalescence stages C. The prodromal, primary, secondary and tertiary stages D. The inammation, infection and immunity stages Show Correct Response >>>

49. What is the single most important thing that nurses do in order to prevent the spread of infection? A. Applying standard precautions B. Using personal protective equipment C. Adhering to the principles of asepsis D. Handwashing Show Correct Response >>>

50. Rh negative maternal blood indicates: A. An incompatibility in the blood between the mother and fetus. B. That antibodies in the mother’s blood are attacking her baby’s blood. C. The mother will require a blood transfusion at the time of delivery. D. The mother does not have a specic marker on her red blood cells. Show Correct Response >>>

51. Low birth weight is dened as a newborn’s weight of: A. 2500 grams or less at birth, regardless of gestational age. B. 1500 grams or less at birth, regardless of gestational age. C. 2500 grams or less at birth, according to gestational age. D. 1500 grams or less at birth, according to gestational age. Show Correct Response >>>

52. You are caring for a neonate who has a cleft palate. You should inform the mother that surgical correction will be done when the infant is: A. 8 to 12 months of age. B. 20 to 24 months of age. C. 16 to 20 months of age. D. 12 to 16 months of age. Show Correct Response >>>

53. What percentage of term newborns has a congenital heart disease due to environmental risk factors such as maternal alcoholism or drug ingestion? A. 2% to 4% B. 10% to 20% C. 5% to 10% D. 7% to 9% Show Correct Response >>>

54. Who should document care? A. The LPNs should document the care that they provided and the care that was given by unlicensed assistive sta. B. The registered nurse must document all of the care that is provided by the nursing assistants because they are accountable for all care. C. All sta members should document all of the care that they have provided. D. All sta should document all of the care that they have provided but the registered nurse, as the only independent practitioner, signs it. Show Correct Response >>>

55. Your 54 year old male HIV positive patient has just expired. How should you care for this deceased patient? A. Bathe the patient but it is no longer necessary to use standard precautions because the patient is deceased. B. Place the patient in an negative pressure isolated area of the morgue. C. Double shroud the patient to prevent the spread of infection. D. Bathe the patient using the same standard precautions you used when he was alive. Show Correct Response >>>

56. Select the types of pain that are accurately coupled with an example of it. Select all that are correct. A. Radicular pain: A broken bone B. Central neuropathic pain: A spinal cord injury C. Peripheral neuropathic pain: A fractured leg bone D. Chronic pain: A stab wound to the chest E. Nocicetive pain: A laceration F. Radicular pain: A herniated spinal disc Show Correct Response >>>

57. Select the stage of viral hepatitis that is accurately paired with its characteristic(s). A. The prodromal stage: Jaundice begins B. The icteric stage: Flu like symptoms occur C. The preicteric stage: Elevated urine bilirubin levels D. The posticteric stage: Jaundice and dark urine occurs Show Correct Response >>>

58. Which nursing diagnosis is the most commonly used among patients who are aected with bromyalgia? A. Decreased self care in the activities of daily living related to fatigue B. Impaired mental functio...