NCLEX PN FINAL EXAM LATEST 2023-2024 ACTUAL EXAMS COMPILATION QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES |ALL POSSIBLE QUESTIONS AND ANS||ALREADY GRADED A+|BRAND NEW!!

NCLEX PN LATEST 2023 TEST BANK REAL EXAM
WITH 200 QUESTIONS AND CORRECT ANSWERS
PLUS RATIONAL 2023 UPDATE

1. The nurse is caring for a client scheduled for removal of a pituitary tumor using the
   transsphenoidal approach. The nurse should be particularly alert for:
   A. Nasal congestion
   B. Abdominal tenderness
   C. Muscle tetany
   D. Oliguria
   Answer A: Removal of the pituitary gland is usually done by a transsphenoidal approach,
   through the nose. Nasal congestion further interferes with the airway. Answers B, C, and D are
   not correct because they are not directly associated with the pituitary gland.
2. A client with cancer is admitted to the oncology unit. Stat lab values reveal Hgb 12.6,
   WBC 6500, K+ 1.9, uric acid 7.0, Na+ 136, and platelets 178,000. The nurse evaluates that the
   client is experiencing which of the following?
   A. Hypernatremia
   B. Hypokalemia
   C. Myelosuppression
   D. Leukocytosis
   Answer B: Hypokalemia is evident from the lab values listed. The other laboratory findings are
   within normal limits, making answers A, C, and D
   incorrect.
3. A 24-year-old female client is scheduled for surgery in the morning. Which of the
   following is the primary responsibility of the nurse?
   A. Taking the vital signs
   B. Obtaining the permit
   C. Explaining the procedure
   D. Checking the lab work
   Answer A: The primary responsibility of the nurse is to take the vital signs before any surgery.
   The actions in answers B, C, and D are the responsibility of the doctor and, therefore, are
   incorrect for this question.
4. The nurse is working in the emergency room when a client arrives with severe burns of
   the left arm, hands, face, and neck. Which action should receive priority?
   A. Starting an IV
   B. Applying oxygen
   C. Obtaining blood gases
   D. Medicating the client for pain
   Answer B: The client with burns to the neck needs airway assessment and supplemental oxygen,
   so applying oxygen is the priority. The next action should be to start an IV and medicate for pain,
   making answers A and C incorrect. Answer D, obtaining blood gases, is ordered by the doctor.
5. The nurse is visiting a home health client with osteoporosis. The client has a new
   prescription for alendronate (Fosamax). Which instruction should be given to the client?
   A. Rest in bed after taking the medication for at least 30 minutes
   B. Avoid rapid movements after taking the medication
   C. Take the medication with water only

D. Allow at least 1 hour between taking the medicine and taking other medications
Answer B: The client with burns to the neck needs airway assessment and supplemental oxygen,
so applying oxygen is the priority. The next action should be to start an IV and medicate for pain,
making answers A and C incorrect. Answer D, obtaining blood gases, is ordered by the doctor.

6. The nurse is making initial rounds on a client with a C5 fracture and crutchfield tongs.
   Which equipment should be kept at the bedside?
   A. A pair of forceps
   B. A torque wrench
   C. A pair of wire cutters
   D. A screwdriver
   Answer B: A torque wrench is kept at the bedside to tighten and loosen the screws of crutchfield
   tongs. This wrench controls the amount of pressure that is placed on the screws. A pair of
   forceps, wire cutters, and a screwdriver, in answers A, C, and D, would not be used and, thus, are
   incorrect.
7. An infant weighs 7 pounds at birth. The expected weight by 1 year should
   be:
   A. 10 pounds
   B. 12 pounds
   C. 18 pounds
   D. 21 pounds

Answer D: A birth weight of 7 pounds would indicate 21 pounds in 1 year, or triple his birth
weight. Answers A, B, and C therefore are incorrect.

8. A client is admitted with a Ewing’s sarcoma. Which symptoms would be expected due to
   this tumor’s location?
   A. Hemiplegia
   B. Aphasia
   C. Nausea
   D. Bone pain
   Answer D: Sarcoma is a type of bone cancer; therefore, bone pain would be expected. Answers
   A, B, and C are not specific to this type of cancer and are incorrect.
9. The nurse is caring for a client with epilepsy who is being treated with carbamazepine
   (Tegretol). Which laboratory value might indicate a serious side effect of this drug?
   A. Uric acid of 5mg/dL
   B. Hematocrit of 33%
   C. WBC 2,000 per cubic millimeter
   D. Platelets 150,000 per cubic millimeter
   Answer C: Tegretol can suppress the bone marrow and decrease the white blood cell count; thus,
   a lab value of WBC 2,000 per cubic millimeter indicates side effects of the drug. Answers A and
   D are within normal limits, and answer B is a lower limit of normal; therefore, answers A, B, and
   D are incorrect.

NCLEX-PN 2022-2023 REAL EXAM WITH 205
QUESTIONS AND CORRECT ANSWERS|AGRADE

1. A 24-year-old female client is scheduled for surgery in the morning. Which of the
   following is the primary responsibility of the nurse?
   A. Taking the vital signs
   B. Obtaining the permit
   C. Explaining the procedure
   D. Checking the lab work
2. The nurse is working in the emergency room when a client arrives with severe burns of
   the left arm, hands, face, and neck. Which action should receive priority?
   A. Starting an IV
   B. Applying oxygen
   C. Obtaining blood gases
   D. Medicating the client for pain
3. The nurse is visiting a home health client with osteoporosis. The client has a new
   prescription for alendronate (Fosamax). Which instruction should be given to the client?
   A. Rest in bed after taking the medication for at least 30 minutes
   B. Avoid rapid movements after taking the medication
   C. Take the medication with water only
   D. Allow at least 1 hour between taking the medicine and taking other medications
4. The nurse is making initial rounds on a client with a C5 fracture and crutchfield tongs.
   Which equipment should be kept at the bedside?
   A. A pair of forceps
   B. A torque wrench
   C. A pair of wire cutters
   D. A screwdriver
5. An infant weighs 7 pounds at birth. The expected weight by 1 year should be:
   A. 10 pounds
   B. 12 pounds
   C. 18 pounds
   D. 21 pounds
6. A client is admitted with a Ewing’s sarcoma. Which symptoms would be expected due to
   this tumor’s location?
   A. Hemiplegia
   B. Aphasia
   C. Nausea
   D. Bone pain
7. The nurse is caring for a client with epilepsy who is being treated with carbamazepine
   (Tegretol). Which laboratory value might indicate a serious side effect of this drug?
   A. Uric acid of 5mg/dL

B. Hematocrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter

8. A 6-month-old client is admitted with possible intussuception. Which question during the
   nursing history is least helpful in obtaining information regarding this diagnosis?
   A. “Tell me about his pain.”
   B. “What does his vomit look like?”
   C. “Describe his usual diet.”
   D. “Have you noticed changes in his abdominal size?”
9. The nurse is assisting a client with diverticulosis to select appropriate foods. Which food
   should be avoided?
   A. Bran
   B. Fresh peaches
   C. Cucumber salad
   D. Yeast rolls
10. A client has rectal cancer and is scheduled for an abdominal perineal resection. What
    should be the priority nursing care during the post-op period?
    A. Teaching how to irrigate the illeostomy
    B. Stopping electrolyte loss in the incisional area
    C. Encouraging a high-fiber diet
    D. Facilitating perineal wound drainage
11. The nurse is performing discharge teaching on a client with diverticulitis who has been
    placed on a low-roughage diet. Which food would have to be eliminated from this client’s diet?
    A. Roasted chicken
    B. Noodles
    C. Cooked broccoli
    D. Custard
12. A client arrives in the emergency room with a possible fractured femur. The nurse should
    anticipate an order for:
    A. Trendelenburg position
    B. Ice to the entire extremity
    C. Buck’s traction
    D. An abduction pillow
13. A client with cancer is to undergo an intravenous pyelogram. The nurse should:
    A. Force fluids 24 hours before the procedure
    B. Ask the client to void immediately before the study
    C. Hold medication that affects the central nervous system for 12 hours pre- and post-test
    D. Cover the client’s reproductive organs with an x-ray shield
14. The nurse is caring for a client with a malignancy. The classification of the primary
    tumor is Tis. The nurse should plan care for a tumor:
    A. That cannot be assessed
    B. That is in situ

1
NCLEX PN FINAL EXAM LATEST 2023-
2024 ACTUAL EXAM TEST BANK 700+
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
(COMPLETE EXAM) |ALL POSSIBLE
QUESTIONS AND ANS||ALREADY
GRADED A+

2
Question No : 1 – (Topic 1)
Question No : 2 – (Topic 1)
Teaching the client with gonorrhea how to prevent reinfection and further spread is an
example of:
A. primary prevention.
B. secondary prevention.
C. tertiary prevention.
D. primary health care prevention.
Answer: B
Explanation:
Secondary prevention targets the reduction of disease prevalence and disease morbidity
through early
diagnosis and treatment.Physiological Adaptation
Which of the following foods is a complete protein?
A. corn
B. eggs
C. peanutsDsunflower seeds
Answer: B
Explanation:
Eggs are a complete protein. The remaining options are incomplete proteins.Health
Promotion and
Maintenance

3
Question No : 4 – (Topic 1)
Question No : 5 – (Topic 1)
Broccoli, oranges, dark greens, and dark yellow vegetables can be eaten to:
A. supplement vitamin pills.
B. balance body molecules.
C. cure many diseases.
D. help improve body defenses.
Answer: D
Explanation:
Controversy over what types of food to eat and not eat is still under investigation. Certain
foods can help
improve body defenses to possibly prevent certain diseases.Nonpharmacological
Therapies
The major electrolytes in the extracellular fluid are:
A. potassium and chloride.
B. potassium and phosphate.
C. sodium and chloride.
D. sodium and phosphate.
Answer: C
Explanation:
Sodium and chloride are the major electrolytes in the extracellular fluid.Physiological
Adaptation
Question No : 3 – (Topic 1)

4
Question No : 6 – (Topic 1)
Which of the following nursing diagnoses might be appropriate
as Parkinson’s disease progresses and complications develop?
A. Impaired Physical Mobility
B. Dysreflexia
C. Hypothermia
D. Impaired Dentition
Answer: A
Explanation:
The client with Parkinson’s disease can develop a shuffling gait and rigidity, causing
impaired physical
mobility. The other diagnoses do not necessarily relate to a client with Parkinson’s
disease.Reduction of Risk
Potential
Which of the following is an inappropriate item to include in planning care for a severely
neutropenic client?
A. Transfuse netrophils (granulocytes) to prevent infection.
B. Exclude raw vegetables from the diet.
C. Avoid administering rectal suppositories.
D. Prohibit vases of fresh flowers and plants in the client’s room.
Answer: A
Explanation:
Granulocyte transfusion is not indicated to prevent infection. Produced in the bone marrow,
granulocytes
normally comprise 70% of all WBCs. They are subdivided into three types based on
staining properties:
neutrophils, eosinophils, and basophils. They can be beneficial in a selected population of
infected, severely
granulocytopenic clients (less than 500/mm3) who do not respond to antibiotic therapy and
who are expected

NCLEX PN COMPREHENSIVE 2023 FORM A, B
AND C ACTUAL EXAM (3 LATEST VERSIONS)
CONTAINS 460 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
NCLEX PN COMPREHENSIVE FORM A
The nurse is preparing to administer a continuous tube feeding to a client with a
nasogastric tube. The primary health care provider has prescribed an amount of
100 mL/hr. The tube feeding setup is an open system, a bag that has formula added
at intervals. How much formula would the nurse plan to add to fill the feeding bag?

1. 400 mL of formula
2. 600 mL of formula
3. 800 mL of formula
   4.Enough formula to last for 8 hours – ANSWER- 1. 400 mL of formula.
   The nurse is preparing to administer eardrops to an infant. How would the nurse
   administer the eardrops?
4. Pull up and back on the ear, and direct the solution onto the eardrum.
5. Pull down and back on the ear, and direct the solution onto the eardrum.
6. Pull down and back on the ear, and direct the solution toward the wall of the
   canal.
7. Pull up and back on the ear lobe, and direct the solution toward the wall of the
   canal. – ANSWER- 3. Pull down and back on the ear, and direct the solution
   toward the wall of the canal.
   The nurse prepares to take a blood pressure (BP) on a school-age child. Where
   would the nurse place the blood pressure cuff to obtain an accurate measurement?
8. One-half the distance between the antecubital fossa and the shoulder
9. One-third the distance between the antecubital fossa and the shoulder
10. Two-thirds the distance between the antecubital fossa and the shoulder
11. One-quarter the distance between the antecubital fossa and the shoulder –
    ANSWER- 3. Two-thirds the distance between the antecubital fossa and the
    shoulder
    A primary health care provider is planning to administer a skeletal muscle relaxant
    to a client with a spinal cord injury. The medication is going to be administered
    intrathecally. Which medication would the nurse expect to be prescribed and
    administered by this route?
    1.Baclofen
    2.Chlorzoxazone
    3.Dantrolene sodium
    4.Cyclobenzaprine hydrochloride – ANSWER- 1. Baclofen
    The nurse is developing a nutritional plan for an assigned client. Which is the most
    critical piece of data to collect before formulating the plan?
    1.A dietary diary

2.Food preferences
3.The presence of food allergies
4.Medical history of conditions related to nutritional deficits – ANSWER- 3. The
presence of food allergies.
The licensed practical nurse employed in the ambulatory clinic is assisting the
registered nurse in preparing to administer a dose of intravenous immune globulin
(IVIG). The licensed practical nurse would ensure that which medication is readily
available before the medication is administered?

1. Epinephrine
2. Phytonadione
3. Acetylcysteine
4. Protamine sulfate – ANSWER- 1. Epinephrine
   The nurse has just been told by the primary health care provider that a prescription
   has been written to administer a heparin injection to a client every 12 hours. The
   nurse anticipates using which technique to administer the medication?
   1.Z-track
   2.Using a 20-gauge needle
   3.Intramuscular using a 1-inch needle
   4.Subcutaneous using the abdomen – ANSWER- 4.Subcutaneous using the
   abdomen
   A client is to receive medication via patient-controlled analgesia (PCA), and the
   nursing instructor asks the nursing student caring for the client to describe the use
   of the PCA. The instructor determines there is a need for further teaching about the
   PCA when the student makes which statement?
5. “The PCA gives the client greater control over analgesic administration.”
6. “Asking the client to rate pain is unnecessary when the client has a PCA.”
7. “PCA delivers predetermined amounts of analgesia within preset intervals.”
8. “A continuous intravenous (IV) solution is needed to keep the vein open
   between analgesia infusions.” – ANSWER- 2. “Asking the client to rate pain is
   unnecessary when the client has a PCA.”
   The nurse is caring for a client with a diagnosis of chronic kidney disease who is
   receiving dialysis. Epoetin alfa has been prescribed for the client. How would the
   nurse prepare to administer the medication?
9. The subcutaneous route
10. Shaking the vial before drawing up the medication
11. Obtaining the medication from the medication freezer
12. Mixing the medication with 0.1 mL of heparin before administration to prevent
    clotting – ANSWER- 1. The subcutaneous route.
    The nurse is administering a medication intramuscularly to an assigned client. The
    nurse would include which actions in administering the medication? Select all that
    apply.
13. Massage the site after injection.
14. Use a Z-track method for administration.
15. Wear sterile gloves to administer the medication.
16. Hold the syringe as if it is a dart to insert the needle.
17. Select an appropriate injection site such as the ventral gluteus.