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Exam Code NCLEX-PN
Exam Name National Council Licensure Examination for Practical Nurses
Vendor NCLEX
Total Questions 725
Last Updated 26-Oct, 2026
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Free NCLEX-PN Practice Questions

Explore 7 free practice questions for the NCLEX NCLEX-PN exam and review the answers and explanations to support your preparation.

  1. Question 1

    Single answer

    People who live in poverty are most likely to obtain health care from:

    • Option A:

      Respiratory

      Correct
    • Option B:

      Standard Precautions

      Correct
    • Option C:

      Contact Isolation

      Correct
    • Option D:

      Droplet

      Correct
    Show Answer & Explanation Hide Answer & Explanation

    Correct Answer: B

    Explanation

    Standard precautions are taken in all situations for all clients and involve all body secretions except sweat and

    are designed to reduce the rate of transmission of microbes from one host to another or one source (environment

    such as the client’s bedside table) to another. Safety and Infection Control

  2. Question 2

    Single answer

    High uric acid levels can develop in clients who are receiving chemotherapy. This can be caused by:

    • Option A:

      the inability of the kidneys to excrete the drug metabolites.

      Correct
    • Option B:

      rapid cell catabolism.

      Correct
    • Option C:

      toxic effects of the prophylactic antibiotics that are given concurrently.

      Correct
    • Option D:

      the altered blood pH from the acid medium of the drugs.

      Correct
    Show Answer & Explanation Hide Answer & Explanation

    Correct Answer: B

    Explanation

    Chemotherapy causes damage to cells, and uric acid is a cell metabolite. Physiological Adaptation

  3. Question 3

    Single answer

    Which of the following statements, if made by the parents of a newborn, does not indicate a need for further teaching about cord care? 

    • Option A:

      “I should put alcohol on my baby’s cord 3–4 times a day.”

      Correct
    • Option B:

      “I should put the baby’s diaper on so that it covers the cord.”

      Correct
    • Option C:

      “I should call the physician if the cord becomes dark.”

      Correct
    • Option D:

      “I should wash my hands before and after I take care of the cord.”

      Correct
    Show Answer & Explanation Hide Answer & Explanation

    Correct Answer: D

    Explanation

    Parents should be taught to wash their hands before and after providing cord care. This prevents transferring pathogens to and from the cord. Folding the diaper below the cord exposes the cord to air and allows for drying. It also prevents wet or soiled diapers from coming into contact with the cord. Current recommendations include cleaning the area around the cord 3–4 times a day with a cotton swab but do not include putting alcohol or other antimicrobials on the cord. It is normal for the cord to turn dark as it dries .Health Promotion and Maintenance 

  4. Question 4

    Single answer

    All of the following are causes of vaginal bleeding in late pregnancy except:

    • Option A:

      placenta previa.

      Correct
    • Option B:

      eclampsia.

      Correct
    • Option C:

      abruptio placentae.

      Correct
    • Option D:

      uterine rupture.

      Correct
    Show Answer & Explanation Hide Answer & Explanation

    Correct Answer: B

    Explanation

    Eclampsia is a disorder of pregnancy characterized by hypertension, proteinuria, and edema. This condition can cause seizure and/or coma. Choices 1 and 3 are abnormal conditions that can cause bleeding, particularly in the third trimester. Choice 4 is a major obstetrical emergency that can cause bleeding internally and externally. Safety and Infection Control

  5. Question 5

    Single answer

    Which of the following represents a normal serum potassium level?

    • Option A:

      1.5 mEq/L

      Correct
    • Option B:

      3.0 mEq/L

      Correct
    • Option C:

      4.0 mEq/L

      Correct
    • Option D:

      6.0 mEq/L

      Correct
    Show Answer & Explanation Hide Answer & Explanation

    Correct Answer: C

    Explanation

    Normal serum potassium levels fall in a range of 3.5–5.5mEq/L. The other choices listed fall below or above this range. Reduction of Risk Potential

  6. Question 6

    Single answer

    A client goes to the mental health center for difficulty concentrating, insomnia, and nightmares. The client reports being raped as a child. The nurse should assess the client for further signs of:

    • Option A:

      general anxiety disorder.

      Correct
    • Option B:

      schizophrenia.

      Correct
    • Option C:

      post-traumatic stress disorder.

      Correct
    • Option D:

      bipolar disorder.

      Correct
    Show Answer & Explanation Hide Answer & Explanation

    Correct Answer: C

    Explanation

    Childhood sexual abuse is associated with adult-onset depression and with an increased risk for lifetime and current post-traumatic stress disorder (PTSD). About one-third of all victims of sexual abuse meet the diagnostic criteria for PTSD. A person with PTSD has three main types of symptoms: (1) Re-experiencing the traumatic event with flashbacks, nightmares, and exaggerated reactions to triggers that remind the person of the event. (2) Emotional numbing is evidenced by avoidance of activities, places, thoughts, feelings, or conversations related to the trauma; feelings of detachment from others; and restricted or blunted emotions. (3) Increased activity is seen in bursts of anger, difficulty sleeping, hypervigilence, difficulty concentrating, and an exaggerated startle response. Other problems associated with PTSD are panic attacks, suicidal thoughts and feelings, substance abuse, eating disorders, feelings of alienation and isolation, and feelings of mistrust and betrayal. Psychosocial Integrity

  7. Question 7

    Single answer

    Which of the following clients require airborne precautions?

    • Option A:

      a client with fever, chills, vomiting, and diarrhea

      Correct
    • Option B:

      a client suspected of varicella (chickenpox)

      Correct
    • Option C:

      a client with abdominal pain and purpura

      Correct
    • Option D:

      a client diagnosed with AIDS

      Correct
    Show Answer & Explanation Hide Answer & Explanation

    Correct Answer: B

    Explanation

    Chickenpox (varicella) is an acute, infectious, airborne illness that requires others in direct contact to wear a respirator mask. Safety and Infection Control.