NCLEX PN practice questions and answers 2026. Tap an option to test yourself — you'll see the correct answer and a plain-English explanation for every question. Free, no login.
Q11The nurse is caring for an elderly patient and providing education. Of the following, which one would be least appropriate?
✓ Correct answer: A. The nurse speaks in a loud voice.
The nurse should not speak in a loud voice just because the patient is elderly.<br/><br/>The nurse should assess the patient for hearing impairment to see if additional assistance is demanded.<br/><br/>Nevertheless, elderly patients tend to demand more time to process information, as their reaction time is slower, and they may advantage from more frequent, shorter sessions as they fatigue easily.<br/><br/>Elderly patients are usually capable of absorbing supplemental written resources.
Q12A 13-year-old female client tells the PN/VN that she is worried because she has not started her period.<br/><br/>Which response should the nurse the provide to the client?
✓ Correct answer: C. "You may start your period over the next few years."
The normal range of menarche is from 10½ to 15 years of age.<br/><br/>Abdominal cramping (choice A) is not associated with the onset of menarche.<br/><br/>There is no reason hormone levels should be evaluated (choice C).<br/><br/>Assessing the client's medication (choice D) should not be related to the concern of delayed menstruation.
Q13A busy, harried-looking physician comes onto the floor and writes out four orders in less than one minute. He leaves, shoving over a stack of the nurse’s charting on the way out the door. Of the following four orders, which one should the nurse question?
✓ Correct answer: D. Heating pad for a diabetic patient with a foot ulcer.
The diabetic patient might have neuropathy and be not able to correctly sense the temperature of the heating pad, resulting in a burn.
Q14A nurse is tasked to care for a client with a body temperature of 94.8<sup>O</sup>F.<br/><br/>Which of the following nursing actions by the nurse is the most effective in relieving hypothermia?
✓ Correct answer: D. Keep the client’s limbs close to the body
The goal of the treatment in clients with hypothermia is to conserve body heat. <br/><br/>This is achieved by keeping the client’s limbs close to the boy, wearing of caps and turbans, intake of warm fluids, and providing a warm environment for the client.
Q15Which of the following components of nutrition is primarily used as the source of energy for the human body?
✓ Correct answer: D. Carbohydrate.
Vitamin K is necessary in order to have proper blood clotting. Folate is especially important in pregnant women. It helps prevent neural tube defects. Protein helps with tissue growth and repair.
Q16Abraham Maslow considered the most basic of needs in his hierarchy of needs to be which of the following?
✓ Correct answer: B. Physiological needs
Physiological needs are a person’s most basic needs and must be met. These needs include oxygen, food, water, shelter, and freedom from pain.
Q17A nurse is caring for a child on seizure precautions.<br/><br/>Which of the following pieces of equipment should the nurse place at the client’s bedside?
✓ Correct answer: A. Airway equipment
The nurse should make sure that airway equipment is placed at the client’s bedside at all times. If the child has a seizure and requires a patent airway, the airway equipment can be used. The other options are not appropriate.
Q18The doctor orders 24-hour ambulatory electrocardiography using a Holter monitor for a client with frequent fainting spells. To prevent electrical interference with the Holter monitor, which of the following should the nurse instruct the client to avoid?
✓ Correct answer: D. Shaving with an electric razor.
Using electrical devices, such as electric razors and toothbrushes, may alter the data recorded with a Holter monitor. The other activities are not known to cause electrical interference with a Holter monitor.
Q19The PN/VN prepares for the admission of the new client with herpes zoster. The nurse is unsure which isolation technique is the most effective. <br/><br/>The nurse uses which location to find the best isolation requirement?
✓ Correct answer: D. CDC.org
The CDC.org is the gold standard for all isolation questions and guidelines.
Q20A nurse is monitoring a client who was recently admitted to the unit after a cardiac catheterization.<br/><br/>Which of the following ordered assignments is the nurse’s priority?
✓ Correct answer: A. Assess pulses distal to insertion site
After the procedure, the client is at risk of clot formation. Weakened or absent pulses distal to the insertion site may suggest its occurrence. <br/><br/>Options A and B are also assessed, but assessment of the pulses distal to the insertion site is the priority. <br/><br/>Option D is not correct.
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