Key details for this exam, checked against the published exam outline
Each question shows the correct answer and an explanation of why it is right
The nurse is transferring a client from a wheelchair to the bed. Which is the correct procedure?
Pulling the client toward the nurse lowers the workload force. Pivoting on the unaffected limb offers strength
to support the affected limb while pivoting to the bed.Basic Care and Comfort
A nurse is caring for a patient in the step down unit. The patient has signs of increased intracranial pressure. Which of the following is not a sign of increased intracranial pressure?
Unilateral pupil changes indicate changes in ICP.
A nurse observes a client sitting alone and talking. When asked, the client reports that he is ''talking to the voices.'' The nurse's next action should be:
Nurses might observe behavioral cues that can indicate the presence of hallucinations. Talking about the
hallucinations is reassuring and validating to the client who has them. Focusing on the symptoms and asking
about the hallucinations helps the client gain control.Psychosocial Integrity
When medications have an additive, synergistic, or antagonistic effect on a tissue, a ________ reaction has occurred.
Pharmacodynamics pertain to the effect of a drug on receptors. Pharmaceutical reactions are chemical reactions between drugs prior to administration or absorption. Pharmacokinetic reactions refer to the body's effect on the drug. Drug incompatibilities are another term for pharmaceutical reactions.Pharmacological Therapies
The physician wants to know if a client is tolerating his total parenteral nutrition. Which of the following laboratory tests is likely to be ordered?
The liver is the primary organ for digestion. Liver function tests measure the blood level of enzymes produced by the liver: prothrombin time/partial prothrombin time, serum glutamic oxaloacetic and pyruvic transaminases, gamma glutamyl transpeptidase, albumin, and alkalinephosphatase. Choice 1 measures the body's ability to clear triglycerides, the primary component of fats. Failure to clear triglycerides from the bloodstream indicates a problem with storage or the ingestion of too much fat. Choice 3 measures the blood glucose at intervals after a glucose-rich solution is ingested; it is used for diagnosing diabetes. Choice 4 is used to evaluate blood components.Pharmacological Therapies
There are many types of torts that can be committed against clients. They include all of the following except:
Felonies are serious crimes punishable by time in prison. Types of torts are assault, battery, and negligence in addition to slander, invasion of privacy, false imprisonment, and fraud.Coordinated Care
An elderly client denies that abuse is occurring. Which of the following factors could be a barrier for the client to admit being a victim?
Barriers to reporting elder abuse include victim shame, fear of reprisals, fear of loss of caregiver, and lack of
knowledge of agencies that provide services. Many elders fear that reporting abuse results in their placement in
long-term care because the current caregiver is the abuser. Choices 1 and 3 are incorrect. Choice 2 might be true
but is not the best choice.Psychosocial Integrity
Exam domains verified against: Official NCLEX NCLEX-PN exam guide, last checked October 2026.
Advocate for clients and manage their care through interprofessional collaboration. Organize and prioritize care based on client needs and contribute to discharge planning.
Sample question from this domain above: Q6
Identify client allergies and safety risks while implementing infection control measures. Use safe handling techniques and follow protocols for disaster preparation and security.
Provide age-appropriate care from newborns through older adults and support clients through life transitions. Identify community resources and assist with health screening and immunization programs.
Support clients experiencing behavioral, emotional, and psychosocial challenges using therapeutic communication. Recognize coping mechanisms and plan care that respects spiritual and cultural beliefs.
Manage bowel and bladder care, mobility needs, and skin integrity for all clients. Provide comfort measures including pain management and assistance with activities of daily living.
Sample question from this domain above: Q1
Manage bowel and bladder care, mobility needs, and skin integrity for all clients. Provide comfort measures including pain management and assistance with activities of daily living.
Administer medications using the rights of medication administration and evaluate client response. Maintain medication safety, reconcile medication lists, and monitor for adverse reactions.
Sample question from this domain above: Q4
Monitor vital signs and diagnostic test results to identify client risks and implement preventive interventions. Perform procedures including venipuncture, catheter care, and specimen collection.
Sample question from this domain above: Q5
Provide care for clients with acute and chronic conditions including wounds, drains, and respiratory support. Recognize abnormalities and intervene appropriately to maintain physiological stability.
Sample question from this domain above: Q2
Common questions about the exam itself
