NCLEX-PN 200 High-Frequency Practice Questions
NCLEX-PN 200 High-Frequency Practice Questions
Set 1 (Questions 1–10)
Preparing for the NCLEX-PN requires strong clinical judgment, patient safety awareness, and the ability to prioritize nursing care. The exam is developed by the National Council of State Boards of Nursing and uses computerized adaptive testing to measure real nursing competency.
Many successful candidates prepare by completing hundreds of practice questions before taking the exam.
Below is Set 1 of 20 practice sets, covering 10 high-frequency NCLEX-PN style questions.
Try answering the questions first, then check the answers and explanations at the end.
Practice Questions
Question 1
A nurse is caring for a patient with hypertension. Which blood pressure reading requires immediate intervention?
A. 138/88 mmHg
B. 150/92 mmHg
C. 182/110 mmHg
D. 142/90 mmHg
Question 2
Which symptom is most commonly associated with hypoglycemia?
A. Increased thirst
B. Sweating and trembling
C. Dry skin
D. Slow pulse
Question 3
Which patient should the nurse assess first?
A. Patient with mild nausea
B. Patient with chest pain
C. Patient asking for water
D. Patient waiting for discharge instructions
Question 4
Which nursing action is most effective in preventing hospital-acquired infections?
A. Limiting patient movement
B. Frequent hand hygiene
C. Decreasing fluid intake
D. Avoiding patient interaction
Question 5
Which symptom may indicate respiratory distress?
A. Respiratory rate of 14
B. Oxygen saturation of 98%
C. Use of accessory muscles when breathing
D. Calm breathing pattern
Question 6
Which nutrient is most important for wound healing?
A. Protein
B. Sodium
C. Calcium
D. Magnesium
Question 7
Which sign indicates possible dehydration?
A. Moist skin
B. Increased urine output
C. Dry mucous membranes
D. Slow heart rate
Question 8
Which vital sign requires the most urgent attention?
A. Temperature 99°F
B. Pulse 72 bpm
C. Blood pressure 86/54 mmHg
D. Respiratory rate 16
Question 9
Which finding suggests a postoperative infection?
A. Mild fatigue
B. Redness and warmth around incision
C. Slight swelling
D. Mild discomfort
Question 10
Which instruction helps prevent falls at home?
A. Keep floors cluttered
B. Use night lighting
C. Wear loose slippers
D. Avoid handrails
Answers and Explanations
Question 1
Answer: C — 182/110 mmHg
This level indicates severe hypertension and may lead to a hypertensive crisis, stroke, or organ damage. Immediate medical attention is required.
Question 2
Answer: B — Sweating and trembling
Hypoglycemia commonly causes sweating, shakiness, confusion, and dizziness due to low blood glucose levels.
Question 3
Answer: B — Patient with chest pain
Chest pain may indicate myocardial infarction. According to the ABC priority principle (Airway, Breathing, Circulation), this patient must be assessed immediately.
Question 4
Answer: B — Frequent hand hygiene
Hand washing is the most effective method for preventing healthcare-associated infections.
Question 5
Answer: C — Use of accessory muscles
Accessory muscle use indicates difficulty breathing and possible respiratory distress.
Question 6
Answer: A — Protein
Protein supports tissue repair, immune function, and wound healing.
Question 7
Answer: C — Dry mucous membranes
Dry mouth, fatigue, and decreased urine output are common signs of dehydration.
Question 8
Answer: C — Blood pressure 86/54 mmHg
Hypotension may lead to shock and reduced organ perfusion, requiring urgent evaluation.
Question 9
Answer: B — Redness and warmth
These are classic signs of infection around a surgical incision.
Question 10
Answer: B — Use night lighting
Proper lighting reduces fall risk, especially for older adults or patients recovering at home.
Continue Practicing
This was Set 1 (Questions 1–10) of the NCLEX-PN 200 High-Frequency Practice Questions Series designed to help nursing candidates build confidence and clinical reasoning skills.
Regular practice helps you:
• Improve clinical decision-making
• Recognize common exam patterns
• Strengthen patient safety awareness
• Increase your chances of passing the NCLEX-PN