NCLEX-PN 200 High-Frequency Practice Questions
NCLEX-PN 200 High-Frequency Practice Questions
Set 3 (Questions 21–30)
Preparing for the NCLEX-PN requires the ability to recognize patient risks, prioritize nursing actions, and make safe clinical decisions.
The exam is developed by the National Council of State Boards of Nursing, and many nursing candidates improve their chances of passing by practicing hundreds of exam-style questions.
Below is Set 3 of the NCLEX-PN 200 High-Frequency Practice Questions series. Try answering each question first, then review the correct answers and explanations at the end.
Practice Questions
Question 21
A nurse is caring for a patient who reports sudden shortness of breath. What is the nurse’s first action?
A. Notify the physician
B. Assess the patient’s airway and breathing
C. Administer medication
D. Document the symptoms
Question 22
Which symptom is most commonly associated with anemia?
A. Increased appetite
B. Fatigue and weakness
C. Excessive sweating
D. Increased blood pressure
Question 23
A nurse is caring for four patients. Which patient should be assessed first?
A. Patient with mild nausea
B. Patient with difficulty breathing
C. Patient requesting water
D. Patient waiting for discharge
Question 24
Which intervention helps prevent deep vein thrombosis (DVT) in hospitalized patients?
A. Limiting movement
B. Encouraging early ambulation
C. Reducing fluid intake
D. Avoiding leg exercises
Question 25
Which symptom may indicate hypoxia?
A. Calm behavior
B. Cyanosis of the lips
C. Normal breathing
D. Increased appetite
Question 26
A nurse is preparing to administer medication. What is the most important safety step?
A. Administer medication quickly
B. Verify the patient’s identity
C. Skip documentation
D. Ask another patient for confirmation
Question 27
Which finding may indicate infection?
A. Normal temperature
B. Redness and swelling
C. Clear skin
D. Normal appetite
Question 28
Which patient is at the highest risk for falls?
A. A healthy young adult
B. An elderly patient with dizziness
C. A patient with mild headache
D. A patient with normal mobility
Question 29
Which symptom is commonly associated with dehydration?
A. Moist skin
B. Decreased thirst
C. Dry mouth
D. Increased urine output
Question 30
Which nursing action helps prevent medication errors?
A. Rely on memory
B. Follow the five rights of medication administration
C. Skip checking medication labels
D. Give medications quickly
Answers and Explanations
Question 21
Answer: B — Assess the patient’s airway and breathing
According to the ABC priority principle (Airway, Breathing, Circulation), airway and breathing must always be assessed first in patients with respiratory symptoms.
Question 22
Answer: B — Fatigue and weakness
Anemia reduces the oxygen-carrying capacity of blood, which commonly results in fatigue, weakness, and shortness of breath.
Question 23
Answer: B — Patient with difficulty breathing
Breathing problems take priority because they may quickly become life-threatening.
Question 24
Answer: B — Encouraging early ambulation
Movement improves blood circulation and helps prevent blood clots in the legs.
Question 25
Answer: B — Cyanosis of the lips
Cyanosis indicates insufficient oxygen in the blood and requires immediate attention.
Question 26
Answer: B — Verify the patient’s identity
Proper patient identification is a key step in safe medication administration.
Question 27
Answer: B — Redness and swelling
These are common signs of inflammation or infection.
Question 28
Answer: B — An elderly patient with dizziness
Older adults with dizziness have a significantly increased risk of falling.
Question 29
Answer: C — Dry mouth
Dry mucous membranes are a common sign of dehydration.
Question 30
Answer: B — Follow the five rights of medication administration
The five rights include the right patient, medication, dose, route, and time, which help ensure medication safety.
Continue Practicing
You have completed Set 3 (Questions 21–30) of the NCLEX-PN 200 High-Frequency Practice Questions series for the NCLEX-PN.
Practicing exam-style questions helps nursing candidates:
• Strengthen clinical decision-making
• Improve patient safety awareness
• Recognize common nursing exam scenarios
• Build confidence before taking the exam
Next up: Set 4 (Questions 31–40) to continue expanding your NCLEX-PN preparation.