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American Samoa Nursing Licensure (Nclex-Pn) Exam Practice Questions And Correct Answers, Exams of Nursing

American Samoa Community CollegeNursing

American Samoa Nursing Licensure (Nclex-Pn) Exam Practice Questions And Correct Answers (Verified Answers) Plus Rationales 2026 Q&A | Instant Download Pdf

Typology: Exams

2025/2026

Available from 04/13/2026

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American Samoa Nursing Licensure
(Nclex-Pn) Exam Practice Questions
And Correct Answers (Verified Answers)
Plus Rationales 2026 Q&A | Instant
Download Pdf
1. A nurse is caring for a patient with hypertension. Which position is
most appropriate for accurate blood pressure measurement?
A. Sitting with legs crossed
B. Supine with arm above head
C. Sitting with arm supported at heart level
D. Standing with arm dangling
Answer: C. Sitting with arm supported at heart level
Rationale: Blood pressure should be measured with the arm at heart level
to avoid falsely high or low readings.
2. Which action is the best way to prevent infection in a hospital setting?
A. Wearing gloves only when blood is visible
B. Hand hygiene before and after patient contact
C. Using antibiotics for all patients
D. Wearing a mask at all times
Answer: B. Hand hygiene before and after patient contact
Rationale: Hand hygiene is the most effective method to prevent
healthcare-associated infections.
3. A patient is prescribed morphine. What is the most important nursing
assessment?
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Download American Samoa Nursing Licensure (Nclex-Pn) Exam Practice Questions And Correct Answers and more Exams Nursing in PDF only on Docsity!

American Samoa Nursing Licensure

(Nclex-Pn) Exam Practice Questions

And Correct Answers (Verified Answers)

Plus Rationales 2026 Q&A | Instant

Download Pdf

  1. A nurse is caring for a patient with hypertension. Which position is most appropriate for accurate blood pressure measurement? A. Sitting with legs crossed B. Supine with arm above head C. Sitting with arm supported at heart level D. Standing with arm dangling Answer: C. Sitting with arm supported at heart level Rationale: Blood pressure should be measured with the arm at heart level to avoid falsely high or low readings.
  2. Which action is the best way to prevent infection in a hospital setting? A. Wearing gloves only when blood is visible B. Hand hygiene before and after patient contact C. Using antibiotics for all patients D. Wearing a mask at all times Answer: B. Hand hygiene before and after patient contact Rationale: Hand hygiene is the most effective method to prevent healthcare-associated infections.
  3. A patient is prescribed morphine. What is the most important nursing assessment?

A. Skin color B. Respiratory rate C. Blood pressure D. Pupillary reaction Answer: B. Respiratory rate Rationale: Opioids can cause respiratory depression; monitoring respirations is priority.

  1. A child is diagnosed with dehydration. What is the priority intervention? A. Encourage solid foods B. Give oral rehydration solution C. Restrict fluids D. Provide antidiarrheal medication Answer: B. Give oral rehydration solution Rationale: ORS replaces fluids and electrolytes effectively in pediatric dehydration.
  2. Which sign indicates hypoglycemia? A. Fruity breath B. Sweating and tremors C. Deep rapid breathing D. Dry skin Answer: B. Sweating and tremors Rationale: Hypoglycemia activates the sympathetic nervous system causing sweating and tremors.
  3. A nurse is teaching about pressure ulcer prevention. What is most important? A. Massage bony areas B. Reposition every 2 hours C. Keep patient in one position D. Limit protein intake

C. Hypotension only D. Decreased urine output only Answer: B. Fever and purulent drainage Rationale: These are classic signs of postoperative infection.

  1. What is the correct technique for administering IM injections? A. Inject at 15-degree angle B. Inject into subcutaneous tissue C. Use 90-degree angle D. Use 45-degree angle only Answer: C. Use 90-degree angle Rationale: IM injections are administered at a 90-degree angle into muscle tissue.
  2. A patient with COPD should be positioned how during breathing difficulty? A. Supine flat B. High Fowler’s position C. Trendelenburg D. Prone position Answer: B. High Fowler’s position Rationale: Upright position improves lung expansion in COPD patients.
  3. Which vitamin deficiency causes night blindness? A. Vitamin A B. Vitamin C C. Vitamin D D. Vitamin K Answer: A. Vitamin A Rationale: Vitamin A is essential for vision in low light conditions.
  4. A nurse is caring for a diabetic patient. Which finding indicates hyperglycemia?

A. Sweating B. Shakiness C. Frequent urination D. Confusion from low glucose Answer: C. Frequent urination Rationale: Hyperglycemia causes osmotic diuresis leading to polyuria.

  1. What is the normal respiratory rate for an adult? A. 8–10 breaths/min B. 12–20 breaths/min C. 20–30 breaths/min D. 30–40 breaths/min Answer: B. 12–20 breaths/min Rationale: Normal adult respiratory rate is 12–20 breaths per minute.
  2. A nurse is administering insulin. What is the correct timing for regular insulin? A. 30 minutes after meals B. 30 minutes before meals C. At bedtime only D. Once weekly Answer: B. 30 minutes before meals Rationale: Regular insulin should be given before meals to control postprandial glucose.
  3. Which condition requires droplet precautions? A. Tuberculosis B. Measles C. Influenza D. MRSA Answer: C. Influenza Rationale: Influenza spreads via droplets requiring droplet precautions.
  1. What is the first action during seizure? A. Restrain patient B. Insert object in mouth C. Protect patient from injury D. Give oral medication Answer: C. Protect patient from injury Rationale: Safety is priority during seizures.
  2. A nurse is caring for a patient with burns. What is the priority? A. Pain control B. Infection prevention C. Fluid replacement D. Skin grafting Answer: C. Fluid replacement Rationale: Burns cause massive fluid loss requiring immediate replacement.
  3. Which artery is used for taking pulse in an infant? A. Carotid B. Radial C. Brachial D. Femoral Answer: C. Brachial Rationale: Brachial pulse is easiest and safest in infants.
  4. What is a sign of stroke? A. Chest pain B. Facial drooping C. Abdominal pain D. Fever Answer: B. Facial drooping Rationale: Facial drooping is a key FAST stroke sign.
  1. Which is a symptom of anemia? A. Hypertension B. Fatigue C. Bradycardia D. Weight gain Answer: B. Fatigue Rationale: Reduced oxygen delivery causes fatigue.
  2. What is the priority action for airway obstruction? A. Give water B. Perform Heimlich maneuver C. Check pulse D. Lay patient flat Answer: B. Perform Heimlich maneuver Rationale: Heimlich maneuver clears airway obstruction in conscious adults.
  3. Which medication is used for fever? A. Insulin B. Acetaminophen C. Heparin D. Digoxin Answer: B. Acetaminophen Rationale: Acetaminophen reduces fever and pain.
  4. What is the normal urine output per hour? A. 10 mL/hr B. 20 mL/hr C. 30 mL/hr D. 60 mL/hr Answer: C. 30 mL/hr Rationale: Normal urine output is at least 30 mL/hr.
  1. Which disease requires airborne precautions? A. Flu B. TB C. Diarrhea D. Hypertension Answer: B. TB Rationale: Tuberculosis spreads via airborne particles.
  2. A patient is vomiting. What electrolyte is most lost? A. Calcium B. Chloride C. Iron D. Magnesium Answer: B. Chloride Rationale: Vomiting leads to loss of gastric chloride.
  3. Which sign indicates dehydration? A. Edema B. Dry skin C. High blood pressure D. Weight gain Answer: B. Dry skin Rationale: Dehydration causes poor skin turgor and dryness.
  4. Which vaccine is given at birth? A. Polio B. Hepatitis B C. MMR D. Tetanus Answer: B. Hepatitis B Rationale: Hepatitis B vaccine is given at birth.
  1. What is the main function of hemoglobin? A. Fight infection B. Carry oxygen C. Digest food D. Produce hormones Answer: B. Carry oxygen Rationale: Hemoglobin transports oxygen in blood.
  2. Which symptom suggests UTI? A. Chest pain B. Dysuria C. Headache D. Cough Answer: B. Dysuria Rationale: UTI commonly causes painful urination.
  3. What is the normal pH of blood? A. 6. B. 7. C. 8. D. 6. Answer: B. 7. Rationale: Normal blood pH is tightly regulated around 7.4.
  4. Which insulin is long-acting? A. Lispro B. Regular C. NPH D. Glargine Answer: D. Glargine Rationale: Glargine provides long-acting basal insulin coverage.
  1. Which electrolyte imbalance causes cardiac arrest risk? A. Sodium imbalance B. Potassium imbalance C. Iron imbalance D. Chloride imbalance Answer: B. Potassium imbalance Rationale: Potassium is critical for cardiac electrical activity.
  2. What is the best way to prevent pressure ulcers? A. Keep patient still B. Frequent repositioning C. Restrict fluids D. Use cold compress Answer: B. Frequent repositioning Rationale: Repositioning relieves pressure on skin.
  3. Which is a symptom of asthma? A. Chest tightness B. Abdominal pain C. Fever D. Bradycardia Answer: A. Chest tightness Rationale: Asthma causes airway narrowing and chest tightness.
  4. What is the main purpose of a Foley catheter? A. Measure blood pressure B. Drain urine C. Deliver oxygen D. Administer medication Answer: B. Drain urine Rationale: Foley catheter is used for urinary drainage.
  1. Which is a sign of hypoxia? A. Pink skin B. Cyanosis C. High BP D. Increased appetite Answer: B. Cyanosis Rationale: Cyanosis indicates low oxygen levels in tissues.
  2. A patient is receiving heparin therapy. Which lab value should be monitored? A. Hemoglobin A1C B. aPTT C. INR only D. Blood glucose Answer: B. aPTT Rationale: Activated partial thromboplastin time (aPTT) monitors heparin effectiveness.
  3. Which condition requires immediate isolation? A. Hypertension B. Chickenpox C. Diabetes D. Anemia Answer: B. Chickenpox Rationale: Varicella is highly contagious and requires airborne/contact precautions.
  4. What is the priority nursing action for hypovolemic shock? A. Restrict fluids B. Administer IV fluids C. Give diuretics D. Position patient sitting upright

Answer: A. Chest pain and cough Rationale: Pneumonia causes respiratory symptoms like cough and chest discomfort.

  1. What is the priority for a newborn with apnea? A. Feed immediately B. Stimulate breathing C. Place in prone position D. Give oral medication Answer: B. Stimulate breathing Rationale: Immediate stimulation supports respiratory effort in newborn apnea.
  2. Which vitamin helps blood clotting? A. Vitamin A B. Vitamin C C. Vitamin K D. Vitamin D Answer: C. Vitamin K Rationale: Vitamin K is required for clotting factor synthesis.
  3. What is the normal platelet count? A. 10,000–50, B. 50,000–100, C. 150,000–400, D. 500,000–900, Answer: C. 150,000–400, Rationale: Normal platelet count supports normal clotting function.
  4. Which condition causes moon face? A. Addison’s disease B. Cushing’s syndrome C. Hypothyroidism D. Diabetes mellitus

Answer: B. Cushing’s syndrome Rationale: Excess cortisol leads to fat redistribution causing moon face.

  1. A nurse is caring for a patient with asthma. What is the first-line emergency drug? A. Salbutamol (Albuterol) B. Insulin C. Digoxin D. Heparin Answer: A. Salbutamol (Albuterol) Rationale: Bronchodilators are first-line for acute asthma attacks.
  2. What is a sign of increased intracranial pressure? A. Bradycardia B. Tachycardia C. Hypertension D. Increased appetite Answer: C. Hypertension Rationale: Cushing’s triad includes hypertension in ICP.
  3. Which position is best after abdominal surgery? A. Prone B. Supine with knees bent C. Trendelenburg D. Sitting upright Answer: B. Supine with knees bent Rationale: Reduces abdominal strain and promotes comfort.
  4. Which lab value indicates infection? A. Low WBC B. High WBC C. Low RBC D. Low platelets

Answer: B. Limit suction to 10–15 seconds Rationale: Prevents hypoxia and mucosal damage.

  1. Which symptom suggests appendicitis? A. Right lower quadrant pain B. Left upper quadrant pain C. Chest pain D. Headache Answer: A. Right lower quadrant pain Rationale: Appendicitis typically presents with RLQ pain.
  2. What is the antidote for opioid overdose? A. Atropine B. Naloxone C. Vitamin K D. Protamine sulfate Answer: B. Naloxone Rationale: Naloxone reverses opioid toxicity.
  3. Which is a sign of hyperthyroidism? A. Weight gain B. Heat intolerance C. Cold intolerance D. Bradycardia Answer: B. Heat intolerance Rationale: Increased metabolism causes heat intolerance.
  4. Which medication lowers blood pressure? A. Lisinopril B. Insulin C. Digoxin D. Albuterol

Answer: A. Lisinopril Rationale: ACE inhibitors reduce blood pressure.

  1. What is the main function of platelets? A. Oxygen transport B. Clot formation C. Hormone production D. Digestion Answer: B. Clot formation Rationale: Platelets are essential for hemostasis.
  2. Which condition causes edema? A. Low protein B. High oxygen C. Low temperature D. High hemoglobin Answer: A. Low protein Rationale: Low albumin leads to fluid leakage into tissues.
  3. What is the first action for burns? A. Apply ice B. Stop burning process C. Apply oil D. Cover with tight bandage Answer: B. Stop burning process Rationale: Stopping exposure prevents further tissue damage.
  4. Which disease is transmitted sexually? A. Malaria B. Gonorrhea C. Tuberculosis D. Cholera