NCLEX-PN PRACTICE EXAM CRAM
2026 QUESTIONS AND VERIFIED
SOLUTIONS
The nurse is caring for a new mother. The mother asks why her baby has lost weight since he
was born. The best explanation of the weight loss is:
A. The baby is dehydrated due to polyuria.
B. The baby is hypoglycemic due to glucose.
C. The baby is allergic to the formula the mother is giving him.
D. The baby can lose up to 10% of weight due to meconium still, loss of extracelluar fluid, and
initiation of breast-feeding.
D. The baby can lose up to 10% of weight due to meconium still, loss of extraceullar fluid, and
initiation of breast-feeding.
why?
After birth, meconium stool, loss of extracellular fluid, and initiation of breastfeeding cause the
infant to lose body mass. There is no evidence to indicate dehydration, hypoglycemia, or allergy
to the infant formula
The nurse if caring for a client with laryngeal cancer. Which finding ascertained in the health
history would not be common for this diagnosis?
A. Foul breath
B. Dysphagia
C. Diarrhea
,D. Chronic hiccups
C. Diarrhea
why?
Diarrhea is not common in clients with mouth and throat cancer
A removal of the left lower lobe of the lung is performed on a client with lung cancer. Which
post-operative measure would usually be included?
A. Closed chest drainage
B. A tracheostomy
C. A mediastinal tube
D. Percussion vibration and drainage
A. A closed chest drainage
why?
The client with a lung resection will have chest tubes and a drainage-collection device. He
probably will not have a tracheoostomy or mediastinal tube, and he will not have an order for
percussion, vibration, or drainage.
Six hours after birth, the infant is found to have an areas of swelling over the right parietal area
that does not cross the suture line. The nurse should chart this finding as:
A. A cephalohematoma
B. Molding
C. Subdural hematoma
,D. Caput succedaneum
A. A cephalohematoma
why?
The swelling over the right parietal area is a cephalohematoma, an area of bleeding outside the
cranium. This type of hematoma does not cross the suture line because it's outside the cranium
but beneath the periosteum.
The nurse is assisting the RN with discharge instructions for a client with an implantable
defibrillator. What discharge instruction is essential?
A. "You cannot eat food prepared in a microwave."
B. "You should avoid moving the should on the side of the pacemaker site for 6 weeks."
C. "You should use your cellphone on your right side."
D. "You will not be able to fly on a commercial airliner with the defibrillator in place."
C. "You should use your cellphone on your right side."
why?
The client with an internal defibrilliator should learn to use any battery operated machinery on
the opposite side. He should also take his pulse rate and report dizziness or fainting.
A client in the cardiac step-down unit requires suctioning for excess mucous secretions. The
nurse should be most careful to monitor the client for which dysrhythmia during this procedure?
A. Bradycardia
B. Tachycardia
, C. Premature ventricular beats
D. Heart block
A. Bradycardia
why?
Suctioning can cause a vagal response and bradycardia.
The nurse is caring for a client scheduled for a surgical repair of a sacular abdominal aortic
aneurysm. Which assessment is most crucial during the preoperative period?
A. Assessment of the client's level of anxiety.
B. Evaluation of the client's exercise tolerance
C. Identification of peripheral pulses.
D. Assessment of bowel sounds and activity.
C. Identification of peripheral pulses
why?
The assessment that is most crucial to the client is identification of peripheral pulses because
aorta is clammed during surgery. This decreases blood circulation to the kidneys and lower
extremities. The nurse must also assess for the return of circulation to the lower extremities.
A client with suspected renal disease is to undergo a renal biopsy. The nurse plans to include
which statement in the teaching session?
A. "You will be sitting for the examination procedure."
B. "Portions of the procedure will cause pain or discomfort."
2026 QUESTIONS AND VERIFIED
SOLUTIONS
The nurse is caring for a new mother. The mother asks why her baby has lost weight since he
was born. The best explanation of the weight loss is:
A. The baby is dehydrated due to polyuria.
B. The baby is hypoglycemic due to glucose.
C. The baby is allergic to the formula the mother is giving him.
D. The baby can lose up to 10% of weight due to meconium still, loss of extracelluar fluid, and
initiation of breast-feeding.
D. The baby can lose up to 10% of weight due to meconium still, loss of extraceullar fluid, and
initiation of breast-feeding.
why?
After birth, meconium stool, loss of extracellular fluid, and initiation of breastfeeding cause the
infant to lose body mass. There is no evidence to indicate dehydration, hypoglycemia, or allergy
to the infant formula
The nurse if caring for a client with laryngeal cancer. Which finding ascertained in the health
history would not be common for this diagnosis?
A. Foul breath
B. Dysphagia
C. Diarrhea
,D. Chronic hiccups
C. Diarrhea
why?
Diarrhea is not common in clients with mouth and throat cancer
A removal of the left lower lobe of the lung is performed on a client with lung cancer. Which
post-operative measure would usually be included?
A. Closed chest drainage
B. A tracheostomy
C. A mediastinal tube
D. Percussion vibration and drainage
A. A closed chest drainage
why?
The client with a lung resection will have chest tubes and a drainage-collection device. He
probably will not have a tracheoostomy or mediastinal tube, and he will not have an order for
percussion, vibration, or drainage.
Six hours after birth, the infant is found to have an areas of swelling over the right parietal area
that does not cross the suture line. The nurse should chart this finding as:
A. A cephalohematoma
B. Molding
C. Subdural hematoma
,D. Caput succedaneum
A. A cephalohematoma
why?
The swelling over the right parietal area is a cephalohematoma, an area of bleeding outside the
cranium. This type of hematoma does not cross the suture line because it's outside the cranium
but beneath the periosteum.
The nurse is assisting the RN with discharge instructions for a client with an implantable
defibrillator. What discharge instruction is essential?
A. "You cannot eat food prepared in a microwave."
B. "You should avoid moving the should on the side of the pacemaker site for 6 weeks."
C. "You should use your cellphone on your right side."
D. "You will not be able to fly on a commercial airliner with the defibrillator in place."
C. "You should use your cellphone on your right side."
why?
The client with an internal defibrilliator should learn to use any battery operated machinery on
the opposite side. He should also take his pulse rate and report dizziness or fainting.
A client in the cardiac step-down unit requires suctioning for excess mucous secretions. The
nurse should be most careful to monitor the client for which dysrhythmia during this procedure?
A. Bradycardia
B. Tachycardia
, C. Premature ventricular beats
D. Heart block
A. Bradycardia
why?
Suctioning can cause a vagal response and bradycardia.
The nurse is caring for a client scheduled for a surgical repair of a sacular abdominal aortic
aneurysm. Which assessment is most crucial during the preoperative period?
A. Assessment of the client's level of anxiety.
B. Evaluation of the client's exercise tolerance
C. Identification of peripheral pulses.
D. Assessment of bowel sounds and activity.
C. Identification of peripheral pulses
why?
The assessment that is most crucial to the client is identification of peripheral pulses because
aorta is clammed during surgery. This decreases blood circulation to the kidneys and lower
extremities. The nurse must also assess for the return of circulation to the lower extremities.
A client with suspected renal disease is to undergo a renal biopsy. The nurse plans to include
which statement in the teaching session?
A. "You will be sitting for the examination procedure."
B. "Portions of the procedure will cause pain or discomfort."
