NCLEX-PN Practice Exam NEWEST UPDATED 2026 2027
ACTUAL EXAM WITH ACCURATE QUESTIONS AND
CORRECT VERIFIED ANSWERS 100% DETAILED
ANSWERS ALREADY RATED A+ NEW BRAND EXAM
1. The nurse is caring for a client who has been prescribed warfarin. The nurse
understands that warfarin primarily works by:
A. Inhibiting vitamin K-dependent clotting factors
B. Increasing the formation of platelets
C. Decreasing the formation of red blood cells
D. Preventing the breakdown of fibrin
Answer: A
Rationale: Warfarin inhibits vitamin K-dependent clotting factors, thus preventing clot
formation.
2. A nurse is assessing a 2-year-old child who is receiving digoxin. Which of the
following should the nurse monitor to detect early signs of digoxin toxicity?
A. Serum potassium levels
B. Urine output
C. Serum sodium levels
D. Blood pressure
Answer: A
Rationale: Digoxin toxicity can result in hypokalemia, which increases the risk of toxicity.
Monitoring potassium levels is essential.
, 3. A client is receiving intravenous fluids at a rate of 150 mL per hour. How
much fluid will the client receive in 12 hours?
A. 1,800 mL
B. 1,500 mL
C. 1,200 mL
D. 2,000 mL
Answer: A
Rationale: 150 mL/hour × 12 hours = 1,800 mL.
4. A nurse is caring for a client with a prescription for the administration of
acetaminophen (Tylenol) every 4 hours. The client has liver disease. The nurse
should:
A. Monitor liver function tests regularly
B. Administer the medication as prescribed
C. Reduce the dosage of acetaminophen
D. Administer the medication with food
Answer: A
Rationale: Acetaminophen can cause liver damage, especially in clients with liver disease.
Regular monitoring of liver function tests is essential.
5. A client with asthma is experiencing difficulty breathing. The nurse should
administer which medication first?
A. Albuterol
B. Prednisone
C. Montelukast
D. Fluticasone
Answer: A
Rationale: Albuterol is a short-acting beta agonist that provides quick relief of bronchospasm,
making it the first choice in an asthma attack.
6. The nurse is caring for a client who is being discharged after a myocardial
infarction (MI). The nurse should include which statement in the teaching plan?
ACTUAL EXAM WITH ACCURATE QUESTIONS AND
CORRECT VERIFIED ANSWERS 100% DETAILED
ANSWERS ALREADY RATED A+ NEW BRAND EXAM
1. The nurse is caring for a client who has been prescribed warfarin. The nurse
understands that warfarin primarily works by:
A. Inhibiting vitamin K-dependent clotting factors
B. Increasing the formation of platelets
C. Decreasing the formation of red blood cells
D. Preventing the breakdown of fibrin
Answer: A
Rationale: Warfarin inhibits vitamin K-dependent clotting factors, thus preventing clot
formation.
2. A nurse is assessing a 2-year-old child who is receiving digoxin. Which of the
following should the nurse monitor to detect early signs of digoxin toxicity?
A. Serum potassium levels
B. Urine output
C. Serum sodium levels
D. Blood pressure
Answer: A
Rationale: Digoxin toxicity can result in hypokalemia, which increases the risk of toxicity.
Monitoring potassium levels is essential.
, 3. A client is receiving intravenous fluids at a rate of 150 mL per hour. How
much fluid will the client receive in 12 hours?
A. 1,800 mL
B. 1,500 mL
C. 1,200 mL
D. 2,000 mL
Answer: A
Rationale: 150 mL/hour × 12 hours = 1,800 mL.
4. A nurse is caring for a client with a prescription for the administration of
acetaminophen (Tylenol) every 4 hours. The client has liver disease. The nurse
should:
A. Monitor liver function tests regularly
B. Administer the medication as prescribed
C. Reduce the dosage of acetaminophen
D. Administer the medication with food
Answer: A
Rationale: Acetaminophen can cause liver damage, especially in clients with liver disease.
Regular monitoring of liver function tests is essential.
5. A client with asthma is experiencing difficulty breathing. The nurse should
administer which medication first?
A. Albuterol
B. Prednisone
C. Montelukast
D. Fluticasone
Answer: A
Rationale: Albuterol is a short-acting beta agonist that provides quick relief of bronchospasm,
making it the first choice in an asthma attack.
6. The nurse is caring for a client who is being discharged after a myocardial
infarction (MI). The nurse should include which statement in the teaching plan?
