Page 1 of 212
NCSBN NCLEX EXAM QUESTION BANK |
{LATEST 2026/ 2027 UPDATE} COMPLETE
ACTUAL AND AUTHENTIC EXAM | BRAND NEW!
A LPN complains to the charge nurse that an unlicensed assistive
person (UAP) consistently leaves the work area untidy and does not
restock supplies. What is the best initial response by the charge
nurse?
1Write down potential solutions to the problems today by shift's end
2Add this concern to the agenda of the next unit meeting
3Assure the staff nurse that the complaint will be investigated
4Explore for further identification about the nature of the problem
4 Explore for further identification about the nature of the problem
A client has a new prescription for sertraline, a selective serotonin
reuptake inhibitor (SSRI) antidepressant. After reviewing the client's
medical record, which data is the nurse most concerned about?
1History of an eating disorder
2Current prescription for phenelzine
3History of premenstrual dysphoric disorder
,Page 2 of 212
4Current prescription for alprazolam
2
Phenelzine is a monoamine oxidase inhibitor (MAOI) antidepressant.
Combining MAOIs with SSRIs and other serotonergic drugs poses a risk
of serotonin syndrome.
The client is discharged from the hospital with a new prescription for
furosemide. During a follow-up visit one week later, the nurse notes
the following findings. Which finding is most important to report to
the health care provider?
1Increased urine production
2Occasional lightheadedness
3Muscle cramps
4Constipation
3
Furosemide is a loop (potassium-wasting) diuretic. It can cause
dehydration and hypokalemia, which can result in muscle cramps. This
is the most important finding.
The nurse is reviewing prescribed medications with a client. Which
information should the nurse reinforce about captopril?
,Page 3 of 212
1Avoid using salt substitutes.
2Avoid green leafy vegetables.
3Restrict fluids to 1000 mL/day.
4Take the medication with meals.
1
Captopril is an angiotensin converting enzyme (ACE) inhibitor. It
reduces aldosterone secretion, thereby reducing sodium and water
retention. Captopril is used to treat hypertension and heart failure.
Because it can cause an accumulation of serum potassium (i.e.,
hyperkalemia), clients should avoid the use of salt substitutes, which
often contain potassium instead of sodium chloride.
A nurse administers cimetidine to a 75-year-old client diagnosed with
a gastric ulcer. The nurse should monitor the client for which adverse
reaction?
1Hearing loss
2Mental status change
3Constipation
4Increased liver enzymes
2
Cimetidine is a histamine H2-receptor antagonist used to treat gastric
ulcers. It has been found to cause confusion in susceptible clients,
, Page 4 of 212
such as the elderly and debilitated clients. Clients over age 50 or who
are severely ill may become temporarily confused while taking H2
blockers, especially cimetidine.
A client at risk for a stroke has been prescribed clopidogrel. Which
information is most important for the nurse to reinforce with the
client?
1"You must take the medication on an empty stomach."
2"If you miss a dose, take a double dose the next day."
3"You must have your lab tests checked weekly."
4"You must stop the medication a week before your surgery."
4
Clopidogrel is an oral antiplatelet drug with similar effects to aspirin.
The drug is taken for secondary prevention of myocardial infarction,
ischemic stroke and other vascular events. Clopidogrel prevents
platelet aggregation. Like all other antiplatelet drugs, clopidogrel
poses a risk of serious bleeding. Clopidogrel should be discontinued 5
to 7 days before elective surgery.
The nurse is reinforcing the correct use of a metered-dose inhaler
(MDI) for a client newly-diagnosed with asthma. The client asks, "how
NCSBN NCLEX EXAM QUESTION BANK |
{LATEST 2026/ 2027 UPDATE} COMPLETE
ACTUAL AND AUTHENTIC EXAM | BRAND NEW!
A LPN complains to the charge nurse that an unlicensed assistive
person (UAP) consistently leaves the work area untidy and does not
restock supplies. What is the best initial response by the charge
nurse?
1Write down potential solutions to the problems today by shift's end
2Add this concern to the agenda of the next unit meeting
3Assure the staff nurse that the complaint will be investigated
4Explore for further identification about the nature of the problem
4 Explore for further identification about the nature of the problem
A client has a new prescription for sertraline, a selective serotonin
reuptake inhibitor (SSRI) antidepressant. After reviewing the client's
medical record, which data is the nurse most concerned about?
1History of an eating disorder
2Current prescription for phenelzine
3History of premenstrual dysphoric disorder
,Page 2 of 212
4Current prescription for alprazolam
2
Phenelzine is a monoamine oxidase inhibitor (MAOI) antidepressant.
Combining MAOIs with SSRIs and other serotonergic drugs poses a risk
of serotonin syndrome.
The client is discharged from the hospital with a new prescription for
furosemide. During a follow-up visit one week later, the nurse notes
the following findings. Which finding is most important to report to
the health care provider?
1Increased urine production
2Occasional lightheadedness
3Muscle cramps
4Constipation
3
Furosemide is a loop (potassium-wasting) diuretic. It can cause
dehydration and hypokalemia, which can result in muscle cramps. This
is the most important finding.
The nurse is reviewing prescribed medications with a client. Which
information should the nurse reinforce about captopril?
,Page 3 of 212
1Avoid using salt substitutes.
2Avoid green leafy vegetables.
3Restrict fluids to 1000 mL/day.
4Take the medication with meals.
1
Captopril is an angiotensin converting enzyme (ACE) inhibitor. It
reduces aldosterone secretion, thereby reducing sodium and water
retention. Captopril is used to treat hypertension and heart failure.
Because it can cause an accumulation of serum potassium (i.e.,
hyperkalemia), clients should avoid the use of salt substitutes, which
often contain potassium instead of sodium chloride.
A nurse administers cimetidine to a 75-year-old client diagnosed with
a gastric ulcer. The nurse should monitor the client for which adverse
reaction?
1Hearing loss
2Mental status change
3Constipation
4Increased liver enzymes
2
Cimetidine is a histamine H2-receptor antagonist used to treat gastric
ulcers. It has been found to cause confusion in susceptible clients,
, Page 4 of 212
such as the elderly and debilitated clients. Clients over age 50 or who
are severely ill may become temporarily confused while taking H2
blockers, especially cimetidine.
A client at risk for a stroke has been prescribed clopidogrel. Which
information is most important for the nurse to reinforce with the
client?
1"You must take the medication on an empty stomach."
2"If you miss a dose, take a double dose the next day."
3"You must have your lab tests checked weekly."
4"You must stop the medication a week before your surgery."
4
Clopidogrel is an oral antiplatelet drug with similar effects to aspirin.
The drug is taken for secondary prevention of myocardial infarction,
ischemic stroke and other vascular events. Clopidogrel prevents
platelet aggregation. Like all other antiplatelet drugs, clopidogrel
poses a risk of serious bleeding. Clopidogrel should be discontinued 5
to 7 days before elective surgery.
The nurse is reinforcing the correct use of a metered-dose inhaler
(MDI) for a client newly-diagnosed with asthma. The client asks, "how
