NCLEX-PN COMPLETE TEST BANK –
NEWEST 2026/27 TEST BANK|
COMPLESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+|
NCLEX-COMPLETE 93 REAL EXAM
What’s inside;
Comprehensive NCLEX-PN Practice Questions
Multiple-Choice Questions with Answer Keys
Detailed Rationales for Every Answer
Pharmacology & Medication Safety
Medical-Surgical Nursing
Pediatrics, Maternity & Mental Health
Printable & Digital Friendly
,Question 1
A nurse is caring for a client who is newly diagnosed with
type 1 diabetes mellitus. Which action is the priority?
The nurse should:
a. Administer insulin as prescribed
b. Educate the client on dietary changes
c. Assess the client’s blood glucose level
d. Encourage the client to attend diabetes support groups
Answer: C
Rationale: The NCLEX prioritizes the nursing
process—assessment before implementation. Knowing
the client’s current blood glucose level is critical to
determine immediate needs. Insulin administration is
important but must be based on glucose levels. Education
and support groups are helpful but not urgent.
Question 2
A client receiving morphine for post-operative pain
reports difficulty breathing and becomes drowsy. What is
the nurse’s priority action?
a. Call the provider
b. Administer naloxone
c. Discontinue the morphine
d. Check the client’s oxygen saturation
Answer: B
Rationale: The client is showing signs of opioid
overdose (respiratory depression). Naloxone (Narcan) is
,the reversal agent and should be given immediately. This
is a life-threatening emergency—act before assessing or
notifying the provider.
Question 3
A nurse is reviewing discharge instructions with a client
prescribed warfarin. Which statement indicates the need
for further teaching?
a. “I’ll avoid foods high in vitamin K.”
b. “I’ll report any unusual bruising or bleeding.”
c. “I’ll take aspirin if I have a headache.”
d. “I’ll come in for regular blood tests.”
Answer: C
Rationale: Aspirin increases the risk of bleeding and
should be avoided with warfarin. The other statements
show correct understanding of warfarin precautions.
Question 4
Which of the following clients would the nurse see first
during morning rounds?
a. Client with COPD and OI sat of 90%
b. Client with newly diagnosed diabetes needing insulin
education
c. Client with a potassium level of 2.9 mEq/L
d. Client with chronic pain requesting PRN
acetaminophen
Answer: C
Rationale: This is a critically low potassium level that can
, lead to life-threatening arrhythmias. COPD with 90% OI
may be expected, and the other needs are not urgent.
Question 5
The nurse is caring for a client with a new tracheostomy.
Which finding requires immediate action?
a. Small amount of pink-tinged mucus
b. Dressing saturated with serous drainage
c. Client attempts to speak but is unsuccessful
d. Tracheostomy tube dislodged during position change
Answer: D
Rationale: A dislodged trach can lead to airway
obstruction—this is a priority emergency. Other findings
are expected or non-urgent.
Question 6
A client is prescribed digoxin. Which finding would cause
the nurse to hold the dose?
a. Heart rate of 58 bpm
b. Blood pressure of 136/82 mmHg
c. Potassium level of 4.0 mEq/L
d. Apical pulse regular with no murmur
Answer: A
Rationale: Digoxin is held if the apical pulse is <60 bpm
due to risk of bradycardia. All other values are normal.
Question 7
The nurse prepares to administer a blood transfusion.
What is the most important step to prevent a transfusion
NEWEST 2026/27 TEST BANK|
COMPLESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+|
NCLEX-COMPLETE 93 REAL EXAM
What’s inside;
Comprehensive NCLEX-PN Practice Questions
Multiple-Choice Questions with Answer Keys
Detailed Rationales for Every Answer
Pharmacology & Medication Safety
Medical-Surgical Nursing
Pediatrics, Maternity & Mental Health
Printable & Digital Friendly
,Question 1
A nurse is caring for a client who is newly diagnosed with
type 1 diabetes mellitus. Which action is the priority?
The nurse should:
a. Administer insulin as prescribed
b. Educate the client on dietary changes
c. Assess the client’s blood glucose level
d. Encourage the client to attend diabetes support groups
Answer: C
Rationale: The NCLEX prioritizes the nursing
process—assessment before implementation. Knowing
the client’s current blood glucose level is critical to
determine immediate needs. Insulin administration is
important but must be based on glucose levels. Education
and support groups are helpful but not urgent.
Question 2
A client receiving morphine for post-operative pain
reports difficulty breathing and becomes drowsy. What is
the nurse’s priority action?
a. Call the provider
b. Administer naloxone
c. Discontinue the morphine
d. Check the client’s oxygen saturation
Answer: B
Rationale: The client is showing signs of opioid
overdose (respiratory depression). Naloxone (Narcan) is
,the reversal agent and should be given immediately. This
is a life-threatening emergency—act before assessing or
notifying the provider.
Question 3
A nurse is reviewing discharge instructions with a client
prescribed warfarin. Which statement indicates the need
for further teaching?
a. “I’ll avoid foods high in vitamin K.”
b. “I’ll report any unusual bruising or bleeding.”
c. “I’ll take aspirin if I have a headache.”
d. “I’ll come in for regular blood tests.”
Answer: C
Rationale: Aspirin increases the risk of bleeding and
should be avoided with warfarin. The other statements
show correct understanding of warfarin precautions.
Question 4
Which of the following clients would the nurse see first
during morning rounds?
a. Client with COPD and OI sat of 90%
b. Client with newly diagnosed diabetes needing insulin
education
c. Client with a potassium level of 2.9 mEq/L
d. Client with chronic pain requesting PRN
acetaminophen
Answer: C
Rationale: This is a critically low potassium level that can
, lead to life-threatening arrhythmias. COPD with 90% OI
may be expected, and the other needs are not urgent.
Question 5
The nurse is caring for a client with a new tracheostomy.
Which finding requires immediate action?
a. Small amount of pink-tinged mucus
b. Dressing saturated with serous drainage
c. Client attempts to speak but is unsuccessful
d. Tracheostomy tube dislodged during position change
Answer: D
Rationale: A dislodged trach can lead to airway
obstruction—this is a priority emergency. Other findings
are expected or non-urgent.
Question 6
A client is prescribed digoxin. Which finding would cause
the nurse to hold the dose?
a. Heart rate of 58 bpm
b. Blood pressure of 136/82 mmHg
c. Potassium level of 4.0 mEq/L
d. Apical pulse regular with no murmur
Answer: A
Rationale: Digoxin is held if the apical pulse is <60 bpm
due to risk of bradycardia. All other values are normal.
Question 7
The nurse prepares to administer a blood transfusion.
What is the most important step to prevent a transfusion
