NCLEX PN EXAM 2026 ACTUAL EXAM TEST
BANK| NGN NCLEX PN EXAM WITH COMPLETE
150 REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALES/
ALREADY GRADED A+
The nurse is providing instructions to a pt with a muscle strain of the right biceps femirs. Which of the
following instructions should the nurse include? Select all that apply:
A. Apply heat packs for the first 24hrs, then ice packs for 24hrs.
B. Apply ice packs for the first 48hrs, then use heat packs.
C. Elevate the extremity on a pillow when resting.
D. Start weight lifting immediately.
E. Rest the muscle, avoid activities that are painful. –
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Correct Answer :B, C, E. For soft tissue injuries, rest, ice, compression & elevation can reduce the
swelling and discomfort. After straining a muscle the patient should apply ice packs for the first 24-48
hours to reduce the swelling. After it is reduced, the patient should use heat packs to promote healing
and reduce discomfort.
A pts x-ray indicates acute respiratory distress syndrome (ARDS). The nurse understands that this
condition results from:
A. Severe acidosis.
B. Pulmonary hypertension.
C. Increased permeability of pulmonary capillaries.
D. Pulmonary edema.
A seven year old girl has been diagnosed with nephrotic syndrome. She appears bloated, weak, and
eats less than expected. The Dr. recommends dietary protein in each meal to supplement the losses.
In order to achieve a healthy diet, and prevent worsening the condition which of the following should
be done?
A. serve her favorite food.
B. play with her while eating.
C. avoid giving snacks, it will alter the child's feeding pattern.
D. Giver her some candy as a reward when the meals are finished. –
Correct Answer :A. Serving the child's favorite food increases appetite and is more appealing.
Nutritious foods like fish and poultry, fruits and veggies should be included in each meal.
The nurse is educating a pt. recently diagnosed with bipolar disorder. The patient asks about the cause
of this disorder, the nurse in informs her that the cause is?
A. Genetic Factors.
B. Environmental factors.
C. Physiological factors.
D. All of the above. –
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Correct Answer :D.
A pt on Digoxin accidently ingested 2 doses of the medication. He is now in the hospital and is being
treated for possible drug toxicity. Since the pt is stable, which of the following treatments is indicated?
A. Symptomatic treatment.
B. Digoxin immune fab.
C. Charcoal.
D. Atropine. –
Correct Answer :A. Symptomatic Treatment
The nurse is assessing a 5 year old diagnosed with hemolytic uremic syndrome. Which of the following
signs and symptoms are associated with this disease.?
A. Hematuria, Fever, generalized rash.
B. Extreme fatigue, decrease urinary output, bloody stools.
C. Fever, dyspnea, decreased urine output.
D. Extreme fatigue, tachypnea, generalized rash. –
Correct Answer :B. HUS is a disease characterized by hemolytic anemia, thrombocytopenia, and
acute renal injury. Generally cause by gastrointestinal infection, such as e. coli. Bloody diarrhea and
fever develop followed by symptoms of hemolytic anemia such as :fatigue and low urinary output due
to acute renal injury.
The nurse is assessing a child with coarchtation of the aorta. The nurse would expect to find which of
the following.?
A. Cyanosis.
B. Diminished or delayed femoral pulses.
C. Exercise intolerance.
D. Poor feeding pattern.
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- Correct Answer :B.
In which stage of separation anxiety does the child act sad and apathetic.?
A. Despair.
B. Detachment.
C. Stoicism
D. Disassociation. –
Correct Answer :A.
Older adults are at risk for excessive fluid loss for several reasons. The nurse is correct by giving which
of the following reasons when asked by her elderly client.? Select all that apply.
A. Increased thirst.
B. Altered antidiuretic hormone response.
C. Increase in body fat.
D. Decreased renal concentration of the urine.
E. Ingestion of high sodium foods.
F. Anasarca. –
Correct Answer :B, C, D.
A schizophrenic pt. is receiving haloperidol =. It is expected that the pt will start to develop which of
the following extrapyramidal side effects.?
A. Pacing.
B. Seizures.
C. Tremors and shuffling gait.
D. Tics. - Correct Answer :C.
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