NCLEX-PN Comprehensive Test
NCLEX-PN Comprehensive Test Study
Questions and Answers 2025
The nurse reinforces home care instructions to the parents of a child hospitalized with
pertussis. The child is in the convalescent stage and is being prepared for discharge.
Which statement by the parents indicates a need for further teaching?
1. We need to encourage adequate fluid intake
2. Coughing spells may be triggered by dust or smoke
3. We need to maintain respiratory precautions & a quiet environment for at least 2
weeks
4. Good hand-washing techniques need to be instituted to prevent spreading the
disease to others -Correct Answer ✔3. We need to maintain respiratory precautions & a
quiet environment for at least 2 weeks
A client enters the emergency department confused, twitching, & having seizures. His
family states he recently was placed on corticosteroids for arthritis & was feeling better
& exercising daily. Upon assessment, he has flushed skin, dry mucous membranes, an
elevated temperature, & poor skin turgor. His serum sodium level is 172 mEq/L. Which
interventions would the health care provider likely prescribe? select all that apply.
1. Monitor the vital signs
2. Monitor intake & output
3. Increase water intake orally
4. Monitor the electrolyte levels
5. Provide a sodium-reduced diet
6. Administer sodium replacements -Correct Answer ✔1. Monitor the vital signs
2. Monitor intake & output
3. Increase water intake orally
4. Monitor the electrolyte levels
5. Provide a sodium-reduced diet
The nurse is monitoring a client receiving glipizide (glucotrol). Which outcome indicates
an ineffective response from the medication.
1. A decrease in polyuria
2. A decrease in polyphagia
3. A fasting plasma glucose of 100 mg/dL
4. A glycosylated hemoglobin level of 12% -Correct Answer ✔4. A glycosylated
hemoglobin level of 12%
The nurse is reinforcing discharge instructions to a client receiving sulfisoxazole. Which
should be included in the plan of care for instructions?
NCLEX-PN Comprehensive Test
,NCLEX-PN Comprehensive Test
1. Maintain a high fluid intake
2. Discontinue the medication when feeling better
3. If the urine turns dark brown, call the health care provider immediately
4. Decrease the dosage when symptoms are improving to prevent an allergic response
-Correct Answer ✔1. Maintain a high fluid intake
Before administering an intermittent tube feeding through a nasogastric tube, the nurse
checks for gastric residual volume. Which is the best rationale for checking gastric
residual volume before administering the tube feeding?
1. Observe the digestion of formula
2. Check fluid & electrolyte status
3. Evaluate absorption of the last feeding
4. Confirm proper nasogastric tube placement -Correct Answer ✔3. Evaluate absorption
of the last feeding
A postoperative client requests medication for flatulence (gas pains). Which medication
from the following PRN list should the nurse administer to this client
1. Ondansetron (zofran)
2. Simethicone (mylicon)
3. Acetaminophen (tylenol)
4. Magnesium hydroxide ( milk of mag) -Correct Answer ✔2. Simethicone (mylicon)
A client is admitted to the hospital with a diagnosis of major depression. During the
admission interview, the nurse determines that a major concern is the client's altered
nutrition related to poor nutritional intake. Which nursing intervention related to altered
nutrition should be the initial choice?
1. Weigh the client three times per week, before breakfast.
2. Explain to the client the importance of a good nutritional intake
3. Report the nutritional concern to the psychiatrist & obtain a nutritional consult as soon
as possible
4. Offer the client several small, frequent meals daily, and schedule brief nursing
interactions with the client during these times -Correct Answer ✔4. Offer the client
several small, frequent meals daily, and schedule brief nursing interactions with the
client during these times
A client received 20 units of NPH insulin subcutaneously at 8:00 am. The nurse should
check the client for a potential hypoglycemic reaction at which time?
1. 5:00 pm
2. 10:00 am
3. 11:00 am
4. 11:00 pm -Correct Answer ✔1. 5:00 pm
NCLEX-PN Comprehensive Test
, NCLEX-PN Comprehensive Test
The nurse assist in developing a plan of care for a client with hyperparathyroidism
receiving calcitonin-human (Cibacalcin). Which outcome has the highest priority
regarding this medication?
1. Relief of pain
2. Absence of side effects
3. Reaching normal serum calcium levels
4. Verbalization of appropriate medication knowledge -Correct Answer ✔3. Reaching
normal serum calcium levels
The nursing instructor asks a nursing student about the cause of hemophilia. The
student correctly responds by telling the instructor which fact about hemophilia.
1. Hemophilia is a Y-linked hereditary disorder
2. A splenectomy resolves the bleeding disorders
3. Hemophilia A results from deficiency of factor VIII
4. A bone marrow transplant is the treatment of choice -Correct Answer ✔3. Hemophilia
A results from deficiency of factor VIII
A 4 year old child is admitted to the hospital with suspected acute lymphocytic leukemia
(ALL). The nurse understands that which diagnostic study should confirm this
diagnosis?
1. A platelet count
2. A lumbar puncture
3. Bone marrow biopsy
4. White blood cell (WBC) count -Correct Answer ✔3. Bone marrow biopsy
A child with leukemia is experiencing nausea related to medication therapy. The nurse,
concerned about the child's nutritional status, should offer which during an episode of
nausea?
1. Low-calorie foods
2. Cool, clear liquid
3. Low-protein foods
4. The child's favorite foods -Correct Answer ✔2. Cool, clear liquid
To ensure a safe environment for a child admitted to the hospital for a crainotomy to
remove a brain tumor, the nurse should include which in the plan of care
1. Initiating seizure precautions
2. Using a wheelchair for out of bed activities
3. Assisting the child with ambulation at all times
4. Avoiding contact with other children on the nursing unit -Correct Answer ✔1. Initiating
seizure precautions
NCLEX-PN Comprehensive Test
NCLEX-PN Comprehensive Test Study
Questions and Answers 2025
The nurse reinforces home care instructions to the parents of a child hospitalized with
pertussis. The child is in the convalescent stage and is being prepared for discharge.
Which statement by the parents indicates a need for further teaching?
1. We need to encourage adequate fluid intake
2. Coughing spells may be triggered by dust or smoke
3. We need to maintain respiratory precautions & a quiet environment for at least 2
weeks
4. Good hand-washing techniques need to be instituted to prevent spreading the
disease to others -Correct Answer ✔3. We need to maintain respiratory precautions & a
quiet environment for at least 2 weeks
A client enters the emergency department confused, twitching, & having seizures. His
family states he recently was placed on corticosteroids for arthritis & was feeling better
& exercising daily. Upon assessment, he has flushed skin, dry mucous membranes, an
elevated temperature, & poor skin turgor. His serum sodium level is 172 mEq/L. Which
interventions would the health care provider likely prescribe? select all that apply.
1. Monitor the vital signs
2. Monitor intake & output
3. Increase water intake orally
4. Monitor the electrolyte levels
5. Provide a sodium-reduced diet
6. Administer sodium replacements -Correct Answer ✔1. Monitor the vital signs
2. Monitor intake & output
3. Increase water intake orally
4. Monitor the electrolyte levels
5. Provide a sodium-reduced diet
The nurse is monitoring a client receiving glipizide (glucotrol). Which outcome indicates
an ineffective response from the medication.
1. A decrease in polyuria
2. A decrease in polyphagia
3. A fasting plasma glucose of 100 mg/dL
4. A glycosylated hemoglobin level of 12% -Correct Answer ✔4. A glycosylated
hemoglobin level of 12%
The nurse is reinforcing discharge instructions to a client receiving sulfisoxazole. Which
should be included in the plan of care for instructions?
NCLEX-PN Comprehensive Test
,NCLEX-PN Comprehensive Test
1. Maintain a high fluid intake
2. Discontinue the medication when feeling better
3. If the urine turns dark brown, call the health care provider immediately
4. Decrease the dosage when symptoms are improving to prevent an allergic response
-Correct Answer ✔1. Maintain a high fluid intake
Before administering an intermittent tube feeding through a nasogastric tube, the nurse
checks for gastric residual volume. Which is the best rationale for checking gastric
residual volume before administering the tube feeding?
1. Observe the digestion of formula
2. Check fluid & electrolyte status
3. Evaluate absorption of the last feeding
4. Confirm proper nasogastric tube placement -Correct Answer ✔3. Evaluate absorption
of the last feeding
A postoperative client requests medication for flatulence (gas pains). Which medication
from the following PRN list should the nurse administer to this client
1. Ondansetron (zofran)
2. Simethicone (mylicon)
3. Acetaminophen (tylenol)
4. Magnesium hydroxide ( milk of mag) -Correct Answer ✔2. Simethicone (mylicon)
A client is admitted to the hospital with a diagnosis of major depression. During the
admission interview, the nurse determines that a major concern is the client's altered
nutrition related to poor nutritional intake. Which nursing intervention related to altered
nutrition should be the initial choice?
1. Weigh the client three times per week, before breakfast.
2. Explain to the client the importance of a good nutritional intake
3. Report the nutritional concern to the psychiatrist & obtain a nutritional consult as soon
as possible
4. Offer the client several small, frequent meals daily, and schedule brief nursing
interactions with the client during these times -Correct Answer ✔4. Offer the client
several small, frequent meals daily, and schedule brief nursing interactions with the
client during these times
A client received 20 units of NPH insulin subcutaneously at 8:00 am. The nurse should
check the client for a potential hypoglycemic reaction at which time?
1. 5:00 pm
2. 10:00 am
3. 11:00 am
4. 11:00 pm -Correct Answer ✔1. 5:00 pm
NCLEX-PN Comprehensive Test
, NCLEX-PN Comprehensive Test
The nurse assist in developing a plan of care for a client with hyperparathyroidism
receiving calcitonin-human (Cibacalcin). Which outcome has the highest priority
regarding this medication?
1. Relief of pain
2. Absence of side effects
3. Reaching normal serum calcium levels
4. Verbalization of appropriate medication knowledge -Correct Answer ✔3. Reaching
normal serum calcium levels
The nursing instructor asks a nursing student about the cause of hemophilia. The
student correctly responds by telling the instructor which fact about hemophilia.
1. Hemophilia is a Y-linked hereditary disorder
2. A splenectomy resolves the bleeding disorders
3. Hemophilia A results from deficiency of factor VIII
4. A bone marrow transplant is the treatment of choice -Correct Answer ✔3. Hemophilia
A results from deficiency of factor VIII
A 4 year old child is admitted to the hospital with suspected acute lymphocytic leukemia
(ALL). The nurse understands that which diagnostic study should confirm this
diagnosis?
1. A platelet count
2. A lumbar puncture
3. Bone marrow biopsy
4. White blood cell (WBC) count -Correct Answer ✔3. Bone marrow biopsy
A child with leukemia is experiencing nausea related to medication therapy. The nurse,
concerned about the child's nutritional status, should offer which during an episode of
nausea?
1. Low-calorie foods
2. Cool, clear liquid
3. Low-protein foods
4. The child's favorite foods -Correct Answer ✔2. Cool, clear liquid
To ensure a safe environment for a child admitted to the hospital for a crainotomy to
remove a brain tumor, the nurse should include which in the plan of care
1. Initiating seizure precautions
2. Using a wheelchair for out of bed activities
3. Assisting the child with ambulation at all times
4. Avoiding contact with other children on the nursing unit -Correct Answer ✔1. Initiating
seizure precautions
NCLEX-PN Comprehensive Test
