NCLEX PN EXAM 2025 (LEADERSHIP/ETHICAL/LEGAL) | ALL
NCLEX-PN EXAM PREP
QUESTIONS AND CORRECT ANSWERS | GRADED A+ | VERIFIED
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ANSWERS
1. You are caring for Choices B, C, and D are correct.
a 14-month-old di- B is correct. Black stools are an expected response to iron supplementation.
agnosed with severe It is an appropriate nursing action to document this finding in the chart, but
iron deficiency ane- no further action is needed.
mia. She is admit- C is correct. Black stools are an expected response to iron supplementation.
ted for a blood trans- It is an appropriate nursing action to continue with your assessment. Since
fusion and is start- the finding is expected, no other steps are necessary.
ed on oral iron sup- D is correct. Black stools are an expected response to iron supplementation.
plementation. When It is an appropriate nursing action to administer the oral iron supplement
you change her dia- as prescribed.
per, you note a dark Choice A is incorrect. Black stools are an expected response to iron supple-
black stool. What are mentation. The nurse doesn't need to notify the healthcare provider of this.
the appropriate nurs- NCSBN Client Need Topic: Physiological Integrity, Subtopic: Pharmacolog-
ing actions? ical therapies, Pediatrics Hematology
Select ALL
A. Notify the health-
care provider.
B. Document the find-
ing.
C. Continue with your
assessment.
D. Administer the oral
iron supplement as
prescribed
2. The nurse is re-edu- Choice B is correct.
cating on discharge A patient with chronic diabetes insipidus (DI) is instructed to weigh them-
instructions to a pa- selves daily. This weight should be taken with the same scale and obtained
tient who has chron- after the first-morning void.
ic diabetes insipidus Choices A, C, and D are incorrect. Fluid restrictions would be appropriate
(DI). Which of the fol- for a patient with syndrome of inappropriate antidiuretic hormone (SIADH).
lowing patient state- This would not be appropriate for DI as the patient will need to consume
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ments would indicate more fluids to replace those that are lost. Salty snacks are not encouraged
a correct understand- because this may hasten the hypernatremia associated with this disease.
ing of the discharge Logging intake and output are not useful because this provides a crude
instructions? way of assessing fluid status.
A. "I will need to drink
no more than 800 ml
per day."
B. "I will need to
weigh myself at the
same time every
day."
C. "I should increase
salty snacks in my
diet."
D. "I need to log my
fluid intake and urine
output."
3. This nurse is caring Choices A and D are correct
for a patient who is Ketorolac is a medication used to treat pain and pyrexia. A patient exhibiting
receiving prescribed a decrease in pain and having a decrease in temperature would be a
ketorolac. Which of therapeutic response.
the following findings Choices B, C, and E are incorrect. Ketorolac does not therapeutically lower
would indicate a ther- blood pressure, increase urinary output, or increase muscle coordination.
apeutic response? Medications that could be used to lower blood pressure would be agents
Select all that apply. such as lisinopril, atenolol, etc. Agents used to increase urinary output
would be diuretics such as furosemide. The improvement in muscle coor-
A. Decreased pain dination may be achieved by medications such as levodopa-carbidopa.
B. Increased urinary
output
C. Decreased blood
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pressure
D. Decreased temper-
ature
E. Increased muscle
coordination
4. Which of the follow- Choices B and C are correct.
ing falls under the B is correct. Double-checking the last time the medication was adminis-
right time of the 8 tered is a part of the right time step in the 8 rights of medication admin-
rights of medication istration. This is important because the nurse needs to verify that she is
administration? giving the dose correctly and that it is not being administered too frequently
Select all that apply.based upon the previous administration.
C is correct. Verifying the frequency with which the medication is ordered is
A. Have a second a part of the right time step in the 8 rights of medication administration. The
nurse independently nurse needs to verify that the frequency with which the medication is being
calculate the medica- ordered will be safe not just for this dose but for the cumulative dosage
tion dosage. if the medication is being administered more than once. For example,
B. Double-check the with acetaminophen, one dose of 1,000 mg may be appropriate, but
last time that the administering this dosage q4 would result in a daily intake of 6,000 mg
medication was ad- of acetaminophen, far above the maximum of 4,000 mg. This is why the
ministered. right frequency is a part of the right time step in the 8 rights of medication
C. Verify the fre- administration.
quency with which
the medication is or-
dered.
D. Document the per-
tinent vital signs.
5. The nurse is caring Choice A is correct.
for a primigravida pa- A reactive NST is an expected finding and indicates fetal well-being.
tient with the follow-
ing clinical data. The
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nurse should take
which of the following
actions based on the
result?
See the exhibit.->
Test: Nonstress test
Result: Reactive
A. Inform the patient
of the normal find-
ing.
B. Prepare the pa-
tient for a contraction
stress test.
C. Arrange for a re-
peat test.
D. Inquire if the pa-
tient ate prior to the
test.
6. Steroids have many Choices A and B are correct.
different effects on A is correct. Glucocorticoids can have severe effects on your patient's mood.
the body. Which of Some of the potential mood changes you may observe in your patient
the following are po- are depression, psychosis, euphoria, and insomnia. It is essential to know
tential effects of glu- your patients' baseline and warn them of the potential changes they will
cocorticoids? experience while taking these medications.
Select all that apply. B is correct. Glucocorticoids alter the body's defense mechanism, making
them immunosuppressed. This puts them at risk for infections. While your
A. Psychosis patient is taking glucocorticoids, it is essential to monitor them for infection
B. Immunosuppres- by watching their temperatures, WBC counts, and CRP. Any indication of
sion infection should be taken seriously, as it is quite common for these patients
to develop infections quickly.
NCLEX-PN EXAM PREP
QUESTIONS AND CORRECT ANSWERS | GRADED A+ | VERIFIED
Study online at https://quizlet.com/_b6979p
ANSWERS
1. You are caring for Choices B, C, and D are correct.
a 14-month-old di- B is correct. Black stools are an expected response to iron supplementation.
agnosed with severe It is an appropriate nursing action to document this finding in the chart, but
iron deficiency ane- no further action is needed.
mia. She is admit- C is correct. Black stools are an expected response to iron supplementation.
ted for a blood trans- It is an appropriate nursing action to continue with your assessment. Since
fusion and is start- the finding is expected, no other steps are necessary.
ed on oral iron sup- D is correct. Black stools are an expected response to iron supplementation.
plementation. When It is an appropriate nursing action to administer the oral iron supplement
you change her dia- as prescribed.
per, you note a dark Choice A is incorrect. Black stools are an expected response to iron supple-
black stool. What are mentation. The nurse doesn't need to notify the healthcare provider of this.
the appropriate nurs- NCSBN Client Need Topic: Physiological Integrity, Subtopic: Pharmacolog-
ing actions? ical therapies, Pediatrics Hematology
Select ALL
A. Notify the health-
care provider.
B. Document the find-
ing.
C. Continue with your
assessment.
D. Administer the oral
iron supplement as
prescribed
2. The nurse is re-edu- Choice B is correct.
cating on discharge A patient with chronic diabetes insipidus (DI) is instructed to weigh them-
instructions to a pa- selves daily. This weight should be taken with the same scale and obtained
tient who has chron- after the first-morning void.
ic diabetes insipidus Choices A, C, and D are incorrect. Fluid restrictions would be appropriate
(DI). Which of the fol- for a patient with syndrome of inappropriate antidiuretic hormone (SIADH).
lowing patient state- This would not be appropriate for DI as the patient will need to consume
, NCLEX-PN EXAM PREP
Study online at https://quizlet.com/_b6979p
ments would indicate more fluids to replace those that are lost. Salty snacks are not encouraged
a correct understand- because this may hasten the hypernatremia associated with this disease.
ing of the discharge Logging intake and output are not useful because this provides a crude
instructions? way of assessing fluid status.
A. "I will need to drink
no more than 800 ml
per day."
B. "I will need to
weigh myself at the
same time every
day."
C. "I should increase
salty snacks in my
diet."
D. "I need to log my
fluid intake and urine
output."
3. This nurse is caring Choices A and D are correct
for a patient who is Ketorolac is a medication used to treat pain and pyrexia. A patient exhibiting
receiving prescribed a decrease in pain and having a decrease in temperature would be a
ketorolac. Which of therapeutic response.
the following findings Choices B, C, and E are incorrect. Ketorolac does not therapeutically lower
would indicate a ther- blood pressure, increase urinary output, or increase muscle coordination.
apeutic response? Medications that could be used to lower blood pressure would be agents
Select all that apply. such as lisinopril, atenolol, etc. Agents used to increase urinary output
would be diuretics such as furosemide. The improvement in muscle coor-
A. Decreased pain dination may be achieved by medications such as levodopa-carbidopa.
B. Increased urinary
output
C. Decreased blood
, NCLEX-PN EXAM PREP
Study online at https://quizlet.com/_b6979p
pressure
D. Decreased temper-
ature
E. Increased muscle
coordination
4. Which of the follow- Choices B and C are correct.
ing falls under the B is correct. Double-checking the last time the medication was adminis-
right time of the 8 tered is a part of the right time step in the 8 rights of medication admin-
rights of medication istration. This is important because the nurse needs to verify that she is
administration? giving the dose correctly and that it is not being administered too frequently
Select all that apply.based upon the previous administration.
C is correct. Verifying the frequency with which the medication is ordered is
A. Have a second a part of the right time step in the 8 rights of medication administration. The
nurse independently nurse needs to verify that the frequency with which the medication is being
calculate the medica- ordered will be safe not just for this dose but for the cumulative dosage
tion dosage. if the medication is being administered more than once. For example,
B. Double-check the with acetaminophen, one dose of 1,000 mg may be appropriate, but
last time that the administering this dosage q4 would result in a daily intake of 6,000 mg
medication was ad- of acetaminophen, far above the maximum of 4,000 mg. This is why the
ministered. right frequency is a part of the right time step in the 8 rights of medication
C. Verify the fre- administration.
quency with which
the medication is or-
dered.
D. Document the per-
tinent vital signs.
5. The nurse is caring Choice A is correct.
for a primigravida pa- A reactive NST is an expected finding and indicates fetal well-being.
tient with the follow-
ing clinical data. The
, NCLEX-PN EXAM PREP
Study online at https://quizlet.com/_b6979p
nurse should take
which of the following
actions based on the
result?
See the exhibit.->
Test: Nonstress test
Result: Reactive
A. Inform the patient
of the normal find-
ing.
B. Prepare the pa-
tient for a contraction
stress test.
C. Arrange for a re-
peat test.
D. Inquire if the pa-
tient ate prior to the
test.
6. Steroids have many Choices A and B are correct.
different effects on A is correct. Glucocorticoids can have severe effects on your patient's mood.
the body. Which of Some of the potential mood changes you may observe in your patient
the following are po- are depression, psychosis, euphoria, and insomnia. It is essential to know
tential effects of glu- your patients' baseline and warn them of the potential changes they will
cocorticoids? experience while taking these medications.
Select all that apply. B is correct. Glucocorticoids alter the body's defense mechanism, making
them immunosuppressed. This puts them at risk for infections. While your
A. Psychosis patient is taking glucocorticoids, it is essential to monitor them for infection
B. Immunosuppres- by watching their temperatures, WBC counts, and CRP. Any indication of
sion infection should be taken seriously, as it is quite common for these patients
to develop infections quickly.
