NCLEX PN Actual Exam 2025/ 2026 Complete
Questions and 100% Verified Answers with Well
Explained Rationales
The parent of a preschooler with chickenpox asks the nurse about measures to make the child
comfortable. The nurse instructs the parent to avoid administering aspirin or any other product
that contains salicylates. When given to children with chickenpox, aspirin has been linked to
which disorder?
C
1. Guillain-Barré syndrome
2. Rheumatic fever LE
3. Reye's syndrome
4. Scarlet fever - √Answer : Correct Answer: 3
ST
RATIONALES: Research shows a correlation between the use of aspirin during chickenpox and
the development of Reye's syndrome (a disorder characterized by brain and liver toxicity).
Therefore, the nurse should instruct the parents to avoid administering aspirin or other products
BE
that contain salicylates and to consult the physician or pharmacist before administering any
medication to a child with chickenpox. No research has found a link between aspirin use,
chickenpox, and the development of Guillain-Barré syndrome, rheumatic fever, or scarlet fever.
Quiz :A client is to have an epidural block to relieve labor pain. The nurse anticipates that the
anesthesiologist will inject the anesthetic agent into the:
1. subarachnoid space.
2. area between the subarachnoid space and the dura mater.
3. area between the dura mater and the ligamentum flavum.
4. ligamentum flavum. - √Answer :Correct Answer: 3
,RATIONALES: For an epidural block, the nurse should anticipate that the anesthesiologist will
inject a local anesthetic agent into the epidural space, located between the dura mater and the
ligamentum flavum in the lumbar region of the spinal column. When administering a spinal
block, the anesthesiologist injects the anesthetic agent into the subarachnoid space. The
ligamentum flavum and the area between the subarachnoid space and the dura mater are
inappropriate injection sites.
Quiz :The physician prescribes penicillin potassium oral suspension 56 mg/kg/day in four
divided doses for a client with anorexia nervosa who weighs 25 kg. The medication dispensed by
the pharmacy contains a dosage strength of 125 mg/5 ml. How many milliliters of solution
should the nurse administer with each dose? - √Answer :Correct Answer: 14
RATIONALES: To determine the total daily dosage, set up the following proportion:
C
25 kg/X = 1 kg/56 mg
X = 1,400 mg.
LE
Next, divide the daily dosage by four doses to determine the dose to administer every 6 hours:
X = 1,400 mg/4 doses
ST
X = 350 mg/dose.
The adolescent should receive 350 mg every 6 hours.
BE
Lastly, calculate the volume to give for each dose by setting up this proportion:
X/350 mg = 5 ml/125 mg
X = 14 ml.
Quiz :The nurse must irrigate a gaping abdominal incision with sterile normal saline, using a
piston syringe. How should the nurse proceed?
1. Irrigate continuously until the solution becomes clear or all of the solution has been used.
2. Moisten the area around the wound with normal saline after the irrigation
3. Apply a wet-to-dry dressing to the wound after the irrigation.
4. Rapidly instill a stream of irrigating solution into the wound. - √Answer :Correct Answer: 1
,RATIONALES: To wash away tissue debris and drainage effectively, the nurse should irrigate
the wound until the solution becomes clear or all of the solution has been used. After the
irrigation, the nurse should dry the area around the wound; moistening it promotes
microorganism growth and skin irritation. When the area is dry, the nurse should apply a sterile
dressing, rather than awet-to-dry dressing. The nurse always should instill the irrigating solution
gently; rapid or forceful instillation can damage tissues.
Quiz :As an adolescent is receiving care, he's inadvertently injured with a warm compress. The
nurse completes an incident report based on the knowledge that identification of which of the
following is a goal of the report?
1. To reprimand the involved staff members for their actions
C
2. To identify the learning needs of staff to prevent incident recurrences
3. To reprimand the nurse-manager responsible for the unit
LE
4. To hold people accountable for their actions - √Answer :Correct Answer: 2
ST
RATIONALES: The purpose of an incident report is threefold: to identify ways to prevent
incident recurrences, to identify patterns of care problems, and to identify facts surrounding each
incident. Incident reports aren't used to hold people accountable for their actions, to punish those
involved in the incident, or to punish the nurse-manager responsible for the unit.
BE
Quiz :As a client progresses through pregnancy, she develops constipation. What is the primary
cause of this problem during pregnancy?
1. Decreased appetite
2. Inadequate fluid intake
3. Prolonged gastric emptying
4. Reduced intestinal motility - √Answer :Correct Answer: 4
RATIONALES: During pregnancy, hormonal changes and mechanical pressure reduce motility
in the small intestine, enhancing water absorption and promoting constipation. Although
decreased appetite, inadequate fluid intake, and prolonged gastric emptying may contribute to
constipation, they aren't the primary cause.
, Quiz :An adolescent with type 1 diabetes mellitus is experiencing a growth spurt. Which
treatment approach would be most effective for this client?
1. Administering insulin once per day
2. Administering multiple doses of insulin
3. Limiting dietary fat intake
4. Substituting an oral antidiabetic agent for insulin - √Answer :Correct Answer: 2
RATIONALES: During an adolescent growth spurt, a regimen of multiple insulin doses achieves
better control of the blood glucose level because it more closely simulates endogenous insulin
release. A single daily dose of insulin wouldn't control this client's blood glucose level as
C
effectively. Limiting dietary fat intake wouldn't help the body use glucose at the cellular level.
An adolescent with type 1 diabetes mellitus doesn't produce insulin and therefore can't receive an
oral antidiabetic agent instead of insulin.
LE
Quiz :A client is admitted to the health care facility with bowel obstruction secondary to colon
ST
cancer. The nurse obtains a health history, measures vital signs, and auscultates for bowel
sounds. Which step of the nursing process is the nurse performing?
1. Planning
BE
2. Data collection
3. Evaluation
4. Implementation - √Answer :Correct Answer: 2
RATIONALES: During the data collection step of the nursing process, the nurse obtains the
client's health history, measures vital signs, and performs a physical examination to gather data
for use in formulating the nursing diagnoses. During the planning step, the nurse designs
methods to help resolve client problems and meet client needs. During evaluation, the nurse
determines the effectiveness of nursing interventions in achieving client goals. During
implementation, the nurse takes actions to meet the client's needs.
Questions and 100% Verified Answers with Well
Explained Rationales
The parent of a preschooler with chickenpox asks the nurse about measures to make the child
comfortable. The nurse instructs the parent to avoid administering aspirin or any other product
that contains salicylates. When given to children with chickenpox, aspirin has been linked to
which disorder?
C
1. Guillain-Barré syndrome
2. Rheumatic fever LE
3. Reye's syndrome
4. Scarlet fever - √Answer : Correct Answer: 3
ST
RATIONALES: Research shows a correlation between the use of aspirin during chickenpox and
the development of Reye's syndrome (a disorder characterized by brain and liver toxicity).
Therefore, the nurse should instruct the parents to avoid administering aspirin or other products
BE
that contain salicylates and to consult the physician or pharmacist before administering any
medication to a child with chickenpox. No research has found a link between aspirin use,
chickenpox, and the development of Guillain-Barré syndrome, rheumatic fever, or scarlet fever.
Quiz :A client is to have an epidural block to relieve labor pain. The nurse anticipates that the
anesthesiologist will inject the anesthetic agent into the:
1. subarachnoid space.
2. area between the subarachnoid space and the dura mater.
3. area between the dura mater and the ligamentum flavum.
4. ligamentum flavum. - √Answer :Correct Answer: 3
,RATIONALES: For an epidural block, the nurse should anticipate that the anesthesiologist will
inject a local anesthetic agent into the epidural space, located between the dura mater and the
ligamentum flavum in the lumbar region of the spinal column. When administering a spinal
block, the anesthesiologist injects the anesthetic agent into the subarachnoid space. The
ligamentum flavum and the area between the subarachnoid space and the dura mater are
inappropriate injection sites.
Quiz :The physician prescribes penicillin potassium oral suspension 56 mg/kg/day in four
divided doses for a client with anorexia nervosa who weighs 25 kg. The medication dispensed by
the pharmacy contains a dosage strength of 125 mg/5 ml. How many milliliters of solution
should the nurse administer with each dose? - √Answer :Correct Answer: 14
RATIONALES: To determine the total daily dosage, set up the following proportion:
C
25 kg/X = 1 kg/56 mg
X = 1,400 mg.
LE
Next, divide the daily dosage by four doses to determine the dose to administer every 6 hours:
X = 1,400 mg/4 doses
ST
X = 350 mg/dose.
The adolescent should receive 350 mg every 6 hours.
BE
Lastly, calculate the volume to give for each dose by setting up this proportion:
X/350 mg = 5 ml/125 mg
X = 14 ml.
Quiz :The nurse must irrigate a gaping abdominal incision with sterile normal saline, using a
piston syringe. How should the nurse proceed?
1. Irrigate continuously until the solution becomes clear or all of the solution has been used.
2. Moisten the area around the wound with normal saline after the irrigation
3. Apply a wet-to-dry dressing to the wound after the irrigation.
4. Rapidly instill a stream of irrigating solution into the wound. - √Answer :Correct Answer: 1
,RATIONALES: To wash away tissue debris and drainage effectively, the nurse should irrigate
the wound until the solution becomes clear or all of the solution has been used. After the
irrigation, the nurse should dry the area around the wound; moistening it promotes
microorganism growth and skin irritation. When the area is dry, the nurse should apply a sterile
dressing, rather than awet-to-dry dressing. The nurse always should instill the irrigating solution
gently; rapid or forceful instillation can damage tissues.
Quiz :As an adolescent is receiving care, he's inadvertently injured with a warm compress. The
nurse completes an incident report based on the knowledge that identification of which of the
following is a goal of the report?
1. To reprimand the involved staff members for their actions
C
2. To identify the learning needs of staff to prevent incident recurrences
3. To reprimand the nurse-manager responsible for the unit
LE
4. To hold people accountable for their actions - √Answer :Correct Answer: 2
ST
RATIONALES: The purpose of an incident report is threefold: to identify ways to prevent
incident recurrences, to identify patterns of care problems, and to identify facts surrounding each
incident. Incident reports aren't used to hold people accountable for their actions, to punish those
involved in the incident, or to punish the nurse-manager responsible for the unit.
BE
Quiz :As a client progresses through pregnancy, she develops constipation. What is the primary
cause of this problem during pregnancy?
1. Decreased appetite
2. Inadequate fluid intake
3. Prolonged gastric emptying
4. Reduced intestinal motility - √Answer :Correct Answer: 4
RATIONALES: During pregnancy, hormonal changes and mechanical pressure reduce motility
in the small intestine, enhancing water absorption and promoting constipation. Although
decreased appetite, inadequate fluid intake, and prolonged gastric emptying may contribute to
constipation, they aren't the primary cause.
, Quiz :An adolescent with type 1 diabetes mellitus is experiencing a growth spurt. Which
treatment approach would be most effective for this client?
1. Administering insulin once per day
2. Administering multiple doses of insulin
3. Limiting dietary fat intake
4. Substituting an oral antidiabetic agent for insulin - √Answer :Correct Answer: 2
RATIONALES: During an adolescent growth spurt, a regimen of multiple insulin doses achieves
better control of the blood glucose level because it more closely simulates endogenous insulin
release. A single daily dose of insulin wouldn't control this client's blood glucose level as
C
effectively. Limiting dietary fat intake wouldn't help the body use glucose at the cellular level.
An adolescent with type 1 diabetes mellitus doesn't produce insulin and therefore can't receive an
oral antidiabetic agent instead of insulin.
LE
Quiz :A client is admitted to the health care facility with bowel obstruction secondary to colon
ST
cancer. The nurse obtains a health history, measures vital signs, and auscultates for bowel
sounds. Which step of the nursing process is the nurse performing?
1. Planning
BE
2. Data collection
3. Evaluation
4. Implementation - √Answer :Correct Answer: 2
RATIONALES: During the data collection step of the nursing process, the nurse obtains the
client's health history, measures vital signs, and performs a physical examination to gather data
for use in formulating the nursing diagnoses. During the planning step, the nurse designs
methods to help resolve client problems and meet client needs. During evaluation, the nurse
determines the effectiveness of nursing interventions in achieving client goals. During
implementation, the nurse takes actions to meet the client's needs.
