NCLEX-PN Comprehensive Review
Exam With Actual Questions & Verified
Answers,Plus Rationales/Expert
Verified For Guaranteed Pass
2025/2026 /Latest Update/Instant
Download Pdf
1. A nurse is reinforcing teaching with a client who has hypertension and is prescribed
furosemide. Which instruction is most important?
a. Increase your intake of potassium-rich foods
b. Avoid all dairy products
c. Take the medication on an empty stomach
d. Limit fluid intake
Answer: a. Increase your intake of potassium-rich foods
Rationale: Furosemide is a loop diuretic that causes potassium loss, so clients must
increase potassium intake to prevent hypokalemia.
2. A client with diabetes is sweating, shaky, and pale. The blood glucose is 55 mg/dL.
What should the nurse do first?
a. Administer glucagon
b. Give orange juice
c. Call the provider
d. Start an IV line
Answer: b. Give orange juice
Rationale: The client has hypoglycemia. Providing fast-acting carbohydrates (like
juice) is the immediate priority.
3. A nurse cares for a client on digoxin. Which finding requires immediate follow-up?
a. Nausea and loss of appetite
b. Apical pulse of 64
, c. Potassium level of 4.2
d. Slight fatigue
Answer: a. Nausea and loss of appetite
Rationale: Early signs of digoxin toxicity include nausea, vomiting, and anorexia. This
requires prompt attention.
4. A client with chronic obstructive pulmonary disease (COPD) is on 2 L oxygen via nasal
cannula. Which action is appropriate?
a. Increase the oxygen if the client is short of breath
b. Maintain oxygen at the prescribed flow rate
c. Place the client in a supine position
d. Withhold oxygen to prevent dependence
Answer: b. Maintain oxygen at the prescribed flow rate
Rationale: Too much oxygen can decrease the client’s drive to breathe. The prescribed
rate must be followed.
5. A nurse is caring for a client after surgery. Which finding indicates possible infection?
a. Pink incision edges
b. Temperature 101.2°F (38.4°C)
c. Pain level 6/10 at incision site
d. Clear drainage from incision
Answer: b. Temperature 101.2°F (38.4°C)
Rationale: Elevated temperature after surgery may indicate infection, requiring
prompt evaluation.
6. The nurse reinforces teaching about nitroglycerin for angina. Which statement shows
understanding?
a. “I will take the tablet with milk.”
b. “I should chew the tablet for quick effect.”
c. “I may get a headache after taking it.”
d. “I should store tablets in the bathroom cabinet.”
Answer: c. “I may get a headache after taking it.”
Rationale: Headaches are a common side effect of nitroglycerin due to vasodilation.
7. A client is receiving warfarin. Which lab result should be monitored?
a. Hemoglobin
b. Platelet count
, c. INR
d. aPTT
Answer: c. INR
Rationale: Warfarin therapy effectiveness and safety are monitored with the INR.
8. Which client is most at risk for fluid volume deficit?
a. A 4-month-old with diarrhea
b. A client with hypertension
c. An older adult with controlled diabetes
d. A client who eats a high-sodium diet
Answer: a. A 4-month-old with diarrhea
Rationale: Infants are highly vulnerable to dehydration due to higher body water
content and rapid fluid losses.
9. A nurse observes a UAP positioning a client with a nasogastric tube. Which position is
correct?
a. Supine
b. High-Fowler’s
c. Side-lying
d. Trendelenburg
Answer: b. High-Fowler’s
Rationale: High-Fowler’s prevents aspiration and promotes stomach emptying when
an NG tube is in place.
10. A nurse is reinforcing teaching about insulin injection. Which site is preferred for
fastest absorption?
a. Thigh
b. Abdomen
c. Upper arm
d. Buttocks
Answer: b. Abdomen
Rationale: Insulin is absorbed most rapidly in the abdomen.
11. A client with heart failure reports shortness of breath when lying flat. What is this
called?
a. Orthopnea
b. Dyspnea on exertion
Exam With Actual Questions & Verified
Answers,Plus Rationales/Expert
Verified For Guaranteed Pass
2025/2026 /Latest Update/Instant
Download Pdf
1. A nurse is reinforcing teaching with a client who has hypertension and is prescribed
furosemide. Which instruction is most important?
a. Increase your intake of potassium-rich foods
b. Avoid all dairy products
c. Take the medication on an empty stomach
d. Limit fluid intake
Answer: a. Increase your intake of potassium-rich foods
Rationale: Furosemide is a loop diuretic that causes potassium loss, so clients must
increase potassium intake to prevent hypokalemia.
2. A client with diabetes is sweating, shaky, and pale. The blood glucose is 55 mg/dL.
What should the nurse do first?
a. Administer glucagon
b. Give orange juice
c. Call the provider
d. Start an IV line
Answer: b. Give orange juice
Rationale: The client has hypoglycemia. Providing fast-acting carbohydrates (like
juice) is the immediate priority.
3. A nurse cares for a client on digoxin. Which finding requires immediate follow-up?
a. Nausea and loss of appetite
b. Apical pulse of 64
, c. Potassium level of 4.2
d. Slight fatigue
Answer: a. Nausea and loss of appetite
Rationale: Early signs of digoxin toxicity include nausea, vomiting, and anorexia. This
requires prompt attention.
4. A client with chronic obstructive pulmonary disease (COPD) is on 2 L oxygen via nasal
cannula. Which action is appropriate?
a. Increase the oxygen if the client is short of breath
b. Maintain oxygen at the prescribed flow rate
c. Place the client in a supine position
d. Withhold oxygen to prevent dependence
Answer: b. Maintain oxygen at the prescribed flow rate
Rationale: Too much oxygen can decrease the client’s drive to breathe. The prescribed
rate must be followed.
5. A nurse is caring for a client after surgery. Which finding indicates possible infection?
a. Pink incision edges
b. Temperature 101.2°F (38.4°C)
c. Pain level 6/10 at incision site
d. Clear drainage from incision
Answer: b. Temperature 101.2°F (38.4°C)
Rationale: Elevated temperature after surgery may indicate infection, requiring
prompt evaluation.
6. The nurse reinforces teaching about nitroglycerin for angina. Which statement shows
understanding?
a. “I will take the tablet with milk.”
b. “I should chew the tablet for quick effect.”
c. “I may get a headache after taking it.”
d. “I should store tablets in the bathroom cabinet.”
Answer: c. “I may get a headache after taking it.”
Rationale: Headaches are a common side effect of nitroglycerin due to vasodilation.
7. A client is receiving warfarin. Which lab result should be monitored?
a. Hemoglobin
b. Platelet count
, c. INR
d. aPTT
Answer: c. INR
Rationale: Warfarin therapy effectiveness and safety are monitored with the INR.
8. Which client is most at risk for fluid volume deficit?
a. A 4-month-old with diarrhea
b. A client with hypertension
c. An older adult with controlled diabetes
d. A client who eats a high-sodium diet
Answer: a. A 4-month-old with diarrhea
Rationale: Infants are highly vulnerable to dehydration due to higher body water
content and rapid fluid losses.
9. A nurse observes a UAP positioning a client with a nasogastric tube. Which position is
correct?
a. Supine
b. High-Fowler’s
c. Side-lying
d. Trendelenburg
Answer: b. High-Fowler’s
Rationale: High-Fowler’s prevents aspiration and promotes stomach emptying when
an NG tube is in place.
10. A nurse is reinforcing teaching about insulin injection. Which site is preferred for
fastest absorption?
a. Thigh
b. Abdomen
c. Upper arm
d. Buttocks
Answer: b. Abdomen
Rationale: Insulin is absorbed most rapidly in the abdomen.
11. A client with heart failure reports shortness of breath when lying flat. What is this
called?
a. Orthopnea
b. Dyspnea on exertion
