NCLEX PN EXAM 2025 NEWEST
ACTUAL EXAM TEST BANK
COMPLETE 600 QUESTIONS WITH
DETAILED VERIFIED ANSWERS AND
RATIONALES (VERSION A AND B)
/A+ STUDY MATERIAL // BRAND
NEW!!
The nurse is caring for a 66 year old client on med surg unit.
Day 1- the client is admitted following an open bowel
resection this morning. The client has a midline abdominal
incision with staples covered in an adhesive dressing,
bilateral JP drains in the lower abdomen, an indwelling
catheter, and 2 peripheral IVs. The family is at bedside.
Day 2- Patient dies
Is the intervention indicated or contraindicated.
Cleanse the client's body thoroughly
Remove the client's abdominal staples
Remove identifying name tags from the client
Notify the organ and tissue donation organization
1
,Allow the family to be present during postmortem
care
Remove the drains, catheter, and IVs -
....ANSWER...INDICATED: Cleanse the client's body
thoroughly, Notify the organ and tissue donation
organization, Allow the family to be present during
postmortem care,
Remove the drains, catheter, and IVs
CONTRAINDICAT: Remove the client's abdominal staples
Remove identifying name tags from the client
The client is a 16 year old diabetic, highlight 4 clinical
findings that require immediate follow up.
Brought to ED due to n/v and abdominal pain began 24
hours ago.
Client is lethargic
Mucous membranes are dry
Capillary refill time is 4 seconds
Has missed one dose of levothyroxine -
....ANSWER...Brought to ED due to n/v and abdominal pain
began 24 hours ago.
2
,Client is lethargic
Mucous membranes are dry
Capillary refill time is 4 seconds
The nurse is caring for a client with hyperparathyroidism
who had a parathyroidectomy 4 hours ago. Which technique
should the nurse use to check for complications on this
client?
A) Ask the client to place the backs of the hands against each
other to provide hyperflexion of the wrist while the elbows
remain flexed.
B) Instruct the client to lie down and run the the heel of one
foot down the shin of the oher leg.
C) Perform the Romberg test by asking the client to stand
with eyes closed and feet together.
3
, D) Place a BP cuff on the client's arm, inflate to pressure
greater than systolic BP, and monitor for carpal spasm -
....ANSWER...D
parathyroid glands are responsible for parathyroid hormone
which acts to increase serum calcium levels through the
breakdown of bone tissue. PTH can decrease with the
removal of the parathyroid glands causing hypocalcemia.
The nurse is caring for a client who has a blistering rash
newly diagnosed as disseminated herpes zoster. What PPE
should the nurse wear while assisting the client with a
shower and a linen change?
A) Eye shield, gloves, gown, N95 respirator
B) Eye shield, gloves, gown, surgical mask
C) Gloves, gown, N95, and surgical cap
D) Gloves, gown, surgical cap, and surgical mask -
....ANSWER...A
Airborne and contact precautions are necessary when lesions
are fluid filled and disseminated because the fluid carries a
high viral load. other examples include (TB, varicella
[chickenpox], herpes zoster [shingles], rubeola [measles])
A nurse is reinforcing teaching to the parent of a 6-year old
with a UTI on how to avoid repeat infections. Which
4
ACTUAL EXAM TEST BANK
COMPLETE 600 QUESTIONS WITH
DETAILED VERIFIED ANSWERS AND
RATIONALES (VERSION A AND B)
/A+ STUDY MATERIAL // BRAND
NEW!!
The nurse is caring for a 66 year old client on med surg unit.
Day 1- the client is admitted following an open bowel
resection this morning. The client has a midline abdominal
incision with staples covered in an adhesive dressing,
bilateral JP drains in the lower abdomen, an indwelling
catheter, and 2 peripheral IVs. The family is at bedside.
Day 2- Patient dies
Is the intervention indicated or contraindicated.
Cleanse the client's body thoroughly
Remove the client's abdominal staples
Remove identifying name tags from the client
Notify the organ and tissue donation organization
1
,Allow the family to be present during postmortem
care
Remove the drains, catheter, and IVs -
....ANSWER...INDICATED: Cleanse the client's body
thoroughly, Notify the organ and tissue donation
organization, Allow the family to be present during
postmortem care,
Remove the drains, catheter, and IVs
CONTRAINDICAT: Remove the client's abdominal staples
Remove identifying name tags from the client
The client is a 16 year old diabetic, highlight 4 clinical
findings that require immediate follow up.
Brought to ED due to n/v and abdominal pain began 24
hours ago.
Client is lethargic
Mucous membranes are dry
Capillary refill time is 4 seconds
Has missed one dose of levothyroxine -
....ANSWER...Brought to ED due to n/v and abdominal pain
began 24 hours ago.
2
,Client is lethargic
Mucous membranes are dry
Capillary refill time is 4 seconds
The nurse is caring for a client with hyperparathyroidism
who had a parathyroidectomy 4 hours ago. Which technique
should the nurse use to check for complications on this
client?
A) Ask the client to place the backs of the hands against each
other to provide hyperflexion of the wrist while the elbows
remain flexed.
B) Instruct the client to lie down and run the the heel of one
foot down the shin of the oher leg.
C) Perform the Romberg test by asking the client to stand
with eyes closed and feet together.
3
, D) Place a BP cuff on the client's arm, inflate to pressure
greater than systolic BP, and monitor for carpal spasm -
....ANSWER...D
parathyroid glands are responsible for parathyroid hormone
which acts to increase serum calcium levels through the
breakdown of bone tissue. PTH can decrease with the
removal of the parathyroid glands causing hypocalcemia.
The nurse is caring for a client who has a blistering rash
newly diagnosed as disseminated herpes zoster. What PPE
should the nurse wear while assisting the client with a
shower and a linen change?
A) Eye shield, gloves, gown, N95 respirator
B) Eye shield, gloves, gown, surgical mask
C) Gloves, gown, N95, and surgical cap
D) Gloves, gown, surgical cap, and surgical mask -
....ANSWER...A
Airborne and contact precautions are necessary when lesions
are fluid filled and disseminated because the fluid carries a
high viral load. other examples include (TB, varicella
[chickenpox], herpes zoster [shingles], rubeola [measles])
A nurse is reinforcing teaching to the parent of a 6-year old
with a UTI on how to avoid repeat infections. Which
4
