NCLEX PN Actual Exam Test Bank
NCLEX PN Actual Exam Test Bank 2025-
2026 With Complete Verified Questions And
Correct Answers with Detailed Rationales
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The nurse is reinforcing teaching to an overweight 54-year-old client about ways to decrease
symptoms of obstructive sleep apnea. Which interventions would be most effective? Select all
that apply.
1. Eating a high-protein snack at bedtime
2. Limiting alcohol intake
3. Losing weight
4. Taking a mild sedative at bedtime
5. Taking a nap during the day
6. Taking modafinil at bedtime
- Correct Answer :CORRECT ANSWER: 2, 3
Obstructive sleep apnea (OSA) is characterized by partial or complete airway obstruction during
sleep that occurs from relaxation of the tongue and soft palate. The result is repeated episodes
of apnea (≥10 seconds) and hypopnea (≤50% normal ventilation), which cause hypoxemia
(decreased PaO2) and hypercapnia (increased PaCO2).
Common symptoms include frequent periods of sleep disturbance, snoring, morning headache,
daytime sleepiness, difficulty concentrating, forgetfulness, mood changes, and depression.
Interventions for OSA include:
• Using a continuous positive airway pressure (CPAP) device at night to keep the tongue from
collapsing backward
• Limiting alcohol intake at bedtime as it can cause muscles of the oral airway to relax, leading to
airway obstruction (Option 2 is correct.)
A+ TEST BANK 1
, NCLEX PN Actual Exam Test Bank
• Weight loss and exercise may reduce snoring and sleep apnea-associated airway obstruction.
Obesity contributes to the development of OSA (Option 3 is correct).
• Avoiding sedating medications (eg, benzodiazepines, certain antidepressants, antihistamines,
opiates) as they may exacerbate OSA and worsen daytime sleepiness
(Option 1 is wrong) Eating before bedtime can interfere with sleep and contribute to excess
weight.
(Option 4 is wrong) Sedatives at bedtime can relax the muscles of the oral airway and lead to
airway obstruction.
(Option 5 is wrong) Napping during the day can make it more difficult to sleep through the night.
(Option 6 is wrong) Stimulants such as modafinil may be prescribed for daytime sleepiness but
should be avoided at bedtime as they can cause insomnia.
A client comes to the emergency department with severe dyspnea and a cough. Vital signs are
temperature 99.2 F (37.3 C), blood pressure 108/70 mm Hg, heart rate 88/min, and respirations
24/min. The client has a history of chronic obstructive pulmonary disease and chronic heart
failure. Which diagnostic test will be most useful to the nurse in determining if this is an
exacerbation of heart failure?
1. Arterial blood gases (ABGs)
2. B-type natriuretic peptide (BNP)
3. Cardiac enzyme (CK-MB)
4. Chest x-ray
- Correct Answer :CORRECT ANSWER: 2
B-type natriuretic peptide (BNP) is a peptide that causes natriuresis. BNPs are made, stored, and
released primarily by the ventricles. They are produced in response to stretching of the
ventricles due to the increased blood volume and higher levels of extracellular fluid (fluid
overload) that accompany heart failure. Elevation of BNP >100 pg/mL (>28.9 pmol/L) helps to
distinguish cardiac from respiratory causes of dyspnea (Option 2 is correct).
(Option 1 is wrong.) Arterial blood gases (ABGs) will be helpful in determining the client's
oxygenation status and acid-base balance but will not determine whether the cause of the
dyspnea is cardiac or respiratory.
A+ TEST BANK 2
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(Option 3 is wrong.) Cardiac enzymes (CK-MB) is a cardiospecific isozyme that is released in the
presence of myocardial tissue injury. Elevations are highly indicative of a myocardial infarction
but not specific for heart failure.
(Option 4 is wrong.) A chest x-ray can show heart enlargement in the case of heart failure and
may show infiltrations in the lungs. Pneumonia can also exacerbate chronic obstructive
pulmonary disease and can be confused with heart failure infiltrates. Chest x-ray is not as specific
to heart failure as the BNP lab test.
The clinic nurse reinforces teaching to a client with systemic lupus erythematous. Which
instructions will the nurse include? Select all that apply.
1. Avoid annual influenza vaccination
2. Avoid situations that cause physical and emotional stress
3. Avoid sun exposure and ultraviolet light when possible
4. Notify the health care provider if you have fever
5. Use antibiotic soap to cleanse skin rashes –
Correct Answer :CORRECT ANSWER: 2, 3, 4
Systemic lupus erythematosus (SLE) is an autoimmune disorder (the body's immune system
erroneously attacks body tissues) that results in inflammation and damage to many body parts.
Symptoms vary widely among affected individuals, but most experience painful/swollen joints,
extreme fatigue, skin rashes, and kidney problems. The symptoms typically appear for periods of
time (called flares) alternating with periods of remission.
There is no cure for SLE, but it can be treated with immunosuppressants (eg, corticosteroids) or
immunomodulators (eg, hydroxychloroquine). Pneumonia and annual influenza vaccinations are
recommended for those with SLE as thev are more susceptible to infections. These individuals
should avoid contact with sick people and report fever to their health care provider (Options 1 is
wrong. Option 4 is correct).
Both physical and emotional stress can exacerbate SLE. Therefore, clients should follow a healthy
lifestyle (eg, 7-8 hours of sleep, no smoking). Balanced exercise with alternating periods of rest is
recommended (Option 2 is correct).
Sunlight is known to worsen the rash of SLE and should be avoided when possible (especially
between 10 AM-4 PM); protective clothing and sunscreen application are recommended during
periods of sun exposure (Option 3 is correct).
(Option 5 is wrong.) The rash of SLE should be cleansed only with mild soap. Harsh soap and
chemicals should be avoided. The rash is not due to bacterial infection.
A+ TEST BANK 3
, NCLEX PN Actual Exam Test Bank
The nurse is caring for a client with immune thrombocytopenic purpura. Which client statements
indicate a need for further teaching? Select all that apply.
1. "I use a soft-bristle toothbrush and mild mouth rinse."
2. "I enjoy walking and wear nonskid footwear for safety."
3. "I use a safety razor and gentle shaving cream."
4. "Sometimes I get constipated, so I have been taking docusate."
5. "When I have a headache, I take over-the-counter ibuprofen."
- Correct Answer :CORRECT ANSWER: 3, 5
Immune thrombocytopenic purpura (ITP) is an autoimmune condition in which antibodies bind
to and cause destruction of platelets. Clients with IP have a platelet count <150,000/mm° (150 x
10%/L) and are at increased risk of bleeding.
Key teaching to reduce the client's risk of bleeding includes:
• Use soft-bristle toothbrushes, gentle flossing, and nonalcoholic mouthwashes. These prevent
periodontal disease and gingival bleeding (Option 1 is wrong).
• Avoid activities that may cause trauma (eg, high-intensity sports). Appropriate exercise
includes low-impact activity (eg, walking) while wearing nonskid footwear to help prevent falls
(Option 2).
• Take prescribed stool softeners and laxatives as needed. These medications prevent hard
stools and straining, which can cause anorectal fissuring, bleeding. and hemorrhoids (Option 4 is
wrong).
(Option 3 is correct) Clients with IT should use electric razors instead of safety or straight razors.
Electric razors have a more complete guard, reducing the risk of accidentally nicking the skin.
(Option 5 is correct) Clients with IT should avoid nonsteroidal anti-inflammatory drugs (eg,
aspirin, ibuprofen, ketorolac), which further impair platelet function. Acetaminophen and
opiates are better options for pain management.
An adult client was severely burned in a warehouse accident. The client has sustained partial-
thickness burns to the back and to the anterior and posterior surfaces of the right arm and leg.
Using the rule of nines, what percentage of the client's body surface area is burned. Record the
answer using a whole number. - Correct Answer :CORRECT ANSWER: 45%
Google "rule of nines" and look for images to understand it.
A+ TEST BANK 4
NCLEX PN Actual Exam Test Bank 2025-
2026 With Complete Verified Questions And
Correct Answers with Detailed Rationales
|Already Graded A+||Brand New Guaranteed
Pass
The nurse is reinforcing teaching to an overweight 54-year-old client about ways to decrease
symptoms of obstructive sleep apnea. Which interventions would be most effective? Select all
that apply.
1. Eating a high-protein snack at bedtime
2. Limiting alcohol intake
3. Losing weight
4. Taking a mild sedative at bedtime
5. Taking a nap during the day
6. Taking modafinil at bedtime
- Correct Answer :CORRECT ANSWER: 2, 3
Obstructive sleep apnea (OSA) is characterized by partial or complete airway obstruction during
sleep that occurs from relaxation of the tongue and soft palate. The result is repeated episodes
of apnea (≥10 seconds) and hypopnea (≤50% normal ventilation), which cause hypoxemia
(decreased PaO2) and hypercapnia (increased PaCO2).
Common symptoms include frequent periods of sleep disturbance, snoring, morning headache,
daytime sleepiness, difficulty concentrating, forgetfulness, mood changes, and depression.
Interventions for OSA include:
• Using a continuous positive airway pressure (CPAP) device at night to keep the tongue from
collapsing backward
• Limiting alcohol intake at bedtime as it can cause muscles of the oral airway to relax, leading to
airway obstruction (Option 2 is correct.)
A+ TEST BANK 1
, NCLEX PN Actual Exam Test Bank
• Weight loss and exercise may reduce snoring and sleep apnea-associated airway obstruction.
Obesity contributes to the development of OSA (Option 3 is correct).
• Avoiding sedating medications (eg, benzodiazepines, certain antidepressants, antihistamines,
opiates) as they may exacerbate OSA and worsen daytime sleepiness
(Option 1 is wrong) Eating before bedtime can interfere with sleep and contribute to excess
weight.
(Option 4 is wrong) Sedatives at bedtime can relax the muscles of the oral airway and lead to
airway obstruction.
(Option 5 is wrong) Napping during the day can make it more difficult to sleep through the night.
(Option 6 is wrong) Stimulants such as modafinil may be prescribed for daytime sleepiness but
should be avoided at bedtime as they can cause insomnia.
A client comes to the emergency department with severe dyspnea and a cough. Vital signs are
temperature 99.2 F (37.3 C), blood pressure 108/70 mm Hg, heart rate 88/min, and respirations
24/min. The client has a history of chronic obstructive pulmonary disease and chronic heart
failure. Which diagnostic test will be most useful to the nurse in determining if this is an
exacerbation of heart failure?
1. Arterial blood gases (ABGs)
2. B-type natriuretic peptide (BNP)
3. Cardiac enzyme (CK-MB)
4. Chest x-ray
- Correct Answer :CORRECT ANSWER: 2
B-type natriuretic peptide (BNP) is a peptide that causes natriuresis. BNPs are made, stored, and
released primarily by the ventricles. They are produced in response to stretching of the
ventricles due to the increased blood volume and higher levels of extracellular fluid (fluid
overload) that accompany heart failure. Elevation of BNP >100 pg/mL (>28.9 pmol/L) helps to
distinguish cardiac from respiratory causes of dyspnea (Option 2 is correct).
(Option 1 is wrong.) Arterial blood gases (ABGs) will be helpful in determining the client's
oxygenation status and acid-base balance but will not determine whether the cause of the
dyspnea is cardiac or respiratory.
A+ TEST BANK 2
, NCLEX PN Actual Exam Test Bank
(Option 3 is wrong.) Cardiac enzymes (CK-MB) is a cardiospecific isozyme that is released in the
presence of myocardial tissue injury. Elevations are highly indicative of a myocardial infarction
but not specific for heart failure.
(Option 4 is wrong.) A chest x-ray can show heart enlargement in the case of heart failure and
may show infiltrations in the lungs. Pneumonia can also exacerbate chronic obstructive
pulmonary disease and can be confused with heart failure infiltrates. Chest x-ray is not as specific
to heart failure as the BNP lab test.
The clinic nurse reinforces teaching to a client with systemic lupus erythematous. Which
instructions will the nurse include? Select all that apply.
1. Avoid annual influenza vaccination
2. Avoid situations that cause physical and emotional stress
3. Avoid sun exposure and ultraviolet light when possible
4. Notify the health care provider if you have fever
5. Use antibiotic soap to cleanse skin rashes –
Correct Answer :CORRECT ANSWER: 2, 3, 4
Systemic lupus erythematosus (SLE) is an autoimmune disorder (the body's immune system
erroneously attacks body tissues) that results in inflammation and damage to many body parts.
Symptoms vary widely among affected individuals, but most experience painful/swollen joints,
extreme fatigue, skin rashes, and kidney problems. The symptoms typically appear for periods of
time (called flares) alternating with periods of remission.
There is no cure for SLE, but it can be treated with immunosuppressants (eg, corticosteroids) or
immunomodulators (eg, hydroxychloroquine). Pneumonia and annual influenza vaccinations are
recommended for those with SLE as thev are more susceptible to infections. These individuals
should avoid contact with sick people and report fever to their health care provider (Options 1 is
wrong. Option 4 is correct).
Both physical and emotional stress can exacerbate SLE. Therefore, clients should follow a healthy
lifestyle (eg, 7-8 hours of sleep, no smoking). Balanced exercise with alternating periods of rest is
recommended (Option 2 is correct).
Sunlight is known to worsen the rash of SLE and should be avoided when possible (especially
between 10 AM-4 PM); protective clothing and sunscreen application are recommended during
periods of sun exposure (Option 3 is correct).
(Option 5 is wrong.) The rash of SLE should be cleansed only with mild soap. Harsh soap and
chemicals should be avoided. The rash is not due to bacterial infection.
A+ TEST BANK 3
, NCLEX PN Actual Exam Test Bank
The nurse is caring for a client with immune thrombocytopenic purpura. Which client statements
indicate a need for further teaching? Select all that apply.
1. "I use a soft-bristle toothbrush and mild mouth rinse."
2. "I enjoy walking and wear nonskid footwear for safety."
3. "I use a safety razor and gentle shaving cream."
4. "Sometimes I get constipated, so I have been taking docusate."
5. "When I have a headache, I take over-the-counter ibuprofen."
- Correct Answer :CORRECT ANSWER: 3, 5
Immune thrombocytopenic purpura (ITP) is an autoimmune condition in which antibodies bind
to and cause destruction of platelets. Clients with IP have a platelet count <150,000/mm° (150 x
10%/L) and are at increased risk of bleeding.
Key teaching to reduce the client's risk of bleeding includes:
• Use soft-bristle toothbrushes, gentle flossing, and nonalcoholic mouthwashes. These prevent
periodontal disease and gingival bleeding (Option 1 is wrong).
• Avoid activities that may cause trauma (eg, high-intensity sports). Appropriate exercise
includes low-impact activity (eg, walking) while wearing nonskid footwear to help prevent falls
(Option 2).
• Take prescribed stool softeners and laxatives as needed. These medications prevent hard
stools and straining, which can cause anorectal fissuring, bleeding. and hemorrhoids (Option 4 is
wrong).
(Option 3 is correct) Clients with IT should use electric razors instead of safety or straight razors.
Electric razors have a more complete guard, reducing the risk of accidentally nicking the skin.
(Option 5 is correct) Clients with IT should avoid nonsteroidal anti-inflammatory drugs (eg,
aspirin, ibuprofen, ketorolac), which further impair platelet function. Acetaminophen and
opiates are better options for pain management.
An adult client was severely burned in a warehouse accident. The client has sustained partial-
thickness burns to the back and to the anterior and posterior surfaces of the right arm and leg.
Using the rule of nines, what percentage of the client's body surface area is burned. Record the
answer using a whole number. - Correct Answer :CORRECT ANSWER: 45%
Google "rule of nines" and look for images to understand it.
A+ TEST BANK 4
