NCLEX PN Actual Exam Test Bank
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
A patient presents for a 2 week blood pressure check after his metoprolol tartrate was increased
to 50 mg in the morning and 25mg in the evening. The patient's blood pressure is 150/78. He
denies any signs of hypertension. Prior to the patient having any further adjustments in his
medication what additional information is needed?
A. Nothing
B. Pulse rate
C. Labs
D. Orhtostatic blood pressures
- Correct Answer :B. Pulse rate.
Metoprolol slows the heart rate and any further increase could not be made if the patient's
heart rate is low.
A patient presents requesting a nicotine replacement patch for smoking cessation. He reports
that he is a long time smoker of 1 pack per day and that he is usually up once a night to smoke a
cigarette. Based on this information the patient:
A.Can quit cold turkey without any problems
B. Requires a low dose patch
C. Has a high level of nicotine addiction
D. Will not be able to stop smoking
- Correct Answer :C. Has a high level of nicotine addiction.
A patient waking up at night for a cigarette indicates a higher level of addiction to nicotine.
A patient with COPD is given a Z-Pak for an exacerbation. He has an albuterol inhaler (MDI) at
home ordered as 2 puffs 4 times a day as needed. The patient was instructed to use his MDI 2
puffs four times a day on schedule until he completes his antibiotic. The patient states I only use
the inhaler when I go for a walk because I don't want to get hooked on it. You reply:
A.You're correct; don't use the inhaler unless you absolutely have to use it.
B. You will not become addicted if you stop using the inhaler 4 times a day as soon as you're
antibiotic is done.
A+ TEST BANK 1
, NCLEX PN Actual Exam Test Bank
C. The inhaler is not addictive when taken with an antibiotic
D. The inhaler is not addictive at all and should be used more frequently during an exacerbation
of COPD
. - Correct Answer :D. The inhaler is not addictive at all and should be used more frequently
during an exacerbation of COPD.
Albuterol is not addictive. It will help with SOB, coughing and clearing of secretions. It should be
used more frequently and even on schedule during an exacerbation of COPD.
Patient presents with right sided rib pain after a fall. He complains of constant pain that is worse
with deep inspiration. The CXR reveals a 5th right rib fracture. He is on 24 hour oxygen therapy
and a history of asthma and chronic bronchitis. The physican orders pain medication. As a
nursing measure you perform the following:
A. Provide the patient with an incentive spirometer and teach him to perform incentive
spirometry every hour while awake.
B. Nothing further is needed.
C. Instruct the patient to take his pain medication only at night so that he can sleep.
D. Instruct the patient to move as little as possible to decrease pain.
- Correct Answer :A. Provide the patient with an incentive spirometer and teach him to perform
incentive spirometry every hour while awake.
The patient has comprised lung function causing increased risk for respiratory complications. The
rib fracture pain will cause the patient to take more shallow breaths. Incentive spirometry will
cause the patient to take deep breaths to prevent respiratory complications such as pneumonia.
A patient presents with a one week history of dizziness, left lower quadrant abdominal
discomfort and 2 or 3 three black stools. You anticipate the following orders:
A. Pain medication, PO antibiotics, discharge home.
B. Home occult blood test for the stool, increase in fluids, return in one week for re-evaluation.
C. CBC and CT scan to rule out diverticulitis.
D. Bed rest, IV fluids, admission for observation.
- Correct Answer :C. CBC and CT scan to rule out diverticulitis
Left lower quadrant pain and signs of GI bleeding may indicate diverticulitis. A CBC would assist
in determining not only anemia but infection as well.
An 82 year old female is brought to the ER with new onset of confusion. She typically lives alone
and is independent. She does have incontinence and wears depends. What orders do you
anticipate?
A. CBC, U/A, IV antibiotic
B. CT of head
C. Admission for observation and neurology evaluation
D. New diagnosis of dementia
A+ TEST BANK 2
, NCLEX PN Actual Exam Test Bank
- Correct Answer :A. CBC, U/A, IV antibiotic
In the elderly, confusion may be the only sign of a UTI. Wearing wet depends may increase the
risk the UTI. The CBC will assist in determining if urosepsis is present.
The home hospice nurse visits a patient that is actively dying. The family reports that the patient
has moist rattle with breathing. What medication will help the moist respirations?
A. Roxanol sublingual
B. Ativan PO
C. Atropine eye drops sublingual
D. Valium suppositories
- Correct Answer :C. Atropine eye drops sublingual
Atropine eye drops sublingual will dry the secretions.
A patient with chronic low back pain is on extended release morphine twice a day for pain
control. The patient has a pain contract in place. He requests a refill for his pain medication.
Upon review of his request for pain medication refills you note that he has requested his pain
medication at least 10 days later than expected the last three times. You have the patient come
in to assess his use of the pain medication. He reports that he takes the pain medication once a
day and he only uses the second dose if needed. What do you anticipate next?
A. Authorization of a refill for his medication
B. Instruction for use of extended release medication, review of the pain contract, decrease in
dose to once a day
C. Discontinuation of medication
D. Change in the orders for one tablet of the extended release morphine daily with a second
tablet daily as needed
- Correct Answer :C. Discontinuation of medication
Extended release narcotics for chronic pain are meant to be taken on schedule and not as
needed. A pain contract typically indicates that the narcotic will be taken as prescribed.
Among the reasons for a primary risk assessment for the development of cancer in women are
all of the following EXCEPT:
A. Detecting a trait or characteristic of cancer can be associated with the development of cancer
B. Identifying the client who has started menses before age 12 as a risk factor in the
development of cancer
C. Recognizing that living in certain areas of the United States have been found to be conclusive
risk factors for developing cancer
D. Understanding that the discovery of a family history that includes at least one family member
who has been diagnosed with cancer as a risk factor
A+ TEST BANK 3
, NCLEX PN Actual Exam Test Bank
- Correct Answer :Recognizing that living in certain areas of the United States have been found
to be conclusive risk factors for developing cancer.
Cancer occurrence in various parts of the USA is a risk factor due to various carcinogens, but it is
by no means conclusive.
Tests commonly incorporated in the diagnostic workup of women's cancer include all EXCEPT:
A. Cancer-related checkups including examinations for thyroid, skin, lymph node and ovarian
cancer
B. Clinical breast exam (CBE), a manual breast examination performed by a trained clinician
C. Mammography, an x-ray allowing visualization of a the internal structure of the breast
D. Screening done on symptomatic clients to evaluate authenticity of disease process
- Correct Answer :D. Screening done on symptomatic clients to evaluate authenticity of disease
process.
Screening is done on asymptomatic clients in the diagnostic workup stage.
A 38 year old female client has undergone a right modified radical mastectomy for breast cancer.
Post operatively, she experiences incisional pain and swelling and limited movement of her right
arm. The surgeon has informed her that four of the lymph nodes were positive for cancer and
that she will have to undergo chemotherapy. As the nurse caregiver for this client, which of the
following is an immediate problem related to potential health?
A. Pain
B. Impaired mobility of arm
C. Disturbed body image
D. Grieving
- Correct Answer :A. Pain
The pain postoperatively must be evaluated and treated prior to any of the other options.
Nurses caring for the female cancer patient must be acquainted with a special perspective that
focuses on the female. These perspectives include all EXCEPT:
A. Coping skills supporting family interactions
B. Emotional support regarding questions about changes in body image
C. Informational support regarding lifestyle changes
D. Decision making support regarding the type of surgery that best suites the clients cancer
- Correct Answer :Decision making support regarding the type of surgery that best suites the
clients cancer.
Helping the client make a decision about the type of surgery she must undergo is clearly not in
the nurses' scope of practice.
Knowledge of the breasts and their functions include:
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
A patient presents for a 2 week blood pressure check after his metoprolol tartrate was increased
to 50 mg in the morning and 25mg in the evening. The patient's blood pressure is 150/78. He
denies any signs of hypertension. Prior to the patient having any further adjustments in his
medication what additional information is needed?
A. Nothing
B. Pulse rate
C. Labs
D. Orhtostatic blood pressures
- Correct Answer :B. Pulse rate.
Metoprolol slows the heart rate and any further increase could not be made if the patient's
heart rate is low.
A patient presents requesting a nicotine replacement patch for smoking cessation. He reports
that he is a long time smoker of 1 pack per day and that he is usually up once a night to smoke a
cigarette. Based on this information the patient:
A.Can quit cold turkey without any problems
B. Requires a low dose patch
C. Has a high level of nicotine addiction
D. Will not be able to stop smoking
- Correct Answer :C. Has a high level of nicotine addiction.
A patient waking up at night for a cigarette indicates a higher level of addiction to nicotine.
A patient with COPD is given a Z-Pak for an exacerbation. He has an albuterol inhaler (MDI) at
home ordered as 2 puffs 4 times a day as needed. The patient was instructed to use his MDI 2
puffs four times a day on schedule until he completes his antibiotic. The patient states I only use
the inhaler when I go for a walk because I don't want to get hooked on it. You reply:
A.You're correct; don't use the inhaler unless you absolutely have to use it.
B. You will not become addicted if you stop using the inhaler 4 times a day as soon as you're
antibiotic is done.
A+ TEST BANK 1
, NCLEX PN Actual Exam Test Bank
C. The inhaler is not addictive when taken with an antibiotic
D. The inhaler is not addictive at all and should be used more frequently during an exacerbation
of COPD
. - Correct Answer :D. The inhaler is not addictive at all and should be used more frequently
during an exacerbation of COPD.
Albuterol is not addictive. It will help with SOB, coughing and clearing of secretions. It should be
used more frequently and even on schedule during an exacerbation of COPD.
Patient presents with right sided rib pain after a fall. He complains of constant pain that is worse
with deep inspiration. The CXR reveals a 5th right rib fracture. He is on 24 hour oxygen therapy
and a history of asthma and chronic bronchitis. The physican orders pain medication. As a
nursing measure you perform the following:
A. Provide the patient with an incentive spirometer and teach him to perform incentive
spirometry every hour while awake.
B. Nothing further is needed.
C. Instruct the patient to take his pain medication only at night so that he can sleep.
D. Instruct the patient to move as little as possible to decrease pain.
- Correct Answer :A. Provide the patient with an incentive spirometer and teach him to perform
incentive spirometry every hour while awake.
The patient has comprised lung function causing increased risk for respiratory complications. The
rib fracture pain will cause the patient to take more shallow breaths. Incentive spirometry will
cause the patient to take deep breaths to prevent respiratory complications such as pneumonia.
A patient presents with a one week history of dizziness, left lower quadrant abdominal
discomfort and 2 or 3 three black stools. You anticipate the following orders:
A. Pain medication, PO antibiotics, discharge home.
B. Home occult blood test for the stool, increase in fluids, return in one week for re-evaluation.
C. CBC and CT scan to rule out diverticulitis.
D. Bed rest, IV fluids, admission for observation.
- Correct Answer :C. CBC and CT scan to rule out diverticulitis
Left lower quadrant pain and signs of GI bleeding may indicate diverticulitis. A CBC would assist
in determining not only anemia but infection as well.
An 82 year old female is brought to the ER with new onset of confusion. She typically lives alone
and is independent. She does have incontinence and wears depends. What orders do you
anticipate?
A. CBC, U/A, IV antibiotic
B. CT of head
C. Admission for observation and neurology evaluation
D. New diagnosis of dementia
A+ TEST BANK 2
, NCLEX PN Actual Exam Test Bank
- Correct Answer :A. CBC, U/A, IV antibiotic
In the elderly, confusion may be the only sign of a UTI. Wearing wet depends may increase the
risk the UTI. The CBC will assist in determining if urosepsis is present.
The home hospice nurse visits a patient that is actively dying. The family reports that the patient
has moist rattle with breathing. What medication will help the moist respirations?
A. Roxanol sublingual
B. Ativan PO
C. Atropine eye drops sublingual
D. Valium suppositories
- Correct Answer :C. Atropine eye drops sublingual
Atropine eye drops sublingual will dry the secretions.
A patient with chronic low back pain is on extended release morphine twice a day for pain
control. The patient has a pain contract in place. He requests a refill for his pain medication.
Upon review of his request for pain medication refills you note that he has requested his pain
medication at least 10 days later than expected the last three times. You have the patient come
in to assess his use of the pain medication. He reports that he takes the pain medication once a
day and he only uses the second dose if needed. What do you anticipate next?
A. Authorization of a refill for his medication
B. Instruction for use of extended release medication, review of the pain contract, decrease in
dose to once a day
C. Discontinuation of medication
D. Change in the orders for one tablet of the extended release morphine daily with a second
tablet daily as needed
- Correct Answer :C. Discontinuation of medication
Extended release narcotics for chronic pain are meant to be taken on schedule and not as
needed. A pain contract typically indicates that the narcotic will be taken as prescribed.
Among the reasons for a primary risk assessment for the development of cancer in women are
all of the following EXCEPT:
A. Detecting a trait or characteristic of cancer can be associated with the development of cancer
B. Identifying the client who has started menses before age 12 as a risk factor in the
development of cancer
C. Recognizing that living in certain areas of the United States have been found to be conclusive
risk factors for developing cancer
D. Understanding that the discovery of a family history that includes at least one family member
who has been diagnosed with cancer as a risk factor
A+ TEST BANK 3
, NCLEX PN Actual Exam Test Bank
- Correct Answer :Recognizing that living in certain areas of the United States have been found
to be conclusive risk factors for developing cancer.
Cancer occurrence in various parts of the USA is a risk factor due to various carcinogens, but it is
by no means conclusive.
Tests commonly incorporated in the diagnostic workup of women's cancer include all EXCEPT:
A. Cancer-related checkups including examinations for thyroid, skin, lymph node and ovarian
cancer
B. Clinical breast exam (CBE), a manual breast examination performed by a trained clinician
C. Mammography, an x-ray allowing visualization of a the internal structure of the breast
D. Screening done on symptomatic clients to evaluate authenticity of disease process
- Correct Answer :D. Screening done on symptomatic clients to evaluate authenticity of disease
process.
Screening is done on asymptomatic clients in the diagnostic workup stage.
A 38 year old female client has undergone a right modified radical mastectomy for breast cancer.
Post operatively, she experiences incisional pain and swelling and limited movement of her right
arm. The surgeon has informed her that four of the lymph nodes were positive for cancer and
that she will have to undergo chemotherapy. As the nurse caregiver for this client, which of the
following is an immediate problem related to potential health?
A. Pain
B. Impaired mobility of arm
C. Disturbed body image
D. Grieving
- Correct Answer :A. Pain
The pain postoperatively must be evaluated and treated prior to any of the other options.
Nurses caring for the female cancer patient must be acquainted with a special perspective that
focuses on the female. These perspectives include all EXCEPT:
A. Coping skills supporting family interactions
B. Emotional support regarding questions about changes in body image
C. Informational support regarding lifestyle changes
D. Decision making support regarding the type of surgery that best suites the clients cancer
- Correct Answer :Decision making support regarding the type of surgery that best suites the
clients cancer.
Helping the client make a decision about the type of surgery she must undergo is clearly not in
the nurses' scope of practice.
Knowledge of the breasts and their functions include:
A+ TEST BANK 4
