NCLEX-PN Practice Exam 2025/2026 | Actual Complete Real
Exam Questions and Correct Answers | Verified Answers /
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The nurse overhears the patient care assistant speaking
harshly to the client
with dementia. The charge nurse
should:
A. Change the nursing assistant's assignment
B. Explore the interaction with the nursing assistant
C. Discuss the matter with the client's family
D. Initiate a group session with the nursing assistant. -
ANSWER-B. Explore the interaction with the nursing
assistant
why?
The best action for the nurse to take is to explore the
interaction with the
nursing assistant. This will allow for clarification of
the situation.
,A home health nurse is planning for her daily visits. Which
client should the
home health nurse
visit first?
A. A client with AIDS being treated with Foscarnet
B. A client with a fractured femur in a long leg cast
C. A client with a laryngeal cancer with a laryngetomy
D. A client with diabetic ulcers to the left foot - ANSWER-C. A
client with a laryngeal cancer with a laryngetomy
why?
The client with laryngeal cancer has a potential airway
alteration and should be
seen
first.
The nurse is assigned to care from infant with physiologic
jaundice. Which
action by the nurse would facilitate elimination of
the bilirubin?
A. Increase the infant's fluid
intake
,B. Maintain the infant's body temp
at 98.6 F
C. Minimize tactile
stimulation
D. Decrease caloric intake - ANSWER-A. Increase the
infant's fluid intake
why?
Bilirubin is excreted through the kidneys, thus the need for
increased fluids.
Maintaining the body temp is important but will not assist in
eliminating bilirubin.
The graduate licensed practical nurse is assigned to care
for the client on
ventilator support, pending organ donation. Which goal should
receive priority?
A.Maintain the client's systolic blood pressure at 70
mm/Hg or greater
B. Maintain the client's urinary output greater
than 300 cc/hr
C. Maintain the client's body temp of greater than 33 F rectal
, D. Maintain the client's hematocrit less than 30% - ANSWER-A.
Maintain the client's systolic blood pressure at 70 mm/Hg or
greater
why?
When the cadaver client is being prepared to donate and organ,
the systolic blood pressure should be maintained at 70 mm/Hg
or greater to ensure a blood supply to the donor organ.
Which action by the novice nurse indicates need for further
teaching?
A. A nurse fails to wear gloves to remove a dressing
B. The nurse applies the oxygen saturation monitor to the
earlobe
C. The nurse elevates the head of the bed to check blood
pressure D. The nurse places the extremity to a dependent
position to acquire a peripheral blood sample - ANSWER-A. A
nurse fails to wear gloves to remove a dressing
why?
The nurse who fails to wear gloves to remove a contaminated
dressing needs
Exam Questions and Correct Answers | Verified Answers /
Already Graded A+ | Newest Exam | Just Released!!
The nurse overhears the patient care assistant speaking
harshly to the client
with dementia. The charge nurse
should:
A. Change the nursing assistant's assignment
B. Explore the interaction with the nursing assistant
C. Discuss the matter with the client's family
D. Initiate a group session with the nursing assistant. -
ANSWER-B. Explore the interaction with the nursing
assistant
why?
The best action for the nurse to take is to explore the
interaction with the
nursing assistant. This will allow for clarification of
the situation.
,A home health nurse is planning for her daily visits. Which
client should the
home health nurse
visit first?
A. A client with AIDS being treated with Foscarnet
B. A client with a fractured femur in a long leg cast
C. A client with a laryngeal cancer with a laryngetomy
D. A client with diabetic ulcers to the left foot - ANSWER-C. A
client with a laryngeal cancer with a laryngetomy
why?
The client with laryngeal cancer has a potential airway
alteration and should be
seen
first.
The nurse is assigned to care from infant with physiologic
jaundice. Which
action by the nurse would facilitate elimination of
the bilirubin?
A. Increase the infant's fluid
intake
,B. Maintain the infant's body temp
at 98.6 F
C. Minimize tactile
stimulation
D. Decrease caloric intake - ANSWER-A. Increase the
infant's fluid intake
why?
Bilirubin is excreted through the kidneys, thus the need for
increased fluids.
Maintaining the body temp is important but will not assist in
eliminating bilirubin.
The graduate licensed practical nurse is assigned to care
for the client on
ventilator support, pending organ donation. Which goal should
receive priority?
A.Maintain the client's systolic blood pressure at 70
mm/Hg or greater
B. Maintain the client's urinary output greater
than 300 cc/hr
C. Maintain the client's body temp of greater than 33 F rectal
, D. Maintain the client's hematocrit less than 30% - ANSWER-A.
Maintain the client's systolic blood pressure at 70 mm/Hg or
greater
why?
When the cadaver client is being prepared to donate and organ,
the systolic blood pressure should be maintained at 70 mm/Hg
or greater to ensure a blood supply to the donor organ.
Which action by the novice nurse indicates need for further
teaching?
A. A nurse fails to wear gloves to remove a dressing
B. The nurse applies the oxygen saturation monitor to the
earlobe
C. The nurse elevates the head of the bed to check blood
pressure D. The nurse places the extremity to a dependent
position to acquire a peripheral blood sample - ANSWER-A. A
nurse fails to wear gloves to remove a dressing
why?
The nurse who fails to wear gloves to remove a contaminated
dressing needs
