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
the nurse determines that a client with CAD needs further teaching about disease management
if the client makes which statement?
a) i will watch my weight gain
b) i will avoid walking for exercise
c) i will monitor my cholesterol intake
d) i will follow a low-fat, low-salt diet
- Correct Answer :b) i will avoid walking for exercise
rationale
lack of physical exercise contributes to the development of CAD, and engaging in a regular
program of exercise helps retard progression of atherosclerosis by lowering cholesterol levels
and developing collateral circulation to heart tissue.
walking should be encouraged for 30 minutes a day.
watching weight gain, monitoring cholesterol and following a low-fat, low-salt diet are accurate
statements
an older client with ischemic heart disease has experienced an episode of dizziness and
shortness of breath.
the nurse reviews the plan of care and notices documentation of decreased cardiac output,
dyspnea and syncopal episodes.
the nurse plans to take which important action?
a) monitor oxygen saturation levels
b) place the client on a cardiac monitor
A+ TEST BANK 1
, NCLEX PN Actual Exam Test Bank
c) measure blood pressure every 4 hours
d) check capillary refill at least once per shift
- Correct Answer :b) place the client on a cardiac monitor
rationale
the client with decreased cardiac output should be placed on continuous cardiac monitoring so
myocardial perfusion and presence of dysrhythmias can be most accurately assessed.
other cardiovascular data should be collected at least every 2 hours initially.
the nurse is planning adaptations needed for ADLS for a client with cardiac disease.
the nurse should incorporate which instruction in discussion with the client?
a) increase fluids to 3000 mL per day to promote renal perfusion
b) consume 1 to 2 oz of liquor each night to promote vasodilation
c) try to engage in vigorous activity to strengthen cardiac reserve
d) take in adequate daily fiber to prevent straining during a bowel movement
- Correct Answer :d) take in adequate daily fiber to prevent straining during a bowel movement
rationale
standard instructions for a client with cardiac disease include, among others, lifestyle changes
such as decreasing alcohol intake, avoiding activities that increase the demands of the heart,
instituting a bowel regimen program to prevent straining and constipation, and maintaining fluid
and electrolyte balance.
increasing fluids to 3000 mL could lead to increased blood volume and an increased workload on
the heart in the client with cardiac disease
an adult client just admitted to the hospital with heart failure also has a history of diabetes
mellitus.
the nurse calls the HCP to verify a prescription for which medication that the client was taking
before admission?
a) NPH insulin
b) regular insulin
c) chlorpropamide
A+ TEST BANK 2
, NCLEX PN Actual Exam Test Bank
d) acarbose (precose)
- Correct Answer :c) chlorpropamide
rationale
chlorpropamide is an oral hypoglycemic agent that exerts an antidiuretic effect and should be
administered cautiously or avoided in the client with cardiac impairment or fluid retention.
it is a first-generation sulfonylurea.
insulin does not cause or aggravate fluid retention.
acarbose is a miscellaneous oral hypoglycemic agent.
acetylsalicylic acid (aspirin) is prescribed for a client before a percutaneous transluminal
coronary angioplasty (PTCA)
when the nurse takes the aspirin to the client, the client asks the nurse about its purpose.
what is the purpose of the aspirin?
a) to prevent the formation of clots
b) to relieve pain at the injection site
c) to prevent a fever after the procedure
d) to prevent inflammation of the injection site
- Correct Answer :a) to prevent the formation of clots
rationale
before PTCA, the client is usually given an anticoagulant, commonly aspirin, to help reduce the
risk of occlusion of the artery during the procedure.
the other options are unrelated to the purpose of administering aspirin to this client.
the nurse is caring for a client with coronary artery disease, and a topical nitrate is prescribed for
the client.
why is acetaminophen (Tylenol) usually prescribed to be taken before the administration of the
topical nitrate?
a) headache is a common side effect of nitrates
b) fever usually accompanies coronary artery disease
c) acetaminophen potentiates the therapeutic effects of nitrates
d) acetaminophen does not interfere with platelet action as aspirin does
A+ TEST BANK 3
, NCLEX PN Actual Exam Test Bank
- Correct Answer :a) headache is a common side effect of nitrates
rationale
headache occurs as a side effect of nitrates.
acetaminophen may be given before nitrates to prevent headache or to minimize the discomfort
from the headaches.
the second option is incorrect and the other options are unrelated to the data in the questions
the nurse is assisting in developing a plan of care for a client who will be returning to the nursing
unit following a cardiac catheterization via the femoral approach.
which nursing intervention should be included in the post-procedure plan of care?
a) place the client's bed in the Fowler's position
b) encourage the client to increase fluid intake
c) instruct the client to perform range-of-motion exercises of the extremities
d) hold regularly scheduled medications for 24 hours following the procedure
- Correct Answer :b) encourage the client increase fluid intake
rationale
immediately following a cardiac catheterization using the femoral approach, the client should
not flex or hyperextend the affected leg.
placing the client in the Fowler's position increases the risk of hemorrhage.
fluids are encouraged to assist in removing the contrast medium from the body.
asking the client to move the toes is done to assess motion, which could be impaired if a
hematoma or thrombus were developing.
flexion or hyperextension and range-of-motion exercises of the extremity are contraindicated.
the regularly scheduled medication are needed to treat acute and chronic conditions
the nurse is reinforcing dietary instructions to a client with heart failure (HF)
the nurse determines that the client understands the instructions if the client states that which
food item will be avoided?
a) catsup
b) sherbet
c) cooked cereal
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 determines that a client with CAD needs further teaching about disease management
if the client makes which statement?
a) i will watch my weight gain
b) i will avoid walking for exercise
c) i will monitor my cholesterol intake
d) i will follow a low-fat, low-salt diet
- Correct Answer :b) i will avoid walking for exercise
rationale
lack of physical exercise contributes to the development of CAD, and engaging in a regular
program of exercise helps retard progression of atherosclerosis by lowering cholesterol levels
and developing collateral circulation to heart tissue.
walking should be encouraged for 30 minutes a day.
watching weight gain, monitoring cholesterol and following a low-fat, low-salt diet are accurate
statements
an older client with ischemic heart disease has experienced an episode of dizziness and
shortness of breath.
the nurse reviews the plan of care and notices documentation of decreased cardiac output,
dyspnea and syncopal episodes.
the nurse plans to take which important action?
a) monitor oxygen saturation levels
b) place the client on a cardiac monitor
A+ TEST BANK 1
, NCLEX PN Actual Exam Test Bank
c) measure blood pressure every 4 hours
d) check capillary refill at least once per shift
- Correct Answer :b) place the client on a cardiac monitor
rationale
the client with decreased cardiac output should be placed on continuous cardiac monitoring so
myocardial perfusion and presence of dysrhythmias can be most accurately assessed.
other cardiovascular data should be collected at least every 2 hours initially.
the nurse is planning adaptations needed for ADLS for a client with cardiac disease.
the nurse should incorporate which instruction in discussion with the client?
a) increase fluids to 3000 mL per day to promote renal perfusion
b) consume 1 to 2 oz of liquor each night to promote vasodilation
c) try to engage in vigorous activity to strengthen cardiac reserve
d) take in adequate daily fiber to prevent straining during a bowel movement
- Correct Answer :d) take in adequate daily fiber to prevent straining during a bowel movement
rationale
standard instructions for a client with cardiac disease include, among others, lifestyle changes
such as decreasing alcohol intake, avoiding activities that increase the demands of the heart,
instituting a bowel regimen program to prevent straining and constipation, and maintaining fluid
and electrolyte balance.
increasing fluids to 3000 mL could lead to increased blood volume and an increased workload on
the heart in the client with cardiac disease
an adult client just admitted to the hospital with heart failure also has a history of diabetes
mellitus.
the nurse calls the HCP to verify a prescription for which medication that the client was taking
before admission?
a) NPH insulin
b) regular insulin
c) chlorpropamide
A+ TEST BANK 2
, NCLEX PN Actual Exam Test Bank
d) acarbose (precose)
- Correct Answer :c) chlorpropamide
rationale
chlorpropamide is an oral hypoglycemic agent that exerts an antidiuretic effect and should be
administered cautiously or avoided in the client with cardiac impairment or fluid retention.
it is a first-generation sulfonylurea.
insulin does not cause or aggravate fluid retention.
acarbose is a miscellaneous oral hypoglycemic agent.
acetylsalicylic acid (aspirin) is prescribed for a client before a percutaneous transluminal
coronary angioplasty (PTCA)
when the nurse takes the aspirin to the client, the client asks the nurse about its purpose.
what is the purpose of the aspirin?
a) to prevent the formation of clots
b) to relieve pain at the injection site
c) to prevent a fever after the procedure
d) to prevent inflammation of the injection site
- Correct Answer :a) to prevent the formation of clots
rationale
before PTCA, the client is usually given an anticoagulant, commonly aspirin, to help reduce the
risk of occlusion of the artery during the procedure.
the other options are unrelated to the purpose of administering aspirin to this client.
the nurse is caring for a client with coronary artery disease, and a topical nitrate is prescribed for
the client.
why is acetaminophen (Tylenol) usually prescribed to be taken before the administration of the
topical nitrate?
a) headache is a common side effect of nitrates
b) fever usually accompanies coronary artery disease
c) acetaminophen potentiates the therapeutic effects of nitrates
d) acetaminophen does not interfere with platelet action as aspirin does
A+ TEST BANK 3
, NCLEX PN Actual Exam Test Bank
- Correct Answer :a) headache is a common side effect of nitrates
rationale
headache occurs as a side effect of nitrates.
acetaminophen may be given before nitrates to prevent headache or to minimize the discomfort
from the headaches.
the second option is incorrect and the other options are unrelated to the data in the questions
the nurse is assisting in developing a plan of care for a client who will be returning to the nursing
unit following a cardiac catheterization via the femoral approach.
which nursing intervention should be included in the post-procedure plan of care?
a) place the client's bed in the Fowler's position
b) encourage the client to increase fluid intake
c) instruct the client to perform range-of-motion exercises of the extremities
d) hold regularly scheduled medications for 24 hours following the procedure
- Correct Answer :b) encourage the client increase fluid intake
rationale
immediately following a cardiac catheterization using the femoral approach, the client should
not flex or hyperextend the affected leg.
placing the client in the Fowler's position increases the risk of hemorrhage.
fluids are encouraged to assist in removing the contrast medium from the body.
asking the client to move the toes is done to assess motion, which could be impaired if a
hematoma or thrombus were developing.
flexion or hyperextension and range-of-motion exercises of the extremity are contraindicated.
the regularly scheduled medication are needed to treat acute and chronic conditions
the nurse is reinforcing dietary instructions to a client with heart failure (HF)
the nurse determines that the client understands the instructions if the client states that which
food item will be avoided?
a) catsup
b) sherbet
c) cooked cereal
A+ TEST BANK 4
