NCLEX PN Archer Review Study Guide
2025/2026 – Comprehensive Prep Workbook
Safety and Infection Control
1. The nurse is preparing to insert a urinary catheter. Which action is the priority?
A. Lubricating the catheter tip.
B. Explaining the procedure to the client.
C. Performing hand hygiene. ✓
D. Draping the client appropriately.
2. A client with Tuberculosis is being discharged. Which statement by the client indicates
effective teaching?
A. "I will wear a surgical mask when I go out in public."
B. "I need to be in a room with negative air pressure at home."
C. "I must take all my antibiotics until I feel completely better."
D. "I will cover my mouth and nose when I cough or sneeze." ✓
3. The nurse discovers a fire in a patient's room. What is the nurse's first action?
A. Activate the fire alarm.
B. Evacuate the client. ✓
C. Use the fire extinguisher.
D. Close all doors on the unit.
4. When administering a medication, the nurse identifies that a dose is higher than the
standard range. What should the nurse do first?
A. Administer the medication as it was prescribed.
B. Withhold the medication and notify the prescribing provider. ✓
C. Check with the pharmacy to see if it is correct.
D. Ask the charge nurse to double-check the calculation.
5. Which client should the nurse assign to a room with negative air pressure?
A. A client with Clostridium difficile.
B. A client with measles (rubeola). ✓
C. A client with MRSA in a wound.
D. A client with pneumonia.
Health Promotion and Maintenance
,6. A mother brings her 2-month-old for a well-baby visit. Which immunization does the nurse
anticipate administering?
A. MMR (Measles, Mumps, Rubella)
B. Varicella (Chickenpox)
C. DTaP (Diphtheria, Tetanus, Pertussis) ✓
D. HPV (Human Papillomavirus)
7. The nurse is teaching a postmenopausal woman about osteoporosis prevention. Which
dietary instruction is most important?
A. Increase intake of vitamin C.
B. Ensure adequate calcium and vitamin D. ✓
C. Limit protein consumption.
D. Take an iron supplement daily.
8. During a wellness visit, a 55-year-old client asks about cancer screenings. Which
recommendation is appropriate?
A. "You should have a colonoscopy every 10 years until age 75." ✓
B. "A mammogram is not needed until you are 65."
C. "Prostate cancer screening is mandatory for all men."
D. "You only need a Pap smear if you are sexually active."
9. The nurse is educating parents about car seat safety. The correct instruction is that children
should:
A. Switch to a forward-facing seat at 1 year of age.
B. Remain in a rear-facing car seat until at least age 2. ✓
C. Use a booster seat once they start kindergarten.
D. Use the vehicle's seat belt once they weigh 40 lbs.
10. Which finding during a newborn assessment requires immediate intervention?
A. A soft, diamond-shaped anterior fontanelle.
B. Acrocyanosis (blue hands and feet).
C. Nasal flaring and grunting with respirations. ✓
D. A heart rate of 120 beats per minute while sleeping.
Psychosocial Integrity
11. A client says, "I'm just a burden to everyone since my stroke." What is the nurse's best
response?
A. "That's not true. Your family loves you."
B. "You should focus on the positive things."
,C. "Tell me more about feeling like a burden." ✓
D. "Many people feel that way after a stroke."
12. A client with Alzheimer's disease becomes agitated and combative during bathing. What is
the best nursing action?
A. Use soft restraints to ensure safety.
B. Proceed quickly to minimize distress.
C. Stop the procedure and try again later. ✓
D. Tell the client that bathing is mandatory.
13. The nurse is caring for a client who is experiencing visual hallucinations. Which response is
most therapeutic?
A. "I don't see anyone else in the room. It must be your imagination."
B. "Tell me what you are seeing." ✓
C. "That must be very frightening. I will stay with you." (While this is supportive, option B is
more therapeutic for assessment).
D. "Ignore the visions and they will go away."
14. A client has just been diagnosed with a terminal illness. The client is quiet and refuses to
speak to family. The nurse recognizes this behavior as which stage of Kübler-Ross's grief
model?
A. Denial
B. Anger
C. Bargaining
D. Depression ✓
15. What is the priority intervention for a client who is expressing suicidal ideation with a
plan?
A. Provide a quiet, low-stimulation environment.
B. Establish a no-suicide contract.
C. Initiate one-to-one supervision. ✓
D. Administer a prescribed anti-anxiety medication.
Basic Care and Comfort
16. A client on bed rest complains of difficulty sleeping. Which nursing intervention is most
appropriate?
A. Administer a sleeping pill as ordered.
B. Offer a warm drink and a back rub at bedtime. ✓
, C. Advise the client to watch television until falling asleep.
D. Keep the room brightly lit for safety.
17. The nurse is assisting a client with left-sided weakness to ambulate. Where should the
nurse stand?
A. On the client's right side.
B. On the client's left side. ✓
C. In front of the client.
D. Behind the client.
18. A client has a PRN order for a sitz bath. The primary purpose of this intervention is to:
A. Cleanse a wound.
B. Promote relaxation.
C. Provide pain relief and promote healing in the perineal area. ✓
D. Reduce fever.
19. When log-rolling a client following a spinal fusion, the nurse's main goal is to:
A. Promote client comfort.
B. Maintain spinal alignment. ✓
C. Make the procedure easier for the staff.
D. Assess skin integrity.
20. A client is NPO for surgery. Which action can the nurse take to provide comfort for dry
mouth?
A. Offer ice chips.
B. Provide frequent oral care. ✓
C. Allow the client to sip water.
D. Apply lemon-glycerin swabs.
Pharmacological Therapies
21. The nurse is administering Lisinopril, an ACE inhibitor. Which common side effect should
the nurse teach the client?
A. Hypokalemia
B. Persistent dry cough ✓
C. Tachycardia
D. Diarrhea
22. Before administering Digoxin, the nurse must assess:
A. Blood pressure.
B. Apical heart rate. ✓
2025/2026 – Comprehensive Prep Workbook
Safety and Infection Control
1. The nurse is preparing to insert a urinary catheter. Which action is the priority?
A. Lubricating the catheter tip.
B. Explaining the procedure to the client.
C. Performing hand hygiene. ✓
D. Draping the client appropriately.
2. A client with Tuberculosis is being discharged. Which statement by the client indicates
effective teaching?
A. "I will wear a surgical mask when I go out in public."
B. "I need to be in a room with negative air pressure at home."
C. "I must take all my antibiotics until I feel completely better."
D. "I will cover my mouth and nose when I cough or sneeze." ✓
3. The nurse discovers a fire in a patient's room. What is the nurse's first action?
A. Activate the fire alarm.
B. Evacuate the client. ✓
C. Use the fire extinguisher.
D. Close all doors on the unit.
4. When administering a medication, the nurse identifies that a dose is higher than the
standard range. What should the nurse do first?
A. Administer the medication as it was prescribed.
B. Withhold the medication and notify the prescribing provider. ✓
C. Check with the pharmacy to see if it is correct.
D. Ask the charge nurse to double-check the calculation.
5. Which client should the nurse assign to a room with negative air pressure?
A. A client with Clostridium difficile.
B. A client with measles (rubeola). ✓
C. A client with MRSA in a wound.
D. A client with pneumonia.
Health Promotion and Maintenance
,6. A mother brings her 2-month-old for a well-baby visit. Which immunization does the nurse
anticipate administering?
A. MMR (Measles, Mumps, Rubella)
B. Varicella (Chickenpox)
C. DTaP (Diphtheria, Tetanus, Pertussis) ✓
D. HPV (Human Papillomavirus)
7. The nurse is teaching a postmenopausal woman about osteoporosis prevention. Which
dietary instruction is most important?
A. Increase intake of vitamin C.
B. Ensure adequate calcium and vitamin D. ✓
C. Limit protein consumption.
D. Take an iron supplement daily.
8. During a wellness visit, a 55-year-old client asks about cancer screenings. Which
recommendation is appropriate?
A. "You should have a colonoscopy every 10 years until age 75." ✓
B. "A mammogram is not needed until you are 65."
C. "Prostate cancer screening is mandatory for all men."
D. "You only need a Pap smear if you are sexually active."
9. The nurse is educating parents about car seat safety. The correct instruction is that children
should:
A. Switch to a forward-facing seat at 1 year of age.
B. Remain in a rear-facing car seat until at least age 2. ✓
C. Use a booster seat once they start kindergarten.
D. Use the vehicle's seat belt once they weigh 40 lbs.
10. Which finding during a newborn assessment requires immediate intervention?
A. A soft, diamond-shaped anterior fontanelle.
B. Acrocyanosis (blue hands and feet).
C. Nasal flaring and grunting with respirations. ✓
D. A heart rate of 120 beats per minute while sleeping.
Psychosocial Integrity
11. A client says, "I'm just a burden to everyone since my stroke." What is the nurse's best
response?
A. "That's not true. Your family loves you."
B. "You should focus on the positive things."
,C. "Tell me more about feeling like a burden." ✓
D. "Many people feel that way after a stroke."
12. A client with Alzheimer's disease becomes agitated and combative during bathing. What is
the best nursing action?
A. Use soft restraints to ensure safety.
B. Proceed quickly to minimize distress.
C. Stop the procedure and try again later. ✓
D. Tell the client that bathing is mandatory.
13. The nurse is caring for a client who is experiencing visual hallucinations. Which response is
most therapeutic?
A. "I don't see anyone else in the room. It must be your imagination."
B. "Tell me what you are seeing." ✓
C. "That must be very frightening. I will stay with you." (While this is supportive, option B is
more therapeutic for assessment).
D. "Ignore the visions and they will go away."
14. A client has just been diagnosed with a terminal illness. The client is quiet and refuses to
speak to family. The nurse recognizes this behavior as which stage of Kübler-Ross's grief
model?
A. Denial
B. Anger
C. Bargaining
D. Depression ✓
15. What is the priority intervention for a client who is expressing suicidal ideation with a
plan?
A. Provide a quiet, low-stimulation environment.
B. Establish a no-suicide contract.
C. Initiate one-to-one supervision. ✓
D. Administer a prescribed anti-anxiety medication.
Basic Care and Comfort
16. A client on bed rest complains of difficulty sleeping. Which nursing intervention is most
appropriate?
A. Administer a sleeping pill as ordered.
B. Offer a warm drink and a back rub at bedtime. ✓
, C. Advise the client to watch television until falling asleep.
D. Keep the room brightly lit for safety.
17. The nurse is assisting a client with left-sided weakness to ambulate. Where should the
nurse stand?
A. On the client's right side.
B. On the client's left side. ✓
C. In front of the client.
D. Behind the client.
18. A client has a PRN order for a sitz bath. The primary purpose of this intervention is to:
A. Cleanse a wound.
B. Promote relaxation.
C. Provide pain relief and promote healing in the perineal area. ✓
D. Reduce fever.
19. When log-rolling a client following a spinal fusion, the nurse's main goal is to:
A. Promote client comfort.
B. Maintain spinal alignment. ✓
C. Make the procedure easier for the staff.
D. Assess skin integrity.
20. A client is NPO for surgery. Which action can the nurse take to provide comfort for dry
mouth?
A. Offer ice chips.
B. Provide frequent oral care. ✓
C. Allow the client to sip water.
D. Apply lemon-glycerin swabs.
Pharmacological Therapies
21. The nurse is administering Lisinopril, an ACE inhibitor. Which common side effect should
the nurse teach the client?
A. Hypokalemia
B. Persistent dry cough ✓
C. Tachycardia
D. Diarrhea
22. Before administering Digoxin, the nurse must assess:
A. Blood pressure.
B. Apical heart rate. ✓
