Page 1 of 330
“NCLEX PN ARCHER LATEST EXAM 2026 ”
EXAM 2026 – 2027 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED 100% GUARANTEE
PASS
NCLEX PN ARCHER REVIEW
The nurse is caring for a client who is receiving prescribed mirtazapine. Which
of the following statements, if made by the client, would indicate a therapeutic
response? Select all that apply.
“I am not smoking cigarettes anymore.”
“My blood glucose has decreased.”
“My depression has gotten better.”
“I am sleeping eight hours a night.”
“My blood pressure is back to normal.”
"My depression has gotten better."
"I am sleeping eight hours a night."
Rationale:
Mirtazapine is a tetracyclic antidepressant that causes an increase in serotonin and
norepinephrine. This medication is used for depressive and anxiety disorders.
Mirtazapine is quite sedating and is often used for insomnia associated with
depressive disorders.
, Page 2 of 330
The nurse is reinforcing education to a pregnant client with the hepatitis C
virus (HCV). Which of the following statements by the client would require
follow-up? Select all that apply.
"I will be unable to breastfeed my baby."
"I will have to deliver my baby by cesarean to decrease the risk of transmission."
"I can continue my antiviral drugs while I am pregnant."
"My baby will need to be isolated while in the hospital."
Rationale:
These client statements require follow-up by the nurse because they are not
accurate. Hepatitis C is a blood-borne pathogen and is not transmitted in breast milk.
It is safe for a woman to breastfeed if she has the hepatitis C virus. If her nipples
should crack and start to bleed, breastfeeding should be halted. Vaginal delivery is
approved for a client with HCV. Cesarean delivery is not advised because of the
increased risk of blood exposure unless indicated for other reasons. Unlike HIV
infection, antiviral drugs for HCV are unsafe during pregnancy and must be
suspended during the pregnancy. Isolation for an individual with hepatitis C is
unnecessary (standard precautions are used).
The nurse is attending a staff development conference about the causes of
labor dystocia. It would be correct for the nurse to identify which of the
following may cause a delayed progression during labor? Select all that apply.
Magnesium sulfate infusion
Uterine overdistention
Hypoglycemia
Epidural analgesia
Rationale:
Magnesium sulfate relaxes the uterus and may decrease the intensity of uterine
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contractions. A decrease in intensity will decrease the progression of labor. Often
when magnesium sulfate is infused, oxytocin may be used in conjunction. Uterine
overdistention is a cause of labor dystocia because when the uterus is stretched, it
does not contract properly. Hypoglycemia is a cause of delayed labor progression
because of the maternal fatigue it induces. While epidural analgesia provides
effective pain control, the decrease in sensation will also decrease the woman's drive
to push and interfere with the internal rotation mechanism.
While working in the emergency department the nurse assesses a 3 day old
infant brought in by his mother. She states “he is always so sweaty and hot,
and just doesn’t want to eat! I think something is wrong.” The nurse is unable
to palpate a femoral pulse, but notes +3 brachial pulses. Which congenital
heart defect does the nurse suspect?
A. Hypoplastic left heart syndrome
B. Patent ductus arteriosus
C. Transposition of the great arteries
D. Coarctation of the aorta
Coarctation of the aorta
Rationale:
The nurse suspects that this infant has coarctation of the aorta. In this defect, there
is a stricture in the aorta preventing blood flow out of the left ventricle. It usually
occurs beyond the blood vessels that branch off to your upper body and before the
blood vessels that lead to your lower body. So blood flow to the upper body is
abundant, but hardly any can make it to the lower part of the body. Therefore, there
are decreased lower extremity pulses and increased upper extremity pulses.
The nurse is caring for a client who has developed Malignant Hyperthermia.
Which of the following actions should the nurse take? Select all that apply.
Apply a cooling blanket
Insert indwelling urinary catheter
Administer prescribed dantrolene
Rationale:
Malignant hyperthermia is a medical emergency and requires the nurse to intervene
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by applying a cooling blanket and ice to the axilla and groin. The nurse should also
monitor the client's urinary output by inserting an indwelling urinary catheter. The
nurse should be prepared to administer Dantrolene as this skeletal muscle relaxant
is an effective treatment.
The nurse is reinforcing teaching a client about prescribed lisinopril for
hypertension. Which of the following information should the nurse include?
Select all that apply.
“Limit your intake of salt in your diet and season your foods naturally.”
“You must have your potassium monitored from time to time.”
“Stay hydrated because this medication will cause you to urinate more often."
“You may notice a change in your sensation of taste.”
"You will need to take your pulse for one minute before this taking this
medication."
"Limit your intake of salt in your diet and season your foods naturally."
"You must have your potassium monitored from time to time."
"You may notice a change in your sensation of taste."
Rationale:
Sodium intake should be limited to no more than 2 grams daily for a hypertension
client. Increased sodium causes fluid retention, therefore, raising blood pressure.
Salt substitutes should be avoided for a client taking an ACE inhibitor because they
are potassium based and would increase the serum potassium. ACE-I's raise
potassium, and this combination may lead to life-threatening hyperkalemia.
Potassium and renal function tests are commonly monitored while a client receives
this medication because both may become elevated. ACE-I's may cause an altered
taste sensation which is expected.
Which of the following should the nurse include in the education provided to a
client who is taking lisinopril? Select all that apply.
“It may take several months for your blood pressure to return to normal.”
“You must have your potassium monitored from time to time.”
“This medication may change your vision at times.”
“You may notice a change in your sensation of taste.”
“It may take several months for your blood pressure to return to normal.”
“You must have your potassium monitored from time to time.”
“You may notice a change in your sensation of taste.”
“NCLEX PN ARCHER LATEST EXAM 2026 ”
EXAM 2026 – 2027 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED 100% GUARANTEE
PASS
NCLEX PN ARCHER REVIEW
The nurse is caring for a client who is receiving prescribed mirtazapine. Which
of the following statements, if made by the client, would indicate a therapeutic
response? Select all that apply.
“I am not smoking cigarettes anymore.”
“My blood glucose has decreased.”
“My depression has gotten better.”
“I am sleeping eight hours a night.”
“My blood pressure is back to normal.”
"My depression has gotten better."
"I am sleeping eight hours a night."
Rationale:
Mirtazapine is a tetracyclic antidepressant that causes an increase in serotonin and
norepinephrine. This medication is used for depressive and anxiety disorders.
Mirtazapine is quite sedating and is often used for insomnia associated with
depressive disorders.
, Page 2 of 330
The nurse is reinforcing education to a pregnant client with the hepatitis C
virus (HCV). Which of the following statements by the client would require
follow-up? Select all that apply.
"I will be unable to breastfeed my baby."
"I will have to deliver my baby by cesarean to decrease the risk of transmission."
"I can continue my antiviral drugs while I am pregnant."
"My baby will need to be isolated while in the hospital."
Rationale:
These client statements require follow-up by the nurse because they are not
accurate. Hepatitis C is a blood-borne pathogen and is not transmitted in breast milk.
It is safe for a woman to breastfeed if she has the hepatitis C virus. If her nipples
should crack and start to bleed, breastfeeding should be halted. Vaginal delivery is
approved for a client with HCV. Cesarean delivery is not advised because of the
increased risk of blood exposure unless indicated for other reasons. Unlike HIV
infection, antiviral drugs for HCV are unsafe during pregnancy and must be
suspended during the pregnancy. Isolation for an individual with hepatitis C is
unnecessary (standard precautions are used).
The nurse is attending a staff development conference about the causes of
labor dystocia. It would be correct for the nurse to identify which of the
following may cause a delayed progression during labor? Select all that apply.
Magnesium sulfate infusion
Uterine overdistention
Hypoglycemia
Epidural analgesia
Rationale:
Magnesium sulfate relaxes the uterus and may decrease the intensity of uterine
, Page 3 of 330
contractions. A decrease in intensity will decrease the progression of labor. Often
when magnesium sulfate is infused, oxytocin may be used in conjunction. Uterine
overdistention is a cause of labor dystocia because when the uterus is stretched, it
does not contract properly. Hypoglycemia is a cause of delayed labor progression
because of the maternal fatigue it induces. While epidural analgesia provides
effective pain control, the decrease in sensation will also decrease the woman's drive
to push and interfere with the internal rotation mechanism.
While working in the emergency department the nurse assesses a 3 day old
infant brought in by his mother. She states “he is always so sweaty and hot,
and just doesn’t want to eat! I think something is wrong.” The nurse is unable
to palpate a femoral pulse, but notes +3 brachial pulses. Which congenital
heart defect does the nurse suspect?
A. Hypoplastic left heart syndrome
B. Patent ductus arteriosus
C. Transposition of the great arteries
D. Coarctation of the aorta
Coarctation of the aorta
Rationale:
The nurse suspects that this infant has coarctation of the aorta. In this defect, there
is a stricture in the aorta preventing blood flow out of the left ventricle. It usually
occurs beyond the blood vessels that branch off to your upper body and before the
blood vessels that lead to your lower body. So blood flow to the upper body is
abundant, but hardly any can make it to the lower part of the body. Therefore, there
are decreased lower extremity pulses and increased upper extremity pulses.
The nurse is caring for a client who has developed Malignant Hyperthermia.
Which of the following actions should the nurse take? Select all that apply.
Apply a cooling blanket
Insert indwelling urinary catheter
Administer prescribed dantrolene
Rationale:
Malignant hyperthermia is a medical emergency and requires the nurse to intervene
, Page 4 of 330
by applying a cooling blanket and ice to the axilla and groin. The nurse should also
monitor the client's urinary output by inserting an indwelling urinary catheter. The
nurse should be prepared to administer Dantrolene as this skeletal muscle relaxant
is an effective treatment.
The nurse is reinforcing teaching a client about prescribed lisinopril for
hypertension. Which of the following information should the nurse include?
Select all that apply.
“Limit your intake of salt in your diet and season your foods naturally.”
“You must have your potassium monitored from time to time.”
“Stay hydrated because this medication will cause you to urinate more often."
“You may notice a change in your sensation of taste.”
"You will need to take your pulse for one minute before this taking this
medication."
"Limit your intake of salt in your diet and season your foods naturally."
"You must have your potassium monitored from time to time."
"You may notice a change in your sensation of taste."
Rationale:
Sodium intake should be limited to no more than 2 grams daily for a hypertension
client. Increased sodium causes fluid retention, therefore, raising blood pressure.
Salt substitutes should be avoided for a client taking an ACE inhibitor because they
are potassium based and would increase the serum potassium. ACE-I's raise
potassium, and this combination may lead to life-threatening hyperkalemia.
Potassium and renal function tests are commonly monitored while a client receives
this medication because both may become elevated. ACE-I's may cause an altered
taste sensation which is expected.
Which of the following should the nurse include in the education provided to a
client who is taking lisinopril? Select all that apply.
“It may take several months for your blood pressure to return to normal.”
“You must have your potassium monitored from time to time.”
“This medication may change your vision at times.”
“You may notice a change in your sensation of taste.”
“It may take several months for your blood pressure to return to normal.”
“You must have your potassium monitored from time to time.”
“You may notice a change in your sensation of taste.”
