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“CHAMBERLAIN UNIVERSITY NCLEX-PN 2026
”LATEST EXAM 2026 – 2027 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED 100% GUARANTEE PASS
The nurse is reviewing the lab results of a patient taking lithium for
schizoaffective disorder. The lab results show that the blood lithium value is
1.7 mcg/L. What would the nurse take as the priority action?
1. Induce vomiting
2. Hold the next dose of Lithium
3. Administer an anti-emetic
4. Give the next dose of Lithium
2. Hold the next dose of Lithium
Correct - Lithium's therapeutic range is 0.5-1.5mcg/L, and begins toxicity at 1.5mcg/L
A patient asks the nurse why they must have a heparin injection. What is the
nurse's best response?
1. "Heparin will dissolve clots that you have."
2. "Heparin will reduce the platelets that make your blood clot"
3. "Heparin will work better than warfarin."
4. "Heparin will prevent new clots from developing."
4. "Heparin will prevent new clots from developing."
Correct -This is a correct statement.
The nurse is reviewing the lab results of a patient who has presented in the
Emergency Room. The lab results show that the troponin T value is at 5.3
ng/mL. Which of these interventions, if not completed already, would take
priority over the others?
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1. Put the patient in a 90 degree position
2. Check whether the patient is taking diuretics
3. Obtain and attach defibrillator leads
4. Check the patient's last ejection fraction
3. Obtain and attach defibrillator leads
Correct - This patient is undergoing an emergency cardiac event. Normal Troponin T
levels are less than 0.2 ng/mL. Ventricular Fibrillation is the cause of death in most
cases of deaths due to sudden cardiac arrest. Defibrillation is the most important
action to take to prevent death.
A nurse is caring for a patient undergoing a stress test on a treadmill. The
patient turns to talk to the nurse. Which of these statements would require the
most immediate intervention?
1. "I'm feeling extremely thirsty. I'm going to get some water after this."
2. "I can feel my heart racing."
3. "My shoulder and arm is hurting."
4. "My blood pressure reading is 158/80"
3. "My shoulder and arm is hurting."
Correct - Unilateral arm and shoulder pain is one of the classic symptoms of
myocardial ischemia. The stress test should be halted.
The nurse is reviewing the lab results of a patient who has presented in the
Emergency Room. The lab results show that the BNP (B-type Natriuretic
Peptide) value is a 615 pg/ml. What would the nurse take as the priority action?
1. Call a cardiac code and implement emergency measures
2. Check the patient's oxygen saturation
3. Inform the physician that the patient has Congestive Heart Failure
Encourage the patient to limit activity
2. Check the patient's oxygen saturation
Correct - An elevated BNP indicates that there is decreased cardiac output. A priority
intervention would be to ensure proper oxygenation after an assessment.
A nurse is caring for a patient after a coronary angiogram. Which of these
actions taken by the nursing assistant would most require the nurse's
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immediate intervention?
1. The nursing assistant fills the patient's pitcher with ice cold drinking water
2. The nursing assistant elevates the head of the bed to 60 degrees for a meal
3. The nursing assistant refills the ice pack laying on the insertion site
4. The nursing assistant places an extra pillow under the patient's head on
request
2. The nursing assistant elevates the head of the bed to 60 degrees for a meal
Correct - For 3-6 hours after a coronary angiogram (depending on the insertion site),
the patient should have their bed no higher than 30 degrees and be on bedrest.
A man is has been taking lisinopril for CHF. The patient is seen in the
emergency room for persistent diarrhea. The nurse is concerned about which
side effect of lisinopril?
1. Vertigo
2. Hypotension
3. Palpitations
4. Nagging, dry cough
2. Hypotension
Correct - The patient is particularly at risk for hypotension due to possible
dehydration from fluid loss.
The nurse is taking the health history of a patient being treated for sickle cell
disease. After being told the patient has severe generalized pain, the nurse
expects to note which assessment finding?
1. Severe and persistent diarrhea
2. Intense pain in the toe
3. Yellow-tinged sclera
4. Headache
3. Yellow-tinged sclera
Correct - Jaundice is a common clinical finding of sickle cell disease, caused by
bilirubin released from damaged or destroyed RBCs
A client with Multiple Sclerosis reports a constant, burning, tingling pain in the
shoulders. The nurse anticipates that the physician will order which
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medication for this type of pain?
1. alprazolam (Xanax)
2. Corticosteroid injection
3. gabapentin (Neurontin)
4. hydrocodone/acetaminophen (Norco)
3. gabapentin (Neurontin)
Correct - Anticonvulsants like gabapentin are often the first line of treatment for
nerve pain
Which of these clients is likely to receive sublingual morphine?
1. A 75-year-old woman in a hospice program
2. A 40-year-old man who just had throat surgery
3. A 20-year-old woman with trigeminal neuralgia
4. A 60-year-old man who has a painful incision
1. A 75-year-old woman in a hospice program
Correct - Sublingual morphine is often used in hospice because the patients are
unable to swallow, and intravenous access can be painful and not conducive to
palliative care.
In educating clients on ways to manage pain, which topic can be appropriately
delegated to a LPN/LVN who will continue under supervision?
1. Acupuncture
2. Guided Imagery
3. Alternating Rest/Activity
4. Over the counter medications
3. Alternating Rest/Activity
Correct - This is within the nursing scope of practice and within the training and
education provided to all nurses. It is safe to use and a standard treatment.
The nurse assesses a patient suspected of having an asthma attack. Which of
the following is a common clinical manifestation of this condition?
1. Audible crackles and orthopnea
2. An audible wheeze and use of accessory muscles
“CHAMBERLAIN UNIVERSITY NCLEX-PN 2026
”LATEST EXAM 2026 – 2027 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED 100% GUARANTEE PASS
The nurse is reviewing the lab results of a patient taking lithium for
schizoaffective disorder. The lab results show that the blood lithium value is
1.7 mcg/L. What would the nurse take as the priority action?
1. Induce vomiting
2. Hold the next dose of Lithium
3. Administer an anti-emetic
4. Give the next dose of Lithium
2. Hold the next dose of Lithium
Correct - Lithium's therapeutic range is 0.5-1.5mcg/L, and begins toxicity at 1.5mcg/L
A patient asks the nurse why they must have a heparin injection. What is the
nurse's best response?
1. "Heparin will dissolve clots that you have."
2. "Heparin will reduce the platelets that make your blood clot"
3. "Heparin will work better than warfarin."
4. "Heparin will prevent new clots from developing."
4. "Heparin will prevent new clots from developing."
Correct -This is a correct statement.
The nurse is reviewing the lab results of a patient who has presented in the
Emergency Room. The lab results show that the troponin T value is at 5.3
ng/mL. Which of these interventions, if not completed already, would take
priority over the others?
, Page 2 of 118
1. Put the patient in a 90 degree position
2. Check whether the patient is taking diuretics
3. Obtain and attach defibrillator leads
4. Check the patient's last ejection fraction
3. Obtain and attach defibrillator leads
Correct - This patient is undergoing an emergency cardiac event. Normal Troponin T
levels are less than 0.2 ng/mL. Ventricular Fibrillation is the cause of death in most
cases of deaths due to sudden cardiac arrest. Defibrillation is the most important
action to take to prevent death.
A nurse is caring for a patient undergoing a stress test on a treadmill. The
patient turns to talk to the nurse. Which of these statements would require the
most immediate intervention?
1. "I'm feeling extremely thirsty. I'm going to get some water after this."
2. "I can feel my heart racing."
3. "My shoulder and arm is hurting."
4. "My blood pressure reading is 158/80"
3. "My shoulder and arm is hurting."
Correct - Unilateral arm and shoulder pain is one of the classic symptoms of
myocardial ischemia. The stress test should be halted.
The nurse is reviewing the lab results of a patient who has presented in the
Emergency Room. The lab results show that the BNP (B-type Natriuretic
Peptide) value is a 615 pg/ml. What would the nurse take as the priority action?
1. Call a cardiac code and implement emergency measures
2. Check the patient's oxygen saturation
3. Inform the physician that the patient has Congestive Heart Failure
Encourage the patient to limit activity
2. Check the patient's oxygen saturation
Correct - An elevated BNP indicates that there is decreased cardiac output. A priority
intervention would be to ensure proper oxygenation after an assessment.
A nurse is caring for a patient after a coronary angiogram. Which of these
actions taken by the nursing assistant would most require the nurse's
, Page 3 of 118
immediate intervention?
1. The nursing assistant fills the patient's pitcher with ice cold drinking water
2. The nursing assistant elevates the head of the bed to 60 degrees for a meal
3. The nursing assistant refills the ice pack laying on the insertion site
4. The nursing assistant places an extra pillow under the patient's head on
request
2. The nursing assistant elevates the head of the bed to 60 degrees for a meal
Correct - For 3-6 hours after a coronary angiogram (depending on the insertion site),
the patient should have their bed no higher than 30 degrees and be on bedrest.
A man is has been taking lisinopril for CHF. The patient is seen in the
emergency room for persistent diarrhea. The nurse is concerned about which
side effect of lisinopril?
1. Vertigo
2. Hypotension
3. Palpitations
4. Nagging, dry cough
2. Hypotension
Correct - The patient is particularly at risk for hypotension due to possible
dehydration from fluid loss.
The nurse is taking the health history of a patient being treated for sickle cell
disease. After being told the patient has severe generalized pain, the nurse
expects to note which assessment finding?
1. Severe and persistent diarrhea
2. Intense pain in the toe
3. Yellow-tinged sclera
4. Headache
3. Yellow-tinged sclera
Correct - Jaundice is a common clinical finding of sickle cell disease, caused by
bilirubin released from damaged or destroyed RBCs
A client with Multiple Sclerosis reports a constant, burning, tingling pain in the
shoulders. The nurse anticipates that the physician will order which
, Page 4 of 118
medication for this type of pain?
1. alprazolam (Xanax)
2. Corticosteroid injection
3. gabapentin (Neurontin)
4. hydrocodone/acetaminophen (Norco)
3. gabapentin (Neurontin)
Correct - Anticonvulsants like gabapentin are often the first line of treatment for
nerve pain
Which of these clients is likely to receive sublingual morphine?
1. A 75-year-old woman in a hospice program
2. A 40-year-old man who just had throat surgery
3. A 20-year-old woman with trigeminal neuralgia
4. A 60-year-old man who has a painful incision
1. A 75-year-old woman in a hospice program
Correct - Sublingual morphine is often used in hospice because the patients are
unable to swallow, and intravenous access can be painful and not conducive to
palliative care.
In educating clients on ways to manage pain, which topic can be appropriately
delegated to a LPN/LVN who will continue under supervision?
1. Acupuncture
2. Guided Imagery
3. Alternating Rest/Activity
4. Over the counter medications
3. Alternating Rest/Activity
Correct - This is within the nursing scope of practice and within the training and
education provided to all nurses. It is safe to use and a standard treatment.
The nurse assesses a patient suspected of having an asthma attack. Which of
the following is a common clinical manifestation of this condition?
1. Audible crackles and orthopnea
2. An audible wheeze and use of accessory muscles
