NCLEX-PN Predictor Test 2026 | Full
Practice Exam with Detailed
Rationales
1. The nurse on an inpatient mental health unit is caring with the
paranoid delusions who is refusing to eat. The client states that all
the food and drinks have been poisoned. Which intervention by
the nurse is appropriate? - answer-Provide the client food in
unopened single serving packages
2. After listening to the parents' report and seeing the ff pediatric
clients, the nurse knows that which client demonstrates signs of
abuse that may necessitate mandatory reporting? - answer-5-
year old whose x- ray reveals 1 new and 2 healed humerus
fractures after falling from a tree.
3. The nurse is discussing the care needs of a client in the last stage
of Huntington disease with the family. When the nurse mentions
arranging for delivery of a prescribed hospital bed, the client's
spouse becomes visibly upset and says, "No hospital bed. I'm just
not ready for it yet." What is the best response by the nurse? -
answer-What upsets you about having hospital bed?
,4. The nurse administers ondansetron to a hospitalized client. Which
statement would indicate to the nurse that the ondansetron was
effective? - answer-The nausea is a lot better
5. The nurse has just received report on 4 clients. Which client
should the nurse see first? - answer-Client receiving IV normal
saline at 250 mL/hr who is reporting puffy legs and a new cough
6. An unaccompanied 16 year old girl comes to the emergency
department with a severe abdominal pain and vomiting. The
client has a temp of 102.2 F (39 C) and a pulse of 120/min and is
lethargic. The client's parents are out of town, and no guardians
can be reached. How should the client's care be handled? -
answer-Administer care until the parents or guardians can be
reached.
7. The nurse reinforces teaching to the parents of a 12 month old
who has begun weaning from breastfeeding. Which statement by
the parents indicates that teaching has been effective? - answer-I
can start substituting breastfeeding sessions with whole cow's
milk
8. The child with congenital heart disease who weighs 88 lbs is
prescribed furosemide 1 mg/kg by mouth every 8 hours. It is
available as an oral solution of 10 mg/mL. How many milliliter
(mL) of furosemide should the nurse administer to the client for
each dose? - answer-prescription x available data - mL/dose
, 4ml
9. The nurse cares for a client with a terminal disease who has an
advanced directive supporting a do not resuscitate (DNR) code
status. The client stops breathing and loses a pulse. The client's
adult client states, "I changed my mind. Do whatever you can to
save him!" Which intervention is most appropriate at the time? -
answer-Explain the client's wishes to the client's child
10. The nurse speaks with a client with schizophrenia who
begins to look away toward the door and grimace. Which
statement by the nurse is most therapeutic at this time? - answer-
What do you see at the door?
11. The nurse reinforces teaching to a 15 year primigravid client
at 16 weeks gestation during an initial prenatal visit. Which
information would be a priority for the nurse to include? -
answer-Stress the importance of consistent prenatal care.
12. A female client is visiting the clinic for an annual well-
woman examination. The client reports having had sex with
women. Which question will help the nurse determine the client's
risk for sexually transmitted infections? - answer-What barrier
methods do you and your partner use?
Practice Exam with Detailed
Rationales
1. The nurse on an inpatient mental health unit is caring with the
paranoid delusions who is refusing to eat. The client states that all
the food and drinks have been poisoned. Which intervention by
the nurse is appropriate? - answer-Provide the client food in
unopened single serving packages
2. After listening to the parents' report and seeing the ff pediatric
clients, the nurse knows that which client demonstrates signs of
abuse that may necessitate mandatory reporting? - answer-5-
year old whose x- ray reveals 1 new and 2 healed humerus
fractures after falling from a tree.
3. The nurse is discussing the care needs of a client in the last stage
of Huntington disease with the family. When the nurse mentions
arranging for delivery of a prescribed hospital bed, the client's
spouse becomes visibly upset and says, "No hospital bed. I'm just
not ready for it yet." What is the best response by the nurse? -
answer-What upsets you about having hospital bed?
,4. The nurse administers ondansetron to a hospitalized client. Which
statement would indicate to the nurse that the ondansetron was
effective? - answer-The nausea is a lot better
5. The nurse has just received report on 4 clients. Which client
should the nurse see first? - answer-Client receiving IV normal
saline at 250 mL/hr who is reporting puffy legs and a new cough
6. An unaccompanied 16 year old girl comes to the emergency
department with a severe abdominal pain and vomiting. The
client has a temp of 102.2 F (39 C) and a pulse of 120/min and is
lethargic. The client's parents are out of town, and no guardians
can be reached. How should the client's care be handled? -
answer-Administer care until the parents or guardians can be
reached.
7. The nurse reinforces teaching to the parents of a 12 month old
who has begun weaning from breastfeeding. Which statement by
the parents indicates that teaching has been effective? - answer-I
can start substituting breastfeeding sessions with whole cow's
milk
8. The child with congenital heart disease who weighs 88 lbs is
prescribed furosemide 1 mg/kg by mouth every 8 hours. It is
available as an oral solution of 10 mg/mL. How many milliliter
(mL) of furosemide should the nurse administer to the client for
each dose? - answer-prescription x available data - mL/dose
, 4ml
9. The nurse cares for a client with a terminal disease who has an
advanced directive supporting a do not resuscitate (DNR) code
status. The client stops breathing and loses a pulse. The client's
adult client states, "I changed my mind. Do whatever you can to
save him!" Which intervention is most appropriate at the time? -
answer-Explain the client's wishes to the client's child
10. The nurse speaks with a client with schizophrenia who
begins to look away toward the door and grimace. Which
statement by the nurse is most therapeutic at this time? - answer-
What do you see at the door?
11. The nurse reinforces teaching to a 15 year primigravid client
at 16 weeks gestation during an initial prenatal visit. Which
information would be a priority for the nurse to include? -
answer-Stress the importance of consistent prenatal care.
12. A female client is visiting the clinic for an annual well-
woman examination. The client reports having had sex with
women. Which question will help the nurse determine the client's
risk for sexually transmitted infections? - answer-What barrier
methods do you and your partner use?
