NCLEX-PN Practice Questions 2026 |
Full Question Bank with Detailed
Rationales
1. The nurse is administering sublingual nitroglycerin to a client.
Immediately afterward, the client may experience: - answer-
throbbing headache or dizziness.
2. A client with iron deficiency anemia has been admitted to the
medical-surgical unit. Which assessment findings are
characteristic of this type of anemia? - answer-Dyspnea,
tachycardia, and pallor
3. The nurse is caring for a client taking an anticoagulant. Which
instruction regarding anticoagulant therapy should the nurse give
the client? - answer-Limit foods high in vitamin K.
4. The nurse delivers a client's 10 a.m. medications. The client is
away from his room for a diagnostic study. Which action is most
appropriate for the nurse to take? - answer-Lock the medications
in the medicine preparation area until the client returns.
5. The nurse is caring for a client receiving patient-controlled
analgesia (PCA) for pain management. Which statement about
, PCA is true? - answer-Pain relief is initiated by the client as
needed.
6. The nurse is caring for a client with type 1 diabetes mellitus who
exhibits confusion, light-headedness, and aberrant behavior. The
client is still conscious. The nurse should first administer: -
answer-15 to 20 g of a fast-acting carbohydrate such as orange
juice.
7. The nurse is caring for an elderly female with osteoporosis. When
teaching the client, the nurse should include information about
which major complication? - answer-Bone fracture
8. The nurse is speaking to a group of women about early detection
of breast cancer. The average age of the women in the group is
47. Following the American Cancer Society guidelines, the nurse
should recommend that the women: - answer-have a
mammogram annually.
9. The nurse is instructing a premenopausal woman about breast
self-examination. The nurse should tell the client to do her self-
examination: - answer-immediately after her menses.
10. The nurse is teaching a group of women to perform breast
self-examination. The nurse should explain that the purpose of
performing the examination is to discover: - answer-changes from
previous self-examinations.
, 11. The American Cancer Society recommends routine screening
to detect colorectal cancer. Which screening test for colorectal
cancer should the nurse recommend? - answer-Flexible
sigmoidoscopy beginning at age 50
12. Which nursing diagnosis should the nurse expect to see in a
care plan for a client in sickle cell crisis? - answer-Acute pain
related to sickle cell crisis
13. What can the nurse do to prevent lipodystrophy when
administering insulin to a diabetic client? - answer-Rotate the
injection sites.
14. For a diabetic client with a foot ulcer, the physician orders
bed rest, a wet-to-dry dressing change every shift, and blood
glucose monitoring before meals and at bedtime. Why are the
wet-to-dry dressings used for this client? - answer-Because they
debride the wound and promote healing by secondary intention.
15. An obese client is admitted to the hospital for abusing
amphetamines in an attempt to lose weight. Which nursing
intervention is appropriate for this client? - answer-Identify
alternative ways for the client to lose weight.
Full Question Bank with Detailed
Rationales
1. The nurse is administering sublingual nitroglycerin to a client.
Immediately afterward, the client may experience: - answer-
throbbing headache or dizziness.
2. A client with iron deficiency anemia has been admitted to the
medical-surgical unit. Which assessment findings are
characteristic of this type of anemia? - answer-Dyspnea,
tachycardia, and pallor
3. The nurse is caring for a client taking an anticoagulant. Which
instruction regarding anticoagulant therapy should the nurse give
the client? - answer-Limit foods high in vitamin K.
4. The nurse delivers a client's 10 a.m. medications. The client is
away from his room for a diagnostic study. Which action is most
appropriate for the nurse to take? - answer-Lock the medications
in the medicine preparation area until the client returns.
5. The nurse is caring for a client receiving patient-controlled
analgesia (PCA) for pain management. Which statement about
, PCA is true? - answer-Pain relief is initiated by the client as
needed.
6. The nurse is caring for a client with type 1 diabetes mellitus who
exhibits confusion, light-headedness, and aberrant behavior. The
client is still conscious. The nurse should first administer: -
answer-15 to 20 g of a fast-acting carbohydrate such as orange
juice.
7. The nurse is caring for an elderly female with osteoporosis. When
teaching the client, the nurse should include information about
which major complication? - answer-Bone fracture
8. The nurse is speaking to a group of women about early detection
of breast cancer. The average age of the women in the group is
47. Following the American Cancer Society guidelines, the nurse
should recommend that the women: - answer-have a
mammogram annually.
9. The nurse is instructing a premenopausal woman about breast
self-examination. The nurse should tell the client to do her self-
examination: - answer-immediately after her menses.
10. The nurse is teaching a group of women to perform breast
self-examination. The nurse should explain that the purpose of
performing the examination is to discover: - answer-changes from
previous self-examinations.
, 11. The American Cancer Society recommends routine screening
to detect colorectal cancer. Which screening test for colorectal
cancer should the nurse recommend? - answer-Flexible
sigmoidoscopy beginning at age 50
12. Which nursing diagnosis should the nurse expect to see in a
care plan for a client in sickle cell crisis? - answer-Acute pain
related to sickle cell crisis
13. What can the nurse do to prevent lipodystrophy when
administering insulin to a diabetic client? - answer-Rotate the
injection sites.
14. For a diabetic client with a foot ulcer, the physician orders
bed rest, a wet-to-dry dressing change every shift, and blood
glucose monitoring before meals and at bedtime. Why are the
wet-to-dry dressings used for this client? - answer-Because they
debride the wound and promote healing by secondary intention.
15. An obese client is admitted to the hospital for abusing
amphetamines in an attempt to lose weight. Which nursing
intervention is appropriate for this client? - answer-Identify
alternative ways for the client to lose weight.
