LPN NCLEX CASE STUDY QUESTIONS 2026
COMPLETE PRACTICE QUESTIONS AND
CORRECT ANSWERS WITH DETAILED
RATIONALES NEXT-GENERATION NCLEX-
PN NGN CASE STUDIES COMPREHENSIVE
EXAM PREP STUDY GUIDE
A client is brought to the emergency department with moderate substernal
chest pain radiating to the inner aspect of the left arm, unrelieved by rest
and nitroglycerin. The pain is associated with slight nausea and anxiety.
What is the priority nursing intervention for this client?
a) Provide pain medication Which of the following assessment findings
could the nurse see in a patient with parkinsonism? (Select all that apply.)
a. An abrupt onset of symptoms
b. Muscle rigidity
c. Involuntary tremors
d. Bradykinesia
e. Bilateral muscle weakness - CORRECT ANSWER -b. Muscle rigidity
c. Involuntary tremors
d. Bradykinesia
,A patient is receiving carbidopa-levodopa for parkinsonism. What should
the nurse know about this drug?
a. Carbidopa-levodopa may lead to hypertension.
b. Carbidopa-levodopa may lead to excessive salivation.
c. Dopaminergic and anticholinergic therapy may lead to drowsiness and
sedation.
d. Dopaminergics and anticholinergics are contraindicated in patients with
glaucoma. - CORRECT ANSWER -d. Dopaminergics and anticholinergics are
contraindicated in patients with glaucoma.
The nurse has initiated teaching for a family member of a patient with
Alzheimer's disease. The nurse realizes more teaching is needed if the
family member makes which statement?
a. As the disease gets worse, the memory loss will get worse.
b. There are several theories about the cause of the disease.
c. Personality changes and hostility may occur.
d. It may take several medications to cure the disease. - CORRECT ANSWER
-d. It may take several medications to cure the disease.
A patient is taking rivastigmine (Exelon). The nurse should teach the
patient and family which information about rivastigmine?
a. That hepatotoxicity may occur
b. That the initial dose is 6 mg t.i.d.
c. That GI distress is a common side effect
,d. That weight gain may be a side effect - CORRECT ANSWER -c. That GI
distress is a common side effect
5.Which is a nursing intervention for a patient taking carbidopa-levodopa
for parkinsonism?
a. Encourage the patient to adhere to a high-protein diet.
b. Inform the patient that perspiration may be dark and stain clothing.
c. Advise the patient that glucose levels should be checked with urine
testing.
d. Warn the patient that it may take 4 to 5 days before symptoms are
controlled. - CORRECT ANSWER -b. Inform the patient that perspiration
may be dark and stain clothing.
What would the nurse teach a patient who is taking anticholinergic therapy
for parkinsonism? (Select all that apply.)
a. Avoid alcohol, cigarettes, and caffeine.
b. Relieve dry mouth with hard candy or ice chips.
c. Use sunglasses to reduce photophobia.
d. Urinate 2 hours after taking the drug.
e. Receive routine eye examinations. - CORRECT ANSWER -a. Avoid alcohol,
cigarettes, and caffeine.
A patient is taking rivastigmine (Exelon) to improve cognitive function.
What should the nurse teach the patient/family member to do? (Select all
that apply.)
, a. Rise slowly to avoid dizziness.
b. Remove obstacles from pathways to avoid injury.
c. Closely follow the drug dosing schedule.
d. Have frequent checks for hypertension.
e. Receive regular liver function tests. - CORRECT ANSWER -a. Rise slowly
to avoid dizziness.
b. Remove obstacles from pathways to avoid injury.
c. Closely follow the drug dosing schedule.
Your client has a fracture of the radius. There is swelling at the injury site
and the client complains of pain in the area. Which stage of bone healing do
these signs and symptoms represent?
a. Cellular proliferation
b. Inflammatory
c. Ossification
d. Callus formation - CORRECT ANSWER -b. Inflammatory
During the inflammatory phase, bleeding occurs at the area of injury and
results in a hematoma. Why plus I was rushed to the area of injury to begin
to debride the dead cells. The patient will experience pain during this
phase. Cellular proliferation occurs after approximately 5 days, when the
interrupted blood supply is recreated and fibrin strands begin to form. The
callus formation stage takes about 3 to 4 weeks, while the ossification stage
may take as long as 3 to 4 months. Remodeling of the bone may take
months to years.
COMPLETE PRACTICE QUESTIONS AND
CORRECT ANSWERS WITH DETAILED
RATIONALES NEXT-GENERATION NCLEX-
PN NGN CASE STUDIES COMPREHENSIVE
EXAM PREP STUDY GUIDE
A client is brought to the emergency department with moderate substernal
chest pain radiating to the inner aspect of the left arm, unrelieved by rest
and nitroglycerin. The pain is associated with slight nausea and anxiety.
What is the priority nursing intervention for this client?
a) Provide pain medication Which of the following assessment findings
could the nurse see in a patient with parkinsonism? (Select all that apply.)
a. An abrupt onset of symptoms
b. Muscle rigidity
c. Involuntary tremors
d. Bradykinesia
e. Bilateral muscle weakness - CORRECT ANSWER -b. Muscle rigidity
c. Involuntary tremors
d. Bradykinesia
,A patient is receiving carbidopa-levodopa for parkinsonism. What should
the nurse know about this drug?
a. Carbidopa-levodopa may lead to hypertension.
b. Carbidopa-levodopa may lead to excessive salivation.
c. Dopaminergic and anticholinergic therapy may lead to drowsiness and
sedation.
d. Dopaminergics and anticholinergics are contraindicated in patients with
glaucoma. - CORRECT ANSWER -d. Dopaminergics and anticholinergics are
contraindicated in patients with glaucoma.
The nurse has initiated teaching for a family member of a patient with
Alzheimer's disease. The nurse realizes more teaching is needed if the
family member makes which statement?
a. As the disease gets worse, the memory loss will get worse.
b. There are several theories about the cause of the disease.
c. Personality changes and hostility may occur.
d. It may take several medications to cure the disease. - CORRECT ANSWER
-d. It may take several medications to cure the disease.
A patient is taking rivastigmine (Exelon). The nurse should teach the
patient and family which information about rivastigmine?
a. That hepatotoxicity may occur
b. That the initial dose is 6 mg t.i.d.
c. That GI distress is a common side effect
,d. That weight gain may be a side effect - CORRECT ANSWER -c. That GI
distress is a common side effect
5.Which is a nursing intervention for a patient taking carbidopa-levodopa
for parkinsonism?
a. Encourage the patient to adhere to a high-protein diet.
b. Inform the patient that perspiration may be dark and stain clothing.
c. Advise the patient that glucose levels should be checked with urine
testing.
d. Warn the patient that it may take 4 to 5 days before symptoms are
controlled. - CORRECT ANSWER -b. Inform the patient that perspiration
may be dark and stain clothing.
What would the nurse teach a patient who is taking anticholinergic therapy
for parkinsonism? (Select all that apply.)
a. Avoid alcohol, cigarettes, and caffeine.
b. Relieve dry mouth with hard candy or ice chips.
c. Use sunglasses to reduce photophobia.
d. Urinate 2 hours after taking the drug.
e. Receive routine eye examinations. - CORRECT ANSWER -a. Avoid alcohol,
cigarettes, and caffeine.
A patient is taking rivastigmine (Exelon) to improve cognitive function.
What should the nurse teach the patient/family member to do? (Select all
that apply.)
, a. Rise slowly to avoid dizziness.
b. Remove obstacles from pathways to avoid injury.
c. Closely follow the drug dosing schedule.
d. Have frequent checks for hypertension.
e. Receive regular liver function tests. - CORRECT ANSWER -a. Rise slowly
to avoid dizziness.
b. Remove obstacles from pathways to avoid injury.
c. Closely follow the drug dosing schedule.
Your client has a fracture of the radius. There is swelling at the injury site
and the client complains of pain in the area. Which stage of bone healing do
these signs and symptoms represent?
a. Cellular proliferation
b. Inflammatory
c. Ossification
d. Callus formation - CORRECT ANSWER -b. Inflammatory
During the inflammatory phase, bleeding occurs at the area of injury and
results in a hematoma. Why plus I was rushed to the area of injury to begin
to debride the dead cells. The patient will experience pain during this
phase. Cellular proliferation occurs after approximately 5 days, when the
interrupted blood supply is recreated and fibrin strands begin to form. The
callus formation stage takes about 3 to 4 weeks, while the ossification stage
may take as long as 3 to 4 months. Remodeling of the bone may take
months to years.
