• NCLEX PN EXAM 08/29/2026
NCLEX PN EXAM 1 2026 ACTUAL EXAM TEST
BANK| NGN NCLEX PN EXAM WITH COMPLETE
150 REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALES/
ALREADY GRADED A+
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 –
Correct Answer :3. Yellow-tinged sclera
Correct - Jaundice is a common clinical finding of sickle cell disease, caused by bilirubin released from
damaged or destroyed RBCs
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, • NCLEX PN EXAM 08/29/2026
A client with Multiple Sclerosis reports a constant, burning, tingling pain in the shoulders. The nurse
anticipates that the physician will order which medication for this type of pain?
1. alprazolam (Xanax)
2. Corticosteroid injection
3. gabapentin (Neurontin)
4. hydrocodone/acetaminophen (Norco) –
Correct Answer :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 –
Correct Answer :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?
P a g e 2 | 82
, • NCLEX PN EXAM 08/29/2026
1. Acupuncture
2. Guided Imagery
3. Alternating Rest/Activity
4. Over the counter medications
- Correct Answer :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
3. Audible crackles and use of accessory muscles
4. Audible wheeze and orthopnea –
Correct Answer :2. An audible wheeze and use of accessory muscles
Correct - Both of these are associated with asthma.
The nurse assesses a patient suspected of having meningitis. Which of the following is a common
clinical manifestation of this condition?
1. A high WBC count and decreased level of consciousness
2. A high WBC count and manic activity
3. A low WBC count and manic activity
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, • NCLEX PN EXAM 08/29/2026
4. A low WBC count and decreased level of consciousness –
Correct Answer :1. A high WBC count and decreased level of consciousness
Correct - Meningitis is most often cause by an infectious organism, increasing the WBC count. One
defining feature is an increased Intracranial Pressure (ICP) which presents as a decreased level of
consciousness.
consciousness.
A patient is being treated in the Neurology Unit for Meningitis. Which of these is a priority assessment
for the nurse to make?
1. Assess the patient for nuchal rigidity
2. Determine the patient's past exposure to infectious organisms
3. Check the patient's WBC lab values
4. Monitor for increased lethargy and drowsiness –
Correct Answer :4. Monitor for increased lethargy and drowsiness
Correct - Lethargy and drowsiness indicate a decreased level of consciousness, which is the cardinal
sign of increased ICP (Intracranial Pressure), which can be life-threatening.
The nurse is caring for clients in the pediatric unit. A 6-year patient is admitted who has 2nd and 3rd
degree burns on his arms. The nurse should assign the new patient to which of the following
roommates?
1. A 4-year old with sickle-cell disease
2. A 12-year old with chickenpox
P a g e 4 | 82
NCLEX PN EXAM 1 2026 ACTUAL EXAM TEST
BANK| NGN NCLEX PN EXAM WITH COMPLETE
150 REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH RATIONALES/
ALREADY GRADED A+
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 –
Correct Answer :3. Yellow-tinged sclera
Correct - Jaundice is a common clinical finding of sickle cell disease, caused by bilirubin released from
damaged or destroyed RBCs
P a g e 1 | 82
, • NCLEX PN EXAM 08/29/2026
A client with Multiple Sclerosis reports a constant, burning, tingling pain in the shoulders. The nurse
anticipates that the physician will order which medication for this type of pain?
1. alprazolam (Xanax)
2. Corticosteroid injection
3. gabapentin (Neurontin)
4. hydrocodone/acetaminophen (Norco) –
Correct Answer :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 –
Correct Answer :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?
P a g e 2 | 82
, • NCLEX PN EXAM 08/29/2026
1. Acupuncture
2. Guided Imagery
3. Alternating Rest/Activity
4. Over the counter medications
- Correct Answer :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
3. Audible crackles and use of accessory muscles
4. Audible wheeze and orthopnea –
Correct Answer :2. An audible wheeze and use of accessory muscles
Correct - Both of these are associated with asthma.
The nurse assesses a patient suspected of having meningitis. Which of the following is a common
clinical manifestation of this condition?
1. A high WBC count and decreased level of consciousness
2. A high WBC count and manic activity
3. A low WBC count and manic activity
P a g e 3 | 82
, • NCLEX PN EXAM 08/29/2026
4. A low WBC count and decreased level of consciousness –
Correct Answer :1. A high WBC count and decreased level of consciousness
Correct - Meningitis is most often cause by an infectious organism, increasing the WBC count. One
defining feature is an increased Intracranial Pressure (ICP) which presents as a decreased level of
consciousness.
consciousness.
A patient is being treated in the Neurology Unit for Meningitis. Which of these is a priority assessment
for the nurse to make?
1. Assess the patient for nuchal rigidity
2. Determine the patient's past exposure to infectious organisms
3. Check the patient's WBC lab values
4. Monitor for increased lethargy and drowsiness –
Correct Answer :4. Monitor for increased lethargy and drowsiness
Correct - Lethargy and drowsiness indicate a decreased level of consciousness, which is the cardinal
sign of increased ICP (Intracranial Pressure), which can be life-threatening.
The nurse is caring for clients in the pediatric unit. A 6-year patient is admitted who has 2nd and 3rd
degree burns on his arms. The nurse should assign the new patient to which of the following
roommates?
1. A 4-year old with sickle-cell disease
2. A 12-year old with chickenpox
P a g e 4 | 82
