NCLEX-PN PRACTICE EXAM
QUESTIONS AND ANSWERS 2025
UPDATE
1. A nurse is caring for a client with congestive heart failure who is on
furosemide. Which of the following findings should the nurse report to the
provider?
A. Weight loss of 2 lbs overnight
B. Serum potassium level of 2.9 mEq/L
C. Blood pressure of 110/70 mmHg
D. Urine output of 1200 mL/day
Rationale: B — A potassium level of 2.9 mEq/L is critically low and can lead to
cardiac arrhythmias. Furosemide is a potassium-wasting diuretic, and
hypokalemia is a known side effect.
2. Which client should the LPN/VN see first?
A. A client with a blood glucose of 145 mg/dL
B. A client with a productive cough and a temperature of 100.2°F
C. A client who reports shortness of breath and chest tightness
D. A client complaining of mild nausea after eating
,Rationale: C — Shortness of breath and chest tightness could indicate a life-
threatening cardiac or respiratory issue and must be assessed immediately.
3. A client with COPD is receiving oxygen at 4 L/min via nasal cannula. Which
action should the nurse take?
A. Increase the oxygen flow to 6 L/min
B. Lower the flow rate to 2 L/min and notify RN/provider
C. Continue oxygen as ordered
D. Switch to a non-rebreather mask
Rationale: B — COPD clients are sensitive to high oxygen levels, which can
suppress their drive to breathe. 2 L/min is usually safer.
4. A nurse is reinforcing teaching to a client about a low-sodium diet. Which
food selection indicates understanding?
A. Canned soup
B. Fresh fruit salad
C. Deli meat sandwich
D. Pickles
Rationale: B — Fresh fruits contain no added sodium, unlike canned and
processed foods.
5. A client is prescribed digoxin. Which sign indicates possible digoxin toxicity?
, A. Increased appetite
B. Visual disturbances
C. Hypertension
D. Tachycardia
Rationale: B — Digoxin toxicity often presents with visual symptoms (e.g., seeing
yellow halos), nausea, and bradycardia.
6. What is the most appropriate action for the nurse when a client refuses to
take medication?
A. Document the refusal and notify the nurse in charge
B. Crush the medication and mix it with food
C. Re-educate the client until they comply
D. Discard the medication and make no record
Rationale: A — Refusals must be documented and reported. Clients have the
right to refuse treatment.
7. A client is receiving morphine IV for pain. Which finding requires immediate
attention?
A. Nausea
B. Respiratory rate of 8 breaths/min
C. Itching
D. Drowsiness
QUESTIONS AND ANSWERS 2025
UPDATE
1. A nurse is caring for a client with congestive heart failure who is on
furosemide. Which of the following findings should the nurse report to the
provider?
A. Weight loss of 2 lbs overnight
B. Serum potassium level of 2.9 mEq/L
C. Blood pressure of 110/70 mmHg
D. Urine output of 1200 mL/day
Rationale: B — A potassium level of 2.9 mEq/L is critically low and can lead to
cardiac arrhythmias. Furosemide is a potassium-wasting diuretic, and
hypokalemia is a known side effect.
2. Which client should the LPN/VN see first?
A. A client with a blood glucose of 145 mg/dL
B. A client with a productive cough and a temperature of 100.2°F
C. A client who reports shortness of breath and chest tightness
D. A client complaining of mild nausea after eating
,Rationale: C — Shortness of breath and chest tightness could indicate a life-
threatening cardiac or respiratory issue and must be assessed immediately.
3. A client with COPD is receiving oxygen at 4 L/min via nasal cannula. Which
action should the nurse take?
A. Increase the oxygen flow to 6 L/min
B. Lower the flow rate to 2 L/min and notify RN/provider
C. Continue oxygen as ordered
D. Switch to a non-rebreather mask
Rationale: B — COPD clients are sensitive to high oxygen levels, which can
suppress their drive to breathe. 2 L/min is usually safer.
4. A nurse is reinforcing teaching to a client about a low-sodium diet. Which
food selection indicates understanding?
A. Canned soup
B. Fresh fruit salad
C. Deli meat sandwich
D. Pickles
Rationale: B — Fresh fruits contain no added sodium, unlike canned and
processed foods.
5. A client is prescribed digoxin. Which sign indicates possible digoxin toxicity?
, A. Increased appetite
B. Visual disturbances
C. Hypertension
D. Tachycardia
Rationale: B — Digoxin toxicity often presents with visual symptoms (e.g., seeing
yellow halos), nausea, and bradycardia.
6. What is the most appropriate action for the nurse when a client refuses to
take medication?
A. Document the refusal and notify the nurse in charge
B. Crush the medication and mix it with food
C. Re-educate the client until they comply
D. Discard the medication and make no record
Rationale: A — Refusals must be documented and reported. Clients have the
right to refuse treatment.
7. A client is receiving morphine IV for pain. Which finding requires immediate
attention?
A. Nausea
B. Respiratory rate of 8 breaths/min
C. Itching
D. Drowsiness
