NCLEX-PN Review Questions (Latest
2024-2025 Update) with correct and well
elaborated answers 2025-2026 Grade A -
Rasmussen University
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 orthopnea2. 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
4. A low WBC count and decreased level of consciousness1. 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.
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 drowsiness4. 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?
,NCLEX-PN Review Questions (Latest
2024-2025 Update) with correct and well
elaborated answers 2025-2026 Grade A -
Rasmussen University
1. A 4-year old with sickle-cell disease
2. A 12-year old with chickenpox
3. A 6-year old undergoing chemotherapy
4. A 7-year old with a high temperature1. A 4-year old with sickle-cell disease
- correct - The nurse should be concerned about the burn patient's vulnerability to
infection. Sickle cell disease is not a communicable disease.
A patient with Meningitis is being treated with Vancomycin intravenously 3 times per
day. The nurse notes that the urine output during the last 8 hours was 200mL. What is
the nurse's priority action?
1. Check the patient's last BUN
2. Ask the patient to increase their fluid intake
3. Ask the physician to order a diuretic
4. Notify the physician of this finding4. Notify the physician of this finding
- correct - Vancomycin is a nephrotoxic drug and can cause impaired renal perfusion,
which would cause a decreased urine output. This is a serious adverse effect and
should be reported to the physician.
A patient is being admitted to the ICU with a severe case of encephalitis. Which of
these drugs would the nurse not be expect to be prescribed for this condition?
1. Acyclovir (Zovirax)
2. Mannitol (Osmitrol)
3. Lactated Ringer's
4. Phenytoin (Dilantin)3. Lactated Ringer's
- correct - Lactated Ringer's solution is often used in fluid replacement therapy, which
is not warranted if a patient is at risk for high ICP.
.
The nurse is treating a patient who has Parkinson's Disease. Which of these practices
would not be included in the care plan?
1. Decrease the calorie content of daily meals to avoid weight gain
2. Allow the patient extra time to respond to questions and do ADLs
3. Use thickened liquids and a soft diet
, NCLEX-PN Review Questions (Latest
2024-2025 Update) with correct and well
elaborated answers 2025-2026 Grade A -
Rasmussen University
4. Encourage the patient to hold the spoon when eating1. Decrease the calorie content
of daily meals to avoid weight gain
- correct - Calorie content should be increased for patients with Parkinson's Disease
because of dysphagia (difficulty swallowing), as well as calories burned due to muscle
rigidity.
A 45-year old woman is prescribed ropinirole (Requip) for Parkinson's Disease. The
patient is living at home with her daughter. The nurse is most concerned about which
side effect of ropinirole?
1. Slurred speech
2. Sudden dizziness
3. Masklike facial expression
4. Stooped Posture2. Sudden dizziness
- correct - Dizziness and orthostatic hypotension are serious adverse effects of this
drug that can lead to an increased risk of falls. Ropinirole's drug class is a dopamine
agonist, which mimic dopamine in the brain (PD is characterized by a lack of
dopamine).
The nurse is taking the health history of a patient being treated for Parkinson's
Disease. After being told the patient has classic symptoms of Parkinson's, the nurse
expects to note which assessment finding?
1. Tremors
2. Low Urine Output
3. Exaggerated arm movements
4. Risk for Falls1. Tremors
- correct - Tremors is one of four cardinal signs of PD: the other three are rigidity,
bradykinesia (slow movements), and postural instability
A nurse enters a patient's room and finds them unconscious with a rhythmic jerking of
all four extremities. The patient is foaming heavily at the mouth. The patient was on
seizure precautions and the bedrails are up and padded. What is the nurse's priority
action?
1. Administer Lorazepam (Ativan)
2. Turn the patient to his/her side
3. Call the physician
2024-2025 Update) with correct and well
elaborated answers 2025-2026 Grade A -
Rasmussen University
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 orthopnea2. 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
4. A low WBC count and decreased level of consciousness1. 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.
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 drowsiness4. 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?
,NCLEX-PN Review Questions (Latest
2024-2025 Update) with correct and well
elaborated answers 2025-2026 Grade A -
Rasmussen University
1. A 4-year old with sickle-cell disease
2. A 12-year old with chickenpox
3. A 6-year old undergoing chemotherapy
4. A 7-year old with a high temperature1. A 4-year old with sickle-cell disease
- correct - The nurse should be concerned about the burn patient's vulnerability to
infection. Sickle cell disease is not a communicable disease.
A patient with Meningitis is being treated with Vancomycin intravenously 3 times per
day. The nurse notes that the urine output during the last 8 hours was 200mL. What is
the nurse's priority action?
1. Check the patient's last BUN
2. Ask the patient to increase their fluid intake
3. Ask the physician to order a diuretic
4. Notify the physician of this finding4. Notify the physician of this finding
- correct - Vancomycin is a nephrotoxic drug and can cause impaired renal perfusion,
which would cause a decreased urine output. This is a serious adverse effect and
should be reported to the physician.
A patient is being admitted to the ICU with a severe case of encephalitis. Which of
these drugs would the nurse not be expect to be prescribed for this condition?
1. Acyclovir (Zovirax)
2. Mannitol (Osmitrol)
3. Lactated Ringer's
4. Phenytoin (Dilantin)3. Lactated Ringer's
- correct - Lactated Ringer's solution is often used in fluid replacement therapy, which
is not warranted if a patient is at risk for high ICP.
.
The nurse is treating a patient who has Parkinson's Disease. Which of these practices
would not be included in the care plan?
1. Decrease the calorie content of daily meals to avoid weight gain
2. Allow the patient extra time to respond to questions and do ADLs
3. Use thickened liquids and a soft diet
, NCLEX-PN Review Questions (Latest
2024-2025 Update) with correct and well
elaborated answers 2025-2026 Grade A -
Rasmussen University
4. Encourage the patient to hold the spoon when eating1. Decrease the calorie content
of daily meals to avoid weight gain
- correct - Calorie content should be increased for patients with Parkinson's Disease
because of dysphagia (difficulty swallowing), as well as calories burned due to muscle
rigidity.
A 45-year old woman is prescribed ropinirole (Requip) for Parkinson's Disease. The
patient is living at home with her daughter. The nurse is most concerned about which
side effect of ropinirole?
1. Slurred speech
2. Sudden dizziness
3. Masklike facial expression
4. Stooped Posture2. Sudden dizziness
- correct - Dizziness and orthostatic hypotension are serious adverse effects of this
drug that can lead to an increased risk of falls. Ropinirole's drug class is a dopamine
agonist, which mimic dopamine in the brain (PD is characterized by a lack of
dopamine).
The nurse is taking the health history of a patient being treated for Parkinson's
Disease. After being told the patient has classic symptoms of Parkinson's, the nurse
expects to note which assessment finding?
1. Tremors
2. Low Urine Output
3. Exaggerated arm movements
4. Risk for Falls1. Tremors
- correct - Tremors is one of four cardinal signs of PD: the other three are rigidity,
bradykinesia (slow movements), and postural instability
A nurse enters a patient's room and finds them unconscious with a rhythmic jerking of
all four extremities. The patient is foaming heavily at the mouth. The patient was on
seizure precautions and the bedrails are up and padded. What is the nurse's priority
action?
1. Administer Lorazepam (Ativan)
2. Turn the patient to his/her side
3. Call the physician
