NCLEX PN/NCLEX PN EXAM TEST BANK AND STUDY GUIDE |
ACCURATE REAL EXAM QUESTIONS CURRENTLY TESTING AND
FREQUENTLY TESTED WITH RATIONALES | EXPERT VERIFIED
FOR GUARANTEED PASS | LATEST UPDATE 2025!!!.
NCLEX PN TEST BANK
You are caring for a 14-month-old diagnosed with severe iron deficiency anemia. She
is admitted for a blood transfusion and is started on oral iron supplementation. When
you change her diaper, you note a dark black stool. What are the appropriate nursing
actions?
Select ALL
A. Notify the healthcare provider.
B. Document the finding.
C. Continue with your assessment.
D. Administer the oral iron supplement as prescribed - - ANS - -Choices B, C, and D
are correct.
B is correct. Black stools are an expected response to iron supplementation. It is an
appropriate nursing action to document this finding in the chart, but no further action
is needed.
C is correct. Black stools are an expected response to iron supplementation. It is an
appropriate nursing action to continue with your assessment. Since the finding is
expected, no other steps are necessary.
,D is correct. Black stools are an expected response to iron supplementation. It is an
appropriate nursing action to administer the oral iron supplement as prescribed.
Choice A is incorrect. Black stools are an expected response to iron supplementation.
The nurse doesn't need to notify the healthcare provider of this.
NCSBN Client Need Topic: Physiological Integrity, Subtopic: Pharmacological
therapies, Pediatrics Hematology
The nurse is re-educating on discharge instructions to a patient who has chronic
diabetes insipidus (DI). Which of the following patient statements would indicate a
correct understanding of the discharge instructions?
A. "I will need to drink no more than 800 ml per day."
B. "I will need to weigh myself at the same time every day."
C. "I should increase salty snacks in my diet."
D. "I need to log my fluid intake and urine output." - - ANS - -Choice B is correct.
A patient with chronic diabetes insipidus (DI) is instructed to weigh themselves daily.
This weight should be taken with the same scale and obtained after the first-morning
void.
Choices A, C, and D are incorrect. Fluid restrictions would be appropriate for a patient
with syndrome of inappropriate antidiuretic hormone (SIADH). This would not be
appropriate for DI as the patient will need to consume more fluids to replace those
that are lost. Salty snacks are not encouraged because this may hasten the
hypernatremia associated with this disease. Logging intake and output are not useful
because this provides a crude way of assessing fluid status.
This nurse is caring for a patient who is receiving prescribed ketorolac. Which of the
following findings would indicate a therapeutic response?
,Select all that apply.
A. Decreased pain
B. Increased urinary output
C. Decreased blood pressure
D. Decreased temperature
E. Increased muscle coordination - - ANS - -Choices A and D are correct
Ketorolac is a medication used to treat pain and pyrexia. A patient exhibiting a
decrease in pain and having a decrease in temperature would be a therapeutic
response.
Choices B, C, and E are incorrect. Ketorolac does not therapeutically lower blood
pressure, increase urinary output, or increase muscle coordination. Medications that
could be used to lower blood pressure would be agents such as lisinopril, atenolol,
etc. Agents used to increase urinary output would be diuretics such as furosemide.
The improvement in muscle coordination may be achieved by medications such as
levodopa-carbidopa.
Which of the following falls under the right time of the 8 rights of medication
administration?
Select all that apply.
A. Have a second nurse independently calculate the medication dosage.
B. Double-check the last time that the medication was administered.
C. Verify the frequency with which the medication is ordered.
D. Document the pertinent vital signs. - - ANS - -Choices B and C are correct.
, B is correct. Double-checking the last time the medication was administered is a part
of the right time step in the 8 rights of medication administration. This is important
because the nurse needs to verify that she is giving the dose correctly and that it is
not being administered too frequently based upon the previous administration.
C is correct. Verifying the frequency with which the medication is ordered is a part of
the right time step in the 8 rights of medication administration. The nurse needs to
verify that the frequency with which the medication is being ordered will be safe not
just for this dose but for the cumulative dosage if the medication is being
administered more than once. For example, with acetaminophen, one dose of 1,000 mg
may be appropriate, but administering this dosage q4 would result in a daily intake of
6,000 mg of acetaminophen, far above the maximum of 4,000 mg. This is why the right
frequency is a part of the right time step in the 8 rights of medication administration.
The nurse is caring for a primigravida patient with the following clinical data. The
nurse should take which of the following actions based on the result?
See the exhibit.-> Test: Nonstress test Result: Reactive
A. Inform the patient of the normal finding.
B. Prepare the patient for a contraction stress test.
C. Arrange for a repeat test.
D. Inquire if the patient ate prior to the test. - - ANS - -Choice A is correct.
A reactive NST is an expected finding and indicates fetal well-being.
Steroids have many different effects on the body. Which of the following are potential
effects of glucocorticoids?
Select all that apply.
ACCURATE REAL EXAM QUESTIONS CURRENTLY TESTING AND
FREQUENTLY TESTED WITH RATIONALES | EXPERT VERIFIED
FOR GUARANTEED PASS | LATEST UPDATE 2025!!!.
NCLEX PN TEST BANK
You are caring for a 14-month-old diagnosed with severe iron deficiency anemia. She
is admitted for a blood transfusion and is started on oral iron supplementation. When
you change her diaper, you note a dark black stool. What are the appropriate nursing
actions?
Select ALL
A. Notify the healthcare provider.
B. Document the finding.
C. Continue with your assessment.
D. Administer the oral iron supplement as prescribed - - ANS - -Choices B, C, and D
are correct.
B is correct. Black stools are an expected response to iron supplementation. It is an
appropriate nursing action to document this finding in the chart, but no further action
is needed.
C is correct. Black stools are an expected response to iron supplementation. It is an
appropriate nursing action to continue with your assessment. Since the finding is
expected, no other steps are necessary.
,D is correct. Black stools are an expected response to iron supplementation. It is an
appropriate nursing action to administer the oral iron supplement as prescribed.
Choice A is incorrect. Black stools are an expected response to iron supplementation.
The nurse doesn't need to notify the healthcare provider of this.
NCSBN Client Need Topic: Physiological Integrity, Subtopic: Pharmacological
therapies, Pediatrics Hematology
The nurse is re-educating on discharge instructions to a patient who has chronic
diabetes insipidus (DI). Which of the following patient statements would indicate a
correct understanding of the discharge instructions?
A. "I will need to drink no more than 800 ml per day."
B. "I will need to weigh myself at the same time every day."
C. "I should increase salty snacks in my diet."
D. "I need to log my fluid intake and urine output." - - ANS - -Choice B is correct.
A patient with chronic diabetes insipidus (DI) is instructed to weigh themselves daily.
This weight should be taken with the same scale and obtained after the first-morning
void.
Choices A, C, and D are incorrect. Fluid restrictions would be appropriate for a patient
with syndrome of inappropriate antidiuretic hormone (SIADH). This would not be
appropriate for DI as the patient will need to consume more fluids to replace those
that are lost. Salty snacks are not encouraged because this may hasten the
hypernatremia associated with this disease. Logging intake and output are not useful
because this provides a crude way of assessing fluid status.
This nurse is caring for a patient who is receiving prescribed ketorolac. Which of the
following findings would indicate a therapeutic response?
,Select all that apply.
A. Decreased pain
B. Increased urinary output
C. Decreased blood pressure
D. Decreased temperature
E. Increased muscle coordination - - ANS - -Choices A and D are correct
Ketorolac is a medication used to treat pain and pyrexia. A patient exhibiting a
decrease in pain and having a decrease in temperature would be a therapeutic
response.
Choices B, C, and E are incorrect. Ketorolac does not therapeutically lower blood
pressure, increase urinary output, or increase muscle coordination. Medications that
could be used to lower blood pressure would be agents such as lisinopril, atenolol,
etc. Agents used to increase urinary output would be diuretics such as furosemide.
The improvement in muscle coordination may be achieved by medications such as
levodopa-carbidopa.
Which of the following falls under the right time of the 8 rights of medication
administration?
Select all that apply.
A. Have a second nurse independently calculate the medication dosage.
B. Double-check the last time that the medication was administered.
C. Verify the frequency with which the medication is ordered.
D. Document the pertinent vital signs. - - ANS - -Choices B and C are correct.
, B is correct. Double-checking the last time the medication was administered is a part
of the right time step in the 8 rights of medication administration. This is important
because the nurse needs to verify that she is giving the dose correctly and that it is
not being administered too frequently based upon the previous administration.
C is correct. Verifying the frequency with which the medication is ordered is a part of
the right time step in the 8 rights of medication administration. The nurse needs to
verify that the frequency with which the medication is being ordered will be safe not
just for this dose but for the cumulative dosage if the medication is being
administered more than once. For example, with acetaminophen, one dose of 1,000 mg
may be appropriate, but administering this dosage q4 would result in a daily intake of
6,000 mg of acetaminophen, far above the maximum of 4,000 mg. This is why the right
frequency is a part of the right time step in the 8 rights of medication administration.
The nurse is caring for a primigravida patient with the following clinical data. The
nurse should take which of the following actions based on the result?
See the exhibit.-> Test: Nonstress test Result: Reactive
A. Inform the patient of the normal finding.
B. Prepare the patient for a contraction stress test.
C. Arrange for a repeat test.
D. Inquire if the patient ate prior to the test. - - ANS - -Choice A is correct.
A reactive NST is an expected finding and indicates fetal well-being.
Steroids have many different effects on the body. Which of the following are potential
effects of glucocorticoids?
Select all that apply.
