NCLEX-PN Review 2025/2026 | Actual Complete Real Exam
Questions and Correct Answers| Verified Answers | Already
Graded A+ / Newest Exam | Just Released!!
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 - 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
3. A 6-year old undergoing chemotherapy
4. A 7-year old with a high temperature - ANSWER-1. A 4-year
old with sicklecell 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 finding - ANSWER-4. 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) - ANSWER-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.
.
A nurse is giving a discharge education to a patient who has
been diagnosed
with epilepsy. Which of these teachings would she
stress the most?
1. Avoid doing alcohol and drugs
, 2. Follow up with the neurologist, physician, or other health
care provider as prescribed
3. Do not stop taking anticonvulsants, even if seizures have
stopped
4. Wear a medical alert bracelet or carry an ID card indicating
epilepsy -
ANSWER-3. Do not stop taking anticonvulsants, even if
seizures have stopped Correct - Following this instruction is
essential for their safety, since stopping anti-epileptic drugs
suddenly can cause seizures and an increased chance of
status epilepticus
The nurse is caring for a patient in the ICU who has had a
spinal cord injury.
She observes that his last blood pressure was 100/55, and his
pulse is 48. These have both trended downwards from the
baseline. What should the nurse expect to be the next course of
action ordered by the physician?
1. Assess the patient for decreased level of consciousness
2. Administer Normal Saline
3. Insert an NG Tube
4. Connect and read an EKG - ANSWER-2. Administer Normal
Saline Correct - The patient is entering neurogenic shock.
Normal saline will replace fluid volume, treating the
Questions and Correct Answers| Verified Answers | Already
Graded A+ / Newest Exam | Just Released!!
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 - 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
3. A 6-year old undergoing chemotherapy
4. A 7-year old with a high temperature - ANSWER-1. A 4-year
old with sicklecell 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 finding - ANSWER-4. 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) - ANSWER-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.
.
A nurse is giving a discharge education to a patient who has
been diagnosed
with epilepsy. Which of these teachings would she
stress the most?
1. Avoid doing alcohol and drugs
, 2. Follow up with the neurologist, physician, or other health
care provider as prescribed
3. Do not stop taking anticonvulsants, even if seizures have
stopped
4. Wear a medical alert bracelet or carry an ID card indicating
epilepsy -
ANSWER-3. Do not stop taking anticonvulsants, even if
seizures have stopped Correct - Following this instruction is
essential for their safety, since stopping anti-epileptic drugs
suddenly can cause seizures and an increased chance of
status epilepticus
The nurse is caring for a patient in the ICU who has had a
spinal cord injury.
She observes that his last blood pressure was 100/55, and his
pulse is 48. These have both trended downwards from the
baseline. What should the nurse expect to be the next course of
action ordered by the physician?
1. Assess the patient for decreased level of consciousness
2. Administer Normal Saline
3. Insert an NG Tube
4. Connect and read an EKG - ANSWER-2. Administer Normal
Saline Correct - The patient is entering neurogenic shock.
Normal saline will replace fluid volume, treating the
