NCLEX-PN Exam 2025–2026 Accurate Real
Exam Questions and Verified Correct Answers
JUST RELEASED
When taking a dietary history from a newly admitted client, the nurse should remember that which of
the following foods is a commonallergen?
1. Bread
2. Carrots
3. Oranges
4. Strawberries
Correct Answer: 4
RATIONALES: Common food allergens include berries, peanuts, Brazil nuts, cashews, shellfish, and eggs.
Bread, carrots, and oranges rarely cause allergic reactions.
The physician prescribes furosemide (Lasix), 2 mg/kg P.O., as a one-time dose for an infant with fluid
overload. The infant's documented weight is 14 lb. The oral solution contains 10 mg/ml. How many
milliliters of solution should the nurse administer?
Correct Answer: 1.3
RATIONALES: To perform the dosage calculation, first convert the infant's weight from pounds to
kilograms by setting up the following proportion:
2.2 lb/1 kg = 14 lb/X
X = 6.4 kg.
Then perform the following calculation to determine the total dose prescribed:
2 mg/kg = X/6.4 kg
X = 12.8 mg.
Then set up the following proportion to determine the volume of medication to administer:
10 mg/ml = 12.8 mg/X
X = 1.3 ml.
For a client with Graves' disease, which nursing intervention promotes comfort?
1. Restricting intake of oral fluid
,2. Placing extra blankets on the client's be
3. Limiting intake of high-carbohydrate foods
4. Maintaining room temperature in the low-normal range
Correct Answer: 4
RATIONALES: Graves' disease causes signs and symptoms of hypermetabolism, such as heat intolerance,
diaphoresis, excessive thirst and appetite, and weight loss. To reduce heat intolerance and diaphoresis,
the nurse should keep the client's room temperature in the low-normal range. To replace fluids lost via
diaphoresis, the nurse should encourage, not restrict, intake of oral fluids. Placing extra blankets on the
bed of a client with heat intolerance would cause discomfort. To provide needed energy and calories,
the nurse should encourage the client to eat high-carbohydrate foods.
A client is admitted with a diagnosis of delusions of grandeur. This diagnosis reflects a belief that he is:
1. highly important or famous.
2. being persecuted.
3. connected to events unrelated to himself.
4. responsible for the evil in the world.
Correct Answer: 1
RATIONALES: A client with delusions of grandeur has a false belief that he is highly important or famous.
A delusion of persecution is a false belief that one is being persecuted. A delusion of reference is a false
belief that one is connected to events unrelated to oneself or a belief that one is responsible for the evil
in the world.
A toddler is having a tonic-clonic seizure. What should the nurse do first?
1. Restrain the child.
2. Place a tongue blade in the child's mouth.
3. Remove objects from the child's surroundings.
4. Check the child's breathing.
Correct Answer: 3
,RATIONALES: During a seizure, the nurse's first priority is to protect the child from injury. To prevent
injury caused by uncontrolled movements, the nurse must remove objects from the child's surroundings
and pad objects that can't be removed. Restraining the child or placing an object in the child's mouth
during a seizure may cause injury. Once the seizure stops, the nurse should check for breathing and, if
indicated, initiate rescue breathing.
A 40-year-old client is admitted to the hospital for alcohol abuse for the third time in the past 9 months.
The health care team recommends rehabilitative treatment for this client. Why was this treatment
recommended?
1. It's the only option for controlling alcohol consumption.
2. It helps the client identify a new group of friends.
3. It helps the client understand the effects of alcohol on his body.
4. It helps the client identify the relationship between his problems and alcohol consumption.
Correct Answer: 4
RATIONALES: The purpose of rehabilitative treatment in alcoholism is to help the client identify the
relationship between his problems and his alcohol consumption. Rehabilitative treatment promotes
abstinence, not limiting or controlling consumption. It isn't intended to help the client identify a new
group of friends or understand the effects of alcohol on his body.
A man at a pizza parlor verbally confronts the waiter for lack of attentiveness. Later, in the back room,
the waiter spits on the man's pizza. This is an example of a behavior typical of which disorder?
1. Obsessive-compulsive
2. Narcissistic
3. Passive-aggressive
4. Dependent
Correct Answer: 3
RATIONALES: This is an example of a negative attitude and passive-aggressive behavior in response to
demands for adequate performance. People with this disorder won't confront or discuss issues with
others but will go to great lengths to "get even." Obsessive-compulsive disorder involves rituals or rules
that interfere with normal functioning. A person with a narcissistic personality has an exaggerated sense
of self-worth. A person with a dependent personality is submissive and frequently apologizes and backs
down when confronted.
, A client with end-stage acquired immunodeficiency syndrome (AIDS) has profound manifestations of
Cryptosporidium infectioncaused by the protozoa. In planning the client's care, the nurse should focus
on his need for:
1. pain management.
2. fluid replacement.
3. antiretroviral therapy.
4. high-calorie nutrition.
Correct Answer: 2
RATIONALES: The protozoal enteric infection caused by Cryptosporidium results in profuse watery
diarrhea. Because diarrhea will lead to dehydration, the nurse should focus on fluid replacement. Pain
management is also a concern in the care of a client with AIDS. However, with Cryptosporidium, the
main concern is hydration. Antiretroviral therapy is most useful when a client with human
immunodeficiency virus (HIV) doesn't have opportunistic infections. With the wasting associated with
AIDS, high-calorie nutrition is important but with Cryptosporidium-related diarrhea, hydration takes
precedence.
Following a small-bowel resection, a client develops fever and anemia. The surface surrounding the
surgical wound is warm to the touch and necrotizing fasciitis is suspected. Another manifestation that
would most suggest necrotizing fasciitis is:
1. erythema.
2. leukocytosis.
3. pressurelike pain.
4. swelling.
Correct Answer: 3
Exam Questions and Verified Correct Answers
JUST RELEASED
When taking a dietary history from a newly admitted client, the nurse should remember that which of
the following foods is a commonallergen?
1. Bread
2. Carrots
3. Oranges
4. Strawberries
Correct Answer: 4
RATIONALES: Common food allergens include berries, peanuts, Brazil nuts, cashews, shellfish, and eggs.
Bread, carrots, and oranges rarely cause allergic reactions.
The physician prescribes furosemide (Lasix), 2 mg/kg P.O., as a one-time dose for an infant with fluid
overload. The infant's documented weight is 14 lb. The oral solution contains 10 mg/ml. How many
milliliters of solution should the nurse administer?
Correct Answer: 1.3
RATIONALES: To perform the dosage calculation, first convert the infant's weight from pounds to
kilograms by setting up the following proportion:
2.2 lb/1 kg = 14 lb/X
X = 6.4 kg.
Then perform the following calculation to determine the total dose prescribed:
2 mg/kg = X/6.4 kg
X = 12.8 mg.
Then set up the following proportion to determine the volume of medication to administer:
10 mg/ml = 12.8 mg/X
X = 1.3 ml.
For a client with Graves' disease, which nursing intervention promotes comfort?
1. Restricting intake of oral fluid
,2. Placing extra blankets on the client's be
3. Limiting intake of high-carbohydrate foods
4. Maintaining room temperature in the low-normal range
Correct Answer: 4
RATIONALES: Graves' disease causes signs and symptoms of hypermetabolism, such as heat intolerance,
diaphoresis, excessive thirst and appetite, and weight loss. To reduce heat intolerance and diaphoresis,
the nurse should keep the client's room temperature in the low-normal range. To replace fluids lost via
diaphoresis, the nurse should encourage, not restrict, intake of oral fluids. Placing extra blankets on the
bed of a client with heat intolerance would cause discomfort. To provide needed energy and calories,
the nurse should encourage the client to eat high-carbohydrate foods.
A client is admitted with a diagnosis of delusions of grandeur. This diagnosis reflects a belief that he is:
1. highly important or famous.
2. being persecuted.
3. connected to events unrelated to himself.
4. responsible for the evil in the world.
Correct Answer: 1
RATIONALES: A client with delusions of grandeur has a false belief that he is highly important or famous.
A delusion of persecution is a false belief that one is being persecuted. A delusion of reference is a false
belief that one is connected to events unrelated to oneself or a belief that one is responsible for the evil
in the world.
A toddler is having a tonic-clonic seizure. What should the nurse do first?
1. Restrain the child.
2. Place a tongue blade in the child's mouth.
3. Remove objects from the child's surroundings.
4. Check the child's breathing.
Correct Answer: 3
,RATIONALES: During a seizure, the nurse's first priority is to protect the child from injury. To prevent
injury caused by uncontrolled movements, the nurse must remove objects from the child's surroundings
and pad objects that can't be removed. Restraining the child or placing an object in the child's mouth
during a seizure may cause injury. Once the seizure stops, the nurse should check for breathing and, if
indicated, initiate rescue breathing.
A 40-year-old client is admitted to the hospital for alcohol abuse for the third time in the past 9 months.
The health care team recommends rehabilitative treatment for this client. Why was this treatment
recommended?
1. It's the only option for controlling alcohol consumption.
2. It helps the client identify a new group of friends.
3. It helps the client understand the effects of alcohol on his body.
4. It helps the client identify the relationship between his problems and alcohol consumption.
Correct Answer: 4
RATIONALES: The purpose of rehabilitative treatment in alcoholism is to help the client identify the
relationship between his problems and his alcohol consumption. Rehabilitative treatment promotes
abstinence, not limiting or controlling consumption. It isn't intended to help the client identify a new
group of friends or understand the effects of alcohol on his body.
A man at a pizza parlor verbally confronts the waiter for lack of attentiveness. Later, in the back room,
the waiter spits on the man's pizza. This is an example of a behavior typical of which disorder?
1. Obsessive-compulsive
2. Narcissistic
3. Passive-aggressive
4. Dependent
Correct Answer: 3
RATIONALES: This is an example of a negative attitude and passive-aggressive behavior in response to
demands for adequate performance. People with this disorder won't confront or discuss issues with
others but will go to great lengths to "get even." Obsessive-compulsive disorder involves rituals or rules
that interfere with normal functioning. A person with a narcissistic personality has an exaggerated sense
of self-worth. A person with a dependent personality is submissive and frequently apologizes and backs
down when confronted.
, A client with end-stage acquired immunodeficiency syndrome (AIDS) has profound manifestations of
Cryptosporidium infectioncaused by the protozoa. In planning the client's care, the nurse should focus
on his need for:
1. pain management.
2. fluid replacement.
3. antiretroviral therapy.
4. high-calorie nutrition.
Correct Answer: 2
RATIONALES: The protozoal enteric infection caused by Cryptosporidium results in profuse watery
diarrhea. Because diarrhea will lead to dehydration, the nurse should focus on fluid replacement. Pain
management is also a concern in the care of a client with AIDS. However, with Cryptosporidium, the
main concern is hydration. Antiretroviral therapy is most useful when a client with human
immunodeficiency virus (HIV) doesn't have opportunistic infections. With the wasting associated with
AIDS, high-calorie nutrition is important but with Cryptosporidium-related diarrhea, hydration takes
precedence.
Following a small-bowel resection, a client develops fever and anemia. The surface surrounding the
surgical wound is warm to the touch and necrotizing fasciitis is suspected. Another manifestation that
would most suggest necrotizing fasciitis is:
1. erythema.
2. leukocytosis.
3. pressurelike pain.
4. swelling.
Correct Answer: 3
