PN Comprehensive Predictor Practice Test —
Version 2 (Questions with Multiple-Choice
Answers and Correct Responses) | Complete
Study Resource for NCLEX-PN Preparation 2025–
2026”
1. A client with heart failure reports sudden weight gain of 2.5 kg (5.5 lb) in 24 hours.
What is the priority action?
A. Encourage increased activity
B. Restrict oral fluids
C. Notify the provider
D. Administer PRN acetaminophen
Correct Answer: C
2. A nurse is caring for a client receiving tube feedings via NG tube. Which action
reduces aspiration risk?
A. Lower head of bed to 20°
B. Check placement every 24 hrs
,C. Maintain HOB at 30–45°
D. Flush tube before feeding only
Correct Answer: C
3. A client taking warfarin has an INR of 5.6. What action should the nurse take?
A. Administer the next dose
B. Administer vitamin K
C. Increase green leafy vegetables
D. No action needed
Correct Answer: B
4. A nurse notes a pressure injury on a client’s sacrum with partial-thickness skin
loss. What stage is this?
A. Stage I
B. Stage II
C. Stage III
D. Unstageable
Correct Answer: B
5. A client with COPD is receiving oxygen at 6 L/min via nasal cannula. The nurse
should?
A. Maintain the flow
B. Reduce to 1–2 L/min
C. Switch to nonrebreather mask
D. Discontinue oxygen
Correct Answer: B
6. Which food should a client on MAOI therapy avoid?
,A. Bananas
B. Whole milk
C. Aged cheese
D. Apples
Correct Answer: C
7. Which is a sign of hypoglycemia?
A. Dry mucous membranes
B. Fruity breath
C. Diaphoresis
D. Deep respirations
Correct Answer: C
8. A client on furosemide develops muscle weakness. Which lab value is most
concerning?
A. Sodium 138
B. Potassium 2.9
C. Calcium 9.3
D. Magnesium 2.0
Correct Answer: B
9. Which task can the nurse delegate to a UAP (unlicensed assistive personnel)?
A. Assess pain level
B. Perform sterile wound care
C. Check blood glucose
D. Teach incentive spirometry
Correct Answer: C
, 10. A patient receiving morphine IV has RR = 8/min. What is the priority?
A. Document findings
B. Increase IV fluids
C. Administer naloxone
D. Reassess in 30 minutes
Correct Answer: C
11. Best site for administering a 1 mL IM injection to an adult?
A. Deltoid
B. Ventrogluteal
C. Vastus lateralis
D. Dorsogluteal
Correct Answer: B
12. A client with C. difficile requires which precautions?
A. Droplet
B. Airborne
C. Contact
D. Reverse isolation
Correct Answer: C
13. Appropriate action when witnessing a seizure?
A. Insert bite block
B. Restrain the client
C. Turn client to the side
D. Elevate head of bed
Correct Answer: C
Version 2 (Questions with Multiple-Choice
Answers and Correct Responses) | Complete
Study Resource for NCLEX-PN Preparation 2025–
2026”
1. A client with heart failure reports sudden weight gain of 2.5 kg (5.5 lb) in 24 hours.
What is the priority action?
A. Encourage increased activity
B. Restrict oral fluids
C. Notify the provider
D. Administer PRN acetaminophen
Correct Answer: C
2. A nurse is caring for a client receiving tube feedings via NG tube. Which action
reduces aspiration risk?
A. Lower head of bed to 20°
B. Check placement every 24 hrs
,C. Maintain HOB at 30–45°
D. Flush tube before feeding only
Correct Answer: C
3. A client taking warfarin has an INR of 5.6. What action should the nurse take?
A. Administer the next dose
B. Administer vitamin K
C. Increase green leafy vegetables
D. No action needed
Correct Answer: B
4. A nurse notes a pressure injury on a client’s sacrum with partial-thickness skin
loss. What stage is this?
A. Stage I
B. Stage II
C. Stage III
D. Unstageable
Correct Answer: B
5. A client with COPD is receiving oxygen at 6 L/min via nasal cannula. The nurse
should?
A. Maintain the flow
B. Reduce to 1–2 L/min
C. Switch to nonrebreather mask
D. Discontinue oxygen
Correct Answer: B
6. Which food should a client on MAOI therapy avoid?
,A. Bananas
B. Whole milk
C. Aged cheese
D. Apples
Correct Answer: C
7. Which is a sign of hypoglycemia?
A. Dry mucous membranes
B. Fruity breath
C. Diaphoresis
D. Deep respirations
Correct Answer: C
8. A client on furosemide develops muscle weakness. Which lab value is most
concerning?
A. Sodium 138
B. Potassium 2.9
C. Calcium 9.3
D. Magnesium 2.0
Correct Answer: B
9. Which task can the nurse delegate to a UAP (unlicensed assistive personnel)?
A. Assess pain level
B. Perform sterile wound care
C. Check blood glucose
D. Teach incentive spirometry
Correct Answer: C
, 10. A patient receiving morphine IV has RR = 8/min. What is the priority?
A. Document findings
B. Increase IV fluids
C. Administer naloxone
D. Reassess in 30 minutes
Correct Answer: C
11. Best site for administering a 1 mL IM injection to an adult?
A. Deltoid
B. Ventrogluteal
C. Vastus lateralis
D. Dorsogluteal
Correct Answer: B
12. A client with C. difficile requires which precautions?
A. Droplet
B. Airborne
C. Contact
D. Reverse isolation
Correct Answer: C
13. Appropriate action when witnessing a seizure?
A. Insert bite block
B. Restrain the client
C. Turn client to the side
D. Elevate head of bed
Correct Answer: C
