[Date] NCLEX-PN
NCLEX
BIGGYPERFECT
SMART STUDY
,NCLEX-PN ACTUAL ANALYSED QUESTIONS WITH
VERIFIED SOLUTIONS 2025-2026
,A nurse is collecting data on a 58 year old client with blurred vision and reduced visual fields. The nurse
finds which clinical manifestation MOST concerning?
A) Difficulty adjusting to dimmed lights
B) Extreme eye pain
C) Gradual loss of peripheral vision
D) Opaque appearance of lens ANSWER >> B, glaucoma is characterized by increased intraocular
pressure (IOP) resulting in compression of the optic nerve. When IOP increases rapidly sudden onset of
severe eye pain can occur.
Gradual loss of vision and difficulty adjusting to lights are not considered emergency situations. Opaque
lenses are characteristics of cataracts which is not a medical emergency.
The nurse is caring for a patient with diabetes mellitus. The client is alert and oriented but appears shaky
and pale. The client's capillary blood glucose is 50 mg/dL (2.8 mmol/L). Which of the following actions
should the nurse take next?
A) Administer 1 mg glucagon IM to the patient
B) Give the patient 4 oz (120 mL of regular soda.
C) Prepare 50 mL of dextrose 50% in water IV push.
D) Repeat the capillary blood glucose level to verify accuracy. ANSWER >> B, hypoglycemia occurs
when blood glucose levels fall below 70 mg/dL. Conscious clients should be given 15 g of a simple
carbohydrate (ex. 4 oz regular soda) to quickly increase the blood glucose level.
, IV dextrose and IM glucagon are given to patient who can not digest an oral simple carbohydrate. The
blood glucose should be rechecked 15 minutes after administration of a simple carbohydrate to check
effectiveness.
The nurse is reviewing medical histories with several clients during a community health screening event.
Which of the following client statements indicate a risk factor for cervical cancer? SATA
A) "I have had four sexual partners during my lifetime."
B) "I have smoked cigarettes for many years."
C) "I never use birth control pills because my partners wore condoms."
D) "I received treatment for chlamydia when I was younger."
E) "I tested positive for human papillomavirus a few years ago." ANSWER >> A, B, D, E, the most
important risk factor for cervical cancer is persistent human papillomavirus (HPV) infection. Other risks
factors for cervical cancer include multiple sex partners (>1), smoking tobacco, being infected with other
STIs (chlamydia). As these all increase the likelihood of HPV infection.
Condoms help prevent HPV, and not taking oral birth control is associated with a decreased risk of
cervical cancer.
The nurse in the emergency department is caring for a 66 year old client.
GENERAL: The client comes to the ED with fatigue, SOB, dry cough, and exertional dyspnea for 1 week;
the client is homeless; medical history includes chronic heart failure, uncontrolled hypertension, CAD,
and type 2 DM
NCLEX
BIGGYPERFECT
SMART STUDY
,NCLEX-PN ACTUAL ANALYSED QUESTIONS WITH
VERIFIED SOLUTIONS 2025-2026
,A nurse is collecting data on a 58 year old client with blurred vision and reduced visual fields. The nurse
finds which clinical manifestation MOST concerning?
A) Difficulty adjusting to dimmed lights
B) Extreme eye pain
C) Gradual loss of peripheral vision
D) Opaque appearance of lens ANSWER >> B, glaucoma is characterized by increased intraocular
pressure (IOP) resulting in compression of the optic nerve. When IOP increases rapidly sudden onset of
severe eye pain can occur.
Gradual loss of vision and difficulty adjusting to lights are not considered emergency situations. Opaque
lenses are characteristics of cataracts which is not a medical emergency.
The nurse is caring for a patient with diabetes mellitus. The client is alert and oriented but appears shaky
and pale. The client's capillary blood glucose is 50 mg/dL (2.8 mmol/L). Which of the following actions
should the nurse take next?
A) Administer 1 mg glucagon IM to the patient
B) Give the patient 4 oz (120 mL of regular soda.
C) Prepare 50 mL of dextrose 50% in water IV push.
D) Repeat the capillary blood glucose level to verify accuracy. ANSWER >> B, hypoglycemia occurs
when blood glucose levels fall below 70 mg/dL. Conscious clients should be given 15 g of a simple
carbohydrate (ex. 4 oz regular soda) to quickly increase the blood glucose level.
, IV dextrose and IM glucagon are given to patient who can not digest an oral simple carbohydrate. The
blood glucose should be rechecked 15 minutes after administration of a simple carbohydrate to check
effectiveness.
The nurse is reviewing medical histories with several clients during a community health screening event.
Which of the following client statements indicate a risk factor for cervical cancer? SATA
A) "I have had four sexual partners during my lifetime."
B) "I have smoked cigarettes for many years."
C) "I never use birth control pills because my partners wore condoms."
D) "I received treatment for chlamydia when I was younger."
E) "I tested positive for human papillomavirus a few years ago." ANSWER >> A, B, D, E, the most
important risk factor for cervical cancer is persistent human papillomavirus (HPV) infection. Other risks
factors for cervical cancer include multiple sex partners (>1), smoking tobacco, being infected with other
STIs (chlamydia). As these all increase the likelihood of HPV infection.
Condoms help prevent HPV, and not taking oral birth control is associated with a decreased risk of
cervical cancer.
The nurse in the emergency department is caring for a 66 year old client.
GENERAL: The client comes to the ED with fatigue, SOB, dry cough, and exertional dyspnea for 1 week;
the client is homeless; medical history includes chronic heart failure, uncontrolled hypertension, CAD,
and type 2 DM
