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NCLEX PN 2025 QUESTIONS BANK WITH
500 QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES/ 2025 NCLEX PN
EXAM TEST BANK/ PN NCLEX EXAM PREP
(NEW)
The nurse has instructed a client who has a newly
prescribed transcutaneous electrical nerve
stimulation (TENS) unit. Which of the following
statements by the client indicates a correct
understanding of the teaching?
A. "I should not take pain medications while this
device is applied."
B. "I will adjust the current to the point at which I
experience a sensation of pins and needles."
C. "The electrodes will be placed all over my body."
D. "I should experience generalized twitching while
this device is applied." - ...ANSWER...✓✓Choice B is
correct. A transcutaneous electrical nerve
stimulation (TENS) unit is an over-the-counter pain-
relieving device that provides a counter-current to
an area of localized pain. The electrodes are placed
where the area of pain is, and the current is
adjusted until the client feels a 'pins and needles
sensation which is theorized to release endorphins.
TENS units are commonly used as adjunctive pain
relief for musculoskeletal pain.
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Choices A, C, and D are incorrect. A TENS unit is an
adjunctive pain relieving device and may be used
with other modalities such as acetaminophen,
naproxen, etc. The electrodes are not applied all
over the client's body; they are applied to where
the client is experiencing the pain. Generalized
twitching is not the expected sensation of the TENS
unit; it is a pins-and-needles sensation experienced
where the pain is localized.
C. edema
D. tenderness
Choice C is correct. The client should be advised to
monitor for edema in one leg as a sign of
postpartum thrombophlebitis. If swelling is noted,
the nurse should measure both lower extremities
and compare the circumference of the affected
with the unaffected.
Choice D is correct. The client should be advised to
monitor for tenderness in one leg as a sign of
postpartum thrombophlebitis. Edema, pain, and
redness would be expected findings in whichever
leg the clot is occluding.
Choice A is incorrect. An individual with
thrombophlebitis has localized pain, erythema,
heat, and tenderness. Muscle weakness in the
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extremity is not an expected finding and could
suggest hypokalemia.
Choice B is incorrect. Ulcers between the toes are a
clinical manifestation associated with peripheral
arterial disease. This is not a symptom associated
with thrombophlebitis.
Choice E is incorrect. Cyanosis (bluish discol -
...ANSWER...✓✓C. edema
D. tenderness
Choice C is correct. The client should be advised to
monitor for edema in one leg as a sign of
postpartum thrombophlebitis. If swelling is noted,
the nurse should measure both lower extremities
and compare the circumference of the affected
with the unaffected.
Choice D is correct. The client should be advised to
monitor for tenderness in one leg as a sign of
postpartum thrombophlebitis. Edema, pain, and
redness would be expected findings in whichever
leg the clot is occluding.
Choice A is incorrect. An individual with
thrombophlebitis has localized pain, erythema,
heat, and tenderness. Muscle weakness in the
extremity is not an expected finding and could
suggest hypokalemia.
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Choice B is incorrect. Ulcers between the toes are a
clinical manifestation associated with peripheral
arterial disease. This is not a symptom associated
with thrombophlebitis.
Choice E is incorrect. Cyanosis (bluish discoloration
of the skin) or coolness in one limb is a sign of
venous obstruction, not thrombosis. Instead, when
monitoring for signs of postpartum
thrombophlebitis, the client should be instructed to
report symptoms of inflammation such as warmth,
swelling, or redness.
Choice F is incorrect. Patches of hair loss are a
manifestation associated with arterial insufficiency.
Because of the decreased blood flow, less hair
grows on the skin.
The nurse is performing an assessment on a
newborn. Which findings require follow-up?
Select all that apply.
A. high pitched cry
B. heart rate 175/minute while crying
C. white patches on cheeks or tongue
D. vernix caseosa in the creases
E. respiratory rate 25/minute - ...ANSWER...✓✓A.
high pitched cry
NCLEX PN 2025 QUESTIONS BANK WITH
500 QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES/ 2025 NCLEX PN
EXAM TEST BANK/ PN NCLEX EXAM PREP
(NEW)
The nurse has instructed a client who has a newly
prescribed transcutaneous electrical nerve
stimulation (TENS) unit. Which of the following
statements by the client indicates a correct
understanding of the teaching?
A. "I should not take pain medications while this
device is applied."
B. "I will adjust the current to the point at which I
experience a sensation of pins and needles."
C. "The electrodes will be placed all over my body."
D. "I should experience generalized twitching while
this device is applied." - ...ANSWER...✓✓Choice B is
correct. A transcutaneous electrical nerve
stimulation (TENS) unit is an over-the-counter pain-
relieving device that provides a counter-current to
an area of localized pain. The electrodes are placed
where the area of pain is, and the current is
adjusted until the client feels a 'pins and needles
sensation which is theorized to release endorphins.
TENS units are commonly used as adjunctive pain
relief for musculoskeletal pain.
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Choices A, C, and D are incorrect. A TENS unit is an
adjunctive pain relieving device and may be used
with other modalities such as acetaminophen,
naproxen, etc. The electrodes are not applied all
over the client's body; they are applied to where
the client is experiencing the pain. Generalized
twitching is not the expected sensation of the TENS
unit; it is a pins-and-needles sensation experienced
where the pain is localized.
C. edema
D. tenderness
Choice C is correct. The client should be advised to
monitor for edema in one leg as a sign of
postpartum thrombophlebitis. If swelling is noted,
the nurse should measure both lower extremities
and compare the circumference of the affected
with the unaffected.
Choice D is correct. The client should be advised to
monitor for tenderness in one leg as a sign of
postpartum thrombophlebitis. Edema, pain, and
redness would be expected findings in whichever
leg the clot is occluding.
Choice A is incorrect. An individual with
thrombophlebitis has localized pain, erythema,
heat, and tenderness. Muscle weakness in the
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extremity is not an expected finding and could
suggest hypokalemia.
Choice B is incorrect. Ulcers between the toes are a
clinical manifestation associated with peripheral
arterial disease. This is not a symptom associated
with thrombophlebitis.
Choice E is incorrect. Cyanosis (bluish discol -
...ANSWER...✓✓C. edema
D. tenderness
Choice C is correct. The client should be advised to
monitor for edema in one leg as a sign of
postpartum thrombophlebitis. If swelling is noted,
the nurse should measure both lower extremities
and compare the circumference of the affected
with the unaffected.
Choice D is correct. The client should be advised to
monitor for tenderness in one leg as a sign of
postpartum thrombophlebitis. Edema, pain, and
redness would be expected findings in whichever
leg the clot is occluding.
Choice A is incorrect. An individual with
thrombophlebitis has localized pain, erythema,
heat, and tenderness. Muscle weakness in the
extremity is not an expected finding and could
suggest hypokalemia.
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Choice B is incorrect. Ulcers between the toes are a
clinical manifestation associated with peripheral
arterial disease. This is not a symptom associated
with thrombophlebitis.
Choice E is incorrect. Cyanosis (bluish discoloration
of the skin) or coolness in one limb is a sign of
venous obstruction, not thrombosis. Instead, when
monitoring for signs of postpartum
thrombophlebitis, the client should be instructed to
report symptoms of inflammation such as warmth,
swelling, or redness.
Choice F is incorrect. Patches of hair loss are a
manifestation associated with arterial insufficiency.
Because of the decreased blood flow, less hair
grows on the skin.
The nurse is performing an assessment on a
newborn. Which findings require follow-up?
Select all that apply.
A. high pitched cry
B. heart rate 175/minute while crying
C. white patches on cheeks or tongue
D. vernix caseosa in the creases
E. respiratory rate 25/minute - ...ANSWER...✓✓A.
high pitched cry
