1|Page
NCLEX PN 2025 QUESTIONS BANK WITH 500
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES/ 2025 NCLEX PN EXAM TEST BANK/
PN NCLEX EXAM PREP (NEW)
You are caring for a 14-month-old diagnosed with severe
iron deficiency anemia. She is admitted for a blood
transfusion and is started on oral iron supplementation.
When you change her diaper, you note a dark black stool.
What are the appropriate nursing actions?
Select ALL
A. Notify the healthcare provider.
B. Document the finding.
C. Continue with your assessment.
D. Administer the oral iron supplement as prescribed -
...ANSWER...✓✓Choices B, C, and D are correct.
B is correct. Black stools are an expected response to
iron supplementation. It is an appropriate nursing action
to document this finding in the chart, but no further action
is needed.
C is correct. Black stools are an expected response to
iron supplementation. It is an appropriate nursing action
to continue with your assessment. Since the finding is
expected, no other steps are necessary.
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D is correct. Black stools are an expected response to
iron supplementation. It is an appropriate nursing action
to administer the oral iron supplement as prescribed.
Choice A is incorrect. Black stools are an expected
response to iron supplementation. The nurse doesn't need
to notify the healthcare provider of this.
NCSBN Client Need Topic: Physiological Integrity,
Subtopic: Pharmacological therapies, Pediatrics
Hematology
The nurse is re-educating on discharge instructions to a
patient who has chronic diabetes insipidus (DI). Which of
the following patient statements would indicate a correct
understanding of the discharge instructions?
A. "I will need to drink no more than 800 ml per day."
B. "I will need to weigh myself at the same time every
day."
C. "I should increase salty snacks in my diet."
D. "I need to log my fluid intake and urine output." -
...ANSWER...✓✓Choice B is correct.
A patient with chronic diabetes insipidus (DI) is instructed
to weigh themselves daily. This weight should be taken
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with the same scale and obtained after the first-morning
void.
Choices A, C, and D are incorrect. Fluid restrictions would
be appropriate for a patient with syndrome of
inappropriate antidiuretic hormone (SIADH). This would
not be appropriate for DI as the patient will need to
consume more fluids to replace those that are lost. Salty
snacks are not encouraged because this may hasten the
hypernatremia associated with this disease. Logging
intake and output are not useful because this provides a
crude way of assessing fluid status.
This nurse is caring for a patient who is receiving
prescribed ketorolac. Which of the following findings
would indicate a therapeutic response?
Select all that apply.
A. Decreased pain
B. Increased urinary output
C. Decreased blood pressure
D. Decreased temperature
E. Increased muscle coordination -
...ANSWER...✓✓Choices A and D are correct
, 4|Page
Ketorolac is a medication used to treat pain and pyrexia.
A patient exhibiting a decrease in pain and having a
decrease in temperature would be a therapeutic
response.
Choices B, C, and E are incorrect. Ketorolac does not
therapeutically lower blood pressure, increase urinary
output, or increase muscle coordination. Medications that
could be used to lower blood pressure would be agents
such as lisinopril, atenolol, etc. Agents used to increase
urinary output would be diuretics such as furosemide. The
improvement in muscle coordination may be achieved by
medications such as levodopa-carbidopa.
Which of the following falls under the right time of the 8
rights of medication administration?
Select all that apply.
A. Have a second nurse independently calculate the
medication dosage.
B. Double-check the last time that the medication was
administered.
C. Verify the frequency with which the medication is
ordered.
NCLEX PN 2025 QUESTIONS BANK WITH 500
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES/ 2025 NCLEX PN EXAM TEST BANK/
PN NCLEX EXAM PREP (NEW)
You are caring for a 14-month-old diagnosed with severe
iron deficiency anemia. She is admitted for a blood
transfusion and is started on oral iron supplementation.
When you change her diaper, you note a dark black stool.
What are the appropriate nursing actions?
Select ALL
A. Notify the healthcare provider.
B. Document the finding.
C. Continue with your assessment.
D. Administer the oral iron supplement as prescribed -
...ANSWER...✓✓Choices B, C, and D are correct.
B is correct. Black stools are an expected response to
iron supplementation. It is an appropriate nursing action
to document this finding in the chart, but no further action
is needed.
C is correct. Black stools are an expected response to
iron supplementation. It is an appropriate nursing action
to continue with your assessment. Since the finding is
expected, no other steps are necessary.
,2|Page
D is correct. Black stools are an expected response to
iron supplementation. It is an appropriate nursing action
to administer the oral iron supplement as prescribed.
Choice A is incorrect. Black stools are an expected
response to iron supplementation. The nurse doesn't need
to notify the healthcare provider of this.
NCSBN Client Need Topic: Physiological Integrity,
Subtopic: Pharmacological therapies, Pediatrics
Hematology
The nurse is re-educating on discharge instructions to a
patient who has chronic diabetes insipidus (DI). Which of
the following patient statements would indicate a correct
understanding of the discharge instructions?
A. "I will need to drink no more than 800 ml per day."
B. "I will need to weigh myself at the same time every
day."
C. "I should increase salty snacks in my diet."
D. "I need to log my fluid intake and urine output." -
...ANSWER...✓✓Choice B is correct.
A patient with chronic diabetes insipidus (DI) is instructed
to weigh themselves daily. This weight should be taken
,3|Page
with the same scale and obtained after the first-morning
void.
Choices A, C, and D are incorrect. Fluid restrictions would
be appropriate for a patient with syndrome of
inappropriate antidiuretic hormone (SIADH). This would
not be appropriate for DI as the patient will need to
consume more fluids to replace those that are lost. Salty
snacks are not encouraged because this may hasten the
hypernatremia associated with this disease. Logging
intake and output are not useful because this provides a
crude way of assessing fluid status.
This nurse is caring for a patient who is receiving
prescribed ketorolac. Which of the following findings
would indicate a therapeutic response?
Select all that apply.
A. Decreased pain
B. Increased urinary output
C. Decreased blood pressure
D. Decreased temperature
E. Increased muscle coordination -
...ANSWER...✓✓Choices A and D are correct
, 4|Page
Ketorolac is a medication used to treat pain and pyrexia.
A patient exhibiting a decrease in pain and having a
decrease in temperature would be a therapeutic
response.
Choices B, C, and E are incorrect. Ketorolac does not
therapeutically lower blood pressure, increase urinary
output, or increase muscle coordination. Medications that
could be used to lower blood pressure would be agents
such as lisinopril, atenolol, etc. Agents used to increase
urinary output would be diuretics such as furosemide. The
improvement in muscle coordination may be achieved by
medications such as levodopa-carbidopa.
Which of the following falls under the right time of the 8
rights of medication administration?
Select all that apply.
A. Have a second nurse independently calculate the
medication dosage.
B. Double-check the last time that the medication was
administered.
C. Verify the frequency with which the medication is
ordered.
