NGN NCLEX PN EXAMINATION 2025
V8761431
MA SALVACION F MEDINA
ID:24022542
,1. A client is prescribed furosemide (Lasix). Which of the following findings should the nurse
report to the healthcare provider?
A. Serum potassium of 3.1 mEq/L
B. Blood pressure of 118/76 mmHg
C. Urine output of 2,000 mL/day
D. Serum sodium of 140 mEq/L
Answer: A
Rationale: Furosemide is a diuretic that can cause hypokalemia; a potassium level of 3.1 mEq/L
is below normal and should be reported.
2. A client with a history of COPD is experiencing shortness of breath. What is the priority
nursing action?
A. Encourage increased fluid intake
B. Place the client in high Fowler’s position
C. Instruct the client to take deep breaths
D. Administer a cough suppressant
Answer: B
Rationale: High Fowler’s position maximizes lung expansion and improves oxygenation.
3. A client is prescribed digoxin. Which sign indicates possible toxicity?
A. Tachycardia
B. Blurred vision
C. Polyuria
D. Diarrhea
Answer: B
Rationale: Digoxin toxicity may present with blurred or yellow vision and bradycardia.
4. A client asks, "What does insulin do in my body?" What is the best response?
A. It breaks down fat into glucose.
B. It stimulates the liver to produce glucose.
C. It helps glucose enter the cells.
D. It prevents your kidneys from excreting sugar.
Answer: C
Rationale: Insulin facilitates the transport of glucose into cells for energy.
5. Which meal is best for a client with iron-deficiency anemia?
A. Chicken breast, broccoli, and orange juice
B. Oatmeal, banana, and milk
Re-production and Re-distribution of this Document is illegal cc@NCSBN 2025
, C. Toast, jelly, and coffee
D. Pasta with marinara sauce
Answer: A
Rationale: Chicken and broccoli are rich in iron; orange juice enhances iron absorption.
6. A nurse is caring for a client with a nasogastric tube to low intermittent suction. Which
electrolyte imbalance is most likely?
A. Hyperkalemia
B. Hyponatremia
C. Hypokalemia
D. Hypernatremia
Answer: C
Rationale: NG suction removes gastric contents, which contain potassium.
7. What is the priority action when a client begins to experience a seizure?
A. Insert an oral airway
B. Restrain the client
C. Place the client on their side
D. Call for help
Answer: C
Rationale: Placing the client on their side maintains airway patency and reduces aspiration risk.
8. A client with type 1 diabetes is pale and diaphoretic. What is the nurse’s first action?
A. Check the client’s blood glucose
B. Call the healthcare provider
C. Administer insulin
D. Give a glass of water
Answer: A
Rationale: Symptoms suggest hypoglycemia; check glucose before intervening.
9. A client post-surgery has not voided in 6 hours. What should the nurse do first?
A. Call the physician
B. Palpate the bladder
C. Administer a diuretic
D. Encourage fluid intake
Answer: B
Rationale: Bladder assessment is necessary to determine urinary retention before other actions.
Re-production and Re-distribution of this Document is illegal cc@NCSBN 2025
V8761431
MA SALVACION F MEDINA
ID:24022542
,1. A client is prescribed furosemide (Lasix). Which of the following findings should the nurse
report to the healthcare provider?
A. Serum potassium of 3.1 mEq/L
B. Blood pressure of 118/76 mmHg
C. Urine output of 2,000 mL/day
D. Serum sodium of 140 mEq/L
Answer: A
Rationale: Furosemide is a diuretic that can cause hypokalemia; a potassium level of 3.1 mEq/L
is below normal and should be reported.
2. A client with a history of COPD is experiencing shortness of breath. What is the priority
nursing action?
A. Encourage increased fluid intake
B. Place the client in high Fowler’s position
C. Instruct the client to take deep breaths
D. Administer a cough suppressant
Answer: B
Rationale: High Fowler’s position maximizes lung expansion and improves oxygenation.
3. A client is prescribed digoxin. Which sign indicates possible toxicity?
A. Tachycardia
B. Blurred vision
C. Polyuria
D. Diarrhea
Answer: B
Rationale: Digoxin toxicity may present with blurred or yellow vision and bradycardia.
4. A client asks, "What does insulin do in my body?" What is the best response?
A. It breaks down fat into glucose.
B. It stimulates the liver to produce glucose.
C. It helps glucose enter the cells.
D. It prevents your kidneys from excreting sugar.
Answer: C
Rationale: Insulin facilitates the transport of glucose into cells for energy.
5. Which meal is best for a client with iron-deficiency anemia?
A. Chicken breast, broccoli, and orange juice
B. Oatmeal, banana, and milk
Re-production and Re-distribution of this Document is illegal cc@NCSBN 2025
, C. Toast, jelly, and coffee
D. Pasta with marinara sauce
Answer: A
Rationale: Chicken and broccoli are rich in iron; orange juice enhances iron absorption.
6. A nurse is caring for a client with a nasogastric tube to low intermittent suction. Which
electrolyte imbalance is most likely?
A. Hyperkalemia
B. Hyponatremia
C. Hypokalemia
D. Hypernatremia
Answer: C
Rationale: NG suction removes gastric contents, which contain potassium.
7. What is the priority action when a client begins to experience a seizure?
A. Insert an oral airway
B. Restrain the client
C. Place the client on their side
D. Call for help
Answer: C
Rationale: Placing the client on their side maintains airway patency and reduces aspiration risk.
8. A client with type 1 diabetes is pale and diaphoretic. What is the nurse’s first action?
A. Check the client’s blood glucose
B. Call the healthcare provider
C. Administer insulin
D. Give a glass of water
Answer: A
Rationale: Symptoms suggest hypoglycemia; check glucose before intervening.
9. A client post-surgery has not voided in 6 hours. What should the nurse do first?
A. Call the physician
B. Palpate the bladder
C. Administer a diuretic
D. Encourage fluid intake
Answer: B
Rationale: Bladder assessment is necessary to determine urinary retention before other actions.
Re-production and Re-distribution of this Document is illegal cc@NCSBN 2025
