Page 1 of 150
“NCLEX PN ARCHER EXAM 2026 ”LATEST EXAM
2026 – 2027 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED 100% GUARANTEE PASS
NCLEX PN ARCHER REVIEW
The licensed practical/vocational nurse (LPN/VN) is working with a registered
nurse caring for a child experiencing an adrenal crisis. The RN has established
a peripheral vascular access device and the LPN/VN anticipates the RN to
administer intravenous
Select all that apply.
potassium chloride.
5% dextrose with 0.9% saline.
hydrocortisone.
levothyroxine.
desmopressin.
propranolol.
5% dextrose with 0.9% saline.
hydrocortisone.
Rationale:
An adrenal crisis is a medical emergency for both an adult and a child. Remember,
you need to add the treatment in an adrenal crisis (Addisonian crisis). The
immediate treatment for a client in an adrenal crisis is replacing the corticosteroid via
intravenous (IV) hydrocortisone. The treatment goal of administering IV
hydrocortisone is to increase the low glucose levels and retain some of the fluid and
, Page 2 of 150
sodium. The second essential treatment is administering IV fluids of 5% dextrose
with 0.9% saline. The 5% dextrose with 0.9% saline will raise the glucose (D5) and
circulating volume (0.9% saline). Giving D5W alone would be detrimental as the
water will lower serum sodium levels.
Which of the following client conditions are examples of subjective data?
Select all that apply.
The client reports feeling nauseated.
The client's feet are swollen.
The client tells the nurse she is nervous about test results.
The client reports an itchy rash on his leg.
The client rates her pain as a 6 on a scale of 1 to 10.
The client vomits twice after eating supper.
The client reports feeling nauseated.
The client tells the nurse she is nervous about test results.
The client reports an itchy rash on his leg.
The client rates her pain as a 6 on a scale of 1 to 10.
Rationale:
Subjective data is information that is perceived only by the person affected. This type
of data cannot be perceived or verified by another person. A few examples of
subjective data include feeling nervous or nauseous, itchy, cold, or experiencing
pain.
The nurse is assessing a client who just returned from surgery. The nurse
checks preoperative vital signs at 8:30 AM to compare them with the current
vital signs at 10:30 AM. What action should the nurse take? See the exhibit.
A. Assess the surgical wound
B. Collect blood cultures
C. Administer oxygen at 2 L/minute
D. Encourage by-mouth (PO) fluids
Assess the surgical wound
Rationale:
The client's 10:30 AM vital signs show signs of shock. Considering this client is in the
immediate postoperative period, the nurse should assess the surgical wound for
signs of hemorrhage. The nurse should reinforce the dressing if this is the source of
, Page 3 of 150
the bleeding. The nurse should notify the primary healthcare physician (PHCP) of the
client's change in condition.
The licensed practical/vocational nurse (LPN/VN) reviews newly prescribed
medications for a client taking prescribed lithium. Which medication requires
further follow-up by the LPN/VN?
A. venlafaxine
B. hydrochlorothiazide
C. gabapentin
D. losartan
hydrochlorothiazide
Rationale:
A client taking lithium should be instructed to avoid dehydration and hyponatremia.
Lithium is a salt; when the client has decreased fluid volume, the drug accumulates
and raises the lithium level. HCTZ is a thiazide diuretic and is contraindicated for a
client taking lithium because of its ability to decrease fluid and sodium levels.
The nurse is caring for a client with the following clinical data. Which
medication would the nurse clarify with the primary healthcare provider
(PHCP) before administration based on the vital signs? See the image below.
A. Metoprolol 50 mg PO Daily
B. Lisinopril 40 mg PO Daily
C. Albuterol 2.5 mg via nebulizer Daily
D. Diltiazem XR 120 mg PO Daily
Albuterol 2.5 mg via nebulizer Daily
Rationale:
The vital signs (VS) are all within normal limits except the pulse, which is 123 bpm,
and the blood pressure is slightly elevated. This should cause the nurse to clarify the
prescription of albuterol with the PHCP as this medication increases heart rate. This
would foreseeably worsen the tachycardia that the client is already experiencing.
*NGN* The nurse is performing data collection of a newborn immediately
following birth
Click to highlight the findings in the nursing assessment that require follow-up
Nursing Assessment
Vitals/Observations
Respiratory rate
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68 breaths per minute
Apical Pulse
187
Axillary Temperature
95.7°F (35.3°C)
Head
Symmetrical
Mouth
Small, white, hard cysts on the hard palate
Neck
Raises head from side to side while prone
Cry
Vigorous
Respiratory
Clear lung fields
Extremities
Unequal thigh and gluteal creases
Skin
Bluish-gray marks on the sacrum
Respiratory rate
68 breaths per minute
Apical Pulse
187
Axillary Temperature
95.7°F (35.3°C)
Extremities
Unequal thigh and gluteal creases
Rationale:
The findings in the physical assessment that require follow-up include the
infant's apical pulse of 187, an axillary temperature of 95.7°F (35.3°C), and
a respiratory rate of 68 per minute. Both vital signs suggest cold stress and require
measures to warm the newborn. When a newborn experiences cold stress,
tachypnea and tachycardia are all associated with this condition.
“NCLEX PN ARCHER EXAM 2026 ”LATEST EXAM
2026 – 2027 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED 100% GUARANTEE PASS
NCLEX PN ARCHER REVIEW
The licensed practical/vocational nurse (LPN/VN) is working with a registered
nurse caring for a child experiencing an adrenal crisis. The RN has established
a peripheral vascular access device and the LPN/VN anticipates the RN to
administer intravenous
Select all that apply.
potassium chloride.
5% dextrose with 0.9% saline.
hydrocortisone.
levothyroxine.
desmopressin.
propranolol.
5% dextrose with 0.9% saline.
hydrocortisone.
Rationale:
An adrenal crisis is a medical emergency for both an adult and a child. Remember,
you need to add the treatment in an adrenal crisis (Addisonian crisis). The
immediate treatment for a client in an adrenal crisis is replacing the corticosteroid via
intravenous (IV) hydrocortisone. The treatment goal of administering IV
hydrocortisone is to increase the low glucose levels and retain some of the fluid and
, Page 2 of 150
sodium. The second essential treatment is administering IV fluids of 5% dextrose
with 0.9% saline. The 5% dextrose with 0.9% saline will raise the glucose (D5) and
circulating volume (0.9% saline). Giving D5W alone would be detrimental as the
water will lower serum sodium levels.
Which of the following client conditions are examples of subjective data?
Select all that apply.
The client reports feeling nauseated.
The client's feet are swollen.
The client tells the nurse she is nervous about test results.
The client reports an itchy rash on his leg.
The client rates her pain as a 6 on a scale of 1 to 10.
The client vomits twice after eating supper.
The client reports feeling nauseated.
The client tells the nurse she is nervous about test results.
The client reports an itchy rash on his leg.
The client rates her pain as a 6 on a scale of 1 to 10.
Rationale:
Subjective data is information that is perceived only by the person affected. This type
of data cannot be perceived or verified by another person. A few examples of
subjective data include feeling nervous or nauseous, itchy, cold, or experiencing
pain.
The nurse is assessing a client who just returned from surgery. The nurse
checks preoperative vital signs at 8:30 AM to compare them with the current
vital signs at 10:30 AM. What action should the nurse take? See the exhibit.
A. Assess the surgical wound
B. Collect blood cultures
C. Administer oxygen at 2 L/minute
D. Encourage by-mouth (PO) fluids
Assess the surgical wound
Rationale:
The client's 10:30 AM vital signs show signs of shock. Considering this client is in the
immediate postoperative period, the nurse should assess the surgical wound for
signs of hemorrhage. The nurse should reinforce the dressing if this is the source of
, Page 3 of 150
the bleeding. The nurse should notify the primary healthcare physician (PHCP) of the
client's change in condition.
The licensed practical/vocational nurse (LPN/VN) reviews newly prescribed
medications for a client taking prescribed lithium. Which medication requires
further follow-up by the LPN/VN?
A. venlafaxine
B. hydrochlorothiazide
C. gabapentin
D. losartan
hydrochlorothiazide
Rationale:
A client taking lithium should be instructed to avoid dehydration and hyponatremia.
Lithium is a salt; when the client has decreased fluid volume, the drug accumulates
and raises the lithium level. HCTZ is a thiazide diuretic and is contraindicated for a
client taking lithium because of its ability to decrease fluid and sodium levels.
The nurse is caring for a client with the following clinical data. Which
medication would the nurse clarify with the primary healthcare provider
(PHCP) before administration based on the vital signs? See the image below.
A. Metoprolol 50 mg PO Daily
B. Lisinopril 40 mg PO Daily
C. Albuterol 2.5 mg via nebulizer Daily
D. Diltiazem XR 120 mg PO Daily
Albuterol 2.5 mg via nebulizer Daily
Rationale:
The vital signs (VS) are all within normal limits except the pulse, which is 123 bpm,
and the blood pressure is slightly elevated. This should cause the nurse to clarify the
prescription of albuterol with the PHCP as this medication increases heart rate. This
would foreseeably worsen the tachycardia that the client is already experiencing.
*NGN* The nurse is performing data collection of a newborn immediately
following birth
Click to highlight the findings in the nursing assessment that require follow-up
Nursing Assessment
Vitals/Observations
Respiratory rate
, Page 4 of 150
68 breaths per minute
Apical Pulse
187
Axillary Temperature
95.7°F (35.3°C)
Head
Symmetrical
Mouth
Small, white, hard cysts on the hard palate
Neck
Raises head from side to side while prone
Cry
Vigorous
Respiratory
Clear lung fields
Extremities
Unequal thigh and gluteal creases
Skin
Bluish-gray marks on the sacrum
Respiratory rate
68 breaths per minute
Apical Pulse
187
Axillary Temperature
95.7°F (35.3°C)
Extremities
Unequal thigh and gluteal creases
Rationale:
The findings in the physical assessment that require follow-up include the
infant's apical pulse of 187, an axillary temperature of 95.7°F (35.3°C), and
a respiratory rate of 68 per minute. Both vital signs suggest cold stress and require
measures to warm the newborn. When a newborn experiences cold stress,
tachypnea and tachycardia are all associated with this condition.
