Nclex PN FiNal actual exam test BaNk 2025/2026 /PN Nclex exit
Newest 2025/2026 comPlete all QuestioNs aNd correct detailed aNswers
with ratioNales (VeriFied aNswers) |already Graded a+||BraNd New
VersioN!!
In a patient with prolonged vomiting, the nurse monitors for fluid volume deficit because
vomiting results in
A.fluid movement from the cells into the interstitial space and the blood vessels.
B.excretion of large amounts of interstitial fluid with depletion of extracellular fluids.
C.an overload of extracellular fluid with a significant increase in intracellular fluid
volume.
D. fluid movement from the vascular system into the cells, causing cellular swelling and
rupture. - SOLUTIONB. Excretion of large amounts of interstitial fluid with depletion of
extracellular fluids
A client with Crohn's disease has concentrated urine; decreased urinary output; dry skin
with decreased turgor; hypotension; and weak, thready pulses. The nurse should do
which of the following first?
A.Encourage the client to drink at least 1000 ml/day
B.Provide parenteral rehydration therapy prescribed by the physician
C.Turn and reposition every 2 hours
,D.Monitor vital signs every shift - SOLUTIONB. Provide parenteral rehydration therapy as
prescribed by the physician = since they're already in severe FVD, so we need rapid
infusion of fluids
If it was just diaphoretic, tachy, but stable= choose to increase oral intake since it's not
as severe
A client has been admitted to the unit for treatment of dehydration. During the initial
meeting of the client and nurse, which nursing action is most appropriate?
A.Evaluate the client's response to treatment thus far
B.Establish the outcomes of hospitalization for the client
C.Tell the client that the provider will explain what to expect in the hospital D.Determine
preliminary client needs upon discharge - SOLUTIONB
The nurse is caring for a client with multiple myeloma who is receiving intravenous
hydration at 100 mL/hr. Which finding indicates a positive response to the treatment
plan?
A.Creatinine of 1.0 mg/dL
B.Weight increase of 1 kilogram
C.White blood cell count of 6000/mm3
D.Respirations of 18 breaths per minute - SOLUTIONA. Creatinine of 1.0
mg/dL
The nurse is assessing a client with heart failure who is receiving home health care
monitoring using electronic devices including scales, blood pressure monitoring. The
nurse reviews the data obtained within the last 3 days. The nurse calls the client to follow
up. The nurse should ask the client which of the following first:
,Day 1: 169 lbs, 120./80
Day 2: 162, 130/88 Day 3:
165, 140/90
A."How are you feeling today?"
B."Are you having shortness of breath?"
C."Did you calibrate the scales before using them?"
"How much fluid did you drink during the last 24 hours?" - SOLUTIONB.
are you having shortness of breath?
A nurse on a medical-surgical unit is caring for a group of clients. For which of the
following clients should the nurse anticipate a prescription for fluid restriction?
A. A client who has a new diagnosis of adrenal insufficiency
B. A client who has heart failure
C. A client who is receiving treatment for diabetic ketoacidosis
D. A client who has abdominal ascites. - SOLUTIONTHe client with heart failure
A client presents with GSW to abd and experiences severe internal bleeding. The client is
hypotensive and unresponsive. The nurse anticipates that which intravenous fluid will
most likely be prescribed to increase intravascular volume and increase blood pressure?
A. 5% dextrose in Lactated Ringers
B. 0.33% sodium chloride
C. 0.225 % sodium chloride
, D. 0.45% sodium chloride - SOLUTIOND5LR because it increases intravascular volume
The nurse monitors the client receiving PN for complications of therapy and should
assess the client for which manifestation of hyperglycemia?
A. Fever, weak pulse, and thurst
B.. N/V, oliguria
C. sweating, chills, and abdominal pain
D. weakness, - SOLUTIOND. Weakness
The nurse is caring for a group of adult clients on an acute care nursing unit, determines
that which of the clients would not be a candidate for PN?
1.A client with extensive burns
2.A client with cancer who is septic
3.A client who has had an open cholecystectomy
4.A client with severe exacerbation of Crohns' disease
5.A client with persistent nausea and vomiting from chemotherapy - SOLUTION3. A client
who has had an open cholecystectomy
A nurse is planning care for a client who has hypernatremia. Which of the following
actions should the nurse anticipate including in the plan of care?
A.Infuse hypotonic IV fluids
B.Implement fluid restriction
C.Increase sodium intake
D.Administer sodium polystyrene sulfonate. - SOLUTIONA. Infuse hypotonic IV fluids
Newest 2025/2026 comPlete all QuestioNs aNd correct detailed aNswers
with ratioNales (VeriFied aNswers) |already Graded a+||BraNd New
VersioN!!
In a patient with prolonged vomiting, the nurse monitors for fluid volume deficit because
vomiting results in
A.fluid movement from the cells into the interstitial space and the blood vessels.
B.excretion of large amounts of interstitial fluid with depletion of extracellular fluids.
C.an overload of extracellular fluid with a significant increase in intracellular fluid
volume.
D. fluid movement from the vascular system into the cells, causing cellular swelling and
rupture. - SOLUTIONB. Excretion of large amounts of interstitial fluid with depletion of
extracellular fluids
A client with Crohn's disease has concentrated urine; decreased urinary output; dry skin
with decreased turgor; hypotension; and weak, thready pulses. The nurse should do
which of the following first?
A.Encourage the client to drink at least 1000 ml/day
B.Provide parenteral rehydration therapy prescribed by the physician
C.Turn and reposition every 2 hours
,D.Monitor vital signs every shift - SOLUTIONB. Provide parenteral rehydration therapy as
prescribed by the physician = since they're already in severe FVD, so we need rapid
infusion of fluids
If it was just diaphoretic, tachy, but stable= choose to increase oral intake since it's not
as severe
A client has been admitted to the unit for treatment of dehydration. During the initial
meeting of the client and nurse, which nursing action is most appropriate?
A.Evaluate the client's response to treatment thus far
B.Establish the outcomes of hospitalization for the client
C.Tell the client that the provider will explain what to expect in the hospital D.Determine
preliminary client needs upon discharge - SOLUTIONB
The nurse is caring for a client with multiple myeloma who is receiving intravenous
hydration at 100 mL/hr. Which finding indicates a positive response to the treatment
plan?
A.Creatinine of 1.0 mg/dL
B.Weight increase of 1 kilogram
C.White blood cell count of 6000/mm3
D.Respirations of 18 breaths per minute - SOLUTIONA. Creatinine of 1.0
mg/dL
The nurse is assessing a client with heart failure who is receiving home health care
monitoring using electronic devices including scales, blood pressure monitoring. The
nurse reviews the data obtained within the last 3 days. The nurse calls the client to follow
up. The nurse should ask the client which of the following first:
,Day 1: 169 lbs, 120./80
Day 2: 162, 130/88 Day 3:
165, 140/90
A."How are you feeling today?"
B."Are you having shortness of breath?"
C."Did you calibrate the scales before using them?"
"How much fluid did you drink during the last 24 hours?" - SOLUTIONB.
are you having shortness of breath?
A nurse on a medical-surgical unit is caring for a group of clients. For which of the
following clients should the nurse anticipate a prescription for fluid restriction?
A. A client who has a new diagnosis of adrenal insufficiency
B. A client who has heart failure
C. A client who is receiving treatment for diabetic ketoacidosis
D. A client who has abdominal ascites. - SOLUTIONTHe client with heart failure
A client presents with GSW to abd and experiences severe internal bleeding. The client is
hypotensive and unresponsive. The nurse anticipates that which intravenous fluid will
most likely be prescribed to increase intravascular volume and increase blood pressure?
A. 5% dextrose in Lactated Ringers
B. 0.33% sodium chloride
C. 0.225 % sodium chloride
, D. 0.45% sodium chloride - SOLUTIOND5LR because it increases intravascular volume
The nurse monitors the client receiving PN for complications of therapy and should
assess the client for which manifestation of hyperglycemia?
A. Fever, weak pulse, and thurst
B.. N/V, oliguria
C. sweating, chills, and abdominal pain
D. weakness, - SOLUTIOND. Weakness
The nurse is caring for a group of adult clients on an acute care nursing unit, determines
that which of the clients would not be a candidate for PN?
1.A client with extensive burns
2.A client with cancer who is septic
3.A client who has had an open cholecystectomy
4.A client with severe exacerbation of Crohns' disease
5.A client with persistent nausea and vomiting from chemotherapy - SOLUTION3. A client
who has had an open cholecystectomy
A nurse is planning care for a client who has hypernatremia. Which of the following
actions should the nurse anticipate including in the plan of care?
A.Infuse hypotonic IV fluids
B.Implement fluid restriction
C.Increase sodium intake
D.Administer sodium polystyrene sulfonate. - SOLUTIONA. Infuse hypotonic IV fluids
