NCLEX PN 2025-2026 WELL REVIEWED GRADED A+ EXAM
WITH CERTIFIED QUESTIONS AND ANSWERS
1. The nurse is teaching a client newly diagnosed with diverticulosis. Which of the
following information should the nurse include?
1. "Limit your daily fluid intake to 2 L to avoid bloating."
2. "You may be prescribed a bulk-forming laxative."
3. "Limit your intake of dairy products such as milk and yogurt."
4. "You should avoid consuming cooked vegetables."
2. "You may be prescribed a bulk-forming laxative."
No need to restrict fluids and no need to restrict diet. Diet does not cause diverticulitis
exacerbations!
2. The nurse is preparing to administer lorazepam 2 mg, IV, now to a client who is
scheduled for surgery in 30 minutes. The nurse is unfamiliar with the dosage for the
medication.
Which of the following actions should the nurse take next?
1. Check the medication dosage in a medication reference source.
2. Ask another nurse whether the prescribed dose is a safe dose.
3. Clarify that the dose is correct with the primary health care provider.
4. Contact the pharmacist to verify the safe dosage range for the medication.
1. Check the medication dosage in a medication reference source.
3. The nurse is caring for a client who is receiving a high dose of a phenothiazine. When
evaluating the client for a life-threatening syndrome related to the medication, it would
be a priority for the nurse to report
1. dry mouth
2. orthostatic hypotension
3. fever
4. photophobia
3. fever
, Rationale: Phenothazine side effects include ABCDEFG -- Anticholinergic (dry mouth),
blurry vision, constipation, drowsiness, EPS, Photosensitivity, and agranulocytosis. Fever
would be a complication of agranulocytosis and requires the nurse to report.
4. The nurse is caring for a client who is receiving a blood transfusion and states, "I feel
chilled and am having back pain." Which of the following actions should the nurse
take? Select all that apply.
1. Stop the transfusion.
2. Check the client's vital signs.
3. Notify the client's primary health care provider.
4. Return the blood and infusion tubing to the blood bank.
5. Infuse 5% dextrose in water through the intravenous catheter.
6. Administer a dose of an antiemetic prescribed p.r.n. to the client.
1, 2, 3, 4
Back pain and chills are symptoms of Hemolytic transfusion reaction (wrong blood type).
Must stop infusion, check vital signs, and notify the provider
5. NS to keep the line open, not dextrose in water
5. The nurse is preparing a staff education program about total parenteral nutrition
(TPN). Which of the following information should the nurse include? Select all that
apply.
1. "The TPN intravenous tubing should be changed once a week."
2. "TPN can be administered through a peripherally inserted central catheter (PICC)."
3. "Clients receiving TPN should be weighed daily."
4. "An infusion pump is used to deliver TPN."
5. "Serum glucose levels should be monitored in clients receiving TPN."
2, 3, 4, 5
1. TPN tubing is changed daily (every 24hr)!
WITH CERTIFIED QUESTIONS AND ANSWERS
1. The nurse is teaching a client newly diagnosed with diverticulosis. Which of the
following information should the nurse include?
1. "Limit your daily fluid intake to 2 L to avoid bloating."
2. "You may be prescribed a bulk-forming laxative."
3. "Limit your intake of dairy products such as milk and yogurt."
4. "You should avoid consuming cooked vegetables."
2. "You may be prescribed a bulk-forming laxative."
No need to restrict fluids and no need to restrict diet. Diet does not cause diverticulitis
exacerbations!
2. The nurse is preparing to administer lorazepam 2 mg, IV, now to a client who is
scheduled for surgery in 30 minutes. The nurse is unfamiliar with the dosage for the
medication.
Which of the following actions should the nurse take next?
1. Check the medication dosage in a medication reference source.
2. Ask another nurse whether the prescribed dose is a safe dose.
3. Clarify that the dose is correct with the primary health care provider.
4. Contact the pharmacist to verify the safe dosage range for the medication.
1. Check the medication dosage in a medication reference source.
3. The nurse is caring for a client who is receiving a high dose of a phenothiazine. When
evaluating the client for a life-threatening syndrome related to the medication, it would
be a priority for the nurse to report
1. dry mouth
2. orthostatic hypotension
3. fever
4. photophobia
3. fever
, Rationale: Phenothazine side effects include ABCDEFG -- Anticholinergic (dry mouth),
blurry vision, constipation, drowsiness, EPS, Photosensitivity, and agranulocytosis. Fever
would be a complication of agranulocytosis and requires the nurse to report.
4. The nurse is caring for a client who is receiving a blood transfusion and states, "I feel
chilled and am having back pain." Which of the following actions should the nurse
take? Select all that apply.
1. Stop the transfusion.
2. Check the client's vital signs.
3. Notify the client's primary health care provider.
4. Return the blood and infusion tubing to the blood bank.
5. Infuse 5% dextrose in water through the intravenous catheter.
6. Administer a dose of an antiemetic prescribed p.r.n. to the client.
1, 2, 3, 4
Back pain and chills are symptoms of Hemolytic transfusion reaction (wrong blood type).
Must stop infusion, check vital signs, and notify the provider
5. NS to keep the line open, not dextrose in water
5. The nurse is preparing a staff education program about total parenteral nutrition
(TPN). Which of the following information should the nurse include? Select all that
apply.
1. "The TPN intravenous tubing should be changed once a week."
2. "TPN can be administered through a peripherally inserted central catheter (PICC)."
3. "Clients receiving TPN should be weighed daily."
4. "An infusion pump is used to deliver TPN."
5. "Serum glucose levels should be monitored in clients receiving TPN."
2, 3, 4, 5
1. TPN tubing is changed daily (every 24hr)!
