Exam Cram NCLEX-PN PRACTICE QUESTIONS with Correct Answers Latest 2025/2026 100% GUARANTEED PASS!!!(A+ GRADED 100% VERIFIED)

Exam Cram NCLEX-PN PRACTICE QUESTIONS with Correct Answers Latest 2025/2026 100% GUARANTEED PASS!!!(A+ GRADED 100% VERIFIED) The nurse is making assignments for the day. Which client should be assigned to the nursing assistant? A client with Alzheimer's A client with pnuemonia A client with appendicitis A client with thrombophebitis - ANSWER A. A client with Alzheimer's why? The client with Alzheimer's disease is the most stable of these clients and can be assigned to the nursing assistant, who can perform duties such as feeding and assisting the client with activities of daily living. A client with cancer develops xerostomia. The nurse can help alleviate the discomfort associated with xerostomia by: Offering a hard candy Administering an analgesic medication Splinting swollen joints Providing saliva substitue - ANSWER D. Providing saliva substitute why? Xerostomia is dry mouth, and offering the client a saliva substitute will help the most. A home health nurse is making preparations for morning visits. Which of the following clients should the nurse visit first? A client with brain- attack (stroke) with tube feeding A client with congestive heart failure complaining of nighttime dyspnea A client with a thoracotomy 6 months ago A client with Parkinson disease - ANSWER B. The client with congestive heart failure complaining of nighttime dyspnea why? The client with congestive heart failure who is complaining of nighttime dyspnea should be seen first because airway si number one in nursing care A client with glomerulonephritis is placed on a low sodium diet. Which of the following snacks is suitable for the client with low sodium restritctions? Peanut butter cookies Grilled cheese sandwich Cottage cheese and fruit Fresh peach - ANSWER D. Fresh peach why? The fresh peach is the lowest in sodium of these choices Due to a high census, it had been necessary for a number of clients to be transferred to another unit within the hospital. Which client should be transferred to the post-partum unit? A 66 year old female with gastroenteritis A 40 year old female with a hysterectomy A 27 year old male with sever depression A 28 year old male with ulcerative colitis - ANSWER B. A 40 year old female with a hysterectomy why? The best client to transport to the postpartum units it the 40 year old female with a hysterectomy. The nurses on the postpartum unit will be aware of moral amounts of bleeding and will be equipped to care for this client. During the change of the shift, the ongoing nurse notes a discrepancy in the number of Percept (oxycodone) listed in the number present in the narcotics drawer. The nurse's first action should be to: Notify the hospital pharmacist Notify the nursing supervisor Notify the board of nursing Notify the director of nursing - ANSWER B. Notify the nursing supervisor why? The first action the nurse should take is to report the finding to the nurse supervisor and follow the chain of command. The nurse is assigning staff for the day. Which assignment should be given to the nursing assistant? Taking the vital signs of the 5 month old with brochiolitis Taking the vital signs of a 10 year old with a 2 day postappendectomy Administering medication to the 2 year old with periorbital cellulitis Adjusting the traction of a 1 year with a fractured tibia - ANSWER B. Taking the vital signs of a 10 year old with a 2 day post-appendectomy why? The client with the appendectomy is the most stable of these clients and can be assigned to a nursing assistant. The client with bronchiolitis has an alteration in the airway, the client with periorbital cellulitis has an infection, and the client with a fracture might be an abused child. A new nursing graduate indicates in charting enteries that he is a licensed practical nurse, although he has not received the results of the licensing exam. The graduate's actions can result in what type of charge? Fraud Tort Malpractice Negligence - ANSWER A. Fraud why? Identifying oneself as a nurse without a license defrauds the public and can be prosecuted. A tort is a wrongful; malpractice is failing to act appropriately as a nurse or acting in a way that harm comes to the client; and negligence is failing to perform care. A client with acute leukemia develops a low white blood cell count. In addition to the institute of isolation the nurse should: Request that food be served with disposable utensils Ask the client to wear a mask when visitors are present Prep IV with mild soap, water, and alcohol Provide foods in seal single serving packages - ANSWER D. Provide foods in seal single serving packages why? Because the client is immune-suppressed, foods should be served in sealed containers, to avoid food contaminants. A 70 year old man who is recovering from a stroke exhibits signs of unilateral neglect. Which behavior is suggested of unilateral neglect? The client is observed by shaving only one side of his face The client is unable to distinguish between two tactile stimuli presented simultaneously The client is unable to complete a range a vision without turning his head side to side The client is unable to carry out cognitive and motor activity at the same time - ANSWER A. The client is observed by shaving only one side of his face why? The client with unilateral neglect will neglect one side of the body The nurse is providing discharge teaching for a client who is taking dissulfiram (Antabuse). The nurse should instruct the client to avoid eating: Peanuts, dates, raisins Figs, chocolate, eggplant Pickles, salad with vinaigrette dressing, and beef Milk, cottage cheese, ice cream - ANSWER C. Pickles, salad with vinaigrette dressing, beef why? The client taking antabuse should not eat or drink anything containing alcohol or vinegar A client has been receiving cyanocobalamine (B12) injections for the past 6 weeks. Which lab finding indicates that the medication is having the desired effect? Neutrophil count of 60% Basophil count of 0.5% Monocyte count of 2% Reticlocyte count of 1% - ANSWER D. Reticlocyte count of 1 % why? Cyanocolamine is a B12 medication that is used for pernicious anemia, and a reticulocyte count of 1% indicates that it is having the desired effect. The nurse has just received a change of shift report. Which client should the nurse assess first? A client 2 hours post-lobectomy with 150 cc drainage A client 2 days post-gastrectomy with scant drainage A client with pnuemonia with a oral temp of 102 F A client with a fractured hip in Bucks traction - ANSWER A. A client 2 hours post-lobectomy with 150 cc drainage why? The first client to be seen is the one who recently returned from surgery. Several clients are admitted to the ER following a three- car vehicle accident. Which clients can be assigned to share a room in the emergency department during the disaster? The schizophrenic client having visual and auditory hallucinations and the client with ulcerative collitis The client who is 6 months pregnant with abdominal pain and the client with facial lacerations and a broken arm A child whose pupils are fixed and dilated and his parents, and the client with a frontal head injury The client who arrives with a large puncture wound to the abdomen and the client with chest pain - ANSWER B. The client who is 6 months pregnant with abdominal pain and the client with facial lacerations and a broken arm why? Out of all these clients, it is best to hold the pregnant client and the client with a broken arm and facial lacerations in the same room. The home health nurse is planning for the day's visits. Which client should be seen first? The 78 year old who had a gastrectomy 3 weeks ago with a PEG tube The 5 month old discharged 1 week ago with pneumonia who is being treated with amoxicillin liquid suspension The 50 year old with MRSA being treated with Vancomycin via a PICC line The 30 year old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter - ANSWER D. The 30 year old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter why? The priority client is the one with multiple sclerosis who is being treated with cortisone via the central line. This client is at highest risk for complications. The nurse is found to be guilty of charting blood glucose results without actually performing the procedure. After talking to the nurse, the charge nurse should: Call the Board of Nursing File a formal reprimand Terminate the nurse Charge the nurse with a tort - ANSWER B. File a formal reprimand why? The action after discussing the problem with the nurse is to document the incident and file a formal reprimand. If the behavior continues or if harm has resulted to the client, the nurse may be terminated and reported to the Board of Nursing, but this is not the first step. Which information should be reported to the state Board of Nursing? The facility fails to provide literature in both Spanish and English The narcotic count has been incorrect on the unit for the past 3 days. The client fails to receive an itemized account of his bills and services received during his hospital stay The nursing assistant assigned to the client with hepatitis fails to feed the client and give the bath - ANSWER B. The narcotic count has been incorrect on the unit for the past 3 days. why? The Joint Commission on Accreditation of Hospitals will probably be interested in the problems in answers A and C. The failure of the nursing assistant to assist the client with hepatitis should be reported to the charge nurse. If the behavior continues, termination may result. Which nurse should be assigned to care for the postpartal client with preeclampsia? The nurse with 2 weeks of experience on postpartum The nurse with 3 years of experience in labor and delivery The nurse with 10 years of experience in surgery The nurse with 1 year of experience in the neonatal intensive care unit - ANSWER B. Th nurse with 3 years of experience in labor and delivery why? The nurse in answer B has the most experience with possible complications involved with preeclampsia. The client returns to the unit from surgery with a blood pressure of 90/50, pulse 132, respirations 30. Which action by the nurse should receive priority? Continue to monitor the vital signs Contact the physician Ask the client how he feels Ask the LPN to continue the post-op care - ANSWER B. Contact the physician why? The vital signs are abnormal and should be reported to the doctor immediately