NCLEX-PN Practice Exam Cram
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A client with COPD asks why he must stop smoking before discharge. The best response is:
a. “Because your family asked you to stop.”
✔✔b. “Because smoking reduces oxygen exchange and worsens your breathing.”
c. “Because it is required by hospital rules.”
d. “Because nicotine has no medical benefit.”
**Rationale:** Smoking further impairs lung function and oxygen exchange in COPD.
A nurse is caring for a client prescribed digoxin. Which finding requires immediate action?
a. Heart rate 78 bpm
b. Client reports mild nausea
✔✔c. Heart rate 48 bpm
d. Blood pressure 124/80
**Rationale:** Digoxin should be withheld if pulse is below 60.
The nurse is caring for a client with heart failure. Which dietary teaching is correct?
1
,a. “I should increase salty snacks.”
✔✔b. “I should limit sodium intake.”
c. “I should avoid fluids.”
d. “I should eat high-fat meals.”
**Rationale:** Sodium restriction helps reduce fluid retention in heart failure.
A client receiving IV potassium reports burning at the IV site. What is the nurse’s priority action?
✔✔a. Stop the infusion and assess the site
b. Increase the rate of infusion
c. Flush the line with saline
d. Tell the client this is expected
**Rationale:** Potassium can cause vein irritation and infiltration; infusion should be stopped.
Which action by the nurse best prevents infection after indwelling catheter insertion?
a. Apply antibiotic ointment daily
✔✔b. Maintain a closed drainage system
c. Flush the catheter routinely
d. Replace catheter every day
2
,**Rationale:** Closed drainage system reduces infection risk.
A client with diabetes reports feeling shaky and sweaty. Blood glucose is 54 mg/dL. What should
the nurse do first?
✔✔a. Give orange juice
b. Administer insulin
c. Start IV fluids
d. Notify physician
**Rationale:** Hypoglycemia requires immediate glucose replacement.
A client is receiving furosemide. Which lab result should be monitored closely?
a. Hemoglobin
b. White blood cell count
✔✔c. Potassium
d. Calcium
**Rationale:** Furosemide can cause hypokalemia.
The nurse is caring for a client post hip replacement. Which action helps prevent blood clots?
3
, a. Encourage client to sit in chair all day
✔✔b. Apply sequential compression devices
c. Restrict all movement
d. Place pillows under knees continuously
**Rationale:** SCDs promote venous return and reduce clot risk.
A nurse is preparing to administer an intramuscular injection. Which site is safest for an adult?
a. Dorsogluteal
✔✔b. Ventrogluteal
c. Upper arm deltoid only
d. Abdomen
**Rationale:** Ventrogluteal site avoids major nerves and vessels.
The nurse notes crackles in a client’s lungs. What is the best interpretation?
a. Normal lung sounds
✔✔b. Fluid in the alveoli
c. Airway obstruction
d. Asthma exacerbation
4
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A client with COPD asks why he must stop smoking before discharge. The best response is:
a. “Because your family asked you to stop.”
✔✔b. “Because smoking reduces oxygen exchange and worsens your breathing.”
c. “Because it is required by hospital rules.”
d. “Because nicotine has no medical benefit.”
**Rationale:** Smoking further impairs lung function and oxygen exchange in COPD.
A nurse is caring for a client prescribed digoxin. Which finding requires immediate action?
a. Heart rate 78 bpm
b. Client reports mild nausea
✔✔c. Heart rate 48 bpm
d. Blood pressure 124/80
**Rationale:** Digoxin should be withheld if pulse is below 60.
The nurse is caring for a client with heart failure. Which dietary teaching is correct?
1
,a. “I should increase salty snacks.”
✔✔b. “I should limit sodium intake.”
c. “I should avoid fluids.”
d. “I should eat high-fat meals.”
**Rationale:** Sodium restriction helps reduce fluid retention in heart failure.
A client receiving IV potassium reports burning at the IV site. What is the nurse’s priority action?
✔✔a. Stop the infusion and assess the site
b. Increase the rate of infusion
c. Flush the line with saline
d. Tell the client this is expected
**Rationale:** Potassium can cause vein irritation and infiltration; infusion should be stopped.
Which action by the nurse best prevents infection after indwelling catheter insertion?
a. Apply antibiotic ointment daily
✔✔b. Maintain a closed drainage system
c. Flush the catheter routinely
d. Replace catheter every day
2
,**Rationale:** Closed drainage system reduces infection risk.
A client with diabetes reports feeling shaky and sweaty. Blood glucose is 54 mg/dL. What should
the nurse do first?
✔✔a. Give orange juice
b. Administer insulin
c. Start IV fluids
d. Notify physician
**Rationale:** Hypoglycemia requires immediate glucose replacement.
A client is receiving furosemide. Which lab result should be monitored closely?
a. Hemoglobin
b. White blood cell count
✔✔c. Potassium
d. Calcium
**Rationale:** Furosemide can cause hypokalemia.
The nurse is caring for a client post hip replacement. Which action helps prevent blood clots?
3
, a. Encourage client to sit in chair all day
✔✔b. Apply sequential compression devices
c. Restrict all movement
d. Place pillows under knees continuously
**Rationale:** SCDs promote venous return and reduce clot risk.
A nurse is preparing to administer an intramuscular injection. Which site is safest for an adult?
a. Dorsogluteal
✔✔b. Ventrogluteal
c. Upper arm deltoid only
d. Abdomen
**Rationale:** Ventrogluteal site avoids major nerves and vessels.
The nurse notes crackles in a client’s lungs. What is the best interpretation?
a. Normal lung sounds
✔✔b. Fluid in the alveoli
c. Airway obstruction
d. Asthma exacerbation
4
