NCLEX PN- Actual Exam Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

NCLEX PN- Actual Exam Questions and Answers | Latest Version | 2025/2026 | Correct & Verified A client with diabetes reports dizziness and sweating after breakfast. What should the nurse do first? a. Encourage the client to rest b. Administer scheduled insulin c. Check the client’s blood glucose immediately d. Notify the healthcare provider **Rationale:** Hypoglycemia is life-threatening; blood glucose assessment guides urgent care. A client with COPD reports increased wheezing and O2 saturation of 82%. What is the priority intervention? a. Encourage deep breathing exercises b. Administer scheduled medications c. Administer supplemental oxygen and assess respiratory status d. Document the findings **Rationale:** Hypoxemia requires immediate action. 2 A nurse notes that a client’s surgical dressing is saturated with bright red blood. What is the first action? a. Change the dressing b. Assess the wound for active bleeding and vital signs c. Notify family d. Document the findings **Rationale:** Active bleeding is an emergency; assessment guides immediate intervention. A client receiving IV potassium reports burning at the site. What should the nurse do first? a. Stop the infusion and assess for infiltration b. Slow the infusion c. Notify the provider later d. Document the finding **Rationale:** IV potassium infiltration can cause tissue damage; assessment is priority. A client with a tracheostomy develops sudden stridor. What should the nurse do first? a. Suction the tracheostomy 3 b. Assess airway patency and oxygenation c. Notify provider d. Document the event **Rationale:** Stridor indicates airway obstruction; immediate assessment is necessary. A client on a PCA pump has a respiratory rate of 8/min. What is the nurse’s priority action? a. Administer additional pain medication b. Stop the opioid and assess respiratory status c. Encourage deep breathing d. Document the finding **Rationale:** Respiratory depression is life-threatening and takes priority over pain. A client reports sudden weakness on one side of the body and slurred speech. What should the nurse do first? a. Perform a focused neurological assessment and vital signs b. Notify family c. Document the findings d. Reposition the client 4 **Rationale:** Sudden neurological deficits may indicate a stroke; rapid assessment is critical. A client with heart failure has new swelling in the