NCLEX PN Practice Test 1 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

NCLEX PN Practice Test 1 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified A client on a PCA pump has shallow respirations. What is the priority action? a. Stop the PCA and notify the provider b. Increase the PCA dose c. Encourage deep breathing d. Document respiratory rate **Rationale:** Respiratory depression takes priority over pain control. A client with COPD reports increased shortness of breath. Which assessment finding requires immediate action? a. Mild cough b. Oxygen saturation 84% on room air c. Fatigue d. Mild wheezing **Rationale:** Low O2 saturation indicates hypoxemia; intervention is urgent. 2 A client with a new tracheostomy has thick secretions. Which is the priority intervention? a. Assess airway patency and suction as needed b. Provide oral care c. Administer PRN pain medication d. Encourage fluids **Rationale:** Maintaining airway patency is the highest priority. A client reports dizziness when standing. What should the nurse do first? a. Encourage fluid intake b. Measure blood pressure and pulse lying and standing c. Ask about diet d. Reposition to side-lying **Rationale:** Orthostatic hypotension can lead to falls; vital signs assessment guides safe care. A nurse is caring for a client with a nasogastric tube. What is the first step before starting enteral feeding? a. Verify tube placement b. Administer water 3 c. Flush with saline d. Document placement **Rationale:** Tube placement must be confirmed to prevent aspiration. A client reports sudden weakness on one side of the body. What is the priority action? a. Apply warm blankets b. Perform a focused neurological assessment c. Encourage ambulation d. Offer fluids **Rationale:** Sudden unilateral weakness may indicate stroke; assessment guides timely interventions. A client post-op has absent bowel sounds and abdominal distention. What should the nurse do first? a. Administer analgesic b. Encourage ambulation c. Assess for signs of obstruction or ileus d. Document findings 4 **Rationale:** Abdominal distention with absent bowel sounds may indicate serious complications requiring urgent assessment. A postoperative client reports sudden shortness of breath. What is the priority action? a. Administer pain medication b. Assess airway, breathing, and oxygen saturation c. Elevate legs d. Offer reassurance **Rationale:** Respiratory distress is life-threatening and requires immediate assessment. A client reports chest tightness and palpitations after receiving a new medication. What is the first action? a. Assess airway, breathing, and vital signs