NCLEX-PN Practice Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A client reports dizziness when getting out of bed. What is the best initial action by the nurse?
a. Encourage fluid intake
✔✔b. Assist the client to sit at the bedside before standing
c. Notify the healthcare provider immediately
d. Apply a warm compress
**Rationale:** Sitting up slowly prevents orthostatic hypotension and reduces fall risk.
A nurse is reinforcing teaching about insulin administration. Which statement by the client
indicates understanding?
a. “I can inject insulin anywhere on my arm.”
✔✔b. “I will rotate injection sites within the same region to prevent tissue damage.”
c. “I’ll inject insulin into the same spot each time.”
d. “I’ll skip insulin when I don’t eat.”
**Rationale:** Rotating sites within one area prevents lipodystrophy and maintains absorption
consistency.
1
,A client is prescribed furosemide. Which finding should the nurse report immediately?
a. Mild thirst
✔✔b. Muscle cramps and weakness
c. Increased urination
d. Mild fatigue
**Rationale:** Muscle cramps and weakness may indicate hypokalemia, a dangerous side effect
of furosemide.
A nurse is caring for a client with pneumonia. Which intervention should the nurse perform first?
a. Encourage fluid intake
✔✔b. Assess oxygen saturation
c. Provide oral hygiene
d. Document breath sounds
**Rationale:** Assessment of oxygenation determines respiratory status and guides urgent
interventions.
A client reports itching after receiving IV antibiotics. What should the nurse do first?
a. Document the reaction
2
, ✔✔b. Stop the infusion immediately
c. Notify the provider after finishing the infusion
d. Reassure the client
**Rationale:** Stopping the infusion prevents further exposure in case of an allergic reaction.
A nurse is preparing to administer digoxin. Which finding requires holding the medication?
a. Pulse 80 bpm
✔✔b. Pulse 48 bpm
c. Pulse 70 bpm
d. Pulse 90 bpm
**Rationale:** Digoxin slows heart rate; hold the medication if apical pulse is below 60 bpm.
A nurse is caring for a client with heart failure. Which dietary instruction should the nurse
reinforce?
a. “Add salt for flavor.”
b. “Drink as much fluid as possible.”
✔✔c. “Limit sodium intake to reduce fluid retention.”
d. “Eat canned soups daily.”
3
Answers | Latest Version | 2025/2026 |
Correct & Verified
A client reports dizziness when getting out of bed. What is the best initial action by the nurse?
a. Encourage fluid intake
✔✔b. Assist the client to sit at the bedside before standing
c. Notify the healthcare provider immediately
d. Apply a warm compress
**Rationale:** Sitting up slowly prevents orthostatic hypotension and reduces fall risk.
A nurse is reinforcing teaching about insulin administration. Which statement by the client
indicates understanding?
a. “I can inject insulin anywhere on my arm.”
✔✔b. “I will rotate injection sites within the same region to prevent tissue damage.”
c. “I’ll inject insulin into the same spot each time.”
d. “I’ll skip insulin when I don’t eat.”
**Rationale:** Rotating sites within one area prevents lipodystrophy and maintains absorption
consistency.
1
,A client is prescribed furosemide. Which finding should the nurse report immediately?
a. Mild thirst
✔✔b. Muscle cramps and weakness
c. Increased urination
d. Mild fatigue
**Rationale:** Muscle cramps and weakness may indicate hypokalemia, a dangerous side effect
of furosemide.
A nurse is caring for a client with pneumonia. Which intervention should the nurse perform first?
a. Encourage fluid intake
✔✔b. Assess oxygen saturation
c. Provide oral hygiene
d. Document breath sounds
**Rationale:** Assessment of oxygenation determines respiratory status and guides urgent
interventions.
A client reports itching after receiving IV antibiotics. What should the nurse do first?
a. Document the reaction
2
, ✔✔b. Stop the infusion immediately
c. Notify the provider after finishing the infusion
d. Reassure the client
**Rationale:** Stopping the infusion prevents further exposure in case of an allergic reaction.
A nurse is preparing to administer digoxin. Which finding requires holding the medication?
a. Pulse 80 bpm
✔✔b. Pulse 48 bpm
c. Pulse 70 bpm
d. Pulse 90 bpm
**Rationale:** Digoxin slows heart rate; hold the medication if apical pulse is below 60 bpm.
A nurse is caring for a client with heart failure. Which dietary instruction should the nurse
reinforce?
a. “Add salt for flavor.”
b. “Drink as much fluid as possible.”
✔✔c. “Limit sodium intake to reduce fluid retention.”
d. “Eat canned soups daily.”
3
