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NCLEX PN FINAL LATEST ACTUAL EXAM TEST BANK 2026/
MOST TESTED QUESTIONS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW PDF
The nurse is assessing the client diagnosed with congestive heart
failure. Which laboratory data would indicate that the client is in
severe congestive heart failure?
1. An elevated B-type natriuretic peptide (BNP)
2. An elevated creatine kinase (CK-MB)
3. A positive D-Dimer
4. A positive ventilation/perfusion (V/Q) scan - CORRECT
ANSWER 1.
BNP is a specific diagnostic test. Levels higher than normal indicate
congestive heart failure, with the higher the number the more
severe the CHF
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The nurse is conducting a physical assessment on a client with
anemia. Which of the following clinical manifestations would be
most indicative of the anemia?
a. BP 146/88
b. Respirations 28 shallow
c. Weight gain of 10 pounds in 6 months
d. Pink complexion - CORRECT ANSWER B
When there are fewer red blood cells, there is less hemoglobin and
less oxygen. Therefore, the client is often short of breath. The
client with anemia is often pale in color, has weight loss, and may
be hypotensive.
NSAIDs may be nephrotoxic to a client with acute kidney disease,
and should be avoided. ACE inhibitors are used for treatment of
hypertension and to protect the kidneys, especially in the diabetic
client, from progression of kidney disease. Opiates may be used by
clients with kidney disease if severe pain is present; however,
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excretion may be delayed. Calcium channel blockers can improve
the glomerular
A client with end-stage kidney disease has been put on fluid
restrictions. Which assessment finding indicates that the client has
not adhered to this restriction?
A Blood pressure of 118/78 mm Hg
B Weight loss of 3 pounds during hospitalization
C Dyspnea and anxiety at rest
D Central venous pressure (CVP) of 6 mm Hg - CORRECT
ANSWER C
Dyspnea and anxiety at rest
Dyspnea is a sign of fluid overload and possible pulmonary edema;
the nurse should assist the client in correlating symptoms of fluid
overload with nonadherence to fluid restriction. Nonadherence to
fluid restriction results in fluid volume excess and higher blood
pressures; 118/78 mm Hg is a normal blood pressure. Excess fluid
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intake and fluid retention are manifested by an elevated CVP (>8
mm Hg) and weight gain, not weight loss.
Which assessment finding represents a positive response to
erythropoietin (Epogen, Procrit) therapy?
A Hematocrit of 26.7%
B Potassium within normal range
C Absence of spontaneous fractures
D Less fatigue - CORRECT ANSWER D Less fatigue
Treatment of anemia with erythropoietin will result in increased
hemoglobin and hematocrit (H&H) and decreased shortness of
breath and fatigue. A hematocrit value of 26.7% is low;
erythropoietin should restore the hematocrit to at least 36% to be
effective. Erythropoietin causes more red blood cells to be
produced, increasing H&H, not potassium. Calcium supplements
and phosphate binders prevent renal osteodystrophy;
erythropoietin treats anemia.
NCLEX PN FINAL LATEST ACTUAL EXAM TEST BANK 2026/
MOST TESTED QUESTIONS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW PDF
The nurse is assessing the client diagnosed with congestive heart
failure. Which laboratory data would indicate that the client is in
severe congestive heart failure?
1. An elevated B-type natriuretic peptide (BNP)
2. An elevated creatine kinase (CK-MB)
3. A positive D-Dimer
4. A positive ventilation/perfusion (V/Q) scan - CORRECT
ANSWER 1.
BNP is a specific diagnostic test. Levels higher than normal indicate
congestive heart failure, with the higher the number the more
severe the CHF
,2|Page
The nurse is conducting a physical assessment on a client with
anemia. Which of the following clinical manifestations would be
most indicative of the anemia?
a. BP 146/88
b. Respirations 28 shallow
c. Weight gain of 10 pounds in 6 months
d. Pink complexion - CORRECT ANSWER B
When there are fewer red blood cells, there is less hemoglobin and
less oxygen. Therefore, the client is often short of breath. The
client with anemia is often pale in color, has weight loss, and may
be hypotensive.
NSAIDs may be nephrotoxic to a client with acute kidney disease,
and should be avoided. ACE inhibitors are used for treatment of
hypertension and to protect the kidneys, especially in the diabetic
client, from progression of kidney disease. Opiates may be used by
clients with kidney disease if severe pain is present; however,
,3|Page
excretion may be delayed. Calcium channel blockers can improve
the glomerular
A client with end-stage kidney disease has been put on fluid
restrictions. Which assessment finding indicates that the client has
not adhered to this restriction?
A Blood pressure of 118/78 mm Hg
B Weight loss of 3 pounds during hospitalization
C Dyspnea and anxiety at rest
D Central venous pressure (CVP) of 6 mm Hg - CORRECT
ANSWER C
Dyspnea and anxiety at rest
Dyspnea is a sign of fluid overload and possible pulmonary edema;
the nurse should assist the client in correlating symptoms of fluid
overload with nonadherence to fluid restriction. Nonadherence to
fluid restriction results in fluid volume excess and higher blood
pressures; 118/78 mm Hg is a normal blood pressure. Excess fluid
, 4|Page
intake and fluid retention are manifested by an elevated CVP (>8
mm Hg) and weight gain, not weight loss.
Which assessment finding represents a positive response to
erythropoietin (Epogen, Procrit) therapy?
A Hematocrit of 26.7%
B Potassium within normal range
C Absence of spontaneous fractures
D Less fatigue - CORRECT ANSWER D Less fatigue
Treatment of anemia with erythropoietin will result in increased
hemoglobin and hematocrit (H&H) and decreased shortness of
breath and fatigue. A hematocrit value of 26.7% is low;
erythropoietin should restore the hematocrit to at least 36% to be
effective. Erythropoietin causes more red blood cells to be
produced, increasing H&H, not potassium. Calcium supplements
and phosphate binders prevent renal osteodystrophy;
erythropoietin treats anemia.
