NCLEX-PN Practice Exam New 2025 Version Best
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Correct Answer
A client who is pregnant at 30 weeks gestation comes to the prenatal clinic. Which of the
following vaccines may be administered safely at this prenatal visit? SATA
A) influenza injection
B) influenza nasal spray
C) measles, mumps, and rubella (MMR)
D) tetanus, diphtheria, and pertussis
E) varicella ----------- Correct Answer ---------- A, D
A client with type 1 DM has a prescription for 20 units of NPH daily at 7:30 am and regular
insulin before meals, based on a sliding scale. At 7:00 am the client's BG was 220 mg/dL, and
the breakfast tray has arrived. What action does the nurse take?
A) Administer 20 units NPH now and then 6 units of regular insulin after the morning meal.
B) Administer 26 units of insulin. 20 units of NPH and 6 units of regular insulin in 2 separate
injections.
C) Administer 26 units of insulin. 20 units of NPH mixed with 6 units of regular insulin in the
same syringe, drawing up the NPH into the syringe first.
D) Administer 26 units of insulin. 20 units of NPH mixed with 6 units of regular insulin in the
same syringe, drawing up the regular insulin first. ----------- Correct Answer ---------- D
NPH can be safely mixed with regular insulin. Regular insulin should be drawn first to avoid
contaminating the regular insulin. (RN Regular comes before NPH)
Several clients are admitted to the ER following a three- car vehicle accident. Which clients can
be assigned to share a room in the emergency department during the disaster?
A. The schizophrenic client having visual and auditory hallucinations and the client with
ulcerative collitis
B. The client who is 6 months pregnant with abdominal pain and the client with facial lacerations
and a broken arm
C. A child whose pupils are fixed and dilated and his parents, and the client with a frontal head
injury
D. The client who arrives with a large puncture wound to the abdomen and the client with chest
pain ------------ Correct Answer ------------- B. The client who is 6 months pregnant with
abdominal pain and the client with facial lacerations and a broken arm
why?
Out of all these clients, it is best to hold the pregnant client and the client with a broken arm and
facial lacerations in the same room.
The home health nurse is planning for the day's visits. Which client should be seen first?
,A. The 78 year old who had a gastrectomy 3 weeks ago with a PEG tube
B. The 5 month old discharged 1 week ago with pneumonia who is being treated with
amoxicillin liquid suspension
C. The 50 year old with MRSA being treated with Vancomycin via a PICC line
D. The 30 year old with an exacerbation of multiple sclerosis being treated with cortisone via a
centrally placed venous catheter ------------ Correct Answer ------------- D. The 30 year old with
an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous
catheter
why?
The priority client is the one with multiple sclerosis who is being treated with cortisone via the
central line. This client is at highest risk for complications.
The nurse is found to be guilty of charting blood glucose results without actually performing the
procedure. After talking to the nurse, the charge nurse should:
A. Call the Board of Nursing
B. File a formal reprimand
C. Terminate the nurse
D. Charge the nurse with a tort ------------ Correct Answer ------------- B. File a formal reprimand
why?
The action after discussing the problem with the nurse is to document the incident and file a
formal reprimand. If the behavior continues or if harm has resulted to the client, the nurse may
be terminated and reported to the Board of Nursing, but this is not the first step.
Which information should be reported to the state Board of Nursing?
A. The facility fails to provide literature in both Spanish and English
B. The narcotic count has been incorrect on the unit for the past 3 days.
C. The client fails to receive an itemized account of his bills and services received during his
hospital stay
D. The nursing assistant assigned to the client with hepatitis fails to feed the client and give the
bath ------------ Correct Answer ------------- B. The narcotic count has been incorrect on the unit
for the past 3 days.
why?
The Joint Commission on Accreditation of Hospitals will probably be interested in the problems
in answers A and C. The failure of the nursing assistant to assist the client with hepatitis should
be reported to the charge nurse. If the behavior continues, termination may result.
Which nurse should be assigned to care for the postpartal client with preeclampsia?
,A. The nurse with 2 weeks of experience on postpartum
B. The nurse with 3 years of experience in labor and delivery
C. The nurse with 10 years of experience in surgery
D. The nurse with 1 year of experience in the neonatal intensive care unit ------------ Correct
Answer ------------- B. Th nurse with 3 years of experience in labor and delivery
why?
The nurse in answer B has the most experience with possible complications involved with
preeclampsia.
The client returns to the unit from surgery with a blood pressure of 90/50, pulse 132, respirations
30. Which action by the nurse should receive priority?
A. Continue to monitor the vital signs
B. Contact the physician
C. Ask the client how he feels
D. Ask the LPN to continue the post-op care ------------ Correct Answer ------------- B. Contact
the physician
why?
The vital signs are abnormal and should be reported to the doctor immediately.
Which assignment should not be performed by the licensed practical nurse?
A. Inserting a Foley catheter
B. Discounting a nasogastric tube
C. Obtaining a sputum specimen
D. Initiating a blood transfusion ------------ Correct Answer ------------- D. Initiating a blood
transfusion
why?
A LPN should not assigned to initiate a blood transfusion. The LPN can assist with the
transfusion and check ID numbers for the RN. The LPN can be assigned to insert Foley and
French urinary catheters, discontinue Levine and Gavage gastric tubes, and obtain all types of
specimens.
The nurse witnesses the nursing assistant hitting the client in the long-term care facility. The
nursing assistant can be changed with:
A. Negligence
B. Tort
C. Assault
, D. Malpractice ------------ Correct Answer ------------- C. Assault
why?
Assault is defined as striking or touching the client inappropriately, so a nurse assistant striking a
client could be charged with assault.
The nurse is planning room assignments for the day. Which client should be assigned to a private
room if only one is available?
A. The client with Cushing's disease
B. The client with diabetes
C. The client with acromegaly
D. The client with myxedema ------------ Correct Answer ------------- A. The client with
Cushing's disease
why?
The client with Cushing's disease has adrenocortical hypersecretion. This increase in the level of
cortisone causes the client to be immune suppressed
The nurse is reinforcing information to a diabetic client with a new prescription for
metoclopramide. Which of the following side effects must the nurse remind the client to report
IMMEDIATELY to the HCP? SATA
A) excess blinking of eyes
B) dry mouth
C) dull headache
D) lip smacking
E) puffing of cheeks ----------- Correct Answer ---------- A, D, E
Metoclopramide (reglan) is an antiemetic for delayed gastric emptying. Both this med and
antipsychotic medications are associated with extrapyramidal adverse effects (tardive
dyskinesia). Symptoms include protruding and twisting of the tongue, lip smacking, puffing
cheeks, chewing movements, frowning or blinking of eyes, twisting fingers and neck (torticollis)
The nurse working on a pediatric oncology unit recognizes which as a personal coping strategy
for remaining effective when caring for dying children?
A) Attending a child's memorial service
B) Avoiding expressing personal feelings of grief or loss directly with the family
C) Ending personal contact with the deceased's family members after they leave the hospital
D) Increasing the length of daily exercise routines ----------- Correct Answer ---------- A
A 40 year old client arrive to the ED with severe abdominal pain in the RUQ after eating a high-
fat meal. The pain is rated 8/10 and radiates to the right shoulder. The client is diaphoretic and
has vomited twice. The client has experienced multiple episodes of intermittent postprandial
abdominal pain over the past 1-2 months and has taken calcium carbonate with no relief. The
client reports no hematemesis, melena, or weight loss. The abdomen is tender in the RUQ.
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