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NCLEX-PN Review NCLEX-PN Review Questions ;100% complete newest version guide (verified) 2024/2025
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NCLEX-PN Review Questions ;100% complete newest version guide (verified) 2024/2025
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NCLEX-PN Review Questions04. The nurse suctions as needed and elevates the head of the bed
Correct - This intervention is in response to Ineffective Airway Clearance, which is the priority
nursing diagnosis. - ANS-What nursing intervention demonstrates that the nurse understands
the priority nursing diagnosis when caring for oral cancer patients with extensive tumor
involvement and/or a high amount of secretions?
1. The nurse uses a pen pad to communicate with the patient
2. The nurse provides oral care every 2 hours
3. The nurse listens for bowel sounds every 4 hours.
4. The nurse suctions as needed and elevates the head of the bed
1. "I avoid NSAIDS. I only take a daily aspirin for my heart health."
Correct - Aspirin is classified as an NSAID and can exacerbate already existing stomach
problems. Aspirin should be avoided just like any NSAID for patients with gastritis. - ANS-A
patient is being discharged from the med-surgical unit. The patient has a history of gastritis. The
nurse questions the patient on his usual routine at home. Which of these statements would alert
the nurse that additional teaching is required?
1. "I avoid NSAIDS. I only take a daily aspirin for my heart health."
2. "I always avoid eating hot and spicy foods"
3. "I will continue taking my antacids with or immediately after meals"
4. "I will only drink coffee once a week, if even that often."
1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
CORRECT - Large meals increase the volume and pressure in the stomach and delay gastric
emptying. It's recommended instead to eat 4-6 small meals a day. - ANS-A nurse is providing
discharge teaching for a patient with severe Gastroesophogeal Reflux Disease. Which of these
statements by the patient indicates a need for more teaching?
1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
2. "I'm going to make sure to remain upright after meals and elevate my head when I sleep"
3. "I won't be drinking tea or coffee or eating chocolate any more."
4. "I'm going to start trying to lose some weight."
1. "You should wait more than 1 minute between different medications."
Correct - It is recommended to wait 10-15 minutes between different eyedrop medications to
give them time to absorb an avoid one medication washing another one out. - ANS-A patient
,with Glaucoma is verbalizing his daily medication routine to the nurse. He states he has two
different eyedrop medications, both every twelve hours. He washes his hands, instills the drops,
closes his eyes gently, and presses his finger to the corner of his eye nearest his nose. After
waiting 1 minute with his eyes closed, he instills the other medication in the same way. What is
the nurse's best response?
1. "You should wait more than 1 minute between different medications."
2. "Your routine is very good! Can you demonstrate it for me?"
3. "It is actually not the best practice to close your eyes after instilling eyedrops."
4. "You should actually be pressing your finger in the other corner of the eye."
1. A 20-year old woman who has unexplained joint pain and a low BMI.
Correct - MRI can be used to diagnose musculoskeletal disorders, and this patient has no
contraindications to an MRI. - ANS-A nurse would evaluate which of these patients as
appropriate candidates for a closed MRI without contrast, based on the information given?
1. A 20-year old woman who has unexplained joint pain and a low BMI.
2. A 35-year old woman with Multiple Sclerosis and has been trying to conceive.
3. A 67-year old man who has had an open-heart surgery 4 years ago.
4. A 40-year old woman who has been in a hypomanic state for the last 2 days.
1. A 4-year old with sickle-cell disease
Correct - The nurse should be concerned about the burn patient's vulnerability to infection.
Sickle cell disease is not a communicable disease. - ANS-The nurse is caring for clients in the
pediatric unit. A 6-year patient is admitted who has 2nd and 3rd degree burns on his arms. The
nurse should assign the new patient to which of the following roommates?
1. A 4-year old with sickle-cell disease
2. A 12-year old with chickenpox
3. A 6-year old undergoing chemotherapy
4. A 7-year old with a high temperature
1. A 60-year old male who weighs 270 pounds, has atrial fibrillation, and has had a TIA in the
past.
Correct - Common risk factors for developing stroke include: Atrial fibrillation, arteriosclerosis,
previous stroke or ischemic attack, heart surgery, valvular heart disease, diabetes, smoking,
substance abuse,obesity, sedentary lifestyle, oral contraceptive use, genetic tendency,
migraines, older age, male, African American/Hispanic/American Indian, Sickle Cell Anemia,
and brain trauma. This man has the greatest risk based on these risk factors. - ANS-A nurse
knows that which of these patients are at greatest risk for a stroke?
, 1. A 60-year old male who weighs 270 pounds, has atrial fibrillation, and has had a TIA in the
past.
2. A 75-year old male who has frequent migraines, drinks a glass of wine every day, and is
Hispanic.
3. A 40-year old female who has high cholesterol and uses oral contraceptives
4. A 65-year old female who is African American, has sickle cell disease and smokes cigarettes.
1. A 75-year-old woman in a hospice program
Correct - Sublingual morphine is often used in hospice because the patients are unable to
swallow, and intravenous access can be painful and not conducive to palliative care. -
ANS-Which of these clients is likely to receive sublingual morphine?
1. A 75-year-old woman in a hospice program
2. A 40-year-old man who just had throat surgery
3. A 20-year-old woman with trigeminal neuralgia
4. A 60-year-old man who has a painful incision
1. A 77-year old woman in a long-term care facility taking an antibiotic
Correct - This patient has the most risk factors for developing Candidiasis. Candidiasis is
caused most commonly by long-term antibiotic therapy, immunosupressive therapy
(chemotherapy, radiation, or corticosteroids), older age, living in a long-term care facility,
diabetes, having dentures, and poor oral hygiene. - ANS-A nurse understands that which of
these patients are at risk for developing Oral Candidiasis, a type of stomatitis?
1. A 77-year old woman in a long-term care facility taking an antibiotic
2. A 35-year old man who has had HIV for 6 years
3. A 40-year old man who is undergoing chemotherapy
4. An 80-year old woman with dentures
1. A high WBC count and decreased level of consciousness
Correct - Meningitis is most often cause by an infectious organism, increasing the WBC count.
One defining feature is an increased Intracranial Pressure (ICP) which presents as a decreased
level of consciousness.
consciousness. - ANS-The nurse assesses a patient suspected of having meningitis. Which of
the following is a common clinical manifestation of this condition?
1. A high WBC count and decreased level of consciousness
2. A high WBC count and manic activity
3. A low WBC count and manic activity
4. A low WBC count and decreased level of consciousness
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