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NCLEX PN ACTUAL EXAM QUESTIONS WITH VERIFIED ANSWERS 2024/2025
Typology: Exams
1 / 54
A nurse is caring for a client who has been diagnosed with chronic obstructive pulmonary disease (COPD). Which of the following is a priority nursing intervention? A) Encourage the client to take deep breaths and hold them. B) Position the client supine to promote rest. C) Teach the client pursed-lip breathing techniques. D) Administer antibiotics as ordered.
Answer: C) Teach the client pursed-lip breathing techniques. Sample Question 2 A client with heart failure is prescribed furosemide (Lasix). Which of the following laboratory values should the nurse monitor while the client is on this medication? A) Hemoglobin and hematocrit. B) Potassium and sodium. C) Blood glucose levels. D) White blood cell count. Answer: B) Potassium and sodium. Sample Question 3 A nurse is teaching a client with diabetes mellitus about foot care. Which of the following statements by the client indicates a need for further teaching? A) "I should inspect my feet daily for any sores or blisters." B) "I should trim my toenails straight across." C) "I should soak my feet in hot water every day." D) "I should wear cotton socks to keep my feet dry." Answer: C) "I should soak my feet in hot water every day." Sample Question 4
A client is receiving a blood transfusion and develops signs of a transfusion reaction. Which of the following is the nurse’s priority action? A) Stop the transfusion immediately. B) Administer antihistamines as ordered. C) Slow the infusion rate. D) Notify the healthcare provider. Answer: A) Stop the transfusion immediately. Sample Question 5 A nurse is assessing a client who reports pain in the right lower quadrant of the abdomen. Which of the following conditions is most likely associated with this type of pain? A) Cholecystitis. B) Appendicitis. C) Pancreatitis. D) Gastritis. Answer: B) Appendicitis. Sample Question 6 A nurse is caring for a postoperative client who is at risk for developing deep vein thrombosis (DVT). Which of the following interventions should the nurse implement to prevent DVT?
A) Encourage bed rest. B) Apply cold compresses to the legs. C) Elevate the legs on pillows. D) Ambulate the client as soon as possible. Answer: D) Ambulate the client as soon as possible. Sample Question 7 A client is scheduled for a surgery and has a history of malignant hyperthermia. Which of the following medications should the nurse expect to administer during surgery to treat this condition? A) Atropine. B) Succinylcholine. C) Dantrolene. D) Epinephrine. Answer: C) Dantrolene. Sample Question 8 A nurse is providing discharge instructions to a client who has been prescribed warfarin (Coumadin). Which of the following statements by the client indicates a need for further teaching? A) "I will use a soft-bristle toothbrush to avoid gum bleeding."
B) "I will avoid eating green leafy vegetables." C) "I will report any unusual bleeding or bruising to my doctor." D) "I will have my blood levels checked regularly." Answer: B) "I will avoid eating green leafy vegetables." Sample Question 9 A nurse is caring for a client with acute pancreatitis. Which of the following laboratory values is most indicative of this condition? A) Elevated serum lipase. B) Decreased serum albumin. C) Elevated serum bilirubin. D) Decreased serum calcium. Answer: A) Elevated serum lipase. Sample Question 10 A nurse is assessing a client who is experiencing acute pain. Which of the following is the most reliable indicator of the client’s pain? A) Vital signs. B) Client’s self-report. C) Behavioral indicators.
D) Pain assessment tools. Answer: B) Client’s self-report.A nurse is teaching a client with hypertension about dietary modifications. Which of the following client statements indicates a need for further teaching? A) "I will avoid adding salt to my food." B) "I should limit my intake of processed foods." C) "I can eat as much canned soup as I want." D) "I will increase my intake of fresh fruits and vegetables." Answer: C) "I can eat as much canned soup as I want." Sample Question 12 A nurse is caring for a client with a nasogastric (NG) tube. Which of the following actions should the nurse take to verify the correct placement of the NG tube? A) Inject air into the tube and listen for a gurgling sound over the epigastrium. B) Aspirate stomach contents and check the pH. C) Measure the length of the tube from the nose to the ear. D) Check for bubbles in the tube when the client breathes. Answer: B) Aspirate stomach contents and check the pH. Sample Question 13
A nurse is caring for a client who has just been diagnosed with type 1 diabetes mellitus. Which of the following symptoms is most indicative of this condition? A) Weight gain. B) Bradycardia. C) Polyuria. D) Hypercalcemia. Answer: C) Polyuria. Sample Question 14 A nurse is preparing to administer a medication via a metered-dose inhaler (MDI) to a client with asthma. Which of the following instructions should the nurse provide? A) "Inhale quickly and deeply as you press the inhaler." B) "Exhale completely before placing the mouthpiece in your mouth." C) "Hold your breath for 5 seconds after inhaling the medication." D) "Shake the inhaler before each use." Answer: D) "Shake the inhaler before each use." Sample Question 15 A nurse is caring for a client with a pressure ulcer on the sacrum. Which of the following interventions should the nurse include in the plan of care to promote healing?
A) Apply a heating pad to the ulcer site. B) Keep the ulcer covered with a dry dressing. C) Reposition the client every 4 hours. D) Ensure adequate protein intake. Answer: D) Ensure adequate protein intake. Sample Question 16 A nurse is monitoring a client who has received a narcotic analgesic for pain. Which of the following findings is a priority for the nurse to report? A) Constipation. B) Drowsiness. C) Respiratory rate of 8 breaths per minute. D) Nausea. Answer: C) Respiratory rate of 8 breaths per minute. Sample Question 17 A nurse is providing care to a client with a new colostomy. Which of the following should the nurse include in the client’s teaching? A) "Change the colostomy bag every other day." B) "Avoid eating high-fiber foods."
C) "Clean the stoma with mild soap and water." D) "Use alcohol wipes to clean the stoma." Answer: C) "Clean the stoma with mild soap and water." Sample Question 18 A client with osteoporosis asks the nurse about ways to prevent fractures. Which of the following instructions should the nurse provide? A) "Increase your intake of vitamin E." B) "Engage in weight-bearing exercises." C) "Avoid all physical activity." D) "Reduce your calcium intake." Answer: B) "Engage in weight-bearing exercises." Sample Question 19 A nurse is caring for a client who has been prescribed digoxin (Lanoxin). Which of the following should the nurse monitor to assess for digoxin toxicity? A) Serum potassium levels. B) Blood pressure. C) Respiratory rate. D) Temperature.
Answer: A) Serum potassium levels. Sample Question 20 A nurse is providing postoperative care for a client who had a hip replacement. Which of the following actions should the nurse take to prevent dislocation of the prosthesis? A) Place a pillow between the client’s legs when turning. B) Position the client’s legs close together. C) Allow the client to cross their legs when sitting. D) Keep the client in a low Fowler’s position. Answer: A) Place a pillow between the client’s legs when turning.Sample Question 21 A nurse is caring for a client who is receiving enteral feedings via a gastrostomy tube. Which of the following actions should the nurse take to prevent aspiration? A) Elevate the head of the bed to at least 30 degrees during feedings. B) Administer feedings at a rapid rate. C) Position the client on their left side during feedings. D) Check gastric residual every 6 hours. Answer: A) Elevate the head of the bed to at least 30 degrees during feedings. Sample Question 22 A nurse is teaching a client who has been prescribed an iron supplement about potential side effects. Which of the following side effects should the nurse mention?
A) Increased appetite. B) Diarrhea. C) Constipation. D) Hypoglycemia. Answer: C) Constipation. Sample Question 23 A nurse is assessing a client who has hypokalemia. Which of the following findings should the nurse expect? A) Muscle weakness. B) Hypertension. C) Bradycardia. D) Hyperreflexia. Answer: A) Muscle weakness. Sample Question 24 A nurse is providing instructions to a client who has been prescribed a low-sodium diet. Which of the following foods should the nurse advise the client to avoid? A) Fresh fruits. B) Canned soups.
C) Whole grain bread. D) Fresh vegetables. Answer: B) Canned soups. Sample Question 25 A nurse is preparing to administer an intramuscular injection to an adult client. Which of the following sites is most appropriate for this injection? A) Deltoid muscle. B) Dorsogluteal muscle. C) Vastus lateralis muscle. D) Abdomen. Answer: A) Deltoid muscle. Sample Question 26 A nurse is caring for a client who is experiencing a tonic-clonic seizure. Which of the following actions should the nurse take? A) Restrain the client’s movements. B) Place a padded tongue blade in the client’s mouth. C) Turn the client to the side. D) Administer an oral anticonvulsant.
Answer: C) Turn the client to the side. Sample Question 27 A nurse is teaching a client with gastroesophageal reflux disease (GERD) about lifestyle modifications. Which of the following statements indicates that the client understands the teaching? A) "I will lie down for a nap after meals." B) "I will avoid eating late at night." C) "I will drink peppermint tea to help digestion." D) "I will increase my intake of spicy foods." Answer: B) "I will avoid eating late at night." Sample Question 28 A nurse is monitoring a client who is receiving a blood transfusion. Which of the following signs indicates a possible transfusion reaction? A) Bradycardia. B) Hypertension. C) Fever. D) Constipation. Answer: C) Fever.
Sample Question 29 A nurse is caring for a client who has chronic kidney disease. Which of the following dietary recommendations should the nurse provide? A) Increase protein intake. B) Limit fluid intake. C) Increase sodium intake. D) Limit carbohydrate intake. Answer: B) Limit fluid intake. Sample Question 30 A nurse is assessing a client who has been receiving opioid analgesics for pain management. Which of the following is an expected side effect of opioid use? A) Diarrhea. B) Insomnia. C) Hypertension. D) Constipation. Answer: D) Constipation. Sample Question 31 A nurse is providing care to a client with chronic heart failure. Which of the following interventions should the nurse include in the plan of care?
A) Encourage fluid intake. B) Monitor daily weights. C) Provide a high-sodium diet. D) Encourage bed rest. Answer: B) Monitor daily weights. Sample Question 32 A nurse is caring for a client who is scheduled for surgery and has signed an informed consent form. Which of the following actions should the nurse take? A) Verify that the client understands the procedure. B) Explain the risks and benefits of the procedure. C) Ensure the form is signed by the client’s family. D) Obtain the client's medical history. Answer: A) Verify that the client understands the procedure. Sample Question 33 A nurse is caring for a client with bacterial meningitis. Which of the following personal protective equipment (PPE) is most appropriate for the nurse to wear? A) Gloves and gown. B) Gloves and face shield.
C) Gloves, gown, and face shield. D) Gloves, gown, and mask. Answer: D) Gloves, gown, and mask. Sample Question 34 A nurse is teaching a client about self-administration of insulin. Which of the following instructions should the nurse include? A) "Store the insulin at room temperature." B) "Shake the insulin vial before drawing it up." C) "Rotate injection sites with each dose." D) "Administer insulin after meals." Answer: C) "Rotate injection sites with each dose." Sample Question 35 A nurse is caring for a client who has dehydration. Which of the following findings should the nurse expect? A) Hypertension. B) Bradycardia. C) Decreased skin turgor. D) Weight gain.
Answer: C) Decreased skin turgor.Sample Question 36 A nurse is caring for a client who has just had a stroke. Which of the following is the priority assessment? A) Level of consciousness. B) Blood pressure. C) Urine output. D) Peripheral pulses. Answer: A) Level of consciousness. Sample Question 37 A nurse is providing discharge instructions to a client who has been prescribed a low- fat diet. Which of the following foods should the nurse recommend? A) Whole milk. B) Avocado. C) Grilled chicken breast. D) Butter. Answer: C) Grilled chicken breast. Sample Question 38 A nurse is caring for a client with tuberculosis (TB). Which of the following isolation precautions should the nurse implement?
A) Contact precautions. B) Droplet precautions. C) Airborne precautions. D) Protective environment. Answer: C) Airborne precautions. Sample Question 39 A nurse is teaching a client with hypertension about lifestyle modifications. Which of the following recommendations should the nurse include? A) "Increase your intake of processed foods." B) "Limit your alcohol consumption." C) "Engage in physical activity for at least 30 minutes a week." D) "Reduce your potassium intake." Answer: B) "Limit your alcohol consumption." Sample Question 40 A nurse is caring for a client with a deep vein thrombosis (DVT). Which of the following interventions should the nurse implement? A) Massage the affected leg. B) Apply heat to the affected area.
C) Encourage ambulation. D) Elevate the affected extremity. Answer: D) Elevate the affected extremity. Sample Question 41 A nurse is assessing a client who has been admitted for pneumonia. Which of the following findings should the nurse expect? A) Decreased respiratory rate. B) Chest pain. C) Hyperactive bowel sounds. D) Bradycardia. Answer: B) Chest pain. Sample Question 42 A nurse is providing dietary teaching to a client with celiac disease. Which of the following foods should the nurse instruct the client to avoid? A) Rice. B) Corn. C) Barley. D) Potatoes.
Answer: C) Barley. Sample Question 43 A nurse is caring for a client who has an indwelling urinary catheter. Which of the following interventions should the nurse implement to prevent catheter-associated urinary tract infections (CAUTIs)? A) Clean the perineal area with antiseptic solution twice a day. B) Change the catheter every 3 days. C) Keep the drainage bag above the level of the bladder. D) Maintain a closed urinary drainage system. Answer: D) Maintain a closed urinary drainage system. Sample Question 44 A nurse is teaching a client who has osteoporosis about calcium supplements. Which of the following instructions should the nurse include? A) "Take your calcium supplement with meals." B) "Take your calcium supplement at bedtime." C) "Avoid taking vitamin D with your calcium supplement." D) "Take your calcium supplement with a full glass of water." Answer: D) "Take your calcium supplement with a full glass of water." Sample Question 45
A nurse is caring for a client who has diabetes mellitus and is experiencing hypoglycemia. Which of the following findings should the nurse expect? A) Bradycardia. B) Shakiness. C) Polyuria. D) Dry skin. Answer: B) Shakiness. Sample Question 46 A nurse is providing teaching to a client who is to undergo a barium swallow. Which of the following instructions should the nurse include? A) "You will need to fast for 8 hours before the procedure." B) "You will need to lie still for 1 hour after the procedure." C) "You will need to avoid dairy products for 24 hours after the procedure." D) "You will need to drink plenty of fluids after the procedure." Answer: D) "You will need to drink plenty of fluids after the procedure." Sample Question 47 A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect? A) Jugular vein distention.
B) Hepatomegaly. C) Crackles in the lungs. D) Peripheral edema. Answer: C) Crackles in the lungs. Sample Question 48 A nurse is caring for a client who has a new prescription for enoxaparin (Lovenox). Which of the following actions should the nurse take? A) Administer the medication orally. B) Aspirate before injecting the medication. C) Inject the medication into the client's abdomen. D) Massage the injection site after administration. Answer: C) Inject the medication into the client's abdomen. Sample Question 49 A nurse is teaching a client who has gout about dietary modifications. Which of the following foods should the nurse instruct the client to avoid? A) Low-fat yogurt. B) Whole wheat bread. C) Organ meats.
D) Fresh fruits. Answer: C) Organ meats. Sample Question 50 A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following assessments is a priority for the nurse to monitor? A) Blood pressure. B) Blood glucose levels. C) Respiratory rate. D) Urine output. Answer: B) Blood glucose levels.Sample Question 51 A nurse is teaching a client who has a new diagnosis of hypertension about lifestyle changes. Which of the following recommendations should the nurse include? A) Increase sodium intake. B) Limit alcohol intake. C) Avoid physical activity. D) Increase caloric intake. Answer: B) Limit alcohol intake. Sample Question 52
A nurse is caring for a client who is receiving intravenous (IV) fluids postoperatively. Which of the following findings indicates infiltration at the IV site? A) Warmth and redness. B) Coolness and swelling. C) Pain and bruising. D) Pus and drainage. Answer: B) Coolness and swelling. Sample Question 53 A nurse is assessing a client who has hyperthyroidism. Which of the following findings should the nurse expect? A) Weight gain. B) Bradycardia. C) Heat intolerance. D) Constipation. Answer: C) Heat intolerance. Sample Question 54 A nurse is caring for a client who is 2 days postoperative following a total knee replacement. Which of the following actions should the nurse take to prevent deep vein thrombosis (DVT)?
A) Massage the legs frequently. B) Apply cold compresses to the legs. C) Encourage early ambulation. D) Keep the legs in a dependent position. Answer: C) Encourage early ambulation. Sample Question 55 A nurse is providing discharge instructions to a client who has a new prescription for warfarin (Coumadin). Which of the following statements indicates the client understands the teaching? A) "I will take aspirin if I get a headache." B) "I will eat a consistent amount of green leafy vegetables." C) "I will increase my intake of vitamin K." D) "I will avoid drinking cranberry juice." Answer: B) "I will eat a consistent amount of green leafy vegetables." Sample Question 56 A nurse is teaching a client who has asthma about the use of a peak flow meter. Which of the following instructions should the nurse include? A) "Use the peak flow meter before taking your asthma medication." B) "Exhale quickly and forcefully through the mouthpiece."