.png){kind=logo}
- P a g e
NCLEX PN Final 2025/2026 /PN NCLEX EXIT/PN NCLEX Study Guide
NCLEX PN FINAL 2025/2026 /PN
NCLEX EXIT/PN NCLEX STUDY GUIDE NEWEST 2025/2026
COMPLETE ALL 700 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES ( ANSWERS)
BRAND NEW
A client has had an open reduction internal fixation (ORIF) of the right hip two days ago. There is a Jackson-Pratt (JP) suction device for drainage at the site and staple sutures which are open to air. Which assessment finding needs to be reported to the provider immediately?
- Absence of draining into the Jackson-Pratt
- Bright red drainage from the suture site
- A temperature of 98.0F
- pain scale rating of 6 out of 10 - ANSWER-B. Bright red drainage from the suture
site Rationale: Bright red drainage from the suture site indicates that hemorrhage is occurring and must be reported immediately to the surgeon.
The charge nurse has assigned a client with an open burn wound to the licensed practical nurse (LPN). Which instruction should the charge nurse give to the licensed practical nurse (LPN)?
- Administer a tetanus toxoid vaccine as ordered
- Assess wounds for signs of infection
- Tell the client cough and breathe deeply 1 / 4
- P a g e
NCLEX PN Final 2025/2026 /PN NCLEX EXIT/PN NCLEX Study Guide
- Perform hand washing upon entering room. - ANSWER-D. Perform hand
washing upon entering room
Rationale: Hand washing is the most effective for preventing infection
transmission especially with a burn client.
A client develops a loud, brassy cough after a burn. What ordered intervention by the nurse is a priority?
- Administer oxygen as ordered
- Give the client small quantities of ice chips to suck on
- Request an order for an antitussive agent
- Tell the respiratory therapist to give the client humidified oxygen - ANSWER-A.
Administer oxygen as ordered
Rationale: Brassy cough and wheezing signs seen of inhalation injury. The first
action by the nurse is to administer oxygen.
A patient who is receiving lovastatin [Mevacor] experiences chest pain. CK level is 580 units/mL (CK-MM 99%) and troponin T 0.02 g/mL. Which organ is a priority for the nurse to monitor?
- Brain
- Heart
- Lungs
- Kidney - ANSWER-B. Heart
Rationale: Troponin and CK-MM are specific to the heart.
- / 4
- P a g e
NCLEX PN Final 2025/2026 /PN NCLEX EXIT/PN NCLEX Study Guide Which laboratory result would increase the risk of Torsades?
- Potassium 3.4 mEq/L
- Potassium 5.4 mEq/L
- Sodium 132 mEq/L
- Magnesium 1.0 mEq/L - ANSWER-D. Magnesium 1.0 mEq/L
Rationale: Normal Mg is 1.5-2.5 mEq/L. Low magnesium levels increases the risk
of Torsades a ventricular dysrhythmia.
What effects of angiotensin-converting enzyme (ACE) inhibitors most often results in the provider changing the treatment plan to an angiotensin receptor blocker
[ARB]?
- Orthostatic hypotension
- Nagging nonproductive cough
- Fatigue
- Hyokalemia - ANSWER-B. Nagging nonproductive cough
Rationale: Due to the release of bradykinin , ACE Inhibitors cause a nagging, dry, hacking nonproductive cough.
The nurse is caring for a patient taking furosemide (Lasix). Which finding is most indicative of an adverse effect with this drug?
- Na 136 mEq/L
- Potassium 3.6 mEq/L
- Chloride 98 mEq/L
- Uric acid 15 mg/dL - ANSWER-D. Uric acid 15 mg/dL 3 / 4
- P a g e
NCLEX PN Final 2025/2026 /PN NCLEX EXIT/PN NCLEX Study Guide
Rationale: Hyperuricemia is an adverse effect of furosemide [Lasix]. Uric acid
levels are extremely elevated.
A patient arrives in the emergency department with severe chest pain. Which assessment finding would indicate the need for cautious use of nitrates and nitrites?
- Blood pressure of 96/66 mm Hg
- History of hepatitis
- History of congestive heart failure
- History of heart attack 1 year ago - ANSWER-A. Blood pressure of 96/66 mm Hg
Rationale: Hypotension is a possible contraindication to the use of nitrates
because the medications may cause the blood pressure to decrease.
Which medication use by the client with a history of chronic kidney disease (CKD) requires further teaching?
- Liquid iron
- Milk of magnesia (MOM)
- Calcium phosphate (PhosLo)
- Ascorbic acid (Vitamin C) - ANSWER-B. Milk of magnesia (MOM)
Rationale: Pharmacokinetically, magnesium is excreted by the kidneys. A client
with chronic kidney disease should not use any products containing magnesium.
Which medication can be used in a client with chronic kidney disease (CKD) to help stimulate red blood cell production?
- / 4
.png)