NCLEX PN FINAL ACTUAL EXAM TEST BANK PN

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NCLEX PN Final Actual Exam Test Bank 2025/2026 /PN NCLEX EXIT/PN NCLEX Study Guide

NCLEX PN FINAL ACTUAL EXAM TEST BANK 2025/2026 /PN

NCLEX EXIT/PN NCLEX STUDY GUIDE NEWEST 2025/2026

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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

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NCLEX PN Final Actual Exam Test Bank 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.

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NCLEX PN Final Actual Exam Test Bank 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

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NCLEX PN Final Actual Exam Test Bank 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?

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