NCLEX-PN PRACTICE EXAM Questions

NCLEX-PN PRACTICE EXAM Questions And ( Answers) Plus Rationales 2025 Q&A Instant Download PDF

• A nurse is caring for a client who has heart failure. Which finding

should the nurse report to the provider immediately?

• Bilateral crackles in lungs
• Pitting edema in the ankles
• Weight gain of 3 pounds overnight
• Shortness of breath at rest

Shortness of breath at rest indicates worsening heart failure and potential pulmonary edema, which is life-threatening and requires immediate intervention.

• A client with diabetes asks why they should rotate insulin injection

sites. What is the best response?

• It prevents pain. 1 / 4

• It reduces the risk of infection.
• It prevents lipodystrophy.
• It speeds up insulin absorption.

Rotating injection sites helps prevent lipodystrophy, which can interfere with insulin absorption.

• A nurse is reinforcing teaching to a client taking furosemide. Which

food should the nurse recommend?

• Applesauce
• Bananas
• Yogurt
• Rice

Furosemide is a potassium-wasting diuretic; bananas are high in potassium and help prevent hypokalemia.

• Which precaution is appropriate for a client with tuberculosis?
• Droplet
• Contact
• Standard
• Airborne

TB requires airborne precautions because it is transmitted by droplet nuclei suspended in air.

• Which lab value indicates effective warfarin therapy?
• INR 1.0
• INR 1.5 2 / 4

• INR 2.5
• INR 5.0

The therapeutic INR range for most indications is 2.0 to 3.0.

• A nurse is caring for a client with COPD. Which oxygen delivery

method is appropriate?

• Non-rebreather mask at 15 L/min
• Nasal cannula at 2 L/min
• Venturi mask at 60%
• Simple mask at 10 L/min

Clients with COPD require low-flow oxygen to prevent CO2 retention.

• A client reports severe epigastric pain radiating to the back. Which

condition is suspected?

• Cholecystitis
• Pancreatitis
• Appendicitis
• Peptic ulcer disease

Pancreatitis often presents with severe epigastric pain radiating to the back.

• A nurse is caring for a client with neutropenia. Which meal should be

avoided?

• Cooked vegetables
• Baked chicken
• Fresh fruit salad 3 / 4

• Mashed potatoes

Clients with neutropenia should avoid raw fruits and vegetables to reduce infection risk.

• Which statement indicates understanding of digoxin therapy?
• “I will take an extra dose if I miss one.”
• “I should take it with antacids.”
• “I will check my pulse before taking it.”
• “Blurred vision is normal.”

Checking the pulse helps detect bradycardia, a sign of digoxin toxicity.

• Which sign indicates hypocalcemia?
• Bradycardia
• Positive Chvostek’s sign
• Bounding pulse
• Flushed skin

A positive Chvostek’s sign (facial twitching) indicates neuromuscular excitability due to hypocalcemia.

• A nurse is reinforcing teaching for a client with iron-deficiency

anemia. Which food should the nurse recommend?

• Cheese
• Oranges
• Red meat
• / 4