NCLEX-PN PRACTICE EXAM 2 0 2 6 L A T E S T V E R S I O N W I T H
QUESTIONS AND ANSWERS [RATIONALESPROVIDED]
NOTE: THIS STUDY GUIDE IS SPECIFIC TO REAL 2025/26 VERSION EXAM
1. Question
A 4-year old child is brought by her grandmother in the emergency room due to fever, chills,
and difficulty walking. The nurse tries to remove the excessive clothing of the child but is
reluctant. After a thorough assessment, the nurse also noted bruises around the genital area.
Which of the following interventions should the nurse do first?
A. Collect the clothing and underwear of the child
B. Provide privacy and disregard the Incorrect
behavior of the child
C. Inform the law enforcement for a possible Correct answer
child abuse
D. Record all the findings
Incorrect
Correct Answer: C. Inform the law enforcement for a possible childabuse
Option C: Calling law enforcement is a priority action and a legal responsibility of the
nurse in cases of suspected child abuse. Signs of sexual abuse in children 0-5 years of
age include unexplained genital injury, avoidance to remove clothing, insist on
wearing multiple garments, difficulty walking or sitting due to genital or anal pain,
and signs of sexually transmitted infections.
Options A and D: Documenting and collecting evidence is an important aspect of a
suspected child sexual abuse but is not the first action.
Option B: It is the responsibility of the nurse to protect the welfare of the child.
2. Question
A client receiving hydrochlorothiazide is instructed to increase her dietary intake of potassium.
The best snack for the client requiring increased potassium is:
A. Pear
, B. Apple
C. Incorrect
Orange
Correct answer
, Incorrect
Correct Answer: D. Avocado
Option D: The fruit which packs the most potassium among the choices is the avocado which contains 487 mg
per half serving of the fruit.
Option A: A pear contains 280 mg of potassium.
Option B: An apple contains 165 mg of potassium.
Option C: An orange contains 235 mg of potassium.
3. Question
The nurse is caring for a client following the removal of the thyroid. Immediately post-op, the nurse
should:
Correct answer
A. Maintain the client in a semi-Fowlerʼs position with the head and neck supported by pillows
Incorrect
B. Encourage the client to turn her head side to side, to promote drainage of oral secretions
C. Maintain the client in a supine position with sandbags placed on either side of the head and neck
D. Encourage the client to cough and breathe deeply every 2 hours, with the neck in a flexed position
Incorrect
Option A: Following a thyroidectomy, the client should be placed in semi-Fowlerʼs position to decrease swelling
that would place pressure on the airway.
Options B, C, and D: These positions would increase the chances of post-operative complications that include
bleeding, swelling, and airway obstruction.
4. Question
A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. Which of the
following is associated with an increased incidence of gastric cancer?
Incorrect
B. Carbonated beverages
C. Refined sugars
Correct answer
D. Luncheon meats
, Incorrect
Correct Answer: D. Luncheon meats
Option D: Luncheon meats contain preservatives such as nitrites that have been linked to gastric cancer.
QUESTIONS AND ANSWERS [RATIONALESPROVIDED]
NOTE: THIS STUDY GUIDE IS SPECIFIC TO REAL 2025/26 VERSION EXAM
1. Question
A 4-year old child is brought by her grandmother in the emergency room due to fever, chills,
and difficulty walking. The nurse tries to remove the excessive clothing of the child but is
reluctant. After a thorough assessment, the nurse also noted bruises around the genital area.
Which of the following interventions should the nurse do first?
A. Collect the clothing and underwear of the child
B. Provide privacy and disregard the Incorrect
behavior of the child
C. Inform the law enforcement for a possible Correct answer
child abuse
D. Record all the findings
Incorrect
Correct Answer: C. Inform the law enforcement for a possible childabuse
Option C: Calling law enforcement is a priority action and a legal responsibility of the
nurse in cases of suspected child abuse. Signs of sexual abuse in children 0-5 years of
age include unexplained genital injury, avoidance to remove clothing, insist on
wearing multiple garments, difficulty walking or sitting due to genital or anal pain,
and signs of sexually transmitted infections.
Options A and D: Documenting and collecting evidence is an important aspect of a
suspected child sexual abuse but is not the first action.
Option B: It is the responsibility of the nurse to protect the welfare of the child.
2. Question
A client receiving hydrochlorothiazide is instructed to increase her dietary intake of potassium.
The best snack for the client requiring increased potassium is:
A. Pear
, B. Apple
C. Incorrect
Orange
Correct answer
, Incorrect
Correct Answer: D. Avocado
Option D: The fruit which packs the most potassium among the choices is the avocado which contains 487 mg
per half serving of the fruit.
Option A: A pear contains 280 mg of potassium.
Option B: An apple contains 165 mg of potassium.
Option C: An orange contains 235 mg of potassium.
3. Question
The nurse is caring for a client following the removal of the thyroid. Immediately post-op, the nurse
should:
Correct answer
A. Maintain the client in a semi-Fowlerʼs position with the head and neck supported by pillows
Incorrect
B. Encourage the client to turn her head side to side, to promote drainage of oral secretions
C. Maintain the client in a supine position with sandbags placed on either side of the head and neck
D. Encourage the client to cough and breathe deeply every 2 hours, with the neck in a flexed position
Incorrect
Option A: Following a thyroidectomy, the client should be placed in semi-Fowlerʼs position to decrease swelling
that would place pressure on the airway.
Options B, C, and D: These positions would increase the chances of post-operative complications that include
bleeding, swelling, and airway obstruction.
4. Question
A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. Which of the
following is associated with an increased incidence of gastric cancer?
Incorrect
B. Carbonated beverages
C. Refined sugars
Correct answer
D. Luncheon meats
, Incorrect
Correct Answer: D. Luncheon meats
Option D: Luncheon meats contain preservatives such as nitrites that have been linked to gastric cancer.
