Test Bank Exam – NCLEX-PN Comprehensive Review
Questions And Correct Answers (Verified Answers) Plus
Rationales 2025/2026 Q&A | Instant Download Pdf
1. A nurse is caring for a client with dyspnea. Which position will best promote
lung expansion?
A. Supine
B. High Fowler’s
C. Trendelenburg
D. Sims
High Fowler’s position maximizes lung expansion and improves ventilation.
2. Which vital sign requires immediate reporting?
A. Temperature 37.2°C (99°F)
B. Pulse 88 bpm
C. Respirations 8/min
D. Blood pressure 128/78 mmHg
A respiratory rate below 12/min indicates possible respiratory depression.
3. A client with diabetes reports shakiness and sweating. What is the priority
action?
A. Give insulin
B. Call the provider
C. Check blood glucose
D. Encourage exercise
Symptoms suggest hypoglycemia; blood glucose must be verified immediately.
4. Which food is highest in potassium?
A. Apples
B. Bread
C. Bananas
D. Rice
Bananas are rich in potassium and commonly recommended for replacement.
,5. A client receiving opioids develops constipation. What should the nurse
encourage?
A. Low-fiber diet
B. Bed rest
C. Increased fluids and fiber
D. Fluid restriction
Opioids slow GI motility; fiber and fluids help prevent constipation.
6. Which action prevents infection when performing wound care?
A. Clean from outside inward
B. Use sterile technique
C. Reuse clean gloves
D. Apply ointment first
Sterile technique prevents introduction of microorganisms.
7. A client with heart failure should report which symptom?
A. Dry skin
B. Weight gain of 2 lb in 24 hours
C. Increased appetite
D. Mild fatigue
Rapid weight gain indicates fluid retention.
8. Which electrolyte imbalance causes muscle weakness and arrhythmias?
A. Hypercalcemia
B. Hyponatremia
C. Hypokalemia
D. Hypermagnesemia
Low potassium affects cardiac and muscle function.
9. A nurse prepares to administer insulin. Which site is best for consistent
absorption?
A. Arm
B. Thigh
C. Abdomen
, D. Buttocks
The abdomen provides the most consistent insulin absorption.
10. A client is on seizure precautions. Which item should be available at
bedside?
A. Restraints
B. Oxygen and suction
C. Heating pad
D. Bedside commode
Airway support equipment is essential during seizures.
11. Which isolation is required for tuberculosis?
A. Contact
B. Droplet
C. Airborne
D. Standard only
TB spreads via airborne particles requiring negative pressure rooms.
12. A client reports chest pain. What is the first nursing action?
A. Give morphine
B. Notify provider
C. Assess pain and vital signs
D. Obtain consent
Assessment is always the priority before interventions.
13. Which lab value indicates anemia?
A. WBC 8,000/mm³
B. Platelets 250,000/mm³
C. Hemoglobin 8 g/dL
D. Sodium 140 mEq/L
Low hemoglobin indicates reduced oxygen-carrying capacity.
Questions And Correct Answers (Verified Answers) Plus
Rationales 2025/2026 Q&A | Instant Download Pdf
1. A nurse is caring for a client with dyspnea. Which position will best promote
lung expansion?
A. Supine
B. High Fowler’s
C. Trendelenburg
D. Sims
High Fowler’s position maximizes lung expansion and improves ventilation.
2. Which vital sign requires immediate reporting?
A. Temperature 37.2°C (99°F)
B. Pulse 88 bpm
C. Respirations 8/min
D. Blood pressure 128/78 mmHg
A respiratory rate below 12/min indicates possible respiratory depression.
3. A client with diabetes reports shakiness and sweating. What is the priority
action?
A. Give insulin
B. Call the provider
C. Check blood glucose
D. Encourage exercise
Symptoms suggest hypoglycemia; blood glucose must be verified immediately.
4. Which food is highest in potassium?
A. Apples
B. Bread
C. Bananas
D. Rice
Bananas are rich in potassium and commonly recommended for replacement.
,5. A client receiving opioids develops constipation. What should the nurse
encourage?
A. Low-fiber diet
B. Bed rest
C. Increased fluids and fiber
D. Fluid restriction
Opioids slow GI motility; fiber and fluids help prevent constipation.
6. Which action prevents infection when performing wound care?
A. Clean from outside inward
B. Use sterile technique
C. Reuse clean gloves
D. Apply ointment first
Sterile technique prevents introduction of microorganisms.
7. A client with heart failure should report which symptom?
A. Dry skin
B. Weight gain of 2 lb in 24 hours
C. Increased appetite
D. Mild fatigue
Rapid weight gain indicates fluid retention.
8. Which electrolyte imbalance causes muscle weakness and arrhythmias?
A. Hypercalcemia
B. Hyponatremia
C. Hypokalemia
D. Hypermagnesemia
Low potassium affects cardiac and muscle function.
9. A nurse prepares to administer insulin. Which site is best for consistent
absorption?
A. Arm
B. Thigh
C. Abdomen
, D. Buttocks
The abdomen provides the most consistent insulin absorption.
10. A client is on seizure precautions. Which item should be available at
bedside?
A. Restraints
B. Oxygen and suction
C. Heating pad
D. Bedside commode
Airway support equipment is essential during seizures.
11. Which isolation is required for tuberculosis?
A. Contact
B. Droplet
C. Airborne
D. Standard only
TB spreads via airborne particles requiring negative pressure rooms.
12. A client reports chest pain. What is the first nursing action?
A. Give morphine
B. Notify provider
C. Assess pain and vital signs
D. Obtain consent
Assessment is always the priority before interventions.
13. Which lab value indicates anemia?
A. WBC 8,000/mm³
B. Platelets 250,000/mm³
C. Hemoglobin 8 g/dL
D. Sodium 140 mEq/L
Low hemoglobin indicates reduced oxygen-carrying capacity.
