NCLEX-PN EXAM TEST BANK & STUDY GUIDE
(NGN) QUESTIONS AND VERIFIED ANSWERS
WITH RATIONALES GRADED A+ LATEST
1. A patient with heart failure is prescribed furosemide 40 mg PO daily. The
patient reports dizziness upon standing. What is the priority nursing action?
A. Assess orthostatic blood pressure and implement fall precautions
B. Administer medication as scheduled
C. Encourage fluids only
D. Reassure patient
Answer: A. Assess orthostatic blood pressure and implement fall precautions
Rationale: Furosemide can cause orthostatic hypotension; assessing vitals and
preventing falls is priority.
2. A patient receiving morphine for postoperative pain reports respiratory
rate of 8 breaths/min. What should the nurse do first?
A. Hold morphine and notify provider
B. Encourage deep breathing exercises
C. Administer naloxone immediately
D. Document findings
Answer: A. Hold morphine and notify provider
Rationale: Morphine can cause respiratory depression. Immediate provider
notification and monitoring are essential; naloxone may be ordered based on
assessment.
,3. A PN student prepares to administer insulin NPH to a patient. Which
action demonstrates safe practice?
A. Check blood glucose before administration
B. Administer without verification if schedule is delayed
C. Mix insulin in the wrong sequence to save time
D. Skip checking the patient’s identification
Answer: A. Check blood glucose before administration
Rationale: Verifying blood glucose ensures appropriate insulin dosing and patient
safety.
4. A patient with chronic kidney disease has a potassium level of 6.2 mEq/L.
The nurse notes peaked T waves on ECG. What is the priority action?
A. Notify provider immediately for hyperkalemia management
B. Encourage oral potassium intake
C. Reassure patient
D. Document and reassess later
Answer: A. Notify provider immediately for hyperkalemia management
Rationale: Hyperkalemia is life-threatening; ECG changes indicate urgent
intervention is required.
5. A PN student is caring for a patient on digoxin. The patient reports nausea
and blurred vision. What is the most appropriate action?
A. Hold digoxin and notify provider
B. Encourage fluids
C. Administer next dose
D. Reassure patient
Answer: A. Hold digoxin and notify provider
Rationale: Nausea and visual changes are early signs of digoxin toxicity;
immediate intervention is essential.
,6. A patient on heparin therapy reports nosebleeds and bruising. What should
the nurse do?
A. Hold heparin and notify provider
B. Encourage fluids
C. Reassure patient
D. Administer vitamin K
Answer: A. Hold heparin and notify provider
Rationale: Bleeding may indicate over-anticoagulation; prompt evaluation is
necessary.
7. A patient with COPD is prescribed albuterol. The patient reports
palpitations and tremors after using the inhaler. What is the best nursing
response?
A. Explain these are common beta-2 agonist side effects
B. Hold the inhaler
C. Administer antiarrhythmic
D. Encourage fluids
Answer: A. Explain these are common beta-2 agonist side effects
Rationale: Tremors and palpitations are expected sympathetic side effects of
albuterol.
8. A PN student is teaching a patient prescribed warfarin. Which statement by
the patient indicates correct understanding?
A. “I will have my INR checked regularly to prevent bleeding or clotting.”
B. “I can stop taking it if I feel well.”
C. “I will avoid all vegetables while on this medication.”
D. “I will double the dose if I miss one.”
Answer: A. “I will have my INR checked regularly to prevent bleeding or
clotting.”
, Rationale: Regular monitoring ensures therapeutic anticoagulation; patient
understanding is critical for safety.
9. A patient taking corticosteroids reports black, tarry stools. What is the
priority nursing action?
A. Notify provider immediately
B. Reassure patient
C. Encourage fluids
D. Document only
Answer: A. Notify provider immediately
Rationale: Corticosteroids increase the risk of GI bleeding; urgent evaluation is
required.
10. A patient taking metformin reports fatigue, nausea, and rapid breathing.
What complication should be assessed?
A. Lactic acidosis
B. Hyperglycemia
C. Hypokalemia
D. Hypercalcemia
Answer: A. Lactic acidosis
Rationale: Rare but life-threatening; requires immediate evaluation.
(NGN) QUESTIONS AND VERIFIED ANSWERS
WITH RATIONALES GRADED A+ LATEST
1. A patient with heart failure is prescribed furosemide 40 mg PO daily. The
patient reports dizziness upon standing. What is the priority nursing action?
A. Assess orthostatic blood pressure and implement fall precautions
B. Administer medication as scheduled
C. Encourage fluids only
D. Reassure patient
Answer: A. Assess orthostatic blood pressure and implement fall precautions
Rationale: Furosemide can cause orthostatic hypotension; assessing vitals and
preventing falls is priority.
2. A patient receiving morphine for postoperative pain reports respiratory
rate of 8 breaths/min. What should the nurse do first?
A. Hold morphine and notify provider
B. Encourage deep breathing exercises
C. Administer naloxone immediately
D. Document findings
Answer: A. Hold morphine and notify provider
Rationale: Morphine can cause respiratory depression. Immediate provider
notification and monitoring are essential; naloxone may be ordered based on
assessment.
,3. A PN student prepares to administer insulin NPH to a patient. Which
action demonstrates safe practice?
A. Check blood glucose before administration
B. Administer without verification if schedule is delayed
C. Mix insulin in the wrong sequence to save time
D. Skip checking the patient’s identification
Answer: A. Check blood glucose before administration
Rationale: Verifying blood glucose ensures appropriate insulin dosing and patient
safety.
4. A patient with chronic kidney disease has a potassium level of 6.2 mEq/L.
The nurse notes peaked T waves on ECG. What is the priority action?
A. Notify provider immediately for hyperkalemia management
B. Encourage oral potassium intake
C. Reassure patient
D. Document and reassess later
Answer: A. Notify provider immediately for hyperkalemia management
Rationale: Hyperkalemia is life-threatening; ECG changes indicate urgent
intervention is required.
5. A PN student is caring for a patient on digoxin. The patient reports nausea
and blurred vision. What is the most appropriate action?
A. Hold digoxin and notify provider
B. Encourage fluids
C. Administer next dose
D. Reassure patient
Answer: A. Hold digoxin and notify provider
Rationale: Nausea and visual changes are early signs of digoxin toxicity;
immediate intervention is essential.
,6. A patient on heparin therapy reports nosebleeds and bruising. What should
the nurse do?
A. Hold heparin and notify provider
B. Encourage fluids
C. Reassure patient
D. Administer vitamin K
Answer: A. Hold heparin and notify provider
Rationale: Bleeding may indicate over-anticoagulation; prompt evaluation is
necessary.
7. A patient with COPD is prescribed albuterol. The patient reports
palpitations and tremors after using the inhaler. What is the best nursing
response?
A. Explain these are common beta-2 agonist side effects
B. Hold the inhaler
C. Administer antiarrhythmic
D. Encourage fluids
Answer: A. Explain these are common beta-2 agonist side effects
Rationale: Tremors and palpitations are expected sympathetic side effects of
albuterol.
8. A PN student is teaching a patient prescribed warfarin. Which statement by
the patient indicates correct understanding?
A. “I will have my INR checked regularly to prevent bleeding or clotting.”
B. “I can stop taking it if I feel well.”
C. “I will avoid all vegetables while on this medication.”
D. “I will double the dose if I miss one.”
Answer: A. “I will have my INR checked regularly to prevent bleeding or
clotting.”
, Rationale: Regular monitoring ensures therapeutic anticoagulation; patient
understanding is critical for safety.
9. A patient taking corticosteroids reports black, tarry stools. What is the
priority nursing action?
A. Notify provider immediately
B. Reassure patient
C. Encourage fluids
D. Document only
Answer: A. Notify provider immediately
Rationale: Corticosteroids increase the risk of GI bleeding; urgent evaluation is
required.
10. A patient taking metformin reports fatigue, nausea, and rapid breathing.
What complication should be assessed?
A. Lactic acidosis
B. Hyperglycemia
C. Hypokalemia
D. Hypercalcemia
Answer: A. Lactic acidosis
Rationale: Rare but life-threatening; requires immediate evaluation.
