NCLEX-PN Comprehensive Test Bank Exam
Verified Questions, Correct Answers, and Detailed
Explanations for Students||Already Graded A+
1. A nurse is caring for a client with COPD. Which finding requires immediate
intervention?
A. Barrel chest
B. Clubbing of fingers
C. Oxygen saturation of 84%
D. Chronic cough
An oxygen saturation of 84% indicates severe hypoxemia and requires
immediate action.
2. Which electrolyte imbalance is most likely in a client with prolonged
vomiting?
A. Hypernatremia
B. Hypokalemia
C. Hyperkalemia
D. Hypercalcemia
Vomiting leads to potassium loss, causing hypokalemia.
3. A client with diabetes reports shakiness and sweating. What is the nurse’s
first action?
A. Administer insulin
B. Call the provider
C. Check blood glucose level
,D. Give orange juice
Assessment comes first; checking glucose confirms hypoglycemia before
treatment.
4. Which position is best for a client with dyspnea?
A. Supine
B. High Fowler’s
C. Trendelenburg
D. Sims’
High Fowler’s promotes maximum lung expansion.
5. A client is receiving heparin. Which lab value is most important to monitor?
A. INR
B. Platelet count
C. aPTT
D. Hemoglobin
aPTT evaluates therapeutic effectiveness of heparin.
6. Which finding indicates digoxin toxicity?
A. Hypertension
B. Yellow vision halos
C. Increased appetite
D. Tachycardia
,Visual disturbances like yellow halos are classic signs of digoxin toxicity.
7. A client with heart failure should limit sodium intake to:
A. 5 g/day
B. 4 g/day
C. 3 g/day
D. 2 g/day
Sodium restriction (2 g/day) helps reduce fluid retention.
8. A nurse is reinforcing teaching about warfarin. Which statement shows
understanding?
A. “I can take aspirin daily.”
B. “I will double the dose if I miss one.”
C. “I will avoid green leafy vegetables.”
D. “I do not need lab work.”
Green leafy vegetables contain vitamin K, which reduces warfarin
effectiveness.
9. Which symptom is expected with hyperglycemia?
A. Sweating
B. Confusion
C. Polyuria
D. Tremors
High glucose causes osmotic diuresis, leading to polyuria.
, 10. A nurse is caring for a client after a thyroidectomy. Which finding is most
concerning?
A. Hoarseness
B. Stridor
C. Mild pain
D. Sleepiness
Stridor indicates airway obstruction and requires immediate action.
11. Which intervention prevents pressure ulcers?
A. Massage bony prominences
B. Restrict fluids
C. Reposition every 2 hours
D. Use donut cushions
Frequent repositioning prevents prolonged pressure.
12. A client with chest pain is prescribed nitroglycerin. What is the priority
assessment?
A. Heart rate
B. Blood pressure
C. Oxygen saturation
D. Temperature
Nitroglycerin can cause hypotension.
Verified Questions, Correct Answers, and Detailed
Explanations for Students||Already Graded A+
1. A nurse is caring for a client with COPD. Which finding requires immediate
intervention?
A. Barrel chest
B. Clubbing of fingers
C. Oxygen saturation of 84%
D. Chronic cough
An oxygen saturation of 84% indicates severe hypoxemia and requires
immediate action.
2. Which electrolyte imbalance is most likely in a client with prolonged
vomiting?
A. Hypernatremia
B. Hypokalemia
C. Hyperkalemia
D. Hypercalcemia
Vomiting leads to potassium loss, causing hypokalemia.
3. A client with diabetes reports shakiness and sweating. What is the nurse’s
first action?
A. Administer insulin
B. Call the provider
C. Check blood glucose level
,D. Give orange juice
Assessment comes first; checking glucose confirms hypoglycemia before
treatment.
4. Which position is best for a client with dyspnea?
A. Supine
B. High Fowler’s
C. Trendelenburg
D. Sims’
High Fowler’s promotes maximum lung expansion.
5. A client is receiving heparin. Which lab value is most important to monitor?
A. INR
B. Platelet count
C. aPTT
D. Hemoglobin
aPTT evaluates therapeutic effectiveness of heparin.
6. Which finding indicates digoxin toxicity?
A. Hypertension
B. Yellow vision halos
C. Increased appetite
D. Tachycardia
,Visual disturbances like yellow halos are classic signs of digoxin toxicity.
7. A client with heart failure should limit sodium intake to:
A. 5 g/day
B. 4 g/day
C. 3 g/day
D. 2 g/day
Sodium restriction (2 g/day) helps reduce fluid retention.
8. A nurse is reinforcing teaching about warfarin. Which statement shows
understanding?
A. “I can take aspirin daily.”
B. “I will double the dose if I miss one.”
C. “I will avoid green leafy vegetables.”
D. “I do not need lab work.”
Green leafy vegetables contain vitamin K, which reduces warfarin
effectiveness.
9. Which symptom is expected with hyperglycemia?
A. Sweating
B. Confusion
C. Polyuria
D. Tremors
High glucose causes osmotic diuresis, leading to polyuria.
, 10. A nurse is caring for a client after a thyroidectomy. Which finding is most
concerning?
A. Hoarseness
B. Stridor
C. Mild pain
D. Sleepiness
Stridor indicates airway obstruction and requires immediate action.
11. Which intervention prevents pressure ulcers?
A. Massage bony prominences
B. Restrict fluids
C. Reposition every 2 hours
D. Use donut cushions
Frequent repositioning prevents prolonged pressure.
12. A client with chest pain is prescribed nitroglycerin. What is the priority
assessment?
A. Heart rate
B. Blood pressure
C. Oxygen saturation
D. Temperature
Nitroglycerin can cause hypotension.
