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NCLEX-PN Practice Exam 2026/2027 | Actual Complete
Real Verified Exam Questions and Correct Answers |
Verified Answers / Already Graded A+ | Newest
Exam!!!
While receiving normal saline infusions to treat a GI bleed,
the nurse notes that the patient's lower legs have become
edematous and auscultates crackles in the lungs. What
should the nurse do first?
1. Stop the saline infusion immediately
2. Notify Physician
3. Elevate the patient's legs
4. Continue the infusion, since these are normal findings -
Answer-1. Stop the saline infusion immediately
CORRECT - the patient has a fluid volume overload as a
result of overly rapid fluid replacement. The nurse should
stop the infusion and notify the physician.
The nurse is working in a support group for clients with
HIV. Which point is most important for the nurse to stress?
1. They must inform household members of their condition
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2. They must take their medications exactly as prescribed
3. They must abstain from substance use
4. They must avoid large crowds - Answer-2. They must
take their medications exactly as prescribed
CORRECT - Antiretrovirals must be taken exactly as
prescribed to prevent drug-resistant strains. Even missed
doses can reduce the effectiveness of future treatment.
A nurse finds a 30-year-old woman experiencing
anaphylaxis from a bee sting. Emergency personnel have
been called. The nurse notes the woman is breathing but
short of breath. Which of the following interventions should
the nurse do first?
1. Initiate cardiopulmonary resuscitation
2. Check for a pulse
3. Ask the woman if she carries an emergency medical kit
4. Stay with the woman until help comes - Answer-3. Ask
the woman if she carries an emergency medical kit
CORRECT - Many patients who have a known history of
anaphylaxis carry epi-pens in their pockets or belongings.
This is the best way to stop a hypersensitivity reaction
before it becomes life-threatening.
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A man is prescribed lithium to treat bipolar disorder. The
nurse is most concerned about lithium toxicity when he
notices which of these assessment findings?
1. The patient states he had a manic episode a week ago
2. The patient states he has been having diarrhea every
day
3. The patient has a rashy pruritis on his arms and legs
4. The patient presents as severely depressed
5. The patient's lithium level is 1.3 mcg/L - Answer-2. The
patient states he has been having diarrhea every day
Correct - Persistent diarrhea can lead to dehydration,
which can increase the risk of lithium toxicity.
A 65 year old man is prescribed Flomax (Tamsulosin) for
Benign Prostatic Hyperplasia. The patient lives in an
upstairs apartment. The nurse is most concerned about
which side effect of Flomax?
1. Hypotension
2. Tachycardia
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3. Back Pain
4. Difficulty Urinating - Answer-1. Hypotension
Correct - Hypotension can lead to dizziness and a risk for
injury to the patient.
The nurse is taking the health history of a patient being
treated for Emphysema and Chronic Bronchitis. After
being told the patient has been smoking cigarettes for 30
years, the nurse expects to note which assessment
finding?
1. Increase in Forced Vital Capacity (FVC)
2. A narrowed chest cavity
3. Clubbed fingers
4. An increased risk of cardiac failure - Answer-3. Clubbed
fingers - CORRECT
Clubbed fingers are a sign of a long-term, or chronic,
decrease in oxygen levels.
The nurse is taking the health history of a 70-year-old
patient being treated for a Duodenal Ulcer. After being told
the patient is complaining of epigastric pain, the nurse
expects to note which assessment finding?
NCLEX-PN Practice Exam 2026/2027 | Actual Complete
Real Verified Exam Questions and Correct Answers |
Verified Answers / Already Graded A+ | Newest
Exam!!!
While receiving normal saline infusions to treat a GI bleed,
the nurse notes that the patient's lower legs have become
edematous and auscultates crackles in the lungs. What
should the nurse do first?
1. Stop the saline infusion immediately
2. Notify Physician
3. Elevate the patient's legs
4. Continue the infusion, since these are normal findings -
Answer-1. Stop the saline infusion immediately
CORRECT - the patient has a fluid volume overload as a
result of overly rapid fluid replacement. The nurse should
stop the infusion and notify the physician.
The nurse is working in a support group for clients with
HIV. Which point is most important for the nurse to stress?
1. They must inform household members of their condition
,2|Page
2. They must take their medications exactly as prescribed
3. They must abstain from substance use
4. They must avoid large crowds - Answer-2. They must
take their medications exactly as prescribed
CORRECT - Antiretrovirals must be taken exactly as
prescribed to prevent drug-resistant strains. Even missed
doses can reduce the effectiveness of future treatment.
A nurse finds a 30-year-old woman experiencing
anaphylaxis from a bee sting. Emergency personnel have
been called. The nurse notes the woman is breathing but
short of breath. Which of the following interventions should
the nurse do first?
1. Initiate cardiopulmonary resuscitation
2. Check for a pulse
3. Ask the woman if she carries an emergency medical kit
4. Stay with the woman until help comes - Answer-3. Ask
the woman if she carries an emergency medical kit
CORRECT - Many patients who have a known history of
anaphylaxis carry epi-pens in their pockets or belongings.
This is the best way to stop a hypersensitivity reaction
before it becomes life-threatening.
,3|Page
A man is prescribed lithium to treat bipolar disorder. The
nurse is most concerned about lithium toxicity when he
notices which of these assessment findings?
1. The patient states he had a manic episode a week ago
2. The patient states he has been having diarrhea every
day
3. The patient has a rashy pruritis on his arms and legs
4. The patient presents as severely depressed
5. The patient's lithium level is 1.3 mcg/L - Answer-2. The
patient states he has been having diarrhea every day
Correct - Persistent diarrhea can lead to dehydration,
which can increase the risk of lithium toxicity.
A 65 year old man is prescribed Flomax (Tamsulosin) for
Benign Prostatic Hyperplasia. The patient lives in an
upstairs apartment. The nurse is most concerned about
which side effect of Flomax?
1. Hypotension
2. Tachycardia
, 4|Page
3. Back Pain
4. Difficulty Urinating - Answer-1. Hypotension
Correct - Hypotension can lead to dizziness and a risk for
injury to the patient.
The nurse is taking the health history of a patient being
treated for Emphysema and Chronic Bronchitis. After
being told the patient has been smoking cigarettes for 30
years, the nurse expects to note which assessment
finding?
1. Increase in Forced Vital Capacity (FVC)
2. A narrowed chest cavity
3. Clubbed fingers
4. An increased risk of cardiac failure - Answer-3. Clubbed
fingers - CORRECT
Clubbed fingers are a sign of a long-term, or chronic,
decrease in oxygen levels.
The nurse is taking the health history of a 70-year-old
patient being treated for a Duodenal Ulcer. After being told
the patient is complaining of epigastric pain, the nurse
expects to note which assessment finding?
