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NCLEX-PN Review 2026/2027 | Actual Complete Real
Verified Exam Questions and Correct Answers|
Verified Answers | Already Graded A+ / Newest
Exam!!!
The nurse caring for a three-year-old with congestive heart
failure recognizes which of the following as an early sign
of digitalis toxicity?
A. Bradypnea
B. Tachycardia
C. Vomiting
D. Failure to thrive - Answer-ANS: C -earliest sign of
digitalis toxicity is vomiting. One episode, however, does
not warrant discontinuing the medication. Digoxin
increases the force of myocardial contraction, decreases
conduction through the SA and AV nodes, and prolongs
the refractory period of the AV node. The result is
increased cardiac output and reduced heart rate.
Therapeutic serum digoxin levels range from 0.5-2 ng/mL.
Serum levels may be drawn 6-8 hours after a dose is
administered, although they are usually drawn
immediately before the next dose. In infants, the first
symptoms of overdose are typically cardiac arrhythmias.
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Gastrointestinal symptoms (like vomiting) are some of the
earliest signs.
The nurse is reviewing newly prescribed medications for a
patient taking lithium. Which medication requires further
follow-up?
A. Venlafaxine
B. Hydrochlorothiazide
C. Gabapentin
D. Losartan - Answer-ANS: B - patient taking lithium
should be instructed to avoid dehydration and
hyponatremia. Lithium is a salt, and when the patient has
decreased fluid volume, the drug will accumulate and raise
the lithium level. HCTZ is a thiazide diuretic and is
contraindicated for a patient taking lithium because of its
ability to decrease fluid and sodium levels.
Therapeutic level = 0.6-1.2 mEq/L
The nurse is caring for a child in the emergency
department (ED) who sustained a bite by a rabid animal.
The nurse should take which initial action?
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A. Assess the wound's length and width
B. Cleanse the wound with soap and water
C. Obtain a prescription for an antibiotic
D. Report the bite to animal control - Answer-ANS - B :
Cleansing the wound inflicted by a rabid animal with soap
and water is essential to prevent a rabies infection.
Aggressive wound cleaning minimizes the exposure to this
infection which can be fatal without the appropriate
cleaning and post-exposure prophylaxis.
Which of the following lipid levels is out of range and
should be reported to the physician?
A. Triglycerides 75 mg/dL
B. Total cholesterol 212 mg/dL
C. Low-density lipoprotein (LDL) 95 mg/dL
D.High-density lipoprotein (HDL) 60 mg/dL - Answer-ANS:
B - goal is to keep the total cholesterol less than 200
mg/dL for both sexes.
The nurse is caring for a patient with schizophrenia. The
nurse should anticipate a prescription for which
medication?
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A. Lithium
B.Bupropion
C.Sertraline
D. Risperidone - Answer-ANS: D - Schizophrenia is
treated with antipsychotic medications. Typical (or first-
generation) antipsychotic drugs include haloperidol,
fluphenazine, and chlorpromazine. Atypical (second
generation) antipsychotic medications include quetiapine,
ziprasidone, and risperidone.
Which of the following medications may be prescribed to
control hypertension associated with nephroblastoma?
A. Propranolol
B. Enalapril
C. Nitroprusside
D. Digoxin - Answer-ANS: B - Enalapril is an ACE inhibitor
used to lower blood pressure. Since patients with
nephroblastoma are hypertensive due to increased renin
levels, this medication is commonly prescribed to
decrease their blood pressure. ACE inhibitors reduce
blood pressure by inhibiting angiotensin II formation in the
NCLEX-PN Review 2026/2027 | Actual Complete Real
Verified Exam Questions and Correct Answers|
Verified Answers | Already Graded A+ / Newest
Exam!!!
The nurse caring for a three-year-old with congestive heart
failure recognizes which of the following as an early sign
of digitalis toxicity?
A. Bradypnea
B. Tachycardia
C. Vomiting
D. Failure to thrive - Answer-ANS: C -earliest sign of
digitalis toxicity is vomiting. One episode, however, does
not warrant discontinuing the medication. Digoxin
increases the force of myocardial contraction, decreases
conduction through the SA and AV nodes, and prolongs
the refractory period of the AV node. The result is
increased cardiac output and reduced heart rate.
Therapeutic serum digoxin levels range from 0.5-2 ng/mL.
Serum levels may be drawn 6-8 hours after a dose is
administered, although they are usually drawn
immediately before the next dose. In infants, the first
symptoms of overdose are typically cardiac arrhythmias.
,2|Page
Gastrointestinal symptoms (like vomiting) are some of the
earliest signs.
The nurse is reviewing newly prescribed medications for a
patient taking lithium. Which medication requires further
follow-up?
A. Venlafaxine
B. Hydrochlorothiazide
C. Gabapentin
D. Losartan - Answer-ANS: B - patient taking lithium
should be instructed to avoid dehydration and
hyponatremia. Lithium is a salt, and when the patient has
decreased fluid volume, the drug will accumulate and raise
the lithium level. HCTZ is a thiazide diuretic and is
contraindicated for a patient taking lithium because of its
ability to decrease fluid and sodium levels.
Therapeutic level = 0.6-1.2 mEq/L
The nurse is caring for a child in the emergency
department (ED) who sustained a bite by a rabid animal.
The nurse should take which initial action?
,3|Page
A. Assess the wound's length and width
B. Cleanse the wound with soap and water
C. Obtain a prescription for an antibiotic
D. Report the bite to animal control - Answer-ANS - B :
Cleansing the wound inflicted by a rabid animal with soap
and water is essential to prevent a rabies infection.
Aggressive wound cleaning minimizes the exposure to this
infection which can be fatal without the appropriate
cleaning and post-exposure prophylaxis.
Which of the following lipid levels is out of range and
should be reported to the physician?
A. Triglycerides 75 mg/dL
B. Total cholesterol 212 mg/dL
C. Low-density lipoprotein (LDL) 95 mg/dL
D.High-density lipoprotein (HDL) 60 mg/dL - Answer-ANS:
B - goal is to keep the total cholesterol less than 200
mg/dL for both sexes.
The nurse is caring for a patient with schizophrenia. The
nurse should anticipate a prescription for which
medication?
, 4|Page
A. Lithium
B.Bupropion
C.Sertraline
D. Risperidone - Answer-ANS: D - Schizophrenia is
treated with antipsychotic medications. Typical (or first-
generation) antipsychotic drugs include haloperidol,
fluphenazine, and chlorpromazine. Atypical (second
generation) antipsychotic medications include quetiapine,
ziprasidone, and risperidone.
Which of the following medications may be prescribed to
control hypertension associated with nephroblastoma?
A. Propranolol
B. Enalapril
C. Nitroprusside
D. Digoxin - Answer-ANS: B - Enalapril is an ACE inhibitor
used to lower blood pressure. Since patients with
nephroblastoma are hypertensive due to increased renin
levels, this medication is commonly prescribed to
decrease their blood pressure. ACE inhibitors reduce
blood pressure by inhibiting angiotensin II formation in the
