NCLEX PN WITH NGN / NGN PN NCLEX
EXAM QUESTION BANK | NEWEST ACTUAL
EXAM COMPREHESIVE QUESTIONS AND
ANSWERS
1. A nurse is preparing for the admission of an infant with a diagnosis of
bronchiolitis caused by the respiratory syncytial virus (RSV). Choose the
interventions that would be included in the plan of care. Select all that apply.
A. Place the infant in a private room.
B. Place the infant in a room near the nurses’ station.
C. Place the infant in a room with another infant with RSV.
D. Assign the same nurse to care for other non-RSV infants.
Answer: A, B
2. A nurse is caring for a client who has just been admitted to the nursing unit
after receiving flame burns to the face and chest. The nurse notes a hoarse cough
and that the client is expectorating sputum with black flecks. The client’s
eyelashes and eyebrows are singed, and the eyelids are swollen. The client
suddenly becomes restless, and his color becomes dusky. The nurse interprets
this data as indicating which of the following?
A. The burn has caused a pneumothorax.
B. The burn has probably caused laryngeal edema, which has occluded the airway.
C. The burn has caused carbon monoxide poisoning.
D. The burn has caused a pulmonary contusion.
Answer: B
3. A nurse assists with admitting a child with a diagnosis of acute-stage Kawasaki
disease. When obtaining the child’s medical history, which clinical manifestation
is likely to be reported?
A. Conjunctival hyperemia
B. Desquamation of fingertips
C. Joint pain
,D. Thrombocytosis
Answer: A
4. A nurse caring for an infant with congenital heart disease is monitoring the
infant closely for signs of congestive heart failure (CHF). The nurse looks for which
early sign of CHF?
A. Tachycardia
B. Cough
C. Pallor
D. Peripheral edema
Answer: A
5. A nurse is monitoring the daily weight of an infant with congestive heart failure
(CHF). Which of the following alerts the nurse to suspect fluid accumulation and
thus to the need to notify the registered nurse?
A. A weight gain of 0.5 kg (1 lb) in 1 day
B. A weight loss of 0.5 kg (1 lb) in 1 day
C. A weight gain of 1 kg (2.2 lb) in 1 week
D. A weight loss of 1 kg (2.2 lb) in 1 week
Answer: A
6. A nurse is caring for an infant with a diagnosis of tetralogy of Fallot. The infant
suddenly becomes cyanotic and the oxygen saturation reading drops to 60%.
Choose the interventions that the nurse should perform. Select all that apply.
A. Notify the registered nurse.
B. Prepare to administer morphine sulfate.
C. Prepare to administer intravenous fluids.
D. Prepare to administer 100% oxygen by face mask.
E. Place the infant in a supine flat position.
Answer: A, B, C, D
7. A nurse is caring for a client with major depression who is taking phenelzine.
Which food should the nurse instruct the client to avoid?
A. Aged cheese
B. Apples
C. White rice
,D. Broccoli
Answer: A
8. A client with bipolar disorder is taking lithium. Which laboratory value would
indicate a therapeutic level?
A. 0.2 mEq/L
B. 0.8 mEq/L
C. 1.8 mEq/L
D. 2.5 mEq/L
Answer: B
9. A nurse is assessing a client who has been taking haloperidol for 3 months. The
client exhibits a stiff neck, fever, and confusion. Which complication does the
nurse suspect?
A. Tardive dyskinesia
B. Neuroleptic malignant syndrome
C. Akathisia
D. Dystonia
Answer: B
10. A client with alcohol use disorder is admitted with tremors, diaphoresis, and
hallucinations. Which medication does the nurse anticipate administering first?
A. Disulfiram
B. Naltrexone
C. Lorazepam
D. Acamprosate
Answer: C
11. A nurse is teaching a client with generalized anxiety disorder about buspirone.
Which statement indicates understanding?
A. “It will work immediately like Xanax.”
B. “It may take 2 to 4 weeks to feel the full effect.”
C. “I can take it as needed for panic attacks.”
D. “It has a high risk of dependence.”
Answer: B
12. A client with obsessive-compulsive disorder repeatedly washes his hands. The
nurse understands that this behavior is primarily aimed at:
, A. Reducing delusional thinking
B. Decreasing anxiety related to contamination fears
C. Manipulating staff for attention
D. Avoiding social interaction
Answer: B
13. A nurse is caring for a client with borderline personality disorder who
frequently self-mutilates. Which intervention should be included in the plan of
care?
A. Restrict all sharp objects from the unit.
B. Contract with the client to use alternative coping skills when feeling urges.
C. Ignore the behavior to avoid reinforcing it.
D. Place the client in seclusion whenever self-harm is threatened.
Answer: B
14. A client with schizophrenia tells the nurse, “The FBI is monitoring my
thoughts.” Which is the nurse’s best response?
A. “That sounds frightening. Tell me more about what you are experiencing.”
B. “I don’t believe that is true. You are safe here.”
C. “Let’s focus on something else. What did you eat for breakfast?”
D. “Why do you think the FBI would be interested in you?”
Answer: A
15. A nurse is assessing a client with post-traumatic stress disorder (PTSD). Which
symptom is a re-experiencing symptom?
A. Hypervigilance
B. Flashbacks
C. Avoidance of crowds
D. Negative self-beliefs
Answer: B
16. A client is prescribed clozapine. Which life-threatening side effect requires
weekly blood monitoring?
A. Agranulocytosis
B. Tardive dyskinesia
C. Neuroleptic malignant syndrome
EXAM QUESTION BANK | NEWEST ACTUAL
EXAM COMPREHESIVE QUESTIONS AND
ANSWERS
1. A nurse is preparing for the admission of an infant with a diagnosis of
bronchiolitis caused by the respiratory syncytial virus (RSV). Choose the
interventions that would be included in the plan of care. Select all that apply.
A. Place the infant in a private room.
B. Place the infant in a room near the nurses’ station.
C. Place the infant in a room with another infant with RSV.
D. Assign the same nurse to care for other non-RSV infants.
Answer: A, B
2. A nurse is caring for a client who has just been admitted to the nursing unit
after receiving flame burns to the face and chest. The nurse notes a hoarse cough
and that the client is expectorating sputum with black flecks. The client’s
eyelashes and eyebrows are singed, and the eyelids are swollen. The client
suddenly becomes restless, and his color becomes dusky. The nurse interprets
this data as indicating which of the following?
A. The burn has caused a pneumothorax.
B. The burn has probably caused laryngeal edema, which has occluded the airway.
C. The burn has caused carbon monoxide poisoning.
D. The burn has caused a pulmonary contusion.
Answer: B
3. A nurse assists with admitting a child with a diagnosis of acute-stage Kawasaki
disease. When obtaining the child’s medical history, which clinical manifestation
is likely to be reported?
A. Conjunctival hyperemia
B. Desquamation of fingertips
C. Joint pain
,D. Thrombocytosis
Answer: A
4. A nurse caring for an infant with congenital heart disease is monitoring the
infant closely for signs of congestive heart failure (CHF). The nurse looks for which
early sign of CHF?
A. Tachycardia
B. Cough
C. Pallor
D. Peripheral edema
Answer: A
5. A nurse is monitoring the daily weight of an infant with congestive heart failure
(CHF). Which of the following alerts the nurse to suspect fluid accumulation and
thus to the need to notify the registered nurse?
A. A weight gain of 0.5 kg (1 lb) in 1 day
B. A weight loss of 0.5 kg (1 lb) in 1 day
C. A weight gain of 1 kg (2.2 lb) in 1 week
D. A weight loss of 1 kg (2.2 lb) in 1 week
Answer: A
6. A nurse is caring for an infant with a diagnosis of tetralogy of Fallot. The infant
suddenly becomes cyanotic and the oxygen saturation reading drops to 60%.
Choose the interventions that the nurse should perform. Select all that apply.
A. Notify the registered nurse.
B. Prepare to administer morphine sulfate.
C. Prepare to administer intravenous fluids.
D. Prepare to administer 100% oxygen by face mask.
E. Place the infant in a supine flat position.
Answer: A, B, C, D
7. A nurse is caring for a client with major depression who is taking phenelzine.
Which food should the nurse instruct the client to avoid?
A. Aged cheese
B. Apples
C. White rice
,D. Broccoli
Answer: A
8. A client with bipolar disorder is taking lithium. Which laboratory value would
indicate a therapeutic level?
A. 0.2 mEq/L
B. 0.8 mEq/L
C. 1.8 mEq/L
D. 2.5 mEq/L
Answer: B
9. A nurse is assessing a client who has been taking haloperidol for 3 months. The
client exhibits a stiff neck, fever, and confusion. Which complication does the
nurse suspect?
A. Tardive dyskinesia
B. Neuroleptic malignant syndrome
C. Akathisia
D. Dystonia
Answer: B
10. A client with alcohol use disorder is admitted with tremors, diaphoresis, and
hallucinations. Which medication does the nurse anticipate administering first?
A. Disulfiram
B. Naltrexone
C. Lorazepam
D. Acamprosate
Answer: C
11. A nurse is teaching a client with generalized anxiety disorder about buspirone.
Which statement indicates understanding?
A. “It will work immediately like Xanax.”
B. “It may take 2 to 4 weeks to feel the full effect.”
C. “I can take it as needed for panic attacks.”
D. “It has a high risk of dependence.”
Answer: B
12. A client with obsessive-compulsive disorder repeatedly washes his hands. The
nurse understands that this behavior is primarily aimed at:
, A. Reducing delusional thinking
B. Decreasing anxiety related to contamination fears
C. Manipulating staff for attention
D. Avoiding social interaction
Answer: B
13. A nurse is caring for a client with borderline personality disorder who
frequently self-mutilates. Which intervention should be included in the plan of
care?
A. Restrict all sharp objects from the unit.
B. Contract with the client to use alternative coping skills when feeling urges.
C. Ignore the behavior to avoid reinforcing it.
D. Place the client in seclusion whenever self-harm is threatened.
Answer: B
14. A client with schizophrenia tells the nurse, “The FBI is monitoring my
thoughts.” Which is the nurse’s best response?
A. “That sounds frightening. Tell me more about what you are experiencing.”
B. “I don’t believe that is true. You are safe here.”
C. “Let’s focus on something else. What did you eat for breakfast?”
D. “Why do you think the FBI would be interested in you?”
Answer: A
15. A nurse is assessing a client with post-traumatic stress disorder (PTSD). Which
symptom is a re-experiencing symptom?
A. Hypervigilance
B. Flashbacks
C. Avoidance of crowds
D. Negative self-beliefs
Answer: B
16. A client is prescribed clozapine. Which life-threatening side effect requires
weekly blood monitoring?
A. Agranulocytosis
B. Tardive dyskinesia
C. Neuroleptic malignant syndrome
