1|Page
NCLEX PN FINAL ACTUAL EXAM TEST BANK
2025/2026 WITH ALL 350 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
How should you assess the patency of a newly placed
arteriovenous graft for dialysis?
A. Irrigate the graft daily with low-dose heparin.
B. Monitor for any increase in blood pressure in the
affected arm.
C. Listen with a stethoscope over the graft for presence
of a bruit.
D. Frequently monitor the pulses and neurovascular
status distal to the graft. .....answer.....C. Listen with a
stethoscope over the graft for presence of a bruit.
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A thrill can be felt by palpating the area of anastomosis
of the arteriovenous graft, and a bruit can be heard with
a stethoscope. The bruit and thrill are created by arterial
blood rushing into the vein.
A client was admitted with iron deficiency anemia and
bloodstreaked emesis. Which question is most
appropriate for the nurse to ask in determining the
extent of the client's activity intolerance?
A. "What activities were you able to do 6 months ago
compared with the present?"
B. "How long have you had this problem?"
C. "Have you been able to keep up with all your usual
activities?"
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D. "Are you more tired now than you used to be?"
.....answer.....A
It is difficult to determine activity intolerance without
objectively comparing activities from one time frame to
another. Because iron deficiency anemia can occur
gradually and individual endurance varies, the nurse can
best assess the client's activity tolerance by asking the
client to compare activities 6 months ago and at the
present.
A nurse is caring for a client with systemic lupus
erythematosus (SLE). The client begins to cry and tells
the nurse that she is afraid that her skin will be disfigured
with lesions. Which intervention does the nurse plan to
, 4|Page
teach this client to minimize skin infections associated
with SLE?
Select all that apply.
A) Use sunscreen with an SPF of 15 or greater.
B) Remain indoors on sunny days.
C) Avoid swimming in a pool or the ocean.
D) Avoid sun exposure between 10:00 a.m. and 3:00 p.m.
E) Decrease sun exposure between 3:00 p.m. and 5:00
p.m.
.....answer.....Answer: A, D
The nurse teaches the client to live a normal life with a
few extra precautions. There is a relationship between
sun exposure and infection, so the client is taught to use
sunscreen with an SPF of at least 15 and to avoid the sun
NCLEX PN FINAL ACTUAL EXAM TEST BANK
2025/2026 WITH ALL 350 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
How should you assess the patency of a newly placed
arteriovenous graft for dialysis?
A. Irrigate the graft daily with low-dose heparin.
B. Monitor for any increase in blood pressure in the
affected arm.
C. Listen with a stethoscope over the graft for presence
of a bruit.
D. Frequently monitor the pulses and neurovascular
status distal to the graft. .....answer.....C. Listen with a
stethoscope over the graft for presence of a bruit.
,2|Page
A thrill can be felt by palpating the area of anastomosis
of the arteriovenous graft, and a bruit can be heard with
a stethoscope. The bruit and thrill are created by arterial
blood rushing into the vein.
A client was admitted with iron deficiency anemia and
bloodstreaked emesis. Which question is most
appropriate for the nurse to ask in determining the
extent of the client's activity intolerance?
A. "What activities were you able to do 6 months ago
compared with the present?"
B. "How long have you had this problem?"
C. "Have you been able to keep up with all your usual
activities?"
,3|Page
D. "Are you more tired now than you used to be?"
.....answer.....A
It is difficult to determine activity intolerance without
objectively comparing activities from one time frame to
another. Because iron deficiency anemia can occur
gradually and individual endurance varies, the nurse can
best assess the client's activity tolerance by asking the
client to compare activities 6 months ago and at the
present.
A nurse is caring for a client with systemic lupus
erythematosus (SLE). The client begins to cry and tells
the nurse that she is afraid that her skin will be disfigured
with lesions. Which intervention does the nurse plan to
, 4|Page
teach this client to minimize skin infections associated
with SLE?
Select all that apply.
A) Use sunscreen with an SPF of 15 or greater.
B) Remain indoors on sunny days.
C) Avoid swimming in a pool or the ocean.
D) Avoid sun exposure between 10:00 a.m. and 3:00 p.m.
E) Decrease sun exposure between 3:00 p.m. and 5:00
p.m.
.....answer.....Answer: A, D
The nurse teaches the client to live a normal life with a
few extra precautions. There is a relationship between
sun exposure and infection, so the client is taught to use
sunscreen with an SPF of at least 15 and to avoid the sun
