NCLEX-PN Exam 2026 | 100 Practice Questions &
Verified Answers
1. A patient with epilepsy has been seizure-free for six months and
expresses a desire to stop taking their medication. What is the most
appropriate nursing response?
Seizures will not return if you feel fine.
It is important to discuss this with your healthcare provider
before making any changes to your medication.
You should stop taking the medication immediately since you are
seizure-free.
You can reduce the dosage of your medication on your own.
2. A client has had a total urine output of 200 mL in the past 24 hours.
Which priority action does the nurse take?
Encourage the client to drink more fluids.
Insert an indwelling urinary catheter.
Take no action because this is a normal urinary output.
Notify the primary health care provider.
3. If a patient continues to exhibit signs of fluid overload after stopping
the saline infusion, what should the nurse do next?
Notify the physician for further evaluation and intervention.
Increase the rate of the saline infusion to manage symptoms.
Reassess the patient's vital signs and continue monitoring.
Administer diuretics as per standing orders.
,4. What is the correct priority action for a nurse when a patient in a critical
situation has precautions and bedrails in place?
Suction the patient
Administer Lorazepam (Ativan)
Turn the patient to his/her side
Call the physician
5. Why is 'Alternating Rest/Activity' considered an appropriate topic for
delegation to a LPN/LVN in pain management education?
It is a basic nursing intervention that can be safely taught
under supervision.
It is not a recognized method for pain management.
It requires advanced knowledge of alternative therapies.
It involves complex medication management.
6. If a patient with Gastroesophageal Reflux Disease continues to
experience symptoms despite following discharge instructions, what
should the nurse recommend next?
Consulting with a healthcare provider for further evaluation
and management.
Trying over-the-counter antacids without consulting a doctor.
Increasing the frequency of meals to 5-6 times a day.
Discontinuing all medications immediately.
7. What specific assessment finding is commonly associated with sickle cell
disease and indicated by yellow-tinged sclera?
Yellow-tinged sclera
, Intense pain in the toe
Headache
Severe and persistent diarrhea
8. When a patient experiences an anaphylactic reaction, what should be
the nurse's immediate priority after administering epinephrine?
Begin cardiopulmonary resuscitation (CPR).
Continue to monitor vital signs.
Administer additional epinephrine doses.
Notify the healthcare provider.
9. A patient receiving heparin develops sudden bruising and reports blood
in their urine. What should the nurse's immediate priority be?
Administer pain relief for the bruising.
Increase the heparin dosage to manage symptoms.
Document the findings and continue monitoring without
intervention.
Assess the patient for signs of bleeding and notify the
healthcare provider.
10. If the nurse had to choose a roommate for the burn patient who was
also undergoing treatment for a respiratory infection, which of the
following would be the best choice?
A 12-year-old with chickenpox
A 7-year-old with a high temperature
A 4-year-old with sickle-cell disease
A 6-year-old undergoing chemotherapy
Verified Answers
1. A patient with epilepsy has been seizure-free for six months and
expresses a desire to stop taking their medication. What is the most
appropriate nursing response?
Seizures will not return if you feel fine.
It is important to discuss this with your healthcare provider
before making any changes to your medication.
You should stop taking the medication immediately since you are
seizure-free.
You can reduce the dosage of your medication on your own.
2. A client has had a total urine output of 200 mL in the past 24 hours.
Which priority action does the nurse take?
Encourage the client to drink more fluids.
Insert an indwelling urinary catheter.
Take no action because this is a normal urinary output.
Notify the primary health care provider.
3. If a patient continues to exhibit signs of fluid overload after stopping
the saline infusion, what should the nurse do next?
Notify the physician for further evaluation and intervention.
Increase the rate of the saline infusion to manage symptoms.
Reassess the patient's vital signs and continue monitoring.
Administer diuretics as per standing orders.
,4. What is the correct priority action for a nurse when a patient in a critical
situation has precautions and bedrails in place?
Suction the patient
Administer Lorazepam (Ativan)
Turn the patient to his/her side
Call the physician
5. Why is 'Alternating Rest/Activity' considered an appropriate topic for
delegation to a LPN/LVN in pain management education?
It is a basic nursing intervention that can be safely taught
under supervision.
It is not a recognized method for pain management.
It requires advanced knowledge of alternative therapies.
It involves complex medication management.
6. If a patient with Gastroesophageal Reflux Disease continues to
experience symptoms despite following discharge instructions, what
should the nurse recommend next?
Consulting with a healthcare provider for further evaluation
and management.
Trying over-the-counter antacids without consulting a doctor.
Increasing the frequency of meals to 5-6 times a day.
Discontinuing all medications immediately.
7. What specific assessment finding is commonly associated with sickle cell
disease and indicated by yellow-tinged sclera?
Yellow-tinged sclera
, Intense pain in the toe
Headache
Severe and persistent diarrhea
8. When a patient experiences an anaphylactic reaction, what should be
the nurse's immediate priority after administering epinephrine?
Begin cardiopulmonary resuscitation (CPR).
Continue to monitor vital signs.
Administer additional epinephrine doses.
Notify the healthcare provider.
9. A patient receiving heparin develops sudden bruising and reports blood
in their urine. What should the nurse's immediate priority be?
Administer pain relief for the bruising.
Increase the heparin dosage to manage symptoms.
Document the findings and continue monitoring without
intervention.
Assess the patient for signs of bleeding and notify the
healthcare provider.
10. If the nurse had to choose a roommate for the burn patient who was
also undergoing treatment for a respiratory infection, which of the
following would be the best choice?
A 12-year-old with chickenpox
A 7-year-old with a high temperature
A 4-year-old with sickle-cell disease
A 6-year-old undergoing chemotherapy
