Pass the NCLEX-PN 2026 | High-Yield Practice
Test Bank with Detailed Rationales
1. A client arrives from surgery following an abdominal perineal resection
with a permanent illeostomy. What should be the priority nursing care
during the post-op period?
❍
Encouraging a high-fiber diet
❍
Facilitating perineal wound drainage
Teaching how to irrigate the illeostomy
❍
Stopping electrolyte loss through the stoma
❍
2. A client has been hospitalized with a diagnosis of laryngeal cancer.
Which factor is most significant in the development of laryngeal cancer?
frequent straining of the vocal cords
A family history of laryngeal cancer
a history of alcohol and tobacco use
chronic inhalation of noxious fumes
3. What is the most critical assessment for a client scheduled for surgery
on a sacular abdominal aortic aneurysm?
Assessment of the client's level of anxiety.
Identification of peripheral pulses.
Evaluation of the client's exercise tolerance.
,Assessment of bowel sounds and activity.
,4. The nurse is questioning a 75-year-old client about bowel habits. Which
statement by the client would cause concern?
"I eat lots of fresh fruits and vegetables."
"I usually have a bowel movement every two days."
"My pain medication contributes to my constipation."
"I have been taking a laxative daily since my impaction 1 year
ago."
5. What behavior indicates abnormal grieving in the context of the
provided scenario?
My sister still has episodes of crying and it's been 3 months since
daddy died.
She really had a hard time after daddy's funeral. She said that she
had a sense of longing.
Sally seems to have forgotten the bad things that daddy did in
his lifetime.
Sally has not been sad at all by daddy's death. She acts like
nothing has happened.
6. Which one of the following defines Tis in the TNM staging system?
No regional lymph node metastasis
Carcinoma in situ
Tumor 2 cm or less in diameter
No evidence of primary tumor
Distant metastasis
, 7. What signs/symptoms would the nurse expect to find in a client
diagnosed with pernicious anemia?
Burning feeling in feet
Pain
Dyspnea on exertion
Smooth, red tongue
Lightheadedness
8. If an elderly client reports frequent laxative use, what nursing
intervention should be prioritized to assess for fluid and electrolyte
imbalance?
Schedule a follow-up appointment in a month.
Educate the client on the benefits of laxatives.
Monitor the client's electrolyte levels.
Increase the client's fluid intake immediately.
9. Which question is least relevant when assessing a 6-month-old client for
intussusception?
'What does his vomit look like?'
'Have you noticed changes in his abdominal size?'
'Tell me about the pain.'
'Describe his usual diet.'
10. Describe why bone pain is a common symptom in patients with Ewing's
sarcoma.
Bone pain is unrelated to Ewing's sarcoma and is caused by
other factors.
Test Bank with Detailed Rationales
1. A client arrives from surgery following an abdominal perineal resection
with a permanent illeostomy. What should be the priority nursing care
during the post-op period?
❍
Encouraging a high-fiber diet
❍
Facilitating perineal wound drainage
Teaching how to irrigate the illeostomy
❍
Stopping electrolyte loss through the stoma
❍
2. A client has been hospitalized with a diagnosis of laryngeal cancer.
Which factor is most significant in the development of laryngeal cancer?
frequent straining of the vocal cords
A family history of laryngeal cancer
a history of alcohol and tobacco use
chronic inhalation of noxious fumes
3. What is the most critical assessment for a client scheduled for surgery
on a sacular abdominal aortic aneurysm?
Assessment of the client's level of anxiety.
Identification of peripheral pulses.
Evaluation of the client's exercise tolerance.
,Assessment of bowel sounds and activity.
,4. The nurse is questioning a 75-year-old client about bowel habits. Which
statement by the client would cause concern?
"I eat lots of fresh fruits and vegetables."
"I usually have a bowel movement every two days."
"My pain medication contributes to my constipation."
"I have been taking a laxative daily since my impaction 1 year
ago."
5. What behavior indicates abnormal grieving in the context of the
provided scenario?
My sister still has episodes of crying and it's been 3 months since
daddy died.
She really had a hard time after daddy's funeral. She said that she
had a sense of longing.
Sally seems to have forgotten the bad things that daddy did in
his lifetime.
Sally has not been sad at all by daddy's death. She acts like
nothing has happened.
6. Which one of the following defines Tis in the TNM staging system?
No regional lymph node metastasis
Carcinoma in situ
Tumor 2 cm or less in diameter
No evidence of primary tumor
Distant metastasis
, 7. What signs/symptoms would the nurse expect to find in a client
diagnosed with pernicious anemia?
Burning feeling in feet
Pain
Dyspnea on exertion
Smooth, red tongue
Lightheadedness
8. If an elderly client reports frequent laxative use, what nursing
intervention should be prioritized to assess for fluid and electrolyte
imbalance?
Schedule a follow-up appointment in a month.
Educate the client on the benefits of laxatives.
Monitor the client's electrolyte levels.
Increase the client's fluid intake immediately.
9. Which question is least relevant when assessing a 6-month-old client for
intussusception?
'What does his vomit look like?'
'Have you noticed changes in his abdominal size?'
'Tell me about the pain.'
'Describe his usual diet.'
10. Describe why bone pain is a common symptom in patients with Ewing's
sarcoma.
Bone pain is unrelated to Ewing's sarcoma and is caused by
other factors.
