NCLEX-PN FINAL | NCLEX-PN ACTUAL EXAM LATEST
2023/2024 TEST BANK 200 QUESTIONS AND CORRECT
DETAILED ANSWERS
1. The client is scheduled for a pericentesis. Which instruction should be given to the client
before the exam?
A. “You will need to lay flat during the exam.”
B. “You need to empty your bladder before the procedure.”
C. “You will be asleep during the procedure.”
D. “The doctor will inject a medication to treat your illness during the procedure.”
2. To ensure safety while administering a nitroglycerine patch, the nurse should:
A. Wear gloves
B. Shave the area where the patch will be applied
C. Wash the area thoroughly with soap and rinse with hot water
D. Apply the patch to the buttocks
3. The physician has prescribed tranylcypromine sulfate (Parnate) 10mg bid. The nurse
should teach the client to refrain from eating foods containing tyramine because it may cause:
A. Hypertension
B. Hyperthermia
C. Melanoma
D. Urinary retention
,4. The child with seizure disorder is being treated with Dilantin (phenytoin). Which of the
following statements by the patient’s mother indicates to the nurse that the patient is
experiencing a side effect of Dilantin therapy?
A. “She is very irritable lately.”
B. “She sleeps quite a bit of the time.”
C. “Her gums look too big for her teeth.”
D. “She has gained about 10 pounds in the last 6 months.”
5. A 5-year-old is admitted to the unit following a tonsillectomy. Which of the following
would indicate a complication of the surgery?
A. Decreased appetite
B. A low-grade fever
C. Chest congestion
D. Constant swallowing
6. A 6-year-old with cerebral palsy functions at the level of an 18-month- old. Which
finding would support that assessment?
A. She dresses herself.
B. She pulls a toy behind her.
C. She can build a tower of eight blocks.
D. She can copy a horizontal or vertical line.
,7. Which information obtained from the mother of a child with cerebral palsy most likely
correlates to the diagnosis?
A. She was born at 42 weeks gestation.
B. She had meningitis when she was 6 months old.
C. She had physiologic jaundice after delivery.
D. She has frequent sore throats.
8. A 10-year-old is being treated for asthma. Before administering Theodur, the nurse
should check the:
A. Urinary output
B. Blood pressure
C. Pulse
D. Temperature
9. An elderly client is diagnosed with ovarian cancer. She has surgery followed by
chemotherapy with a fluorouracil (Adrucil) IV. What should the nurse do if she notices crystals
and cloudiness in the IV medication?
A. Discard the solution and order a new bag
B. Warm the solution
C. Continue the infusion and document the finding
D. Discontinue the medication
10. The client is diagnosed with multiple myoloma. The doctor has ordered
cyclophosphamide (Cytoxan). Which instruction should be given to the client?
, A. “Walk about a mile a day to prevent calcium loss.”
B. “Increase the fiber in your diet.”
C. “Report nausea to the doctor immediately.”
D. “Drink at least eight large glasses of water a day.”
11. The client is taking rifampin 600mg po daily to treat his tuberculosis. Which action by
the nurse indicates understanding of the medication?
A. Telling the client that the medication will need to be taken with juice
B. Telling the client that the medication will change the color of the urine
C. Telling the client to take the medication before going to bed at night
D. Telling the client to take the medication if night sweats occur
12. The client is taking prednisone 7.5mg po each morning to treat his systemic lupus
errythymatosis. Which statement best explains the reason for taking the prednisone in the
morning?
A. There is less chance of forgetting the medication if taken in the morning.
B. There will be less fluid retention if taken in the morning.
C. Prednisone is absorbed best with the breakfast meal.
D. Morning administration mimics the body’s natural secretion of corticosteroid.
13. A 20-year-old female has a prescription for tetracycline. While teaching the client how to
take her medicine, the nurse learns that the client is also taking Ortho-Novum oral contraceptive
pills. Which instructions should be included in the teaching plan?
A. The oral contraceptives will decrease the effectiveness of the tetracycline.
2023/2024 TEST BANK 200 QUESTIONS AND CORRECT
DETAILED ANSWERS
1. The client is scheduled for a pericentesis. Which instruction should be given to the client
before the exam?
A. “You will need to lay flat during the exam.”
B. “You need to empty your bladder before the procedure.”
C. “You will be asleep during the procedure.”
D. “The doctor will inject a medication to treat your illness during the procedure.”
2. To ensure safety while administering a nitroglycerine patch, the nurse should:
A. Wear gloves
B. Shave the area where the patch will be applied
C. Wash the area thoroughly with soap and rinse with hot water
D. Apply the patch to the buttocks
3. The physician has prescribed tranylcypromine sulfate (Parnate) 10mg bid. The nurse
should teach the client to refrain from eating foods containing tyramine because it may cause:
A. Hypertension
B. Hyperthermia
C. Melanoma
D. Urinary retention
,4. The child with seizure disorder is being treated with Dilantin (phenytoin). Which of the
following statements by the patient’s mother indicates to the nurse that the patient is
experiencing a side effect of Dilantin therapy?
A. “She is very irritable lately.”
B. “She sleeps quite a bit of the time.”
C. “Her gums look too big for her teeth.”
D. “She has gained about 10 pounds in the last 6 months.”
5. A 5-year-old is admitted to the unit following a tonsillectomy. Which of the following
would indicate a complication of the surgery?
A. Decreased appetite
B. A low-grade fever
C. Chest congestion
D. Constant swallowing
6. A 6-year-old with cerebral palsy functions at the level of an 18-month- old. Which
finding would support that assessment?
A. She dresses herself.
B. She pulls a toy behind her.
C. She can build a tower of eight blocks.
D. She can copy a horizontal or vertical line.
,7. Which information obtained from the mother of a child with cerebral palsy most likely
correlates to the diagnosis?
A. She was born at 42 weeks gestation.
B. She had meningitis when she was 6 months old.
C. She had physiologic jaundice after delivery.
D. She has frequent sore throats.
8. A 10-year-old is being treated for asthma. Before administering Theodur, the nurse
should check the:
A. Urinary output
B. Blood pressure
C. Pulse
D. Temperature
9. An elderly client is diagnosed with ovarian cancer. She has surgery followed by
chemotherapy with a fluorouracil (Adrucil) IV. What should the nurse do if she notices crystals
and cloudiness in the IV medication?
A. Discard the solution and order a new bag
B. Warm the solution
C. Continue the infusion and document the finding
D. Discontinue the medication
10. The client is diagnosed with multiple myoloma. The doctor has ordered
cyclophosphamide (Cytoxan). Which instruction should be given to the client?
, A. “Walk about a mile a day to prevent calcium loss.”
B. “Increase the fiber in your diet.”
C. “Report nausea to the doctor immediately.”
D. “Drink at least eight large glasses of water a day.”
11. The client is taking rifampin 600mg po daily to treat his tuberculosis. Which action by
the nurse indicates understanding of the medication?
A. Telling the client that the medication will need to be taken with juice
B. Telling the client that the medication will change the color of the urine
C. Telling the client to take the medication before going to bed at night
D. Telling the client to take the medication if night sweats occur
12. The client is taking prednisone 7.5mg po each morning to treat his systemic lupus
errythymatosis. Which statement best explains the reason for taking the prednisone in the
morning?
A. There is less chance of forgetting the medication if taken in the morning.
B. There will be less fluid retention if taken in the morning.
C. Prednisone is absorbed best with the breakfast meal.
D. Morning administration mimics the body’s natural secretion of corticosteroid.
13. A 20-year-old female has a prescription for tetracycline. While teaching the client how to
take her medicine, the nurse learns that the client is also taking Ortho-Novum oral contraceptive
pills. Which instructions should be included in the teaching plan?
A. The oral contraceptives will decrease the effectiveness of the tetracycline.
