NCLEX-PN 2024/2025 EXAM
1. The client with diabetes is preparing for discharge. During discharge teaching, the
nurseassesses the client’s ability to care for himself. Which statement made by the client
would indicate a need for follow-up after discharge?
A. “I live by myself.”
B. “I have trouble seeing.”
C. “I have a cat in the house with me.”
D. “I usually drive myself to the doctor.”
2. The client is receiving total parenteral nutrition (TPN). Which lab test should
beevaluated while the client is receiving TPN?
A. Hemoglobin
B. Creatinine
C. Blood glucose
D. White blood cell count
3. The client with a myocardial infarction comes to the nurse’s station stating that he
is ready to go home because there is nothing wrong with him. Which defense mechanism
is theclient using?
A. Rationalization
B. Denial
C. Projection
D. Conversion reaction
,4. Which laboratory test would be the least effective in making the diagnosis of
amyocardial infarction?
A. AST
B. Troponin
C. CK-MB
D. Myoglobin
5. The licensed practical nurse assigned to the post-partal unit is preparing to
administerRhogam to a postpartum client. Which woman is not a candidate for RhoGam?
A. A gravida IV para 3 that is Rh negative with an Rh-positive baby
B. A gravida I para 1 that is Rh negative with an Rh-positive baby
C. A gravida II para 0 that is Rh negative admitted after a stillbirth delivery
D. A gravida IV para 2 that is Rh negative with an Rh-negative baby
6. The first exercise that should be performed by the client who had a mastectomy is:
A. Walking the hand up the wall
B. Sweeping the floor
C. Combing her hair
D. Squeezing a ball
7. The client is scheduled for a Tensilon test to check for Myasthenia Gravis.
Whichmedication should be kept available during the test?
,A. Atropine sulfate
B. Furosemide
C. Prostigmin
D. Promethazine
8. The client is scheduled for a pericentesis. Which instruction should be given to the
clientbefore 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.”
9. 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
10. 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
, 11. The child with seizure disorder is being treated with Dilantin (phenytoin). Which of
thefollowing 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.”
12. A 5-year-old is admitted to the unit following a tonsillectomy. Which of the
followingwould indicate a complication of the surgery?
A. Decreased appetite
B. A low-grade fever
C. Chest congestion
D. Constant swallowing
13. A 6-year-old with cerebral palsy functions at the level of an 18-month- old.
Whichfinding 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.
14. Which information obtained from the mother of a child with cerebral palsy most
likelycorrelates to the diagnosis?
A. She was born at 42 weeks gestation.
1. The client with diabetes is preparing for discharge. During discharge teaching, the
nurseassesses the client’s ability to care for himself. Which statement made by the client
would indicate a need for follow-up after discharge?
A. “I live by myself.”
B. “I have trouble seeing.”
C. “I have a cat in the house with me.”
D. “I usually drive myself to the doctor.”
2. The client is receiving total parenteral nutrition (TPN). Which lab test should
beevaluated while the client is receiving TPN?
A. Hemoglobin
B. Creatinine
C. Blood glucose
D. White blood cell count
3. The client with a myocardial infarction comes to the nurse’s station stating that he
is ready to go home because there is nothing wrong with him. Which defense mechanism
is theclient using?
A. Rationalization
B. Denial
C. Projection
D. Conversion reaction
,4. Which laboratory test would be the least effective in making the diagnosis of
amyocardial infarction?
A. AST
B. Troponin
C. CK-MB
D. Myoglobin
5. The licensed practical nurse assigned to the post-partal unit is preparing to
administerRhogam to a postpartum client. Which woman is not a candidate for RhoGam?
A. A gravida IV para 3 that is Rh negative with an Rh-positive baby
B. A gravida I para 1 that is Rh negative with an Rh-positive baby
C. A gravida II para 0 that is Rh negative admitted after a stillbirth delivery
D. A gravida IV para 2 that is Rh negative with an Rh-negative baby
6. The first exercise that should be performed by the client who had a mastectomy is:
A. Walking the hand up the wall
B. Sweeping the floor
C. Combing her hair
D. Squeezing a ball
7. The client is scheduled for a Tensilon test to check for Myasthenia Gravis.
Whichmedication should be kept available during the test?
,A. Atropine sulfate
B. Furosemide
C. Prostigmin
D. Promethazine
8. The client is scheduled for a pericentesis. Which instruction should be given to the
clientbefore 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.”
9. 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
10. 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
, 11. The child with seizure disorder is being treated with Dilantin (phenytoin). Which of
thefollowing 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.”
12. A 5-year-old is admitted to the unit following a tonsillectomy. Which of the
followingwould indicate a complication of the surgery?
A. Decreased appetite
B. A low-grade fever
C. Chest congestion
D. Constant swallowing
13. A 6-year-old with cerebral palsy functions at the level of an 18-month- old.
Whichfinding 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.
14. Which information obtained from the mother of a child with cerebral palsy most
likelycorrelates to the diagnosis?
A. She was born at 42 weeks gestation.
