NCSBN question bank NCSBN TEST BANK for NCLEX RN & NCLEX PN Examination-Pretest-Q
&A
NCSBN QUESTION BANK NCSBN TEST BANK FOR NCLEX RN & NCLEX
PN EXAMINATION-PRETEST-LLATEST 2025 UPDATE WITH QUESTIONS
AND VERIFIED ANSWERS
A 67-year-old client is admitted to the telemetry unit with substernal chest pressure that
radiates to the jaw. The client's diagnosis is an acute myocardial infarction. To monitor the
client, the nurse should give priority to which assessment?
a. Assess the client's pain level.
b. Assess the client's cardiac output.
c. Assess the client's activity tolerance.
d. Assess the client's level of anxiety. - ANSWER-b
The nurse is assessing a 4-year-old child who is in skeletal traction 24 hours after surgical repair
of a fractured femur. The child is crying and appears to be having severe pain. The foot on the
affected extremity is pale, cool to touch and the pulse is barely palpable. What action should
the nurse take?
a. Readjust the traction for comfort.
b. Reassess the affected extremity in 15 minutes.
c. Notify the primary health care provider.
d. Administer the ordered PRN pain medications. - ANSWER-c
A client is transported to the emergency department after a motor vehicle accident. When
assessing the client 30 minutes after arrival, the nurse notes several physical changes. Which
finding requires immediate attention?
a. Tachypnea
, NCSBN question bank NCSBN TEST BANK for NCLEX RN & NCLEX PN Examination-Pretest-Q
&A
b. Increased restlessness
c. Tachycardia
d. Tracheal deviation - ANSWER-d
The nurse in the postanesthesia care unit is caring for a client who is recovering from a left
lower lobectomy. The client has a chest tube in place. While repositioning the client during the
first post-op check, the nurse notices 75 mL of a dark red fluid flowing into the collection
chamber of the chest drainage system. What action should the nurse take?
a. Continue to monitor the rate of the drainage.
b. Turn the client back to the original position.
c. Notify the surgeon immediately.
d. Check if the client had a type and crossmatch done. - ANSWER-a
A client with a spinal cord injury at the T-2 level reports having a "pounding" headache. Further
assessment by the nurse reveals excessive sweating, rash, piloerection, facial flushing,
congested nasal passages and a heart rate of 50 bpm. What is the priority action?
a. Transfer the client to the bed and administer the ordered PRN analgesic.
b. Check the client for bladder distention or kinking of the urinary catheter.
c. Measure the client's respirations, blood pressure, temperature and pupillary response.
d. Assist the client with relaxation techniques. - ANSWER-b
An emergency room nurse is assigned to the triage area of a nearby mass casualty event. Which
of these clients should the nurse tag as "Black" or "to be seen last"?
a. A 14-year-old client with a small amount of bright red blood dripping from their nose
, NCSBN question bank NCSBN TEST BANK for NCLEX RN & NCLEX PN Examination-Pretest-Q
&A
b. An 83-year-old client with an open fracture of the left arm
c. A 45-year-old client with second and third degree burns over 90% of their body
d. A 7-month-old infant with closed fractures to both lower legs who is crying loudly - ANSWER-
c
The nurse is examining a 2-year-old child with a tentative diagnosis of Wilm's tumor. Which
statement by the child's parent should the nurse follow-up on?
a. "My child seems to be urinating less over the past 2 days."
b. "My child has lost 3 pounds in the last month."
c. "My child prefers some salty foods more than others."
d. "All of my child's pants have become tight around the waist." - ANSWER-a
A child is treated with succimer for lead poisoning. Which of these assessments is the priority?
a. Check the client's complete blood count with differential.
b. Test the client's deep tendon reflexes.
c. Check the client's blood calcium level.
d. Check the client's serum potassium level. - ANSWER-a
The nurse is teaching a client with chronic renal failure about their medications. The client
questions the purpose of taking aluminum hydroxide. How should the nurse respond?
a. "It decreases your blood's phosphate levels."
b. "It increases your urine output."
c. "It will reduce your blood's calcium levels."
, NCSBN question bank NCSBN TEST BANK for NCLEX RN & NCLEX PN Examination-Pretest-Q
&A
d. "It is taken to control gastric acid secretions." - ANSWER-a
A woman who is 5 days postpartum and has a history of pregnancy-induced hypertension, calls
the hospital triage nurse hotline to ask for advice. She states, "I have had the worst pounding
headache for the past two days. Since this afternoon, everything I look at appears blurred.
Nothing I have taken helps." What action should the nurse take?
a. Explain to the client that changes in her hormones may be the problem.
b. Ask the client to explain what exactly she has taken for the headache and how often.
c. Advise the client to have someone bring her to the obstetrician's as soon as possible.
d. Instruct the client to call 911 to be brought to the nearest emergency room. - ANSWER-D
The nurse is reviewing a new prescription for a client with conjunctivitis that reads: Administer
ciprofloxacin solution 1 gtt OD Q4H. Which action should the nurse take next?
a. Contact the prescriber to clarify and rewrite the order.
b. Apply one drop of the medication in the client's right ear every 4 hours.
c. Ask another nurse for their interpretation of the order.
d. Squeeze one drop of the medication in the client's left eye every 4 hours. - ANSWER-A
The nurse in an intensive care unit is reviewing the laboratory results for several clients. Which
laboratory result indicates that the client has a partially compensated metabolic acidosis?
a. pH of 7.48
b. HCO3 of 28 mEq/L
c. PaCO2 of 30 mmHg
d. Chloride of 100 mEq/L - ANSWER-c.
&A
NCSBN QUESTION BANK NCSBN TEST BANK FOR NCLEX RN & NCLEX
PN EXAMINATION-PRETEST-LLATEST 2025 UPDATE WITH QUESTIONS
AND VERIFIED ANSWERS
A 67-year-old client is admitted to the telemetry unit with substernal chest pressure that
radiates to the jaw. The client's diagnosis is an acute myocardial infarction. To monitor the
client, the nurse should give priority to which assessment?
a. Assess the client's pain level.
b. Assess the client's cardiac output.
c. Assess the client's activity tolerance.
d. Assess the client's level of anxiety. - ANSWER-b
The nurse is assessing a 4-year-old child who is in skeletal traction 24 hours after surgical repair
of a fractured femur. The child is crying and appears to be having severe pain. The foot on the
affected extremity is pale, cool to touch and the pulse is barely palpable. What action should
the nurse take?
a. Readjust the traction for comfort.
b. Reassess the affected extremity in 15 minutes.
c. Notify the primary health care provider.
d. Administer the ordered PRN pain medications. - ANSWER-c
A client is transported to the emergency department after a motor vehicle accident. When
assessing the client 30 minutes after arrival, the nurse notes several physical changes. Which
finding requires immediate attention?
a. Tachypnea
, NCSBN question bank NCSBN TEST BANK for NCLEX RN & NCLEX PN Examination-Pretest-Q
&A
b. Increased restlessness
c. Tachycardia
d. Tracheal deviation - ANSWER-d
The nurse in the postanesthesia care unit is caring for a client who is recovering from a left
lower lobectomy. The client has a chest tube in place. While repositioning the client during the
first post-op check, the nurse notices 75 mL of a dark red fluid flowing into the collection
chamber of the chest drainage system. What action should the nurse take?
a. Continue to monitor the rate of the drainage.
b. Turn the client back to the original position.
c. Notify the surgeon immediately.
d. Check if the client had a type and crossmatch done. - ANSWER-a
A client with a spinal cord injury at the T-2 level reports having a "pounding" headache. Further
assessment by the nurse reveals excessive sweating, rash, piloerection, facial flushing,
congested nasal passages and a heart rate of 50 bpm. What is the priority action?
a. Transfer the client to the bed and administer the ordered PRN analgesic.
b. Check the client for bladder distention or kinking of the urinary catheter.
c. Measure the client's respirations, blood pressure, temperature and pupillary response.
d. Assist the client with relaxation techniques. - ANSWER-b
An emergency room nurse is assigned to the triage area of a nearby mass casualty event. Which
of these clients should the nurse tag as "Black" or "to be seen last"?
a. A 14-year-old client with a small amount of bright red blood dripping from their nose
, NCSBN question bank NCSBN TEST BANK for NCLEX RN & NCLEX PN Examination-Pretest-Q
&A
b. An 83-year-old client with an open fracture of the left arm
c. A 45-year-old client with second and third degree burns over 90% of their body
d. A 7-month-old infant with closed fractures to both lower legs who is crying loudly - ANSWER-
c
The nurse is examining a 2-year-old child with a tentative diagnosis of Wilm's tumor. Which
statement by the child's parent should the nurse follow-up on?
a. "My child seems to be urinating less over the past 2 days."
b. "My child has lost 3 pounds in the last month."
c. "My child prefers some salty foods more than others."
d. "All of my child's pants have become tight around the waist." - ANSWER-a
A child is treated with succimer for lead poisoning. Which of these assessments is the priority?
a. Check the client's complete blood count with differential.
b. Test the client's deep tendon reflexes.
c. Check the client's blood calcium level.
d. Check the client's serum potassium level. - ANSWER-a
The nurse is teaching a client with chronic renal failure about their medications. The client
questions the purpose of taking aluminum hydroxide. How should the nurse respond?
a. "It decreases your blood's phosphate levels."
b. "It increases your urine output."
c. "It will reduce your blood's calcium levels."
, NCSBN question bank NCSBN TEST BANK for NCLEX RN & NCLEX PN Examination-Pretest-Q
&A
d. "It is taken to control gastric acid secretions." - ANSWER-a
A woman who is 5 days postpartum and has a history of pregnancy-induced hypertension, calls
the hospital triage nurse hotline to ask for advice. She states, "I have had the worst pounding
headache for the past two days. Since this afternoon, everything I look at appears blurred.
Nothing I have taken helps." What action should the nurse take?
a. Explain to the client that changes in her hormones may be the problem.
b. Ask the client to explain what exactly she has taken for the headache and how often.
c. Advise the client to have someone bring her to the obstetrician's as soon as possible.
d. Instruct the client to call 911 to be brought to the nearest emergency room. - ANSWER-D
The nurse is reviewing a new prescription for a client with conjunctivitis that reads: Administer
ciprofloxacin solution 1 gtt OD Q4H. Which action should the nurse take next?
a. Contact the prescriber to clarify and rewrite the order.
b. Apply one drop of the medication in the client's right ear every 4 hours.
c. Ask another nurse for their interpretation of the order.
d. Squeeze one drop of the medication in the client's left eye every 4 hours. - ANSWER-A
The nurse in an intensive care unit is reviewing the laboratory results for several clients. Which
laboratory result indicates that the client has a partially compensated metabolic acidosis?
a. pH of 7.48
b. HCO3 of 28 mEq/L
c. PaCO2 of 30 mmHg
d. Chloride of 100 mEq/L - ANSWER-c.
