NCLEX PN FINAL ACTUAL EXAM TEST BANK 2025/2026 /PN NCLEX EXIT
NCLEX PN FINAL ACTUAL EXAM TEST BANK 2025/2026 /PN
NCLEX EXIT NEWEST 2025/2026 COMPLETE ALL 400
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW
A pregnant client tells the nurse, "I'm sticking to my diet, and don't eat anything
containing salt." How would the nurse respond?
a) "You're doing fine. Just keep up the good work."
b) "A low-salt diet will protect you from getting swollen feet."
c) "We now encourage pregnant women to increase their salt intake because of
changes in circulation."
d) "Salt is necessary in your diet. Use a little when you're cooking, but avoid
processed meats and canned foods with salt." - ANSWER-d) "Salt is necessary in
your diet. Use a little when you're cooking, but avoid processed meats and canned
foods with salt."
Blood volume increases during pregnancy; sodium is required to maintain
physiologic edema in interstitial spaces so blood volume is not depleted. High
sodium processed meats and canned foods with added salt are discouraged in
diets for all adults, not just pregnant women. Telling the client that she is doing
fine is false reassurance. It is necessary to have some salt in the diet, and the
mother should be taught about its function in pregnancy. Physiologic edema is to
be expected and is helpful in keeping an adequate volume of blood in the
intravascular space; a low salt diet will not prevent dependent edema as the
1|Page
, NCLEX PN FINAL ACTUAL EXAM TEST BANK 2025/2026 /PN NCLEX EXIT
pregnancy nears term. Increasing salt in the average diet to meet the increased
sodium needs of pregnant women.
A nurse identifies that the client understands information about vitamin K when
the client makes which statement?
a) "Vitamin K is found in a variety of foods, so there is no danger of deficiency."
b) "Vitamin K is easily absorbed w/o assistance, so everything eaten is absorbed."
c) "Vitamin K is rarely found in dietary foods, so a natural deficiency can easily
occur."
d) "Vitamin K is produced in sufficient amounts by intestinal bacteria, so metabolic
needs are met in healthy individuals." - ANSWER-d) "Vitamin K is produced in
sufficient amounts by intestinal bacteria, so metabolic needs are met in healthy
individuals."
Vitamin K is synthesized by intestinal bacteria, so metabolic needs are generally
met in healthy individuals. Vitamin K is found only in specific foods, not a wide
variety. Vitamin K is not easily absorbed; it is a fat soluble and requires bile salts
for its absorption. It is synthesized by intestinal bacteria (and available in some
foods), so a natural deficiency does not occur.
Which enzyme is responsible for retaining milk in an infant's stomach for
digestion?
a) Lipase
b) Rennin
2|Page
, NCLEX PN FINAL ACTUAL EXAM TEST BANK 2025/2026 /PN NCLEX EXIT
c) Trypsin
d) Amylase - ANSWER-b) Rennin
Rennin is an enzyme that is responsible for the formation of curds by specifically
acting on the casein in milk. The curds cause the milk to be retained for stomach
digestion. Lipase helps in fat absorption. Trypsin is responsible for the catabolism
of protein of complex carbohydrates.
Which statement by a participant during a health symposium signals to the nurse
an understanding of how to prevent food poisoning?
a) "Meats and cream-based foods needs to be refrigerated."
b) "Once most food is cookies, it does not need to be refrigerated."
c) "Poultry should be stuffed an d the refrigerated before cooking."
d) "Cooked food should be cooled before being put into the refrigerator." -
ANSWER-a) "Meats and cream-based foods need to be refrigerated."
A cold environment limits growth of microorganisms. All food should be
refrigerated before and after it is cooked to limit the growth of microorganisms.
Stuffing and the refrigerating poultry promoted the growth of microorganisms
because the the stuffing will still be warm for a period before the refrigerator's
cold environment cools the center of the bird/ It is advocated that poultry not be
stuffed. Stuffing should be done immediately before cooking. Cooling foods before
refrigeration promotes the growth of microorganisms because they thrive in
warm, moist environments.
3|Page
, NCLEX PN FINAL ACTUAL EXAM TEST BANK 2025/2026 /PN NCLEX EXIT
The nurse provides medication teaching on diuretic therapy to a client who
receives a prescription for potassium supplements. Which statement by the client
causes the nurse to conclude the teaching was effective?
a) "I should report any abdominal distress."
b) "I should use salt substitutes to season food."
c) "I should take the drug on an empty stomach."
d) "I should increase the dosage if I have muscle cramps." - ANSWER-a) "I should
report any abdominal distress."
Potassium supplements can cause gastrointestinal ulceration and bleeding. Most
salt substitutes contain potassium, and their use with potassium supplements can
cause hyperkalemia. Potassium supplements can be irritating to the stomach and
should not be taken on an empty stomach. Although muscle cramps may indicate
hypokalemia, clients should not adjust their own dosage.
An infant who has undergone surgery for hypertrophic pyloric stenosis (HPS) is
being bottle fed by the mother. Which would the nurse teach the mother about
feeding to decrease the chance of the infant vomiting?
a) Start with small, frequent feedings
b) Rock for 20 minutes after feeding
c) Keep the infant awake for 30 minutes after the feeding
d) Position the infant flat on the right side during feedings - ANSWER-a) Start with
small, frequent feedings
4|Page
NCLEX PN FINAL ACTUAL EXAM TEST BANK 2025/2026 /PN
NCLEX EXIT NEWEST 2025/2026 COMPLETE ALL 400
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW
A pregnant client tells the nurse, "I'm sticking to my diet, and don't eat anything
containing salt." How would the nurse respond?
a) "You're doing fine. Just keep up the good work."
b) "A low-salt diet will protect you from getting swollen feet."
c) "We now encourage pregnant women to increase their salt intake because of
changes in circulation."
d) "Salt is necessary in your diet. Use a little when you're cooking, but avoid
processed meats and canned foods with salt." - ANSWER-d) "Salt is necessary in
your diet. Use a little when you're cooking, but avoid processed meats and canned
foods with salt."
Blood volume increases during pregnancy; sodium is required to maintain
physiologic edema in interstitial spaces so blood volume is not depleted. High
sodium processed meats and canned foods with added salt are discouraged in
diets for all adults, not just pregnant women. Telling the client that she is doing
fine is false reassurance. It is necessary to have some salt in the diet, and the
mother should be taught about its function in pregnancy. Physiologic edema is to
be expected and is helpful in keeping an adequate volume of blood in the
intravascular space; a low salt diet will not prevent dependent edema as the
1|Page
, NCLEX PN FINAL ACTUAL EXAM TEST BANK 2025/2026 /PN NCLEX EXIT
pregnancy nears term. Increasing salt in the average diet to meet the increased
sodium needs of pregnant women.
A nurse identifies that the client understands information about vitamin K when
the client makes which statement?
a) "Vitamin K is found in a variety of foods, so there is no danger of deficiency."
b) "Vitamin K is easily absorbed w/o assistance, so everything eaten is absorbed."
c) "Vitamin K is rarely found in dietary foods, so a natural deficiency can easily
occur."
d) "Vitamin K is produced in sufficient amounts by intestinal bacteria, so metabolic
needs are met in healthy individuals." - ANSWER-d) "Vitamin K is produced in
sufficient amounts by intestinal bacteria, so metabolic needs are met in healthy
individuals."
Vitamin K is synthesized by intestinal bacteria, so metabolic needs are generally
met in healthy individuals. Vitamin K is found only in specific foods, not a wide
variety. Vitamin K is not easily absorbed; it is a fat soluble and requires bile salts
for its absorption. It is synthesized by intestinal bacteria (and available in some
foods), so a natural deficiency does not occur.
Which enzyme is responsible for retaining milk in an infant's stomach for
digestion?
a) Lipase
b) Rennin
2|Page
, NCLEX PN FINAL ACTUAL EXAM TEST BANK 2025/2026 /PN NCLEX EXIT
c) Trypsin
d) Amylase - ANSWER-b) Rennin
Rennin is an enzyme that is responsible for the formation of curds by specifically
acting on the casein in milk. The curds cause the milk to be retained for stomach
digestion. Lipase helps in fat absorption. Trypsin is responsible for the catabolism
of protein of complex carbohydrates.
Which statement by a participant during a health symposium signals to the nurse
an understanding of how to prevent food poisoning?
a) "Meats and cream-based foods needs to be refrigerated."
b) "Once most food is cookies, it does not need to be refrigerated."
c) "Poultry should be stuffed an d the refrigerated before cooking."
d) "Cooked food should be cooled before being put into the refrigerator." -
ANSWER-a) "Meats and cream-based foods need to be refrigerated."
A cold environment limits growth of microorganisms. All food should be
refrigerated before and after it is cooked to limit the growth of microorganisms.
Stuffing and the refrigerating poultry promoted the growth of microorganisms
because the the stuffing will still be warm for a period before the refrigerator's
cold environment cools the center of the bird/ It is advocated that poultry not be
stuffed. Stuffing should be done immediately before cooking. Cooling foods before
refrigeration promotes the growth of microorganisms because they thrive in
warm, moist environments.
3|Page
, NCLEX PN FINAL ACTUAL EXAM TEST BANK 2025/2026 /PN NCLEX EXIT
The nurse provides medication teaching on diuretic therapy to a client who
receives a prescription for potassium supplements. Which statement by the client
causes the nurse to conclude the teaching was effective?
a) "I should report any abdominal distress."
b) "I should use salt substitutes to season food."
c) "I should take the drug on an empty stomach."
d) "I should increase the dosage if I have muscle cramps." - ANSWER-a) "I should
report any abdominal distress."
Potassium supplements can cause gastrointestinal ulceration and bleeding. Most
salt substitutes contain potassium, and their use with potassium supplements can
cause hyperkalemia. Potassium supplements can be irritating to the stomach and
should not be taken on an empty stomach. Although muscle cramps may indicate
hypokalemia, clients should not adjust their own dosage.
An infant who has undergone surgery for hypertrophic pyloric stenosis (HPS) is
being bottle fed by the mother. Which would the nurse teach the mother about
feeding to decrease the chance of the infant vomiting?
a) Start with small, frequent feedings
b) Rock for 20 minutes after feeding
c) Keep the infant awake for 30 minutes after the feeding
d) Position the infant flat on the right side during feedings - ANSWER-a) Start with
small, frequent feedings
4|Page
