NCLEX PN Final Actual Exam Test Bank 2025/2026 /PN NCLEX EXIT/PN NCLEX
Study Guide
NCLEX PN FINAL ACTUAL EXAM TEST BANK 2025/2026 /PN
NCLEX EXIT/PN NCLEX STUDY GUIDE NEWEST 2025/2026
COMPLETE ALL 700 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW
A client has had an open reduction internal fixation (ORIF) of the right hip two
days ago. There is a Jackson-Pratt (JP) suction device for drainage at the site and
staple sutures which are open to air. Which assessment finding needs to be
reported to the provider immediately?
A. Absence of draining into the Jackson-Pratt
B. Bright red drainage from the suture site
C. A temperature of 98.0F
D. pain scale rating of 6 out of 10 - ANSWER-B. Bright red drainage from the suture
site
Rationale: Bright red drainage from the suture site indicates that hemorrhage is
occurring and must be reported immediately to the surgeon.
The charge nurse has assigned a client with an open burn wound to the licensed
practical nurse (LPN). Which instruction should the charge nurse give to the
licensed practical nurse (LPN)?
A. Administer a tetanus toxoid vaccine as ordered
B. Assess wounds for signs of infection
C. Tell the client cough and breathe deeply
1|Page
, NCLEX PN Final Actual Exam Test Bank 2025/2026 /PN NCLEX EXIT/PN NCLEX
Study Guide
D. Perform hand washing upon entering room. - ANSWER-D. Perform hand
washing upon entering room
Rationale: Hand washing is the most effective for preventing infection
transmission especially with a burn client.
A client develops a loud, brassy cough after a burn. What ordered intervention by
the nurse is a priority?
A. Administer oxygen as ordered
B. Give the client small quantities of ice chips to suck on
C. Request an order for an antitussive agent
D. Tell the respiratory therapist to give the client humidified oxygen - ANSWER-A.
Administer oxygen as ordered
Rationale: Brassy cough and wheezing signs seen of inhalation injury. The first
action by the nurse is to administer oxygen.
A patient who is receiving lovastatin [Mevacor] experiences chest pain. CK level is
580 units/mL (CK-MM 99%) and troponin T 0.02 g/mL. Which organ is a priority
for the nurse to monitor?
A. Brain
B. Heart
C. Lungs
D. Kidney - ANSWER-B. Heart
Rationale: Troponin and CK-MM are specific to the heart.
2|Page
, NCLEX PN Final Actual Exam Test Bank 2025/2026 /PN NCLEX EXIT/PN NCLEX
Study Guide
Which laboratory result would increase the risk of Torsades?
A. Potassium 3.4 mEq/L
B. Potassium 5.4 mEq/L
C. Sodium 132 mEq/L
D. Magnesium 1.0 mEq/L - ANSWER-D. Magnesium 1.0 mEq/L
Rationale: Normal Mg is 1.5-2.5 mEq/L. Low magnesium levels increases the risk
of Torsades a ventricular dysrhythmia.
What effects of angiotensin-converting enzyme (ACE) inhibitors most often results
in the provider changing the treatment plan to an angiotensin receptor blocker
[ARB]?
A. Orthostatic hypotension
B. Nagging nonproductive cough
C. Fatigue
D. Hyokalemia - ANSWER-B. Nagging nonproductive cough
Rationale: Due to the release of bradykinin , ACE Inhibitors cause a nagging, dry,
hacking nonproductive cough.
The nurse is caring for a patient taking furosemide (Lasix). Which finding is most
indicative of an adverse effect with this drug?
A. Na 136 mEq/L
B. Potassium 3.6 mEq/L
C. Chloride 98 mEq/L
D. Uric acid 15 mg/dL - ANSWER-D. Uric acid 15 mg/dL
3|Page
, NCLEX PN Final Actual Exam Test Bank 2025/2026 /PN NCLEX EXIT/PN NCLEX
Study Guide
Rationale: Hyperuricemia is an adverse effect of furosemide [Lasix]. Uric acid
levels are extremely elevated.
A patient arrives in the emergency department with severe chest pain. Which
assessment finding would indicate the need for cautious use of nitrates and
nitrites?
A. Blood pressure of 96/66 mm Hg
B. History of hepatitis
C. History of congestive heart failure
D. History of heart attack 1 year ago - ANSWER-A. Blood pressure of 96/66 mm Hg
Rationale: Hypotension is a possible contraindication to the use of nitrates
because the medications may cause the blood pressure to decrease.
Which medication use by the client with a history of chronic kidney disease (CKD)
requires further teaching?
A. Liquid iron
B. Milk of magnesia (MOM)
C. Calcium phosphate (PhosLo)
D. Ascorbic acid (Vitamin C) - ANSWER-B. Milk of magnesia (MOM)
Rationale: Pharmacokinetically, magnesium is excreted by the kidneys. A client
with chronic kidney disease should not use any products containing magnesium.
Which medication can be used in a client with chronic kidney disease (CKD) to
help stimulate red blood cell production?
4|Page
Study Guide
NCLEX PN FINAL ACTUAL EXAM TEST BANK 2025/2026 /PN
NCLEX EXIT/PN NCLEX STUDY GUIDE NEWEST 2025/2026
COMPLETE ALL 700 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW
A client has had an open reduction internal fixation (ORIF) of the right hip two
days ago. There is a Jackson-Pratt (JP) suction device for drainage at the site and
staple sutures which are open to air. Which assessment finding needs to be
reported to the provider immediately?
A. Absence of draining into the Jackson-Pratt
B. Bright red drainage from the suture site
C. A temperature of 98.0F
D. pain scale rating of 6 out of 10 - ANSWER-B. Bright red drainage from the suture
site
Rationale: Bright red drainage from the suture site indicates that hemorrhage is
occurring and must be reported immediately to the surgeon.
The charge nurse has assigned a client with an open burn wound to the licensed
practical nurse (LPN). Which instruction should the charge nurse give to the
licensed practical nurse (LPN)?
A. Administer a tetanus toxoid vaccine as ordered
B. Assess wounds for signs of infection
C. Tell the client cough and breathe deeply
1|Page
, NCLEX PN Final Actual Exam Test Bank 2025/2026 /PN NCLEX EXIT/PN NCLEX
Study Guide
D. Perform hand washing upon entering room. - ANSWER-D. Perform hand
washing upon entering room
Rationale: Hand washing is the most effective for preventing infection
transmission especially with a burn client.
A client develops a loud, brassy cough after a burn. What ordered intervention by
the nurse is a priority?
A. Administer oxygen as ordered
B. Give the client small quantities of ice chips to suck on
C. Request an order for an antitussive agent
D. Tell the respiratory therapist to give the client humidified oxygen - ANSWER-A.
Administer oxygen as ordered
Rationale: Brassy cough and wheezing signs seen of inhalation injury. The first
action by the nurse is to administer oxygen.
A patient who is receiving lovastatin [Mevacor] experiences chest pain. CK level is
580 units/mL (CK-MM 99%) and troponin T 0.02 g/mL. Which organ is a priority
for the nurse to monitor?
A. Brain
B. Heart
C. Lungs
D. Kidney - ANSWER-B. Heart
Rationale: Troponin and CK-MM are specific to the heart.
2|Page
, NCLEX PN Final Actual Exam Test Bank 2025/2026 /PN NCLEX EXIT/PN NCLEX
Study Guide
Which laboratory result would increase the risk of Torsades?
A. Potassium 3.4 mEq/L
B. Potassium 5.4 mEq/L
C. Sodium 132 mEq/L
D. Magnesium 1.0 mEq/L - ANSWER-D. Magnesium 1.0 mEq/L
Rationale: Normal Mg is 1.5-2.5 mEq/L. Low magnesium levels increases the risk
of Torsades a ventricular dysrhythmia.
What effects of angiotensin-converting enzyme (ACE) inhibitors most often results
in the provider changing the treatment plan to an angiotensin receptor blocker
[ARB]?
A. Orthostatic hypotension
B. Nagging nonproductive cough
C. Fatigue
D. Hyokalemia - ANSWER-B. Nagging nonproductive cough
Rationale: Due to the release of bradykinin , ACE Inhibitors cause a nagging, dry,
hacking nonproductive cough.
The nurse is caring for a patient taking furosemide (Lasix). Which finding is most
indicative of an adverse effect with this drug?
A. Na 136 mEq/L
B. Potassium 3.6 mEq/L
C. Chloride 98 mEq/L
D. Uric acid 15 mg/dL - ANSWER-D. Uric acid 15 mg/dL
3|Page
, NCLEX PN Final Actual Exam Test Bank 2025/2026 /PN NCLEX EXIT/PN NCLEX
Study Guide
Rationale: Hyperuricemia is an adverse effect of furosemide [Lasix]. Uric acid
levels are extremely elevated.
A patient arrives in the emergency department with severe chest pain. Which
assessment finding would indicate the need for cautious use of nitrates and
nitrites?
A. Blood pressure of 96/66 mm Hg
B. History of hepatitis
C. History of congestive heart failure
D. History of heart attack 1 year ago - ANSWER-A. Blood pressure of 96/66 mm Hg
Rationale: Hypotension is a possible contraindication to the use of nitrates
because the medications may cause the blood pressure to decrease.
Which medication use by the client with a history of chronic kidney disease (CKD)
requires further teaching?
A. Liquid iron
B. Milk of magnesia (MOM)
C. Calcium phosphate (PhosLo)
D. Ascorbic acid (Vitamin C) - ANSWER-B. Milk of magnesia (MOM)
Rationale: Pharmacokinetically, magnesium is excreted by the kidneys. A client
with chronic kidney disease should not use any products containing magnesium.
Which medication can be used in a client with chronic kidney disease (CKD) to
help stimulate red blood cell production?
4|Page
