Page 1 of 174
“NCLEX-PN EXAM PREP “LATEST 2025
UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION)
NCLEX-PN EXAM PREP
A patient is taking black cohosh (Cimicifuga racemosa) for relief of
menopausal symptoms. The nurse should caution her about adverse
interactive effects with which conventional medication?
A. Docusate sodium [Colace]
B. Insulin
C. Furosemide [Lasix]
D. Aspirin
B. Insulin
Black cohosh may potentiate the hypoglycemic effect of insulin and oral
hypoglycemics. In addition, adverse hypotensive effects have been associated with
antihypertensive medications. No interactive effects have been reported with
docusate sodium, aspirin, or furosemide.
The nurse recognizes that the supplement echinacea (Echinacea angustifolia)
should not be taken as prolonged therapy for patients with which condition?
A. Peptic ulcer disease
B. Diabetes
, Page 2 of 174
C. Glaucoma Incorrect
D. Tuberculosis
D. Tuberculosis
When taken on a short-term basis to suppress inflammation and stimulate the
immune system, echinacea has few adverse effects. However, if taken as long-term
therapy, it can suppress immune function. It should be avoided in patients with
chronic infections, such as tuberculosis, that require optimal immune function.
Patients with diabetes, peptic ulcer disease, or glaucoma need not avoid taking
echinacea.
A patient asks the nurse for a supplement that can be used to prevent motion
sickness during a vacation cruise. The nurse suggests which supplement?
A. Ginger root (Zingiber officinale)
B. Garlic (Allium sativum)
C. Coenzyme Q-10 (CoQ-10)
D. Feverfew (Tanacetum parthenium)
A. Ginger root (Zingiber officinale)
Ginger root is used to suppress nausea and vomiting caused by motion sickness and
morning sickness and also for postoperative nausea and vomiting. It may be
involved in the blockade of serotonin receptors located in the chemoreceptor trigger
zone of the brain. Garlic, coenzyme Q-10, and feverfew are not used to suppress
nausea and vomiting.
Which product did the U.S. Food and Drug Administration (FDA) ban in the
United States because of the serious adverse effects of myocardial infarction,
stroke, and death?
A. Ma huang (Ephedra)
B. Valerian (Valeriana officinalis)
C. St. John's wort (Hypericum perforatum)
D. Saw palmetto (Serenoa repens)
A. Ma huang (Ephedra)
Sales of ma huang have been banned in the United States since 2004, making it the
, Page 3 of 174
first time that a dietary supplement has been ordered off the market. It has been
associated with stroke, myocardial infarction, and death. The ban was challenged in
2007, but a rehearing petition was denied. Valerian, St. John's wort, and saw
palmetto are currently available for sale in the United States.
The nurse is preparing the discharge teaching plan for a patient who had a
mechanical valve replacement and has been prescribed coumadin. The nurse
reviews the patient's medication history and notes the patient is taking the
herbal supplement glucosamine to treat osteoarthritis. Which instructions
should the nurse give to this patient?
A. Increase consumption of foods high in vitamin K.
B. Do not take any dietary or herbal supplements.
C. Notify the healthcare provider immediately if you experience any signs of
bleeding.
D. Research studies have shown there is no benefit in using herbs to treat
medical conditions.
C. Notify the healthcare provider immediately if you experience any signs of
bleeding.
Glucosamine may increase the risk of bleeding in patients taking anticoagulants
such as coumadin. The nurse should educate the patient about the signs of
bleeding. Glucosamine is widely used to treat osteoarthritis of the knee, hip, and
wrist. Increasing vitamin K intake may decrease the effect of Coumadin.
The nurse is completing an admission assessment for a patient who requires
treatment of an anxiety disorder. The patient states "I take the dietary
supplement kava every day to help my anxiety and stress." The nurse
understands the patient is at risk for which serious adverse effect?
A. Stroke
B. Hepatoxicity
C. Suicidal behavior
D. Acute renal failure
B. Hepatoxicity
In the United States, kava is promoted as a natural alternative to benodiazepines to
treat anxiety and stress. However, kava has the risk for the serious adverse effect of
, Page 4 of 174
hepatoxicity, which lead the FDA to issue a public warning in March 2002. Also, in
2002, the Centers for Disease Control and Prevention issued a report on kava-
related hepatoxicity.
The patient is prescribed warfarin [Coumadin] to treat deep vein thrombosis.
The nurse is teaching the patient about dietary supplements that have the
potential to interfere with coumadin therapy. What herbs should the nurse
include in the teaching? (Select all that apply.)
A. Echinacea
B. Garlic
C. Ginger root
D. Gingko biloba
E. Valerian
B. Garlic
C. Ginger root
D. Gingko biloba
Garlic, ginger root, and gingko biloba can increase the risk of bleeding in patients
receiving anticoagulants or antiplatelet drugs.
Which hormone is secreted by the pancreas?
glucagon
thymosin
melatonin
testosterone
glucagon
Which is true regarding blood buffers?
1. they are known as strong acid-base buffers.
2. they consist of strong acids and their base salts.
3. they take 1 to 2 minutes to adjust the acid-base balance to a normal range.
4. they neutralize excess acids or bases by contributing or accepting hydrogen
ions.
4. They neutralize excess acids or bases by contributing or accepting hydrogen ions.
“NCLEX-PN EXAM PREP “LATEST 2025
UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION)
NCLEX-PN EXAM PREP
A patient is taking black cohosh (Cimicifuga racemosa) for relief of
menopausal symptoms. The nurse should caution her about adverse
interactive effects with which conventional medication?
A. Docusate sodium [Colace]
B. Insulin
C. Furosemide [Lasix]
D. Aspirin
B. Insulin
Black cohosh may potentiate the hypoglycemic effect of insulin and oral
hypoglycemics. In addition, adverse hypotensive effects have been associated with
antihypertensive medications. No interactive effects have been reported with
docusate sodium, aspirin, or furosemide.
The nurse recognizes that the supplement echinacea (Echinacea angustifolia)
should not be taken as prolonged therapy for patients with which condition?
A. Peptic ulcer disease
B. Diabetes
, Page 2 of 174
C. Glaucoma Incorrect
D. Tuberculosis
D. Tuberculosis
When taken on a short-term basis to suppress inflammation and stimulate the
immune system, echinacea has few adverse effects. However, if taken as long-term
therapy, it can suppress immune function. It should be avoided in patients with
chronic infections, such as tuberculosis, that require optimal immune function.
Patients with diabetes, peptic ulcer disease, or glaucoma need not avoid taking
echinacea.
A patient asks the nurse for a supplement that can be used to prevent motion
sickness during a vacation cruise. The nurse suggests which supplement?
A. Ginger root (Zingiber officinale)
B. Garlic (Allium sativum)
C. Coenzyme Q-10 (CoQ-10)
D. Feverfew (Tanacetum parthenium)
A. Ginger root (Zingiber officinale)
Ginger root is used to suppress nausea and vomiting caused by motion sickness and
morning sickness and also for postoperative nausea and vomiting. It may be
involved in the blockade of serotonin receptors located in the chemoreceptor trigger
zone of the brain. Garlic, coenzyme Q-10, and feverfew are not used to suppress
nausea and vomiting.
Which product did the U.S. Food and Drug Administration (FDA) ban in the
United States because of the serious adverse effects of myocardial infarction,
stroke, and death?
A. Ma huang (Ephedra)
B. Valerian (Valeriana officinalis)
C. St. John's wort (Hypericum perforatum)
D. Saw palmetto (Serenoa repens)
A. Ma huang (Ephedra)
Sales of ma huang have been banned in the United States since 2004, making it the
, Page 3 of 174
first time that a dietary supplement has been ordered off the market. It has been
associated with stroke, myocardial infarction, and death. The ban was challenged in
2007, but a rehearing petition was denied. Valerian, St. John's wort, and saw
palmetto are currently available for sale in the United States.
The nurse is preparing the discharge teaching plan for a patient who had a
mechanical valve replacement and has been prescribed coumadin. The nurse
reviews the patient's medication history and notes the patient is taking the
herbal supplement glucosamine to treat osteoarthritis. Which instructions
should the nurse give to this patient?
A. Increase consumption of foods high in vitamin K.
B. Do not take any dietary or herbal supplements.
C. Notify the healthcare provider immediately if you experience any signs of
bleeding.
D. Research studies have shown there is no benefit in using herbs to treat
medical conditions.
C. Notify the healthcare provider immediately if you experience any signs of
bleeding.
Glucosamine may increase the risk of bleeding in patients taking anticoagulants
such as coumadin. The nurse should educate the patient about the signs of
bleeding. Glucosamine is widely used to treat osteoarthritis of the knee, hip, and
wrist. Increasing vitamin K intake may decrease the effect of Coumadin.
The nurse is completing an admission assessment for a patient who requires
treatment of an anxiety disorder. The patient states "I take the dietary
supplement kava every day to help my anxiety and stress." The nurse
understands the patient is at risk for which serious adverse effect?
A. Stroke
B. Hepatoxicity
C. Suicidal behavior
D. Acute renal failure
B. Hepatoxicity
In the United States, kava is promoted as a natural alternative to benodiazepines to
treat anxiety and stress. However, kava has the risk for the serious adverse effect of
, Page 4 of 174
hepatoxicity, which lead the FDA to issue a public warning in March 2002. Also, in
2002, the Centers for Disease Control and Prevention issued a report on kava-
related hepatoxicity.
The patient is prescribed warfarin [Coumadin] to treat deep vein thrombosis.
The nurse is teaching the patient about dietary supplements that have the
potential to interfere with coumadin therapy. What herbs should the nurse
include in the teaching? (Select all that apply.)
A. Echinacea
B. Garlic
C. Ginger root
D. Gingko biloba
E. Valerian
B. Garlic
C. Ginger root
D. Gingko biloba
Garlic, ginger root, and gingko biloba can increase the risk of bleeding in patients
receiving anticoagulants or antiplatelet drugs.
Which hormone is secreted by the pancreas?
glucagon
thymosin
melatonin
testosterone
glucagon
Which is true regarding blood buffers?
1. they are known as strong acid-base buffers.
2. they consist of strong acids and their base salts.
3. they take 1 to 2 minutes to adjust the acid-base balance to a normal range.
4. they neutralize excess acids or bases by contributing or accepting hydrogen
ions.
4. They neutralize excess acids or bases by contributing or accepting hydrogen ions.
