Page 1 of 144
“NCLEX-PN Exam Preview “LATEST 2025
UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION)
NCLEX-PN Exam Preview
A 24 year-old female client is scheduled for surgery in the morning. Which of
the following is the primary responsibility of the nurse?
A. taking the vital signs
B. obtaining the permit
C. explaining the procedure
D. Checking the lab work
A. taking the vital signs
why?
the primary responisblity of the nurse is to take the vital signs before any surgery.
answers B,C and D are the responsibility of the doctor.
The nurse is working in the emergency room when a client arrives with severe
burns of the left arm, hands, face, and neck. which action should receive
priority?
A. starting an IV?
B. Applying oxygen
C.Obtaining blood gas
D. Medicating the client foe pain
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B. Applying oxygen
why?
the client with burns to the neck needs airway assessments and supplemental
oxygen, so applying oxygen is priority. the next action should be to start an IV and
medicate for pain.
The nurse is visiting a home health client with osteoporosis. The client has a
new prescription for alendronate (Fosamax). Which instructions should be
given to the client
A. rest in bed after taking the medication for at least 30 mins
B. Avoid rapid movements after taking the medication
C. Take medication with water only
D. Allow at least 1 hour between taking the medicine and taking other
medications
C. Take medication with water only
why?
Fosmax should be taken with water only. The client should also remain upright for at
least 30 mins after taking the medication.
The nurse is making initial rounds on a client with a C5 fracture and crutchfield
thongs. Which equipment should be kept at the bedside?
A. A pair of forceps
B. A torque wrench
C. A pair or wire cutters
D. A screwdriver
B. A torque wrench
why?
A tourque wrench is kept at the bedside to tighten and loosen the screws of
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crutchfield tongs. This wrench controls the amount of pressure that is placed on the
screws.
An infant weighs 7 pounds at birth. The excpectd weight by 1 year should be:
A. 10 pounds
B.12 pounds
C. 18 pounds
D. 21 pounds
D. 21 pounds
why?
A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple the his birth
weight.
A client is admitted with a Ewing's sacroma. which symptoms would be
expected due to this tumor's location?
A. Hemiplegia
B. Aphasia
C. Nausea
D. Bone Pain
D. Bone Pain
why?
Sacroma is a type of bone cancer, therefor, bone pain would be expected
The nurse is caring for a client with epilepsy who is being treated with
carbamazepine (Tegretol). Which labatory value might be a indicate a serious
side effect of this drug?
A. Uric acid of 5mg/dL
B. Hematoccrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter
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C. WBC 2,000 per cubic millimeter
why?
Tegratol can suppress the bone marrow and decrease the white blood cells count;
thus, a lab value of WBC 2,000 per cubic millimeter indicates side effects of the drug.
A 6-month-old client is admitted with possible intussuception. Which question
during the nursing history is least helpful in obtaining information regarding
this diagnosis?
A. "tell me about the pain"
B."what does his vomit look like?"
C." Describe his usual diet."
D. " have you noticed changes in his adominal size?"
C." Describe his usual diet."
why?
The least-helpful questions are those describing his usual diet. A, B, and D are
useful in determining the extent of disease process and thus, are incorrect
The nurse is assisting a client with diverticulosis to select appropiate foods.
Which food should be avoided?
A. Bran
B. Fresh Peaches
C. Cucumber salad
D. Yeast Rolls
C. Cucumber salad
why?
the client with diverticulitis should avoid foods with seeds.
A client has rectal cancer and is scheduled for an abdominal perineal
resection. What should be the priority nursing care during the post-op period?
“NCLEX-PN Exam Preview “LATEST 2025
UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION)
NCLEX-PN Exam Preview
A 24 year-old female client is scheduled for surgery in the morning. Which of
the following is the primary responsibility of the nurse?
A. taking the vital signs
B. obtaining the permit
C. explaining the procedure
D. Checking the lab work
A. taking the vital signs
why?
the primary responisblity of the nurse is to take the vital signs before any surgery.
answers B,C and D are the responsibility of the doctor.
The nurse is working in the emergency room when a client arrives with severe
burns of the left arm, hands, face, and neck. which action should receive
priority?
A. starting an IV?
B. Applying oxygen
C.Obtaining blood gas
D. Medicating the client foe pain
, Page 2 of 144
B. Applying oxygen
why?
the client with burns to the neck needs airway assessments and supplemental
oxygen, so applying oxygen is priority. the next action should be to start an IV and
medicate for pain.
The nurse is visiting a home health client with osteoporosis. The client has a
new prescription for alendronate (Fosamax). Which instructions should be
given to the client
A. rest in bed after taking the medication for at least 30 mins
B. Avoid rapid movements after taking the medication
C. Take medication with water only
D. Allow at least 1 hour between taking the medicine and taking other
medications
C. Take medication with water only
why?
Fosmax should be taken with water only. The client should also remain upright for at
least 30 mins after taking the medication.
The nurse is making initial rounds on a client with a C5 fracture and crutchfield
thongs. Which equipment should be kept at the bedside?
A. A pair of forceps
B. A torque wrench
C. A pair or wire cutters
D. A screwdriver
B. A torque wrench
why?
A tourque wrench is kept at the bedside to tighten and loosen the screws of
, Page 3 of 144
crutchfield tongs. This wrench controls the amount of pressure that is placed on the
screws.
An infant weighs 7 pounds at birth. The excpectd weight by 1 year should be:
A. 10 pounds
B.12 pounds
C. 18 pounds
D. 21 pounds
D. 21 pounds
why?
A birth weight of 7 pounds would indicate 21 pounds in 1 year or triple the his birth
weight.
A client is admitted with a Ewing's sacroma. which symptoms would be
expected due to this tumor's location?
A. Hemiplegia
B. Aphasia
C. Nausea
D. Bone Pain
D. Bone Pain
why?
Sacroma is a type of bone cancer, therefor, bone pain would be expected
The nurse is caring for a client with epilepsy who is being treated with
carbamazepine (Tegretol). Which labatory value might be a indicate a serious
side effect of this drug?
A. Uric acid of 5mg/dL
B. Hematoccrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter
, Page 4 of 144
C. WBC 2,000 per cubic millimeter
why?
Tegratol can suppress the bone marrow and decrease the white blood cells count;
thus, a lab value of WBC 2,000 per cubic millimeter indicates side effects of the drug.
A 6-month-old client is admitted with possible intussuception. Which question
during the nursing history is least helpful in obtaining information regarding
this diagnosis?
A. "tell me about the pain"
B."what does his vomit look like?"
C." Describe his usual diet."
D. " have you noticed changes in his adominal size?"
C." Describe his usual diet."
why?
The least-helpful questions are those describing his usual diet. A, B, and D are
useful in determining the extent of disease process and thus, are incorrect
The nurse is assisting a client with diverticulosis to select appropiate foods.
Which food should be avoided?
A. Bran
B. Fresh Peaches
C. Cucumber salad
D. Yeast Rolls
C. Cucumber salad
why?
the client with diverticulitis should avoid foods with seeds.
A client has rectal cancer and is scheduled for an abdominal perineal
resection. What should be the priority nursing care during the post-op period?