NCLEX-PN Review
Questions 2026 | Practice
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,A nurse is providing discharge teaching for a patient with 1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
severe Gastroesophogeal Reflux Disease. Which of these CORRECT - Large meals increase the volume and pressure in the stomach and
statements by the patient indicates a need for more delay gastric emptying. It's recommended instead to eat 4-6 small meals a day.
teaching?
1. "I'm going to limit my meals to 2-3 per day to reduce
acid secretion."
2. "I'm going to make sure to remain upright after meals
and elevate my head when I sleep"
3. "I won't be drinking tea or coffee or eating chocolate
any more."
4. "I'm going to start trying to lose some weight."
The nurse in the Emergency Room is treating a patient 1. Start a large-bore IV in the patient's arm
suspected to have a Peptic Ulcer. On assessing lab CORRECT - The nurse should suspect that the patient is haemorrhaging and will
results, the nurse finds that the patient's blood pressure is need need a fluid replacement therapy, which requires a large bore IV.
95/60, pulse is 110 beats per minute, and the patient
reports epigastric pain. What is the PRIORITY
intervention?
1. Start a large-bore IV in the patient's arm
2. Ask the patient for a stool sample
3. Prepare to insert an NG Tube
4. Administer intramuscular morphine sulphate as ordered
A female patient with atrial fibrillation has the following 4. Potassium of 2.7 mEq/L
lab results: Hemoglobin of 11 g/dl, a platelet count of CORRECT - A potassium imbalance for a patient with a history of dysrhythmia can
150,000, an INR of 2.5, and potassium of 2.7 mEq/L. Which be life-threatening and can lead to cardiac distress.
result is critical and should be reported to the physician
immediately?
1. Hemoglobin 11 g/dl
2. Platelet of 150,000
3. INR of 2.5
4. Potassium of 2.7 mEq/L
While receiving normal saline infusions to treat a GI 1. Stop the saline infusion immediately
bleed, the nurse notes that the patient's lower legs have CORRECT - the patient has a fluid volume overload as a result of overly rapid fluid
become edematous and auscultates crackles in the lungs. replacement. The nurse should stop the infusion and notify the physician.
What should the nurse do first?
1. Stop the saline infusion immediately
2. Notify Physician
3. Elevate the patient's legs
4. Continue the infusion, since these are normal findings
, The nurse is working in a support group for clients with 2. They must take their medications exactly as prescribed
HIV. Which point is most important for the nurse to CORRECT - Antiretrovirals must be taken exactly as prescribed to prevent drug-
stress? resistant strains. Even missed doses can reduce the effectiveness of future
treatment.
1. They must inform household members of their condition
2. They must take their medications exactly as prescribed
3. They must abstain from substance use
4. They must avoid large crowds
A nurse finds a 30-year-old woman experiencing 3. Ask the woman if she carries an emergency medical kit
anaphylaxis from a bee sting. Emergency personnel have CORRECT - Many patients who have a known history of anaphylaxis carry epi-
been called. The nurse notes the woman is breathing but pens in their pockets or belongings. This is the best way to stop a hypersensitivity
short of breath. Which of the following interventions reaction before it becomes life-threatening.
should the nurse do first?
1. Initiate cardiopulmonary resuscitation
2. Check for a pulse
3. Ask the woman if she carries an emergency medical kit
4. Stay with the woman until help comes
A man is prescribed lithium to treat bipolar disorder. The 2. The patient states he has been having diarrhea every day
nurse is most concerned about lithium toxicity when he Correct - Persistent diarrhea can lead to dehydration, which can increase the risk
notices which of these assessment findings? of lithium toxicity.
1. The patient states he had a manic episode a week ago
2. The patient states he has been having diarrhea every
day
3. The patient has a rashy pruritis on his arms and legs
4. The patient presents as severely depressed
5. The patient's lithium level is 1.3 mcg/L
A 65 year old man is prescribed Flomax (Tamsulosin) for 1. Hypotension
Benign Prostatic Hyperplasia. The patient lives in an Correct - Hypotension can lead to dizziness and a risk for injury to the patient.
upstairs apartment. The nurse is most concerned about
which side effect of Flomax?
1. Hypotension
2. Tachycardia
3. Back Pain
4. Difficulty Urinating
A man is receiving heparin subcutaneously. The patient 3. Risk for Bleeding
has dementia and lives at home with a part-time Correct - A confused patient is at risk for injuring themselves and at risk for
caretaker. The nurse is most concerned about which side hemorrhage should an injury occur
effect of heparin?
1. Back Pain
2. Fever and Chills
3. Risk for Bleeding
4. Dizziness
Questions 2026 | Practice
Test, Answers & Nursing
Exam Study Guide
|Graded A+ | Guaranteed
success|
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
,A nurse is providing discharge teaching for a patient with 1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
severe Gastroesophogeal Reflux Disease. Which of these CORRECT - Large meals increase the volume and pressure in the stomach and
statements by the patient indicates a need for more delay gastric emptying. It's recommended instead to eat 4-6 small meals a day.
teaching?
1. "I'm going to limit my meals to 2-3 per day to reduce
acid secretion."
2. "I'm going to make sure to remain upright after meals
and elevate my head when I sleep"
3. "I won't be drinking tea or coffee or eating chocolate
any more."
4. "I'm going to start trying to lose some weight."
The nurse in the Emergency Room is treating a patient 1. Start a large-bore IV in the patient's arm
suspected to have a Peptic Ulcer. On assessing lab CORRECT - The nurse should suspect that the patient is haemorrhaging and will
results, the nurse finds that the patient's blood pressure is need need a fluid replacement therapy, which requires a large bore IV.
95/60, pulse is 110 beats per minute, and the patient
reports epigastric pain. What is the PRIORITY
intervention?
1. Start a large-bore IV in the patient's arm
2. Ask the patient for a stool sample
3. Prepare to insert an NG Tube
4. Administer intramuscular morphine sulphate as ordered
A female patient with atrial fibrillation has the following 4. Potassium of 2.7 mEq/L
lab results: Hemoglobin of 11 g/dl, a platelet count of CORRECT - A potassium imbalance for a patient with a history of dysrhythmia can
150,000, an INR of 2.5, and potassium of 2.7 mEq/L. Which be life-threatening and can lead to cardiac distress.
result is critical and should be reported to the physician
immediately?
1. Hemoglobin 11 g/dl
2. Platelet of 150,000
3. INR of 2.5
4. Potassium of 2.7 mEq/L
While receiving normal saline infusions to treat a GI 1. Stop the saline infusion immediately
bleed, the nurse notes that the patient's lower legs have CORRECT - the patient has a fluid volume overload as a result of overly rapid fluid
become edematous and auscultates crackles in the lungs. replacement. The nurse should stop the infusion and notify the physician.
What should the nurse do first?
1. Stop the saline infusion immediately
2. Notify Physician
3. Elevate the patient's legs
4. Continue the infusion, since these are normal findings
, The nurse is working in a support group for clients with 2. They must take their medications exactly as prescribed
HIV. Which point is most important for the nurse to CORRECT - Antiretrovirals must be taken exactly as prescribed to prevent drug-
stress? resistant strains. Even missed doses can reduce the effectiveness of future
treatment.
1. They must inform household members of their condition
2. They must take their medications exactly as prescribed
3. They must abstain from substance use
4. They must avoid large crowds
A nurse finds a 30-year-old woman experiencing 3. Ask the woman if she carries an emergency medical kit
anaphylaxis from a bee sting. Emergency personnel have CORRECT - Many patients who have a known history of anaphylaxis carry epi-
been called. The nurse notes the woman is breathing but pens in their pockets or belongings. This is the best way to stop a hypersensitivity
short of breath. Which of the following interventions reaction before it becomes life-threatening.
should the nurse do first?
1. Initiate cardiopulmonary resuscitation
2. Check for a pulse
3. Ask the woman if she carries an emergency medical kit
4. Stay with the woman until help comes
A man is prescribed lithium to treat bipolar disorder. The 2. The patient states he has been having diarrhea every day
nurse is most concerned about lithium toxicity when he Correct - Persistent diarrhea can lead to dehydration, which can increase the risk
notices which of these assessment findings? of lithium toxicity.
1. The patient states he had a manic episode a week ago
2. The patient states he has been having diarrhea every
day
3. The patient has a rashy pruritis on his arms and legs
4. The patient presents as severely depressed
5. The patient's lithium level is 1.3 mcg/L
A 65 year old man is prescribed Flomax (Tamsulosin) for 1. Hypotension
Benign Prostatic Hyperplasia. The patient lives in an Correct - Hypotension can lead to dizziness and a risk for injury to the patient.
upstairs apartment. The nurse is most concerned about
which side effect of Flomax?
1. Hypotension
2. Tachycardia
3. Back Pain
4. Difficulty Urinating
A man is receiving heparin subcutaneously. The patient 3. Risk for Bleeding
has dementia and lives at home with a part-time Correct - A confused patient is at risk for injuring themselves and at risk for
caretaker. The nurse is most concerned about which side hemorrhage should an injury occur
effect of heparin?
1. Back Pain
2. Fever and Chills
3. Risk for Bleeding
4. Dizziness
