NCLEX-PN 2026 REVIEW MODULE
QUESTION BANK AND EXPLANATIONS
◉ The licensed practical nurse is working with a RN and a patient
care assistant. Which of the following clients should be cared for by
the RN?
A. A client two days post-appendectomy
B. A client one week post-thyroidectomy
C. A client 3 days post- splenectomy
D. A client 2 days post- thoracotomy
Answer: D. A client 2 days post-thoracotomy
why?
The most critical client should be assigned to the RN; in this case,
that is the client 2 days post-thoracotomy.
◉ The LPN is observing a graduate nurse as she assess the central
venous pressure. Which observation indicates that the graduate
needs further teaching?
,A. The graduate places the client in a supine position to read the
manometer
B. The graduate turns the stopcock to the off position from the IV
fluid to the client
C. The graduate instructs the client to perform the Valsalva
manuever during the CVP reading
D. The graduate notes the level at the top of the meniscus
Answer: C. The Graduate instructs the client to perform the Valsalva
manuever during the CVP reading.
why?
The client should breathe normally during a central venous pressure
monitor reading.
◉ Which of the following roommates would be most suitable for the
client with myasthenia gravis?
A. A client with hypothyroidism
B. A client with Chron's disease
C. A client with pylonephritis
D. A client with bronchitis
Answer: A. A client with hypothyroidism
,why?
The most suitable roommate for the client with myasthenia gravis is
the client with hypothyroidism because he is quiet.
◉ The nurse employed in the ER is responsible for triage for 4
clients injured in a motor vehicle accident. Which of the following
clients should receive priority in care?
A. A 10 year old with lacerations to the face
B. A 15 year old with sternal bruising
C. A 34 year old with fractured femur
D. A 50 year old with dislocation of the elbow
Answer: B. A 15 year old with sternal bruising
why?
The teenager with sternal bruising might be experiencing airway
and oxygenation problems and, thus, should be seen first.
◉ The client is receiving peritoneal dialysis. If the dialysis returns
cloudy the nurse should"
, A. Document the finding
B. Send a specimen to the lab
C. Strain the urine
D. Obtain a complete blood count
Answer: B. Send a specimen to the lab
why?
If the dialysate returns cloudy, infection might be present and must
be evaluated
◉ The client with cirrhosis of the liver is receiving lactulose. The
nurse is aware that the ratio for the order of lactulose is
:
A. To lower the blood glucose level
B. To lower the uric acid level
C. To lower ammonia level
D. To lower the creatinine level
Answer: C. To lower ammonia level
QUESTION BANK AND EXPLANATIONS
◉ The licensed practical nurse is working with a RN and a patient
care assistant. Which of the following clients should be cared for by
the RN?
A. A client two days post-appendectomy
B. A client one week post-thyroidectomy
C. A client 3 days post- splenectomy
D. A client 2 days post- thoracotomy
Answer: D. A client 2 days post-thoracotomy
why?
The most critical client should be assigned to the RN; in this case,
that is the client 2 days post-thoracotomy.
◉ The LPN is observing a graduate nurse as she assess the central
venous pressure. Which observation indicates that the graduate
needs further teaching?
,A. The graduate places the client in a supine position to read the
manometer
B. The graduate turns the stopcock to the off position from the IV
fluid to the client
C. The graduate instructs the client to perform the Valsalva
manuever during the CVP reading
D. The graduate notes the level at the top of the meniscus
Answer: C. The Graduate instructs the client to perform the Valsalva
manuever during the CVP reading.
why?
The client should breathe normally during a central venous pressure
monitor reading.
◉ Which of the following roommates would be most suitable for the
client with myasthenia gravis?
A. A client with hypothyroidism
B. A client with Chron's disease
C. A client with pylonephritis
D. A client with bronchitis
Answer: A. A client with hypothyroidism
,why?
The most suitable roommate for the client with myasthenia gravis is
the client with hypothyroidism because he is quiet.
◉ The nurse employed in the ER is responsible for triage for 4
clients injured in a motor vehicle accident. Which of the following
clients should receive priority in care?
A. A 10 year old with lacerations to the face
B. A 15 year old with sternal bruising
C. A 34 year old with fractured femur
D. A 50 year old with dislocation of the elbow
Answer: B. A 15 year old with sternal bruising
why?
The teenager with sternal bruising might be experiencing airway
and oxygenation problems and, thus, should be seen first.
◉ The client is receiving peritoneal dialysis. If the dialysis returns
cloudy the nurse should"
, A. Document the finding
B. Send a specimen to the lab
C. Strain the urine
D. Obtain a complete blood count
Answer: B. Send a specimen to the lab
why?
If the dialysate returns cloudy, infection might be present and must
be evaluated
◉ The client with cirrhosis of the liver is receiving lactulose. The
nurse is aware that the ratio for the order of lactulose is
:
A. To lower the blood glucose level
B. To lower the uric acid level
C. To lower ammonia level
D. To lower the creatinine level
Answer: C. To lower ammonia level
