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NCLEX PN 2025 QUESTIONS BANK WITH 500
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES/ 2025 NCLEX PN EXAM TEST BANK/
PN NCLEX EXAM PREP (NEW)
The nurse has instructed a client who has a newly
prescribed transcutaneous electrical nerve stimulation
(TENS) unit. Which of the following statements by the
client indicates a correct understanding of the teaching?
A. "I should not take pain medications while this device is
applied."
B. "I will adjust the current to the point at which I
experience a sensation of pins and needles."
C. "The electrodes will be placed all over my body."
D. "I should experience generalized twitching while this
device is applied." - ...ANSWER...✓✓Choice B is correct. A
transcutaneous electrical nerve stimulation (TENS) unit is
an over-the-counter pain-relieving device that provides a
counter-current to an area of localized pain. The
electrodes are placed where the area of pain is, and the
current is adjusted until the client feels a 'pins and
needles sensation which is theorized to release
endorphins. TENS units are commonly used as adjunctive
pain relief for musculoskeletal pain.
Choices A, C, and D are incorrect. A TENS unit is an
adjunctive pain relieving device and may be used with
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other modalities such as acetaminophen, naproxen, etc.
The electrodes are not applied all over the client's body;
they are applied to where the client is experiencing the
pain. Generalized twitching is not the expected sensation
of the TENS unit; it is a pins-and-needles sensation
experienced where the pain is localized.
C. edema
D. tenderness
Choice C is correct. The client should be advised to
monitor for edema in one leg as a sign of postpartum
thrombophlebitis. If swelling is noted, the nurse should
measure both lower extremities and compare the
circumference of the affected with the unaffected.
Choice D is correct. The client should be advised to
monitor for tenderness in one leg as a sign of postpartum
thrombophlebitis. Edema, pain, and redness would be
expected findings in whichever leg the clot is occluding.
Choice A is incorrect. An individual with thrombophlebitis
has localized pain, erythema, heat, and tenderness.
Muscle weakness in the extremity is not an expected
finding and could suggest hypokalemia.
Choice B is incorrect. Ulcers between the toes are a
clinical manifestation associated with peripheral arterial
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disease. This is not a symptom associated with
thrombophlebitis.
Choice E is incorrect. Cyanosis (bluish discol -
...ANSWER...✓✓C. edema
D. tenderness
Choice C is correct. The client should be advised to
monitor for edema in one leg as a sign of postpartum
thrombophlebitis. If swelling is noted, the nurse should
measure both lower extremities and compare the
circumference of the affected with the unaffected.
Choice D is correct. The client should be advised to
monitor for tenderness in one leg as a sign of postpartum
thrombophlebitis. Edema, pain, and redness would be
expected findings in whichever leg the clot is occluding.
Choice A is incorrect. An individual with thrombophlebitis
has localized pain, erythema, heat, and tenderness.
Muscle weakness in the extremity is not an expected
finding and could suggest hypokalemia.
Choice B is incorrect. Ulcers between the toes are a
clinical manifestation associated with peripheral arterial
disease. This is not a symptom associated with
thrombophlebitis.
Choice E is incorrect. Cyanosis (bluish discoloration of
the skin) or coolness in one limb is a sign of venous
obstruction, not thrombosis. Instead, when monitoring for
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signs of postpartum thrombophlebitis, the client should
be instructed to report symptoms of inflammation such
as warmth, swelling, or redness.
Choice F is incorrect. Patches of hair loss are a
manifestation associated with arterial insufficiency.
Because of the decreased blood flow, less hair grows on
the skin.
The nurse is performing an assessment on a newborn.
Which findings require follow-up?
Select all that apply.
A. high pitched cry
B. heart rate 175/minute while crying
C. white patches on cheeks or tongue
D. vernix caseosa in the creases
E. respiratory rate 25/minute - ...ANSWER...✓✓A. high
pitched cry
C. white patches on cheeks or tongue
E. respiratory rate 25/minute
Choice A is correct. A high-pitched cry is an irregular
finding in a newborn. It can be a sign of withdrawal in
neonatal abstinence syndrome or a sign of increased ICP
NCLEX PN 2025 QUESTIONS BANK WITH 500
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES/ 2025 NCLEX PN EXAM TEST BANK/
PN NCLEX EXAM PREP (NEW)
The nurse has instructed a client who has a newly
prescribed transcutaneous electrical nerve stimulation
(TENS) unit. Which of the following statements by the
client indicates a correct understanding of the teaching?
A. "I should not take pain medications while this device is
applied."
B. "I will adjust the current to the point at which I
experience a sensation of pins and needles."
C. "The electrodes will be placed all over my body."
D. "I should experience generalized twitching while this
device is applied." - ...ANSWER...✓✓Choice B is correct. A
transcutaneous electrical nerve stimulation (TENS) unit is
an over-the-counter pain-relieving device that provides a
counter-current to an area of localized pain. The
electrodes are placed where the area of pain is, and the
current is adjusted until the client feels a 'pins and
needles sensation which is theorized to release
endorphins. TENS units are commonly used as adjunctive
pain relief for musculoskeletal pain.
Choices A, C, and D are incorrect. A TENS unit is an
adjunctive pain relieving device and may be used with
,2|Page
other modalities such as acetaminophen, naproxen, etc.
The electrodes are not applied all over the client's body;
they are applied to where the client is experiencing the
pain. Generalized twitching is not the expected sensation
of the TENS unit; it is a pins-and-needles sensation
experienced where the pain is localized.
C. edema
D. tenderness
Choice C is correct. The client should be advised to
monitor for edema in one leg as a sign of postpartum
thrombophlebitis. If swelling is noted, the nurse should
measure both lower extremities and compare the
circumference of the affected with the unaffected.
Choice D is correct. The client should be advised to
monitor for tenderness in one leg as a sign of postpartum
thrombophlebitis. Edema, pain, and redness would be
expected findings in whichever leg the clot is occluding.
Choice A is incorrect. An individual with thrombophlebitis
has localized pain, erythema, heat, and tenderness.
Muscle weakness in the extremity is not an expected
finding and could suggest hypokalemia.
Choice B is incorrect. Ulcers between the toes are a
clinical manifestation associated with peripheral arterial
,3|Page
disease. This is not a symptom associated with
thrombophlebitis.
Choice E is incorrect. Cyanosis (bluish discol -
...ANSWER...✓✓C. edema
D. tenderness
Choice C is correct. The client should be advised to
monitor for edema in one leg as a sign of postpartum
thrombophlebitis. If swelling is noted, the nurse should
measure both lower extremities and compare the
circumference of the affected with the unaffected.
Choice D is correct. The client should be advised to
monitor for tenderness in one leg as a sign of postpartum
thrombophlebitis. Edema, pain, and redness would be
expected findings in whichever leg the clot is occluding.
Choice A is incorrect. An individual with thrombophlebitis
has localized pain, erythema, heat, and tenderness.
Muscle weakness in the extremity is not an expected
finding and could suggest hypokalemia.
Choice B is incorrect. Ulcers between the toes are a
clinical manifestation associated with peripheral arterial
disease. This is not a symptom associated with
thrombophlebitis.
Choice E is incorrect. Cyanosis (bluish discoloration of
the skin) or coolness in one limb is a sign of venous
obstruction, not thrombosis. Instead, when monitoring for
, 4|Page
signs of postpartum thrombophlebitis, the client should
be instructed to report symptoms of inflammation such
as warmth, swelling, or redness.
Choice F is incorrect. Patches of hair loss are a
manifestation associated with arterial insufficiency.
Because of the decreased blood flow, less hair grows on
the skin.
The nurse is performing an assessment on a newborn.
Which findings require follow-up?
Select all that apply.
A. high pitched cry
B. heart rate 175/minute while crying
C. white patches on cheeks or tongue
D. vernix caseosa in the creases
E. respiratory rate 25/minute - ...ANSWER...✓✓A. high
pitched cry
C. white patches on cheeks or tongue
E. respiratory rate 25/minute
Choice A is correct. A high-pitched cry is an irregular
finding in a newborn. It can be a sign of withdrawal in
neonatal abstinence syndrome or a sign of increased ICP
