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Exam (elaborations)

NCLEX-PN COMPLETE EXAM QUESTIONS AND 100% VERIFIED ANSWERS () PASS GUARANTEE

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NCLEX-PN COMPLETE EXAM QUESTIONS AND 100% VERIFIED ANSWERS () PASS GUARANTEE....

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NCLEX-PN COMPLETE EXAM QUESTIONS AND 100%
VERIFIED ANSWERS (2026-2027) PASS GUARANTEE




1. A nurse is caring for a client who has a nasogastric tube. Which action should
the nurse take to verify tube placement?
• ANSWER : Check the pH of aspirated gastric contents (should be
acidic, pH 1-4)
2. What is the correct order for removing personal protective equipment (PPE)?
• ANSWER : Gloves, goggles, gown, mask (from most contaminated
to least)
3. A client has an IV infusing at 125 mL/hr. How many mL will infuse in 8
hours?
• ANSWER : 1,000 mL (125 × 8 = 1,000)
4. Which site is preferred for intramuscular injection in adults?
• ANSWER : Ventrogluteal site
5. A nurse finds a client lying on the floor. What is the priority action?
• ANSWER : Assess the client for injuries
6. What is the most important action when providing care to a client with
contact precautions?
• ANSWER : Wear gloves when entering the room
7. A client refuses to take prescribed medication. What should the nurse do
first?
• ANSWER : Ask the client why they are refusing the medication
8. What is the proper technique for collecting a clean-catch urine specimen?

, • ANSWER : Cleanse the urethral meatus, begin voiding, then collect
midstream urine
9. Which vital sign should be measured first in a routine assessment?
• ANSWER : Respirations (before the client becomes aware and alters
breathing)
10. A nurse is preparing to administer an intradermal injection. What angle
should be used?
• ANSWER : 10-15 degrees
11. What is the appropriate needle length for a subcutaneous injection?
• ANSWER : 5/8 inch (or 3/8 to 5/8 inch)
12. A client has a stage 2 pressure ulcer. What describes this stage?
• ANSWER : Partial-thickness skin loss involving epidermis and/or
dermis
13. When should hand hygiene be performed?
• ANSWER : Before and after client contact, before aseptic
procedures, after body fluid exposure
14. What is the correct sequence for physical assessment?
• ANSWER : Inspection, palpation, percussion, auscultation (except
for abdomen: inspection, auscultation, percussion, palpation)
15. A nurse is documenting in a client's chart. What is the proper method?
• ANSWER : Use objective, factual descriptions; avoid opinions; write
legibly
16. What is the normal adult respiratory rate?
• ANSWER : 12-20 breaths per minute
17. A client has a fall risk score of 50. What does this indicate?
• ANSWER : High fall risk; implement fall precautions
18. What is the correct method to measure oxygen saturation?
• ANSWER : Place pulse oximeter probe on finger, toe, or earlobe
19. When should a nurse wear a mask?

, • ANSWER : When there is risk of splash or spray of body fluids, or
with airborne/droplet precautions
20. What is the proper position for a client receiving an enema?
• ANSWER : Left Sims' position (left side-lying with right knee
flexed)
21. A nurse is teaching a client about the use of a cane. Where should the cane
be positioned?
• ANSWER : On the stronger side of the body
22. What is the recommended maximum length of time for continuous urinary
catheter irrigation?
• ANSWER : Follow facility protocol; typically 24-48 hours maximum
23. A client needs to be transferred from bed to chair. What should the nurse do
first?
• ANSWER : Assess the client's ability to assist and need for
assistance devices
24. What is the normal range for adult blood pressure?
• ANSWER : Systolic <120, Diastolic <80 mmHg
25. When should a nurse document care provided?
• ANSWER : Immediately after providing care
26. A client has an indwelling urinary catheter. What is the proper care?
• ANSWER : Keep drainage bag below bladder level; maintain closed
system
27. What is the correct procedure for applying restraints?
• ANSWER : Obtain physician order; ensure proper fit; check
circulation every 2 hours
28. A nurse is preparing to insert a nasogastric tube. What position should the
client be in?
• ANSWER : High Fowler's position (sitting upright at 90 degrees)
29. What is the appropriate action if an IV infiltrates?
• ANSWER : Stop the infusion, remove the IV, apply warm compress

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