NCLEX RN FUNDAMENTALS EXAM LATEST 2026 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
The nurse is assessing patients on the medical-surgical unit for
pressure ulcer risk. Which of the following patients is at greatest
risk?
a. 75-year-old patient with Alzheimer's and poor oral intake.
b. 48-year-old patient with paraplegia in a wheelchair.
c. 56-year-old patient with type 1 diabetes who is post-op day one
cardiac surgery and has been diaphoretic
d. 65-year-old patient who had bladder surgery and is incontinent.
- ANSWER-c. 56-year-old patient with type 1 diabetes who is
post-op day one cardiac surgery and has been diaphoretic
This patient has three risk factors for development of a pressure
ulcer: type 1 diabetes (impairing vasculature and sensation),
limited mobility due to surgery, and diaphoresis (leaving the skin
moist and at greater risk for tearing).
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The nurse is caring for a patient who has developed severe
conjunctivitis. The patient wears contact lenses. When the nurse
educates the patient regarding prevention of recurrent
conjunctivitis, which statement by the patient indicates a
knowledge deficit?
a. "Any open contact lens solutions should be discarded once I
get home."
b. "Any solution that is cloudy should be discarded."
c. "Household hand soap for handwashing is sufficient before
handling contact lenses."
d. "I'll be requesting disposable contacts so there's no risk for
infection." - ANSWER-d. "I'll be requesting disposable contacts so
there's no risk for infection."
All types of contact lenses carry a risk of becoming contaminated
and causing conjunctivitis. Some contact lenses are reusable,
requiring a proper washing in-between insertion. The patient
should be taught the importance of proper handwashing when
handling the contact lenses, and the importance of following all
manufacturer's guidelines pertaining to the insertion and care of
the contact lenses.
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Conjunctivitis (aka "pinkeye") is conjunctiva inflammation. It is
characterized by pink color to the sclera of the eye, due to
conjunctival blood vessel hemorrhage. General symptoms
include: a feeling of a foreign body in the eye, scratching or
burning sensation, photophobia, and exudate from the eye. It can
be unilateral or bilateral. The most common causes of bacterial
conjunctivitis are Strep. pneumoniae, H. influenza, and Staph.
aureus.
A patient who wears bilateral hearing aids tells the nurse they
have discomfort in the right ear. What is the first intervention the
nurse should perform?
a. Ask the patient if they understand hearing aid care.
b. Assess the ears for inflammation.
c. Teach the patient how to reposition the hearing aids to
decrease discomfort.
d. Turn down the volume of the left hearing aid. - ANSWER-b.
Assess the ears for inflammation.
The ears must be assessed by the nurse before any interventions
are performed. Any irritation, inflammation, or infection must be
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identified. What is found during assessment determines the most
appropriate intervention.
The nurse encourages a patient with a history of heart failure to
reduce energy expenditure by alternating activity and rest. Which
nursing process phase is this?
a. Diagnosis
b. Planning
c. Implementation
d. Evaluation - ANSWER-C. Implementation
Teaching a patient about alternating activity and rest is a
component of patient education, which falls into the
implementation phase. This is an example of putting an
individualized plan into action. Other components of
implementation include assisting with hygienic care, promoting
physical comfort, supporting respiratory and elimination functions,
facilitating ingestion of food/fluids, managing the patient's
surroundings, promoting a therapeutic relationship, and carrying
out other therapeutic nursing activities.