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NCLEX RN Test 1 Updated 2026/2027 Questions with Expert-Verified Answers

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This document contains questions and verified answers for NCLEX RN Test 1. It includes detailed explanations, revision-focused content, and exam preparation material suitable for 2026/2027 students.

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NCLEX RN Test 1
A client with ascites is scheduled for a paracentesis. Which coaching have to receive to the
customer earlier than the technique?
A "You will need to put flat for the duration of the procedure."
b. "You need to empty your bladder before the manner."
c. "You could be asleep all through the method."
d. "The health practitioner will inject a medicine in the course of the system."
b. "You want to drain your bladder before the process."


A purchaser's lab values reveal Hgb 12.6, WBC 6500cu.Mm, K+ 1.9, uric acid 7.Zero, Na+
136, and platelets 178,000cu.Mm. The nurse evaluates that the patron is experiencing which
of the following?
Hypernatremia
b Hypokalemia
Myelosuppression
Leukopenia
b Hypokalemia


The nurse is worrying for the client who has been in a coma for two months. He has signed a
donor card, however the spouse is opposed to the concept of organ donation. How need to
the nurse handle the topic of organ donation with the spouse?
A Tell the spouse that the medical institution will honor her wishes regarding organ donation,
however touch the organ-retrieval workforce.
B Tell her that due to the fact her husband signed a donor card, the clinic has the proper to
take the organs upon the demise of her husband.
C Explain that it's miles important for her to donate her husband's organs due to the fact he
signed the permit.
D Refrain from speakme about the subject till after the dying of her husband.
A Tell the wife that the health facility will honor her wishes regarding organ donation, but
touch the organ-retrieval workforce.


Due to a high census, it has been vital for a number of customers to be transferred to other
units inside the clinic. Which client ought to be transferred to the postpartum unit?
A A sixty six-yr-vintage female with gastroenteritis
b A forty-yr-antique woman with a hysterectomy
c A 27-year-vintage male with intense despair
d A 28-12 months-antique male with ulcerative colitis
b A 40-year-vintage female with a hysterectomy


Before administering Theo-Dur (theophylline), the nurse ought to take a look at the patient's:
a output

,b Blood strain
c Pulse
d Temperature
c Pulse


Which facts have to take delivery of to the patient present process radiation remedy for
breast most cancers?
A Avoid exposing radiation regions to sunlight for the duration of remedy time and for a yr
after of entirety of remedy
b Moisturize the radiation web page with oil-based lotion to save you blistering
c Use bathtub oil while bath bathing to prevent drying and peeling
d Report redness and discomfort of the vicinity to the medical doctor
a Avoid exposing radiation regions to sunlight in the course of remedy time and for a yr after
of entirety of therapy


The rate nurse is making assignments for the day. After accepting the task to care for a
client with leukemia, the nurse tells the rate nurse that her child has chickenpox. Which initial
motion have to the charge nurse take?
A Change the nurse's challenge to any other customer.
B Explain to the nurse that there's no threat to the purchaser.
C Ask the nurse if the chickenpox have crusted.
D Ask the nurse if she has ever had the chickenpox.
D Ask the nurse if she has ever had the chickenpox.


Which assertion is actual regarding remedy with Levemir (insulin detemir)?
A The onset is 1-2 hours.
B It can be blended with everyday insulin.
C It peaks in 2-three hours.
D The length is 24 hours.
D The duration is 24 hours.


Which patron need to be assigned to the nursing assistant?
A The 18-yr-vintage with a fracture to 2 cervical vertebrae
b The little one with meningitis with a temperature of one zero one°F
c The aged client with a thyroidectomy four days in the past
d The client with a thoracotomy two days ago
c The aged patron with a thyroidectomy 4 days ago


The medical doctor has ordered the Schilling check for a affected person with suspected
pernicious anemia. What other diet level is often assessed on the equal time because the
B12 degree?
A Folic acid
b Pyridoxine

,c Ascorbic acid
d Thiamine
a Folic acid


The purchaser is admitted to the emergency room with shortness of breath, tension, and
tachycardia. His ECG famous atrial fibrillation with a ventricular response charge of a
hundred thirty beats in keeping with minute. The medical doctor orders quinidine sulfate.
While he is receiving quinidine, the nurse need to monitor his ECG for:
a Peaked P wave
b Elevated ST segment
c Inverted T wave
d Prolonged QT c program languageperiod
d Prolonged QT c language

Quinidine can reason widened Q-T periods and coronary heart block.


A 25-year-vintage purchaser arrives within the emergency room with a possible fracture of
the right femur. The nurse should expect an order for:
a Bryant's traction
b Ice to the whole extremity
c Buck's traction
d An abduction pillow
c Buck's traction


Which announcement need to be included in the coaching consultation of a patron
scheduled for a renal biopsy?
A "You might be placed in a sitting role for the biopsy."
b "You can also enjoy a sense of strain or pain all through aspiration of the biopsy."
c "You might be asleep throughout the manner."
d "You will not be capable of drink fluids for twenty-four hours following the examine."
b "You may additionally enjoy a feeling of stress or soreness for the duration of aspiration of
the biopsy."


The patron is admitted with persistent obstructive pulmonary ailment. Blood gases display
pH 7.36, CO2 45, O2 eighty four, bicarb 28. The nurse might verify the consumer to be in:
a Uncompensated acidosis
b Compensated alkalosis
c Compensated metabolic acidosis
d Uncompensated metabolic acidosis
c Compensated metabolic acidosis


Before administering intravenous chemotherapy to the affected person being dealt with, the
nurse should:

, a Administer a bolus of IV fluid.
B Administer pain medicine.
C Administer an antiemetic.
D Allow the affected person a danger to eat.
C Administer an antiemetic.


Which one of the following statements is correct whilst measuring the client for crutches?
A A distance of five fingerbreadths ought to exist among the top of the crutch and the axilla.
B The nurse need to degree 3 inches between the top of the crutch and the axilla.
C The consumer's elbows have to be flexed at a ten°angle.
D The crutches have to be extended eight to 10 inches from the aspect of the foot.
B The nurse must degree three inches between the pinnacle of the crutch and the axilla.


A patient of Greek descent has been prescribed Bactrim (sulfamethoxazole-trimethoprim) for
remedy of a urinary tract infection. Before starting the medication, the affected person must
be assessed for which of the subsequent issues?
A G6PD deficiency
b β-thalassemia
c Sickle cellular anemia
d Von Willebrand disorder
a G6PD deficiency


The physician has ordered Coumadin (sodium warfarin) for a customer with
thrombophlebitis. The order have to be entered to administer the medication at:
a 0900
b 1200
c 1700
d 2100
c 1700


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Which remedy is regularly used to deal with the client with N.Gonorrhea?

A Sitavig (acyclovir)

b Vibramycin (doxycycline)

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