NCLEX RN ACTUAL EXAM TEST BANK WITH REAL AND EXACT EXAM QUESTIONS & ANSWERS NCLEX 2025/2026 NCLEX EXAM 860+ Q&A

NCLEX RN
NCLEX RN ACTUAL EXAM TEST BANK WITH REAL AND EXACT

EXAM QUESTIONS & ANSWERS NCLEX 2025/2026 NCLEX EXAM

860+ Q&A

Testbankscove

, NCLEX RN ACTUAL EXAM TEST BANK, REAL QUESTIONS & ANSWERS NCLEX
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QUESTION 1 w


Which classification of drugs is contraindicated for the client with hypertrophic cardiomyopathy?
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A. Positive inotropes
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B. Vasodilators
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C. Diuretics
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D. Antidysrhythmics
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Answer: A w


wExplanation:
(A) Positive inotropic agents should not be administered owing to their action of increasing myocardial
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wcontractility. Increased ventricular contractility would increase outflow tract obstruction in the client with
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whypertrophic cardiomyopathy. (B) Vasodilators are not typically prescribed but are not contraindicated. (C)
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wDiuretics are used with caution to avoid causing hypovolemi
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A. (D) Antidysrhythmics are typically needed to treat both atrial and ventricular dysrhythmias.
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QUESTION 2 w


Signs and symptoms of an allergy attack include which of the following?
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A. Wheezing on inspiration
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B. Increased respiratory rate
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C. Circumoral cyanosis
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D. Prolonged expiration
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Answer: D w


wExplanation:
(A) Wheezing occurs during expiration when air movement is impaired because of constricted edematous
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wbronchial lumin w


A. (B) Respirations are difficult, but the rate is frequently normal. (C) The circumoral area is usually pale.
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wCyanosis is not an early sign of hypoxi
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A. (D) Expiration is prolonged because the alveoli are greatly distended and air trapping occurs.
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QUESTION 3 w


A client confides to the nurse that he tasted poison in his evening meal. This would be an example of what
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type of hallucination?
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A. Auditory
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B. Gustatory
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C. Olfactory
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D. Visceral
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Answer: B w


wExplanation:
(A) Auditory hallucinations involve sensory perceptions of hearing. (B) Gustatory hallucinations involve
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wsensory perceptions of taste. (C) Olfactory hallucinations involve sensory perceptions of smell. (D) Visceral
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hallucinations involve sensory perceptions of sensation
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,QUESTION
4 Which of the following findings would be abnormal in a postpartal woman?
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A. Chills shortly after delivery
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B. Pulse rate of 60 bpm in morning on first postdelivery day
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C. Urinary output of 3000 mL on the second day after delivery
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D. An oral temperature of 101F (38.3C) on the third day after delivery
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Answer: D w


wExplanation:
(A) Frequently the mother experiences a shaking chill immediately after delivery, which is related to a
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wnervous response or to vasomotor changes. If not followed by a fever, it is clinically innocuous. (B) The
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wpulse rate during the immediate postpartal period may be low but presents no cause for alarm. The body
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wattempts to adapt to the decreased pressures intra-abdominally as well as from the reduction of blood flow to
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wthe vascular bed. (C) Urinary output increases during the early postpartal period (12–24 hours) owing to
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wdiuresis. The kidneys must eliminate an estimated 2000–3000 mL of extracellular fluid associated with a
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wnormal pregnancy. (D) A temperature of 100.4F (38C) may occur after delivery as a result of exertion and
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wdehydration of labor. However, anytemperature greater than 100.4F needs further investigation to identify
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wany infectious process.
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QUESTION 5 w


A six-month-old infant has been admitted to the emergency room with febrile seizures. In the teaching of the
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parents, the nurse states that:
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A. Sustained temperature elevation over 103F is generally related to febrile seizures
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B. Febrile seizures do not usually recur
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C. There is little risk of neurological deficit and mental retardation as sequelae to febrile seizures
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D. Febrile seizures are associated with diseases of the central nervous system
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Answer: C w


wExplanation:
(A) The temperature elevation related to febrile seizures generally exceeds 101F, and seizures occur during
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wthe temperature rise rather than after a prolonged elevation. (B) Febrile seizures may recur and are more
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wlikely to do so when the first seizure occurs in the 1st year of life. (C) There is little risk of neurological
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wdeficit, mental retardation, or altered behavior secondary to febrile seizures. (D) Febrile seizures are
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wassociated with disease of the central nervous system.
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QUESTION 6 w


A client diagnosed with bipolar disorder continues to be hyperactive and to lose weight. Which of the following
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nutritional interventions would be most therapeutic for him at this time?
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A. Small, frequent feedings of foods that can be carried
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B. Tube feedings with nutritional supplements
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C. Allowing him to eat when and what he wants
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D. Giving him a quiet place where he can sit down to eat meals
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Answer: A w


wExplanation:
(A) The manic client is unable to sit still long enough to eat an adequate meal. Small, frequent feedings with
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, finger foods allow him to eat during periods of activity. (B) This type of therapy should be implemented when
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wother methods have been exhausted. (C) The manic client should not be in control of his treatment plan.
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wThis type of client may forget to eat. (D) The manic client is unable to sit down to eat full meals.
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QUESTION 7 w


A client with bipolar disorder taking lithium tells the nurse that he has ringing in his ears, blurred vision, and
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diarrhe
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A. The nurse notices a slight tremor in his left hand and a slurring pattern to his speech. Which of the following
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actions by the nurse is appropriate?
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A. w Administer a stat dose of lithium as necessary. w w w w w w w


B. w Recognize this as an expected response to lithium.
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C. w Request an order for a stat blood lithium level.
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D. w Give an oral dose of lithium antidote.
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Answer: C w


wExplanation:
(A) These symptoms are indicative of lithium toxicity. A stat dose of lithium could be fatal.
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(B) These are toxic effects of lithium therapy. (C) The client is exhibiting symptoms of lithium toxicity,
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wwhich may be validated by lab studies. (D) There is no known lithium antidote.
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QUESTION 8 w


A diagnosis of hepatitis C is confirmed by a male client‘s physician. The nurse should be knowledgeable of the
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differences between hepatitis A, B, and C. Which of the following are characteristics of hepatitis C?
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A. The potential for chronic liver disease is minimal.
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B. The onset of symptoms is abrupt.
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C. The incubation period is 2–26 weeks.
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D. There is an effective vaccine for hepatitis B, but not for hepatitis C.
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Answer: C w


wExplanation:
(A) Hepatitis C and B may result in chronic liver disease. Hepatitis A has a low potential for chronic liver
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wdisease. (B) Hepatitis C and B have insidious onsets. Hepatitis A has an abrupt onset. (C) Incubation periods
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ware as follows: hepatitis C is 2–26 weeks, hepatitis B is 6–20 weeks, and hepatitis A is 2–6 weeks. (D)
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wOnly hepatitis B has an effective vaccine.
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QUESTION 9 w


Hypoxia is the primary problem related to near-drowning victims. The first organ that sustains irreversible
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damage after submersion in water is the:
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A. Kidney (urinary system) w w


B. Brain (nervous system) w w


C. Heart (circulatory system) w w


D. Lungs (respiratory system) w w




Answer: B w


Explanation:
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