NCLEX ARCHER REVIEW CERTIFICATION
EVALUATION EXAMS 2026 COMPLETE
QUESTIONS AND ANSWERS GUARANTEED TO
PASS
◉ The nurse educates a client about the application of a plaster cast
to a fractured radius. Which of the following statements by the client
would require follow-up?
A. "If my arm feels itchy, I can use a hair dryer on the cool setting for
relief."
B. "I can reduce my arm's swelling by elevating it with a pillow."
C. "I should be okay to shower with my cast."
D. "It will be normal for me to feel heat after the cast is applied.".
Answer: Choice C is correct. A plaster cast should be kept clean and
dry. The client stated that he could shower with the cast, which
requires follow-up. The only way a client should shower with this
particular cast would be with a waterproof bag affixed over the cast.
If that is not available, and the client has a fractured arm, they
should take a bath and keep the affected extremity outside the tub.
Choices A, B, and D are incorrect. These statements are correct and
do not require follow-up. A casted extremity may cause skin
irritation which causes a client to itch. The client should not stick
any objects under the cast; they should try blowing cool air from a
hair dryer instead. Elevating the extremity on a pillow is encouraged
to help reduce swelling. Plaster casts are not as commonly utilized
,as fiberglass because a key disadvantage is that a plaster cast may
take up to 48 hours to dry completely. As a cast is drying, it is normal
for a client to feel a warm/heat sensation.
◉ The charge nurse is planning client care assignments for a
registered nurse (RN) and licensed practical/vocational nurse
(LPN/VN). Which of the following clients would be most appropriate
to assign to the RN? A client with
A. chronic anemia requiring epoetin injections.
B. a resolving pneumothorax with a chest tube.
C. a tracheostomy requiring intermittent suctioning.
D. septic shock requiring intravenous (IV) vasopressors.. Answer:
Choice D is correct. When making client assignments, the RN should
be assigned the client with the least predictable outcome who is
unstable. The client with septic shock receiving intravenous
vasopressors should be assigned to the RN because of the need to
titrate the vasopressors. Further, this client being in shock, is not
stable and requires frequent assessment.
Choices A, B, and C are incorrect. An LPN should be assigned clients
who are stable and with a predictable outcome. A client with a
chronic illness such as anemia requiring epoetin injections can be
delegated to the LPN (Epoetin, unlike RhoGAM, is not regarded as a
blood product). Further, the client with a resolving pneumothorax
may be assigned to the LPN because the condition is resolving.
Finally, LPNs may do suction in an established tracheostomy.
,◉ The nurse has instructed a client newly diagnosed with the
human immunodeficiency virus (HIV). Which of the following
statements by the client would indicate effective understanding?
This disease is caused by a retrovirus leading to
A. encapsulation of CD4+ T-cells.
B. inflammation of the CD4+ T-cells.
C. abnormal proliferation of CD4+ T-cells.
D. viral integration into the CD4+ T-cells.. Answer: Choice D is
correct. HIV is a retrovirus because of its ability to insert itself into a
cell's DNA via its viral RNA. This process causes the CD4/T-cell to be
hijacked. HIV infection causes a virion to dock with a CD4/T-cell,
which causes it to seize its nucleus. This hijacking alters the cell's
DNA by inserting its viral RNA, which DNA then converts by an
enzyme reverse transcriptase. This integrative process completes
the process, making the CD4/T-cell able to create more HIV viral
particles to infect other healthy CD4/T-cells.
◉ The nurse is teaching a parent of a 7-month-old client about food
choices that may be introduced into the diet. The nurse should
recommend which dietary item?
A. cows milk
B. apple juice
C. soy-based yogurt
D. flavored sports drinks. Answer: Choice C is correct. Soy-based
yogurt is permitted as it does not contain added sugars and will not
cause intestinal complications, unlike cow's milk products.
, Choices A, B, and D are incorrect. Cow's milk is prohibited until 12
months because it may put the infant at risk for intestinal and renal
complications because of the dense amount of protein, sodium, and
potassium. Because of the dense sugar, apple juice and flavored
sports drinks are inappropriate for a 7-month-old. This type of juice
should be introduced slowly, starting at 12 months.
◉ The nurse is taking care of a client in the fourth stage of labor. She
notes that her fundus is firm but she is still bleeding profusely. What
should be the nurse's first action?
A. Document the findings.
B. Massage the client's fundus.
C. Notify the physician.
D. Put the client in Trendelenburg position.. Answer: Choice C is
correct. Profuse bleeding may indicate a laceration of the birth canal
or cervix, which needs the attention of a doctor to initiate
appropriate interventions.
◉ The nurse is caring for a child who is immunocompromised and
diagnosed with varicella. The nurse should expect a prescription for
which medication?
A. Amoxicillin-Clavulanate
B. Acyclovir
C. Doxycycline
EVALUATION EXAMS 2026 COMPLETE
QUESTIONS AND ANSWERS GUARANTEED TO
PASS
◉ The nurse educates a client about the application of a plaster cast
to a fractured radius. Which of the following statements by the client
would require follow-up?
A. "If my arm feels itchy, I can use a hair dryer on the cool setting for
relief."
B. "I can reduce my arm's swelling by elevating it with a pillow."
C. "I should be okay to shower with my cast."
D. "It will be normal for me to feel heat after the cast is applied.".
Answer: Choice C is correct. A plaster cast should be kept clean and
dry. The client stated that he could shower with the cast, which
requires follow-up. The only way a client should shower with this
particular cast would be with a waterproof bag affixed over the cast.
If that is not available, and the client has a fractured arm, they
should take a bath and keep the affected extremity outside the tub.
Choices A, B, and D are incorrect. These statements are correct and
do not require follow-up. A casted extremity may cause skin
irritation which causes a client to itch. The client should not stick
any objects under the cast; they should try blowing cool air from a
hair dryer instead. Elevating the extremity on a pillow is encouraged
to help reduce swelling. Plaster casts are not as commonly utilized
,as fiberglass because a key disadvantage is that a plaster cast may
take up to 48 hours to dry completely. As a cast is drying, it is normal
for a client to feel a warm/heat sensation.
◉ The charge nurse is planning client care assignments for a
registered nurse (RN) and licensed practical/vocational nurse
(LPN/VN). Which of the following clients would be most appropriate
to assign to the RN? A client with
A. chronic anemia requiring epoetin injections.
B. a resolving pneumothorax with a chest tube.
C. a tracheostomy requiring intermittent suctioning.
D. septic shock requiring intravenous (IV) vasopressors.. Answer:
Choice D is correct. When making client assignments, the RN should
be assigned the client with the least predictable outcome who is
unstable. The client with septic shock receiving intravenous
vasopressors should be assigned to the RN because of the need to
titrate the vasopressors. Further, this client being in shock, is not
stable and requires frequent assessment.
Choices A, B, and C are incorrect. An LPN should be assigned clients
who are stable and with a predictable outcome. A client with a
chronic illness such as anemia requiring epoetin injections can be
delegated to the LPN (Epoetin, unlike RhoGAM, is not regarded as a
blood product). Further, the client with a resolving pneumothorax
may be assigned to the LPN because the condition is resolving.
Finally, LPNs may do suction in an established tracheostomy.
,◉ The nurse has instructed a client newly diagnosed with the
human immunodeficiency virus (HIV). Which of the following
statements by the client would indicate effective understanding?
This disease is caused by a retrovirus leading to
A. encapsulation of CD4+ T-cells.
B. inflammation of the CD4+ T-cells.
C. abnormal proliferation of CD4+ T-cells.
D. viral integration into the CD4+ T-cells.. Answer: Choice D is
correct. HIV is a retrovirus because of its ability to insert itself into a
cell's DNA via its viral RNA. This process causes the CD4/T-cell to be
hijacked. HIV infection causes a virion to dock with a CD4/T-cell,
which causes it to seize its nucleus. This hijacking alters the cell's
DNA by inserting its viral RNA, which DNA then converts by an
enzyme reverse transcriptase. This integrative process completes
the process, making the CD4/T-cell able to create more HIV viral
particles to infect other healthy CD4/T-cells.
◉ The nurse is teaching a parent of a 7-month-old client about food
choices that may be introduced into the diet. The nurse should
recommend which dietary item?
A. cows milk
B. apple juice
C. soy-based yogurt
D. flavored sports drinks. Answer: Choice C is correct. Soy-based
yogurt is permitted as it does not contain added sugars and will not
cause intestinal complications, unlike cow's milk products.
, Choices A, B, and D are incorrect. Cow's milk is prohibited until 12
months because it may put the infant at risk for intestinal and renal
complications because of the dense amount of protein, sodium, and
potassium. Because of the dense sugar, apple juice and flavored
sports drinks are inappropriate for a 7-month-old. This type of juice
should be introduced slowly, starting at 12 months.
◉ The nurse is taking care of a client in the fourth stage of labor. She
notes that her fundus is firm but she is still bleeding profusely. What
should be the nurse's first action?
A. Document the findings.
B. Massage the client's fundus.
C. Notify the physician.
D. Put the client in Trendelenburg position.. Answer: Choice C is
correct. Profuse bleeding may indicate a laceration of the birth canal
or cervix, which needs the attention of a doctor to initiate
appropriate interventions.
◉ The nurse is caring for a child who is immunocompromised and
diagnosed with varicella. The nurse should expect a prescription for
which medication?
A. Amoxicillin-Clavulanate
B. Acyclovir
C. Doxycycline
