NCLEX RN Test 1 (NEW 2026) Actual Questions with Verified Answers | 100% Correct| Graded A+

NCLEX RN Test 1 (NEW 2026) Actual Questions with
Verified Answers | 100% Correct| Graded A+
Question:

Which client should be assigned to the nursing assistant?
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a The 18-year-old with a fracture to two cervical vertebrae
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b The infant with meningitis with a temperature of 101°F
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c The elderly client with a thyroidectomy four days ago
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d The client with a thoracotomy two days ago?
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Answer:

c The elderly client with a thyroidectomy four days ago
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Question:

The physician has ordered the Schilling test for a patient with suspected
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pernicious anemia. What other vitamin level is often assessed at the same
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time as the B12 level?
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a Folic acid
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b Pyridoxine
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c Ascorbic acid
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d Thiamine?
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Answer:

a Folic acid
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,Question:

The client is admitted to the emergency room with shortness of breath,
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anxiety, and tachycardia. His ECG reveals atrial fibrillation with a
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ventricular response rate of 130 beats per minute. The doctor orders
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quinidine sulfate. While he is receiving quinidine, the nurse should
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monitor his ECG for: i,- i,- i,-




a Peaked P wave
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b Elevated ST segment
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c Inverted T wave
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d Prolonged QT interval?
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Answer:
d Prolonged QT interval
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Quinidine can cause widened Q-T intervals and heart block.
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Question:

A 25-year-old client arrives in the emergency room with a possible
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fracture of the right femur. The nurse should anticipate an order for:
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a Bryant's traction
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b Ice to the entire extremity
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c Buck's traction
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d An abduction pillow?
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,Answer:
c Buck's traction
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Question:

Which statement should be included in the teaching session of a client
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scheduled for a renal biopsy? i,- i,- i,- i,-




a "You will be placed in a sitting position for the biopsy."
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b "You may experience a feeling of pressure or discomfort during
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aspiration of the biopsy." i,- i,- i,-




c "You will be asleep during the procedure."
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d "You will not be able to drink fluids for 24 hours following the study."?
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Answer:

b "You may experience a feeling of pressure or discomfort during
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aspiration of the biopsy." i,- i,- i,-




Question:

The client is admitted with chronic obstructive pulmonary disease. Blood
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gases reveal pH 7.36, CO2 45, O2 84, bicarb 28. The nurse would assess
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the client to be in:
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a Uncompensated acidosis
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b Compensated alkalosis
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c Compensated metabolic acidosis
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, d Uncompensated metabolic acidosis?
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Answer:

c Compensated metabolic acidosis
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Question:

A client with ascites is scheduled for a paracentesis. Which instruction
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should be given to the client before the procedure?
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a "You will need to lay flat during the procedure."
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b. "You need to empty your bladder before the procedure."
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c. "You will be asleep during the procedure."
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d. "The doctor will inject a medication during the procedure."?
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Answer:
b. "You need to empty your bladder before the procedure."
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Question:

A client's lab values reveal Hgb 12.6, WBC 6500cu.mm, K+ 1.9, uric acid
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7.0, Na+ 136, and platelets 178,000cu.mm. The nurse evaluates that the
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client is experiencing which of the following?
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Hypernatremia

b Hypokalemia
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Myelosuppression

Leukopenia?
Answer: