NCSBN NCLEX RN EXAM
2026 NCSBN NCLEX RN EXAM 1 TEST
BANK With Questions And Answers
Actual Exam New Complete V erified
Questions And Correct Detailed
Answers With Rationales | Already
Graded A+
A male client underwent a hernia repair in an outpatient surgery clinic. He is awake and alert,
but has not been able to void since he returned from surgery six hours ago. He received 1000
mL of intravenous (IV) fluids. Which action should the nurse implement to help this client
urinate?
1Have the client drink several glasses of water.
2Insert a urinary catheter.
3Assist the client to stand to void.
A+ TEST BANK 1
, NCSBN NCLEX RN EXAM
4Obtain a bladder ultrasound. –
Correct Answer :3
The nurse is caring for a client who had a closed reduction of a fractured right wrist, followed
by the application of a cast about 12 hours ago. Which finding requires the nurse's immediate
attention?
1Serum calcium level of 6.8 mg/dL
2Numbness in the right hand
3Reported pain level of six on a numeric pain scale
4Edema and swelling of the right hand - Correct Answer :2
A nurse is caring for a client who had a cholecystectomy with common bile duct exploration
and placement of a T-tube 24 hours ago. The nurse observes large amounts of bilious
drainage from the T-tube. Which action should the nurse take?
1Administer pain medication.
2Clamp the T-tube for two hours.
3Continue to monitor the drainage.
4Lower the head of the bed. –
Correct Answer :3
A client is admitted to the hospital with endocarditis. The nurse understands that which risk
factors can lead to the development of endocarditis? (Select all that apply.) - Correct Answer
:Oral abscess with tooth extraction
History of aortic valve replacement
Placement of an arteriovenous fistula for hemodialysis
Placement of a central venous access device
A+ TEST BANK 2
, NCSBN NCLEX RN EXAM
The nurse is reviewing the chart of a client who was recently diagnosed with coronary artery
disease due to atherosclerosis. Which factors most likely contributed to the development of
this disease? (Select all that apply.) - Correct Answer :Mother died of a myocardial infarction
Low-density lipoprotein (LDL) level of 149 mg/dL
History of diabetes mellitus
Used to smoke 40 packs per year until one year ago
The target LDL level for a client is less than 100 mg/dL.
The nurse is evaluating a client who was admitted for a small bowel obstruction and
dehydration. Which observation by the nurse would indicate that the dehydration is
improving?
1The client has normoactive bowel sounds.
2The client voided 300 mL of urine in the past two hours.
3The client denies any nausea or vomiting.
4The client reports the passing of flatus.
- Correct Answer :2
A client is admitted to the telemetry unit with syncope due to sinus bradycardia. Which
intervention should the nurse include in the client's plan of care?
1Maintain the client on bedrest.
2Administer a stool softener daily.
3Implement seizure precautions.
4Discuss the client's wishes for organ donation.
- Correct Answer :
A+ TEST BANK 3
, NCSBN NCLEX RN EXAM
A client is admitted to the telemetry unit with syncope due to sinus bradycardia. Which
intervention should the nurse include in the client's plan of care?
1Maintain the client on bedrest.
2Administer a stool softener daily.
3Implement seizure precautions.
4Discuss the client's wishes for organ donation. –
Correct Answer :2
To avoid a vasovagal response (i.e., the slowing of the heart rate caused by bearing down
when trying to defecate) and the risk for another syncopal episode, it is important to ensure
that the client's bowel movements are soft and easily expelled. The client should also be
instructed to avoid holding their breath or bearing down (Valsalva maneuver).
A client diagnosed with iron deficiency anemia is prescribed ferrous sulfate suspension orally.
Which instruction would be most appropriate for the nurse to give to the client regarding this
medication?
1"You should use a straw when taking this medication."
2'Taking this medication will turn your urine dark orange in color."
3"Diarrhea is a common side effect when taking this medication."
4"You should take the medication with food to enhance absorption." –
Correct Answer :1
Because liquid iron can stain the teeth, the most appropriate instruction is to use a straw
The nurse is caring for a client with severe iron deficiency anemia. Which interventions should
the nurse include in the client's plan of care? (Select all that apply.) - Correct Answer :Instruct
assistive personnel to allow the client to rest during care activities.
A+ TEST BANK 4
2026 NCSBN NCLEX RN EXAM 1 TEST
BANK With Questions And Answers
Actual Exam New Complete V erified
Questions And Correct Detailed
Answers With Rationales | Already
Graded A+
A male client underwent a hernia repair in an outpatient surgery clinic. He is awake and alert,
but has not been able to void since he returned from surgery six hours ago. He received 1000
mL of intravenous (IV) fluids. Which action should the nurse implement to help this client
urinate?
1Have the client drink several glasses of water.
2Insert a urinary catheter.
3Assist the client to stand to void.
A+ TEST BANK 1
, NCSBN NCLEX RN EXAM
4Obtain a bladder ultrasound. –
Correct Answer :3
The nurse is caring for a client who had a closed reduction of a fractured right wrist, followed
by the application of a cast about 12 hours ago. Which finding requires the nurse's immediate
attention?
1Serum calcium level of 6.8 mg/dL
2Numbness in the right hand
3Reported pain level of six on a numeric pain scale
4Edema and swelling of the right hand - Correct Answer :2
A nurse is caring for a client who had a cholecystectomy with common bile duct exploration
and placement of a T-tube 24 hours ago. The nurse observes large amounts of bilious
drainage from the T-tube. Which action should the nurse take?
1Administer pain medication.
2Clamp the T-tube for two hours.
3Continue to monitor the drainage.
4Lower the head of the bed. –
Correct Answer :3
A client is admitted to the hospital with endocarditis. The nurse understands that which risk
factors can lead to the development of endocarditis? (Select all that apply.) - Correct Answer
:Oral abscess with tooth extraction
History of aortic valve replacement
Placement of an arteriovenous fistula for hemodialysis
Placement of a central venous access device
A+ TEST BANK 2
, NCSBN NCLEX RN EXAM
The nurse is reviewing the chart of a client who was recently diagnosed with coronary artery
disease due to atherosclerosis. Which factors most likely contributed to the development of
this disease? (Select all that apply.) - Correct Answer :Mother died of a myocardial infarction
Low-density lipoprotein (LDL) level of 149 mg/dL
History of diabetes mellitus
Used to smoke 40 packs per year until one year ago
The target LDL level for a client is less than 100 mg/dL.
The nurse is evaluating a client who was admitted for a small bowel obstruction and
dehydration. Which observation by the nurse would indicate that the dehydration is
improving?
1The client has normoactive bowel sounds.
2The client voided 300 mL of urine in the past two hours.
3The client denies any nausea or vomiting.
4The client reports the passing of flatus.
- Correct Answer :2
A client is admitted to the telemetry unit with syncope due to sinus bradycardia. Which
intervention should the nurse include in the client's plan of care?
1Maintain the client on bedrest.
2Administer a stool softener daily.
3Implement seizure precautions.
4Discuss the client's wishes for organ donation.
- Correct Answer :
A+ TEST BANK 3
, NCSBN NCLEX RN EXAM
A client is admitted to the telemetry unit with syncope due to sinus bradycardia. Which
intervention should the nurse include in the client's plan of care?
1Maintain the client on bedrest.
2Administer a stool softener daily.
3Implement seizure precautions.
4Discuss the client's wishes for organ donation. –
Correct Answer :2
To avoid a vasovagal response (i.e., the slowing of the heart rate caused by bearing down
when trying to defecate) and the risk for another syncopal episode, it is important to ensure
that the client's bowel movements are soft and easily expelled. The client should also be
instructed to avoid holding their breath or bearing down (Valsalva maneuver).
A client diagnosed with iron deficiency anemia is prescribed ferrous sulfate suspension orally.
Which instruction would be most appropriate for the nurse to give to the client regarding this
medication?
1"You should use a straw when taking this medication."
2'Taking this medication will turn your urine dark orange in color."
3"Diarrhea is a common side effect when taking this medication."
4"You should take the medication with food to enhance absorption." –
Correct Answer :1
Because liquid iron can stain the teeth, the most appropriate instruction is to use a straw
The nurse is caring for a client with severe iron deficiency anemia. Which interventions should
the nurse include in the client's plan of care? (Select all that apply.) - Correct Answer :Instruct
assistive personnel to allow the client to rest during care activities.
A+ TEST BANK 4
