NCLEX PN HEALTH EXAM 2026 UPDATED QUESTIONS AND ANSWERS WITH
RATIONALES ASSURED PASS
A nurse is caring for an adolescent client who has spina bifida and is paralyzed from the waist
down. Which of the following statements made by the client indicates a need for further
teaching?
I only need to catheterize myself twice a day
A client with spina bifida commonly has paralysis from the level of the spinal cord defect down.
In most cases, this affects bladder and bowel control. Catheterization should be performed
every 4 to 6 hr, and as needed. Infrequent emptying of the bladder can result in urinary tract
infections.
A nurse is planning care for a child that has severe diarrhea. Which of the following is the
priority nursing action?
Assess fluid balance
The first action the nurse should take using the nursing process is to collect data. Therefore the
first action is to assess fluid balance to determine severity of dehydration
A nurse is planning care for a child who has juvenile rheumatoid arthritis. Which of the
following is an appropriate action for the nurse to take?
Maintain night splints to the affected joint
A nurse is preparing to apply a eutectic mixture of local anesthetics (EMLA) cream prior to
inserting an intravenous catheter on a preschool-age child. Which of the following actions
should the nurse plan to take? (Select all that apply).
, Cover the treated area with a transparent occlusive dressing.
Apply the medication one hour before the procedure begins.
Use a facial pain rating scale to evaluate effectiveness of the treatment.
R: Covering the area with an occlusive dressing increases absorption of the medication and
prevents the inadvertent transfer of the cream to other areas of the body; EMLA cream should
be applied 1 hr prior to procedures; most preschoolers are able to determine the degree of pain
based on facial expressions depicted.
A nurse is planning care for a child who is admitting with mumps. Which of the following is an
appropriate action for the nurse to take?
Initiate droplet precautions
Mumps is a contagious infection transmitted by a large droplet. Therefore initiating droplet
precautions is the appropriate action for the nurse to take
A nurse is caring for a preschool child who has croup. Which of the following findings should the
nurse report to the provider?
Drooling of saliva
Indicate epiglottis which requires immediate medical attention
A nurse is reinforcing instructions with the parent of a toddler about foods that are included on
a clear liquid diet. Which of the following foods suggested by the parent indicates
understanding of the instructions?
gelatin
RATIONALES ASSURED PASS
A nurse is caring for an adolescent client who has spina bifida and is paralyzed from the waist
down. Which of the following statements made by the client indicates a need for further
teaching?
I only need to catheterize myself twice a day
A client with spina bifida commonly has paralysis from the level of the spinal cord defect down.
In most cases, this affects bladder and bowel control. Catheterization should be performed
every 4 to 6 hr, and as needed. Infrequent emptying of the bladder can result in urinary tract
infections.
A nurse is planning care for a child that has severe diarrhea. Which of the following is the
priority nursing action?
Assess fluid balance
The first action the nurse should take using the nursing process is to collect data. Therefore the
first action is to assess fluid balance to determine severity of dehydration
A nurse is planning care for a child who has juvenile rheumatoid arthritis. Which of the
following is an appropriate action for the nurse to take?
Maintain night splints to the affected joint
A nurse is preparing to apply a eutectic mixture of local anesthetics (EMLA) cream prior to
inserting an intravenous catheter on a preschool-age child. Which of the following actions
should the nurse plan to take? (Select all that apply).
, Cover the treated area with a transparent occlusive dressing.
Apply the medication one hour before the procedure begins.
Use a facial pain rating scale to evaluate effectiveness of the treatment.
R: Covering the area with an occlusive dressing increases absorption of the medication and
prevents the inadvertent transfer of the cream to other areas of the body; EMLA cream should
be applied 1 hr prior to procedures; most preschoolers are able to determine the degree of pain
based on facial expressions depicted.
A nurse is planning care for a child who is admitting with mumps. Which of the following is an
appropriate action for the nurse to take?
Initiate droplet precautions
Mumps is a contagious infection transmitted by a large droplet. Therefore initiating droplet
precautions is the appropriate action for the nurse to take
A nurse is caring for a preschool child who has croup. Which of the following findings should the
nurse report to the provider?
Drooling of saliva
Indicate epiglottis which requires immediate medical attention
A nurse is reinforcing instructions with the parent of a toddler about foods that are included on
a clear liquid diet. Which of the following foods suggested by the parent indicates
understanding of the instructions?
gelatin
