NCLEX-RN PRACTICE EXAM 12026: COMPREHENSIVE
CLINICAL JUDGMENT & HEALTH EQUITY Q&A A+
GUIDE
A client has had diarrhea for the past three days. Which acid/base imbalance would the
nurse expect the client to have?
Respiratory alkalosis
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
b Metabolic acidosis
The registered nurse is assigning staff for four clients on the 3-11 shift. Which client should
be assigned to the LPN?
A client with a diagnosis of adult respiratory distress syndrome (ARDS) who was transferred
from the critical care unit at 1400
A one-hour post-operative colon resection
A client with pneumonia expecting discharge in the morning
A client with cirrhosis of the liver experiencing bleeding from esophageal varices
c A client with pneumonia expecting discharge in the morning
A client with hyperthyroidism is taking Eskalith (lithium carbonate) to inhibit thyroid
hormone release. Which complaint by the client should alert the nurse to a problem with
the client's medication?
The client complains of blurred vision.
,The client complains of increased thirst and increased urination.
The client complains of increased weight gain over the past year.
The client complains of rhinorrhea.
b The client complains of increased thirst and increased urination.
After several hospitalizations for respiratory ailments, a six-month-old has been diagnosed
as having HIV. The infant's respiratory ailments were most likely due to:
Pneumocystis jiroveci
Cytomegalovirus
Cryptosporidiosis
Herpes simplex
a Pneumocystis jiroveci
A client has recently been diagnosed with primary open-angle glaucoma. The nurse should
tell the client to avoid taking:
Aleve (naprosyn)
Benadryl (diphenhydramine)
Tylenol (acetaminophen)
Robitussin (guaifenesin)
b Benadryl (diphenhydramine)
Antihistamines shouldn't be used by client w/open-angle glaucoma they dilate pupil &
prevent outflow of aqueous humor.
,The nurse is caring for a client with epilepsy who is being treated with carbamazepine
(Tegretol). Which laboratory value might indicate a serious side effect of this drug?
BUN 10mg/dL
Hemoglobin 13.0gm/dL
WBC 4,000/mm3
Platelets 200,000/mm3
c WBC 4,000/mm3
can cause bone marrow depression & cause problems with the liver=raise the BUN
A nurse is caring for a client in the critical care unit who is complaining of chest pain.
Nursing assessment reveals a BP of 78/40, shortness of breath, and third-degree AV block
on the heart monitor. What is the most appropriate initial action?
Provide trancutaneous pacing.
Turn the client on his side.
Reassess the blood pressure.
Consult with cardiology.
a Provide trancutaneous pacing.
most appropriate initial action for heart block
A client with sickle cell disease is admitted in active labor. Which nursing intervention
would be most helpful in preventing a sickling crisis?
Obtaining blood pressures every two hours
Administering pain medication every three hours as ordered
, Monitoring arterial blood gas results
Administering IV fluids at ordered rate of 200mL/hr
d Administering IV fluids at ordered rate of 200mL/hr
prevent slowing of blood flow and occlusion
The intensive care unit is full and the emergency room just called in a report on a ventilator-
dependent client who is being admitted to the medical surgical unit. It would be essential
that the nurse have which piece of equipment at the client's bedside?
Cardiac monitor
Intravenous controller
Manual resuscitator
Oxygen by nasal cannula
c Manual resuscitator
A two-year-old is hospitalized with suspected intussusception. Which finding is associated
with intussusception?
"Currant jelly" stools
Projectile vomiting
"Ribbonlike" stools
Palpable mass over the flank
a "Currant jelly" stools
CLINICAL JUDGMENT & HEALTH EQUITY Q&A A+
GUIDE
A client has had diarrhea for the past three days. Which acid/base imbalance would the
nurse expect the client to have?
Respiratory alkalosis
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
b Metabolic acidosis
The registered nurse is assigning staff for four clients on the 3-11 shift. Which client should
be assigned to the LPN?
A client with a diagnosis of adult respiratory distress syndrome (ARDS) who was transferred
from the critical care unit at 1400
A one-hour post-operative colon resection
A client with pneumonia expecting discharge in the morning
A client with cirrhosis of the liver experiencing bleeding from esophageal varices
c A client with pneumonia expecting discharge in the morning
A client with hyperthyroidism is taking Eskalith (lithium carbonate) to inhibit thyroid
hormone release. Which complaint by the client should alert the nurse to a problem with
the client's medication?
The client complains of blurred vision.
,The client complains of increased thirst and increased urination.
The client complains of increased weight gain over the past year.
The client complains of rhinorrhea.
b The client complains of increased thirst and increased urination.
After several hospitalizations for respiratory ailments, a six-month-old has been diagnosed
as having HIV. The infant's respiratory ailments were most likely due to:
Pneumocystis jiroveci
Cytomegalovirus
Cryptosporidiosis
Herpes simplex
a Pneumocystis jiroveci
A client has recently been diagnosed with primary open-angle glaucoma. The nurse should
tell the client to avoid taking:
Aleve (naprosyn)
Benadryl (diphenhydramine)
Tylenol (acetaminophen)
Robitussin (guaifenesin)
b Benadryl (diphenhydramine)
Antihistamines shouldn't be used by client w/open-angle glaucoma they dilate pupil &
prevent outflow of aqueous humor.
,The nurse is caring for a client with epilepsy who is being treated with carbamazepine
(Tegretol). Which laboratory value might indicate a serious side effect of this drug?
BUN 10mg/dL
Hemoglobin 13.0gm/dL
WBC 4,000/mm3
Platelets 200,000/mm3
c WBC 4,000/mm3
can cause bone marrow depression & cause problems with the liver=raise the BUN
A nurse is caring for a client in the critical care unit who is complaining of chest pain.
Nursing assessment reveals a BP of 78/40, shortness of breath, and third-degree AV block
on the heart monitor. What is the most appropriate initial action?
Provide trancutaneous pacing.
Turn the client on his side.
Reassess the blood pressure.
Consult with cardiology.
a Provide trancutaneous pacing.
most appropriate initial action for heart block
A client with sickle cell disease is admitted in active labor. Which nursing intervention
would be most helpful in preventing a sickling crisis?
Obtaining blood pressures every two hours
Administering pain medication every three hours as ordered
, Monitoring arterial blood gas results
Administering IV fluids at ordered rate of 200mL/hr
d Administering IV fluids at ordered rate of 200mL/hr
prevent slowing of blood flow and occlusion
The intensive care unit is full and the emergency room just called in a report on a ventilator-
dependent client who is being admitted to the medical surgical unit. It would be essential
that the nurse have which piece of equipment at the client's bedside?
Cardiac monitor
Intravenous controller
Manual resuscitator
Oxygen by nasal cannula
c Manual resuscitator
A two-year-old is hospitalized with suspected intussusception. Which finding is associated
with intussusception?
"Currant jelly" stools
Projectile vomiting
"Ribbonlike" stools
Palpable mass over the flank
a "Currant jelly" stools
