NCLEX EXAM ga ga
Exam Solution ga
NCLEX RN Test 1 for 2026 A+ GRADE ASSURED COMPLE ga ga ga ga ga ga ga ga ga
TE SOLUTIONS AND VERIFIED ANSWERS (C005E)
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QUESTION 1 ga
A client with ascites is scheduled for a paracentesis. Which instruction should be given t
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o the client before the procedure? 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."
ga ga ga ga ga ga ga ga ga
QUESTION 2 ga
A client's lab values reveal Hgb 12.6, WBC 6500cu.mm, K+ 1.9, uric acid 7.0, Na+ 136, an
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d platelets 178,000cu.mm. The nurse evaluates that the client is experiencing which of t
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he following? Hypernatremia b Hypokalemia Myelosuppression Leukopenia
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ANSWER
b Hypokalemia
ga
QUESTION 3 ga
Due to a high census, it has been necessary for a number of clients to be transferred to o
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ther units within the hospital. Which client should be transferred to the postpartum unit
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? a A 66-year-old female with gastroenteritis b A 40-year-
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old female with a hysterectomy c A 27-year-old male with severe depression d A 28-
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year-old male with ulcerative colitis ga ga ga ga
ANSWER
b A 40-year-old female with a hysterectomy
ga ga ga ga ga ga
,QUESTION 4 ga
Before administering Theo- ga ga
Dur (theophylline), the nurse should check the patient's: a output b Blood pressure c Pu
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
lse d Temperature
ga ga
ANSWER
c Pulse
ga
QUESTION 5 ga
Which statement is true regarding therapy with Levemir (insulin detemir)? a The onset
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is 1-2 hours. b It may be mixed with regular insulin. c It peaks in 2-
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3 hours. d The duration is 24 hours.
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ANSWER
d The duration is 24 hours.
ga ga ga ga ga
QUESTION 6 ga
Which client should be assigned to the nursing assistant? a The 18-year-
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old with a fracture to two cervical vertebrae b The infant with meningitis with a temper
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ature of 101°F c The elderly client with a thyroidectomy four days ago d The client with
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a thoracotomy two days ago
ga ga ga ga
ANSWER
c The elderly client with a thyroidectomy four days ago
ga ga ga ga ga ga ga ga ga
QUESTION 7 ga
The physician has ordered the Schilling test for a patient with suspected pernicious ane
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mia. What other vitamin level is often assessed at the same time as the B12 level? a Foli
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c acid b Pyridoxine c Ascorbic acid d Thiamine
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ANSWER
a Folic acid
ga ga
QUESTION 8 ga
The client is admitted to the emergency room with shortness of breath, anxiety, and tac
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hycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130 beats
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per minute. The doctor orders quinidine sulfate. While he is receiving quinidine, the nu
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rse should monitor his ECG for: a Peaked P wave b Elevated ST segment c Inverted T wa
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ve d Prolonged QT interval
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,ANSWER
d Prolonged QT interval Quinidine can cause widened Q-T intervals and heart block.
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QUESTION 9 ga
A 25-year-
ga
old client arrives in the emergency room with a possible fracture of the right femur. The
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nurse should anticipate an order for: a Bryant's traction b Ice to the entire extremity c B
a ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
uck's traction d An abduction pillow
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ANSWER
c Buck's traction
ga ga
QUESTION 10 ga
Which statement should be included in the teaching session of a client scheduled for a r
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enal biopsy? a "You will be placed in a sitting position for the biopsy." b "You may exper
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ience a feeling of pressure or discomfort during aspiration of the biopsy." c "You will be
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asleep during the procedure." d "You will not be able to drink fluids for 24 hours followi
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ng the study."ga ga
ANSWER
b "You may experience a feeling of pressure or discomfort during aspiration of the biopsy."
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
QUESTION 11 ga
The client is admitted with chronic obstructive pulmonary disease. Blood gases reveal p
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H 7.36, CO2 45, O2 84, bicarb 28. The nurse would assess the client to be in: a Uncompe
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nsated acidosis b Compensated alkalosis c Compensated metabolic acidosis d Uncompen
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sated metabolic acidosis ga ga
ANSWER
c Compensated metabolic acidosis
ga ga ga
QUESTION 12 ga
Before administering intravenous chemotherapy to the patient being treated, the nurse
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should: a Administer a bolus of IV fluid. b Administer pain medication. c Administer an a
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ntiemetic. d Allow the patient a chance to eat. ga ga ga ga ga ga ga ga
ANSWER
c Administer an antiemetic.
ga ga ga
, QUESTION 13 ga
Which one of the following statements is correct when measuring the client for crutches
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? a A distance of five fingerbreadths should exist between the top of the crutch and the a
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xilla. b The nurse should measure three inches between the top of the crutch and the axi
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lla. c The client's elbows should be flexed at a 10°angle. d The crutches should be extend
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ed 8 to 10 inches from the side of the foot.
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ANSWER
b The nurse should measure three inches between the top of the crutch and the axilla.
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QUESTION 14 ga
A patient of Greek descent has been prescribed Bactrim (sulfamethoxazole-
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trimethoprim) for treatment of a urinary tract infection. Before beginning the medicatio
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n, the patient should be assessed for which of the following disorders? a G6PD deficienc
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y b β-thalassemia c Sickle cell anemia d Von Willebrand disease
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ANSWER
a G6PD deficiency
ga ga
QUESTION 15 ga
The physician has ordered Coumadin (sodium warfarin) for a client with thrombophlebi
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tis. The order should be entered to administer the medication at: a 0900 b 1200 c 1700
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d 2100
ga
ANSWER
c 1700
ga
QUESTION 16 ga
use the link below to get the three test banks or email fo
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r discounted price http://www.stuvia.com/bundle/556262 Note our prediction Exams c
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ontains 97% of the questions you will find in your exam, which makes as give you 100%
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga g
assurance you will pass in your Exam.
a ga ga ga ga ga ga
ANSWER
http://www.stuvia.com/bundle/556262
QUESTION 17 ga
Exam Solution ga
NCLEX RN Test 1 for 2026 A+ GRADE ASSURED COMPLE ga ga ga ga ga ga ga ga ga
TE SOLUTIONS AND VERIFIED ANSWERS (C005E)
ga ga ga ga ga
QUESTION 1 ga
A client with ascites is scheduled for a paracentesis. Which instruction should be given t
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
o the client before the procedure? a "You will need to lay flat during the procedure."
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
b. "You need to empty your bladder before the procedure."
ga ga ga ga ga ga ga ga ga
c. "You will be asleep during the procedure."
ga ga ga ga ga ga ga
d. "The doctor will inject a medication during the procedure."
ga ga ga ga ga ga ga ga ga
ANSWER
b. "You need to empty your bladder before the procedure."
ga ga ga ga ga ga ga ga ga
QUESTION 2 ga
A client's lab values reveal Hgb 12.6, WBC 6500cu.mm, K+ 1.9, uric acid 7.0, Na+ 136, an
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
d platelets 178,000cu.mm. The nurse evaluates that the client is experiencing which of t
ga ga ga ga ga ga ga ga ga ga ga ga ga
he following? Hypernatremia b Hypokalemia Myelosuppression Leukopenia
ga ga ga ga ga ga
ANSWER
b Hypokalemia
ga
QUESTION 3 ga
Due to a high census, it has been necessary for a number of clients to be transferred to o
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ther units within the hospital. Which client should be transferred to the postpartum unit
ga ga ga ga ga ga ga ga ga ga ga ga ga
? a A 66-year-old female with gastroenteritis b A 40-year-
ga ga ga ga ga ga ga ga ga
old female with a hysterectomy c A 27-year-old male with severe depression d A 28-
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
year-old male with ulcerative colitis ga ga ga ga
ANSWER
b A 40-year-old female with a hysterectomy
ga ga ga ga ga ga
,QUESTION 4 ga
Before administering Theo- ga ga
Dur (theophylline), the nurse should check the patient's: a output b Blood pressure c Pu
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
lse d Temperature
ga ga
ANSWER
c Pulse
ga
QUESTION 5 ga
Which statement is true regarding therapy with Levemir (insulin detemir)? a The onset
ga ga ga ga ga ga ga ga ga ga ga ga ga
is 1-2 hours. b It may be mixed with regular insulin. c It peaks in 2-
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
3 hours. d The duration is 24 hours.
ga ga ga ga ga ga ga
ANSWER
d The duration is 24 hours.
ga ga ga ga ga
QUESTION 6 ga
Which client should be assigned to the nursing assistant? a The 18-year-
ga ga ga ga ga ga ga ga ga ga ga
old with a fracture to two cervical vertebrae b The infant with meningitis with a temper
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ature of 101°F c The elderly client with a thyroidectomy four days ago d The client with
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
a thoracotomy two days ago
ga ga ga ga
ANSWER
c The elderly client with a thyroidectomy four days ago
ga ga ga ga ga ga ga ga ga
QUESTION 7 ga
The physician has ordered the Schilling test for a patient with suspected pernicious ane
ga ga ga ga ga ga ga ga ga ga ga ga ga
mia. What other vitamin level is often assessed at the same time as the B12 level? a Foli
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
c acid b Pyridoxine c Ascorbic acid d Thiamine
ga ga ga ga ga ga ga ga
ANSWER
a Folic acid
ga ga
QUESTION 8 ga
The client is admitted to the emergency room with shortness of breath, anxiety, and tac
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
hycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130 beats
ga ga ga ga ga ga ga ga ga ga ga ga ga g
per minute. The doctor orders quinidine sulfate. While he is receiving quinidine, the nu
a ga ga ga ga ga ga ga ga ga ga ga ga ga
rse should monitor his ECG for: a Peaked P wave b Elevated ST segment c Inverted T wa
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ve d Prolonged QT interval
ga ga ga ga
,ANSWER
d Prolonged QT interval Quinidine can cause widened Q-T intervals and heart block.
ga ga ga ga ga ga ga ga ga ga ga ga
QUESTION 9 ga
A 25-year-
ga
old client arrives in the emergency room with a possible fracture of the right femur. The
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga g
nurse should anticipate an order for: a Bryant's traction b Ice to the entire extremity c B
a ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
uck's traction d An abduction pillow
ga ga ga ga ga
ANSWER
c Buck's traction
ga ga
QUESTION 10 ga
Which statement should be included in the teaching session of a client scheduled for a r
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
enal biopsy? a "You will be placed in a sitting position for the biopsy." b "You may exper
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ience a feeling of pressure or discomfort during aspiration of the biopsy." c "You will be
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
asleep during the procedure." d "You will not be able to drink fluids for 24 hours followi
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ng the study."ga ga
ANSWER
b "You may experience a feeling of pressure or discomfort during aspiration of the biopsy."
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
QUESTION 11 ga
The client is admitted with chronic obstructive pulmonary disease. Blood gases reveal p
ga ga ga ga ga ga ga ga ga ga ga ga
H 7.36, CO2 45, O2 84, bicarb 28. The nurse would assess the client to be in: a Uncompe
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
nsated acidosis b Compensated alkalosis c Compensated metabolic acidosis d Uncompen
ga ga ga ga ga ga ga ga ga ga
sated metabolic acidosis ga ga
ANSWER
c Compensated metabolic acidosis
ga ga ga
QUESTION 12 ga
Before administering intravenous chemotherapy to the patient being treated, the nurse
ga ga ga ga ga ga ga ga ga ga ga
should: a Administer a bolus of IV fluid. b Administer pain medication. c Administer an a
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ntiemetic. d Allow the patient a chance to eat. ga ga ga ga ga ga ga ga
ANSWER
c Administer an antiemetic.
ga ga ga
, QUESTION 13 ga
Which one of the following statements is correct when measuring the client for crutches
ga ga ga ga ga ga ga ga ga ga ga ga ga
? a A distance of five fingerbreadths should exist between the top of the crutch and the a
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
xilla. b The nurse should measure three inches between the top of the crutch and the axi
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
lla. c The client's elbows should be flexed at a 10°angle. d The crutches should be extend
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ed 8 to 10 inches from the side of the foot.
ga ga ga ga ga ga ga ga ga ga
ANSWER
b The nurse should measure three inches between the top of the crutch and the axilla.
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
QUESTION 14 ga
A patient of Greek descent has been prescribed Bactrim (sulfamethoxazole-
ga ga ga ga ga ga ga ga ga
trimethoprim) for treatment of a urinary tract infection. Before beginning the medicatio
ga ga ga ga ga ga ga ga ga ga ga
n, the patient should be assessed for which of the following disorders? a G6PD deficienc
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
y b β-thalassemia c Sickle cell anemia d Von Willebrand disease
ga ga ga ga ga ga ga ga ga ga
ANSWER
a G6PD deficiency
ga ga
QUESTION 15 ga
The physician has ordered Coumadin (sodium warfarin) for a client with thrombophlebi
ga ga ga ga ga ga ga ga ga ga ga
tis. The order should be entered to administer the medication at: a 0900 b 1200 c 1700
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
d 2100
ga
ANSWER
c 1700
ga
QUESTION 16 ga
use the link below to get the three test banks or email fo
ga ga ga ga ga ga ga ga ga ga ga ga ga
r discounted price http://www.stuvia.com/bundle/556262 Note our prediction Exams c
ga ga ga ga ga ga ga ga
ontains 97% of the questions you will find in your exam, which makes as give you 100%
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga g
assurance you will pass in your Exam.
a ga ga ga ga ga ga
ANSWER
http://www.stuvia.com/bundle/556262
QUESTION 17 ga
