EXAM QUESTIONS AND ANSWERS |
NCLEX STYLE NURSING STUDY GUIDE
2026 | GRADED A+ | GUARANTEED
SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
,A nurse is reviewing he laboratory results of a client who d. Potassium 5.2 mEq/L - Hyperkalemia (serum potassium level greater than 5.0
has a prescription for sodium polystyrene sulfonate mEq/L) increases the client risk for fatal cardiac dysrhythmias. Kayexalate is used
(Kayexalate) every 6 hr. which of the following should the to decrease the serum potassium level so the PN should monitor the client's
nurse report to the provider? serum potassium level
a. Creatinine 0.72 mg/dL
b. Sodium 138 mEq/L
c. Magnesium 2 mEq/L
d. Potassium 5.2 mEq/L
A nurse is caring for a client who has tuberculosis and is a. The client has a negative sputum culture
taking isoniazid and rifampin. Which of the following
outcomes indicates that the client is adhering to the
medication regimen?
a. The client has a negative sputum culture
b. The client tests negative for HIV
c. The client has a positive purified protein derivative test
d. The client's liver function test results are within the
expected reference range
A client is caring for a client who develops an d. Administer epinephrine IM
anaphylactic reaction to IV administration. After assessing
the client's respiratory status and stopping the
medication infusion. Which of the following actions
should the nurse take next?
a. Replace the infusion with 0.9% sodium chloride
b. Give diphenhydramine IM
c. Elevate the client's legs and feet
d. Administer epinephrine IM
A nurse is caring for a client who is taking sertraline and a. St. John's Wort
reports a desire to begin taking supplements. Which of
the following supplements should the nurse advise the
client to avoid?
a. St. John's Wort
b. Ginger root
c. Black cohosh
d. Coenzyme Q10
A nurse is caring for a client who has heart failure and a d. Hypotension
new prescription for lisinopril. For which of the following
adverse effects should the nurse monitor when
administering lisinopril?
a. Bradycardia
b. Hypokalemia
c. Tinnitus
d. Hypotension
, A nurse is assessing a client who is receiving heparin IV d. Increased blood pressure
continuous IV. The client has an PPT of 90 seconds. They
should monitor the client for which of the following
changes in their vital signs?
a. Decreased temperature
b. Increased pulse rate
c. Decreased respiratory rate
d. Increased blood pressure
A nurse is preparing to administer medication to a client b. The nurse who identifies the error
and discovers a medication error. The nurse should
recognize that which of the following staff members is
responsible for completing an incident report?
a. The quality improvement committee
b. The nurse who identifies the error
c. The nurse who caused the error
d. The charge nurse
A nurse is planning care for a client who is receiving a. Pruritus - Sign of allergic reaction to morphine
morphine via continuous epidural infusion. The nurse
should monitor the client for which of the following?
a. Pruritus
b. Cough
c. Tachypnea
d. Gastric bleeding
A nurse is preparing to administer digoxin orally to a a. Obtain the client's apical heart rate
client. Identify the sequence of steps the nurse should b. Remove the medication from the dispensing system
take. (Move the steps into the box on the right placing c. Open the medication package
them in the order of performance. Use all the steps.) d. Compare the client's wristband to the medication administration record
e. Document administration of the medication
A nurse is reviewing the medical record of an adult client a. Alcohol use disorder
who has a fever and a prescription for acetaminophen.
Which of the following findings should the nurse identify b. Chronic kidney disease
as a contraindication for receiving this medication?
a. Alcohol use disorder
b. Chronic kidney disease
c. Hepatitis B vaccine within the last week
d. Diabetes mellitus