NCLEX-RN Test 1 2026/2027 | Most Tested Questions & Verified
Answers | Latest Update | Graded A+
1. Which vitamin is commonly measured alongside B12 when diagnosing
pernicious anemia?
Ascorbic acid
Folic acid
Thiamine
Pyridoxine
2. A patient post-hemorrhoidectomy reports discomfort during bowel
movements. What nursing intervention should be prioritized?
Suggest increasing fluid intake without dietary changes.
Encourage the use of a sitz bath after each bowel movement.
Recommend daily laxatives regardless of bowel movement regularity.
Advise the patient to avoid all fiber until discomfort subsides.
3. A patient with xerostomia is experiencing severe discomfort during meals.
What should the nurse prioritize in their care plan?
Implementing strategies to increase saliva production and
hydration.
Limiting the patient's fluid intake during meals.
Administering a sedative to reduce anxiety.
Encouraging the patient to eat dry foods.
4. What should the nurse communicate to the wife regarding her wishes about
organ donation?
, Explain that it is necessary for her to donate her husband's organs
because he signed the permit.
Tell her that because her husband signed a donor card, the hospital
has the right to take the organs upon the death of her husband.
Tell the wife that the hospital will honor her wishes regarding organ
donation, but contact the organ-retrieval staff.
Refrain from talking about the subject until after the death of her
husband.
5. What sensation might a client expect to feel during a renal biopsy?
Pain and nausea
Dizziness and fatigue
Euphoria and relaxation
Pressure or discomfort
6. What is a common oral manifestation associated with pernicious anemia?
Pallor
Glossitis
Fatigue
Weight loss
7. The nurse caring for a client who has had abdominal aortic aneurysm (AAA)
repair would be most alarmed by which finding?
Blood pressure of 106/58
Absent bowel sounds
+3 pedal pulses
, Urine output of 20 mL over 2 hours
8. A 42-year-old African American male is admitted to the hospital with heme
positive urine and anemia. He recently completed a course of
trimethoprim/sulfamethoxazole for a urinary tract infection. What is the most
likely cause of these findings?
Glucose-6-phophate dehydrogenase deficiency
Sickle cell anemia
Thalassemia
Idiopathic thrombocytopenic purpura
Factor VIII disorder
9. A client is declared brain dead after a motor vehicles accident. The client is an
organ donor but the spouse refuses to donate his organs, after speaking with
the Organ Donation nurse. The organ donation should:
Respect the spouses wishes.
Remind the spouse that she is not following her husband's wishes.
Report the problem to the nursing supervisor
Call the physician to come and speak with spouse.
10. What is the recommended post-operative care for a patient recovering from
a hemorrhoidectomy?
Continue to apply ice packs.
Use a sitz bath after each bowel movement.
Avoid a high-fiber diet.
Take a laxative daily to prevent constipation.
, 11. Why is a fresh peach considered a suitable snack for a client with
glomerulonephritis on a low-sodium diet?
A fresh peach contains high protein which is beneficial for kidney
function.
A fresh peach is a dairy product that aids in calcium intake.
A fresh peach is low in sodium and provides essential nutrients
without adding excess salt.
A fresh peach is high in sodium, which helps in fluid retention.
12. Why is it appropriate for a nursing assistant to care for a client with
Alzheimer's disease rather than clients with more complex medical
conditions?
A client with cirrhosis requires specialized medical interventions
beyond a nursing assistant's scope.
A client with Alzheimer's disease requires basic care and
supervision, which is suitable for a nursing assistant.
A client with pneumonia needs advanced respiratory care that only
an RN can provide.
A client with thrombophlebitis needs constant monitoring that only an
LPN can provide.
13. A nurse has been ordered to set up Buck's traction on a patient's lower
extremity due to a femur fracture. Which of the following applies to Buck's
traction?
The line of pull is straight
A weight greater than 10 lbs. should be used.
The line of pull is upward at an angle.
Answers | Latest Update | Graded A+
1. Which vitamin is commonly measured alongside B12 when diagnosing
pernicious anemia?
Ascorbic acid
Folic acid
Thiamine
Pyridoxine
2. A patient post-hemorrhoidectomy reports discomfort during bowel
movements. What nursing intervention should be prioritized?
Suggest increasing fluid intake without dietary changes.
Encourage the use of a sitz bath after each bowel movement.
Recommend daily laxatives regardless of bowel movement regularity.
Advise the patient to avoid all fiber until discomfort subsides.
3. A patient with xerostomia is experiencing severe discomfort during meals.
What should the nurse prioritize in their care plan?
Implementing strategies to increase saliva production and
hydration.
Limiting the patient's fluid intake during meals.
Administering a sedative to reduce anxiety.
Encouraging the patient to eat dry foods.
4. What should the nurse communicate to the wife regarding her wishes about
organ donation?
, Explain that it is necessary for her to donate her husband's organs
because he signed the permit.
Tell her that because her husband signed a donor card, the hospital
has the right to take the organs upon the death of her husband.
Tell the wife that the hospital will honor her wishes regarding organ
donation, but contact the organ-retrieval staff.
Refrain from talking about the subject until after the death of her
husband.
5. What sensation might a client expect to feel during a renal biopsy?
Pain and nausea
Dizziness and fatigue
Euphoria and relaxation
Pressure or discomfort
6. What is a common oral manifestation associated with pernicious anemia?
Pallor
Glossitis
Fatigue
Weight loss
7. The nurse caring for a client who has had abdominal aortic aneurysm (AAA)
repair would be most alarmed by which finding?
Blood pressure of 106/58
Absent bowel sounds
+3 pedal pulses
, Urine output of 20 mL over 2 hours
8. A 42-year-old African American male is admitted to the hospital with heme
positive urine and anemia. He recently completed a course of
trimethoprim/sulfamethoxazole for a urinary tract infection. What is the most
likely cause of these findings?
Glucose-6-phophate dehydrogenase deficiency
Sickle cell anemia
Thalassemia
Idiopathic thrombocytopenic purpura
Factor VIII disorder
9. A client is declared brain dead after a motor vehicles accident. The client is an
organ donor but the spouse refuses to donate his organs, after speaking with
the Organ Donation nurse. The organ donation should:
Respect the spouses wishes.
Remind the spouse that she is not following her husband's wishes.
Report the problem to the nursing supervisor
Call the physician to come and speak with spouse.
10. What is the recommended post-operative care for a patient recovering from
a hemorrhoidectomy?
Continue to apply ice packs.
Use a sitz bath after each bowel movement.
Avoid a high-fiber diet.
Take a laxative daily to prevent constipation.
, 11. Why is a fresh peach considered a suitable snack for a client with
glomerulonephritis on a low-sodium diet?
A fresh peach contains high protein which is beneficial for kidney
function.
A fresh peach is a dairy product that aids in calcium intake.
A fresh peach is low in sodium and provides essential nutrients
without adding excess salt.
A fresh peach is high in sodium, which helps in fluid retention.
12. Why is it appropriate for a nursing assistant to care for a client with
Alzheimer's disease rather than clients with more complex medical
conditions?
A client with cirrhosis requires specialized medical interventions
beyond a nursing assistant's scope.
A client with Alzheimer's disease requires basic care and
supervision, which is suitable for a nursing assistant.
A client with pneumonia needs advanced respiratory care that only
an RN can provide.
A client with thrombophlebitis needs constant monitoring that only an
LPN can provide.
13. A nurse has been ordered to set up Buck's traction on a patient's lower
extremity due to a femur fracture. Which of the following applies to Buck's
traction?
The line of pull is straight
A weight greater than 10 lbs. should be used.
The line of pull is upward at an angle.
