NCLEX RN Test 1 2026 Exam Prep Guide
A client with ascites is scheduled for a paracentesis. Which
instruction should be given to the client before the
procedure?
a "You will need to lay flat during the procedure."
b. "You need to empty your bladder before the procedure."
c. "You will be asleep during the procedure."
d. "The doctor will inject a medication during the procedure."
- Correct Answers ✅b. "You need to empty your bladder
before the procedure."
A client's lab values reveal Hgb 12.6, WBC 6500cu.mm, K+
1.9, uric acid 7.0, Na+ 136, and platelets 178,000cu.mm. The
nurse evaluates that the client is experiencing which of the
following?
Hypernatremia
b Hypokalemia
Myelosuppression
Leukopenia - Correct Answers ✅b Hypokalemia
The nurse is caring for the client who has been in a coma for
two months. He has signed a donor card, but the wife is
opposed to the idea of organ donation. How should the nurse
handle the topic of organ donation with the wife?
a Tell the wife that the hospital will honor her wishes
regarding organ donation, but contact the organ-retrieval
staff.
,NCLEX RN Test 1 2026 Exam Prep Guide
b 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.
c Explain that it is necessary for her to donate her husband's
organs because he signed the permit.
d Refrain from talking about the subject until after the death
of her husband. - Correct Answers ✅a Tell the wife that the
hospital will honor her wishes regarding organ donation, but
contact the organ-retrieval staff.
Due to a high census, it has been necessary for a number of
clients to be transferred to other units within the hospital.
Which client should be transferred to the postpartum unit?
a A 66-year-old female with gastroenteritis
b A 40-year-old female with a hysterectomy
c A 27-year-old male with severe depression
d A 28-year-old male with ulcerative colitis - Correct
Answers ✅b A 40-year-old female with a hysterectomy
Before administering Theo-Dur (theophylline), the nurse
should check the patient's:
a output
b Blood pressure
c Pulse
d Temperature - Correct Answers ✅c Pulse
,NCLEX RN Test 1 2026 Exam Prep Guide
Which information should be given to the patient undergoing
radiation therapy for breast cancer?
a Avoid exposing radiation areas to sunlight during treatment
time and for a year after completion of therapy
b Moisturize the radiation site with oil-based lotion to prevent
blistering
c Use bath oil when tub bathing to prevent drying and peeling
d Report redness and soreness of the area to the physician -
Correct Answers ✅a Avoid exposing radiation areas to
sunlight during treatment time and for a year after
completion of therapy
The charge nurse is making assignments for the day. After
accepting the assignment to care for a client with leukemia,
the nurse tells the charge nurse that her child has
chickenpox. Which initial action should the charge nurse
take?
a Change the nurse's assignment to another client.
b Explain to the nurse that there is no risk to the client.
c Ask the nurse if the chickenpox have crusted.
d Ask the nurse if she has ever had the chickenpox. - Correct
Answers ✅d Ask the nurse if she has ever had the
chickenpox.
Which statement is true regarding therapy with Levemir
(insulin detemir)?
a The onset is 1-2 hours.
, NCLEX RN Test 1 2026 Exam Prep Guide
b It may be mixed with regular insulin.
c It peaks in 2-3 hours.
d The duration is 24 hours. - Correct Answers ✅d The
duration is 24 hours.
Which client should be assigned to the nursing assistant?
a The 18-year-old with a fracture to two cervical vertebrae
b The infant with meningitis with a temperature of 101°F
c The elderly client with a thyroidectomy four days ago
d The client with a thoracotomy two days ago - Correct
Answers ✅c The elderly client with a thyroidectomy four
days ago
The physician has ordered the Schilling test for a patient with
suspected pernicious anemia. What other vitamin level is
often assessed at the same time as the B12 level?
a Folic acid
b Pyridoxine
c Ascorbic acid
d Thiamine - Correct Answers ✅a Folic acid
The client is admitted to the emergency room with shortness
of breath, anxiety, and tachycardia. His ECG reveals atrial
fibrillation with a ventricular response rate of 130 beats per
minute. The doctor orders quinidine sulfate. While he is
receiving quinidine, the nurse should monitor his ECG for:
A client with ascites is scheduled for a paracentesis. Which
instruction should be given to the client before the
procedure?
a "You will need to lay flat during the procedure."
b. "You need to empty your bladder before the procedure."
c. "You will be asleep during the procedure."
d. "The doctor will inject a medication during the procedure."
- Correct Answers ✅b. "You need to empty your bladder
before the procedure."
A client's lab values reveal Hgb 12.6, WBC 6500cu.mm, K+
1.9, uric acid 7.0, Na+ 136, and platelets 178,000cu.mm. The
nurse evaluates that the client is experiencing which of the
following?
Hypernatremia
b Hypokalemia
Myelosuppression
Leukopenia - Correct Answers ✅b Hypokalemia
The nurse is caring for the client who has been in a coma for
two months. He has signed a donor card, but the wife is
opposed to the idea of organ donation. How should the nurse
handle the topic of organ donation with the wife?
a Tell the wife that the hospital will honor her wishes
regarding organ donation, but contact the organ-retrieval
staff.
,NCLEX RN Test 1 2026 Exam Prep Guide
b 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.
c Explain that it is necessary for her to donate her husband's
organs because he signed the permit.
d Refrain from talking about the subject until after the death
of her husband. - Correct Answers ✅a Tell the wife that the
hospital will honor her wishes regarding organ donation, but
contact the organ-retrieval staff.
Due to a high census, it has been necessary for a number of
clients to be transferred to other units within the hospital.
Which client should be transferred to the postpartum unit?
a A 66-year-old female with gastroenteritis
b A 40-year-old female with a hysterectomy
c A 27-year-old male with severe depression
d A 28-year-old male with ulcerative colitis - Correct
Answers ✅b A 40-year-old female with a hysterectomy
Before administering Theo-Dur (theophylline), the nurse
should check the patient's:
a output
b Blood pressure
c Pulse
d Temperature - Correct Answers ✅c Pulse
,NCLEX RN Test 1 2026 Exam Prep Guide
Which information should be given to the patient undergoing
radiation therapy for breast cancer?
a Avoid exposing radiation areas to sunlight during treatment
time and for a year after completion of therapy
b Moisturize the radiation site with oil-based lotion to prevent
blistering
c Use bath oil when tub bathing to prevent drying and peeling
d Report redness and soreness of the area to the physician -
Correct Answers ✅a Avoid exposing radiation areas to
sunlight during treatment time and for a year after
completion of therapy
The charge nurse is making assignments for the day. After
accepting the assignment to care for a client with leukemia,
the nurse tells the charge nurse that her child has
chickenpox. Which initial action should the charge nurse
take?
a Change the nurse's assignment to another client.
b Explain to the nurse that there is no risk to the client.
c Ask the nurse if the chickenpox have crusted.
d Ask the nurse if she has ever had the chickenpox. - Correct
Answers ✅d Ask the nurse if she has ever had the
chickenpox.
Which statement is true regarding therapy with Levemir
(insulin detemir)?
a The onset is 1-2 hours.
, NCLEX RN Test 1 2026 Exam Prep Guide
b It may be mixed with regular insulin.
c It peaks in 2-3 hours.
d The duration is 24 hours. - Correct Answers ✅d The
duration is 24 hours.
Which client should be assigned to the nursing assistant?
a The 18-year-old with a fracture to two cervical vertebrae
b The infant with meningitis with a temperature of 101°F
c The elderly client with a thyroidectomy four days ago
d The client with a thoracotomy two days ago - Correct
Answers ✅c The elderly client with a thyroidectomy four
days ago
The physician has ordered the Schilling test for a patient with
suspected pernicious anemia. What other vitamin level is
often assessed at the same time as the B12 level?
a Folic acid
b Pyridoxine
c Ascorbic acid
d Thiamine - Correct Answers ✅a Folic acid
The client is admitted to the emergency room with shortness
of breath, anxiety, and tachycardia. His ECG reveals atrial
fibrillation with a ventricular response rate of 130 beats per
minute. The doctor orders quinidine sulfate. While he is
receiving quinidine, the nurse should monitor his ECG for:
