Green Light Comprehensive Predictor | Latest Practice
Questions & Verified Answers | NCLEX-RN Exam Prep 2026
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Latest Practice Questions & Verified Answers |
NCLEX-RN Exam Prep 2026
1. Antisocial Personality Disorder
Question: A nurse is admitting a client who has antisocial personality
disorder. Which of the following client behaviors should the nurse identify
as consistent with this disorder?
A. Compulsive attention to details
B. Avoids interacting with others
C. Uses others for personal gain
D. Socially awkward in group situations
Answer: C. Uses others for personal gain
Explanation: Antisocial personality disorder is characterized by a pervasive
pattern of disregard for and violation of the rights of others. Individuals
with this disorder often manipulate, exploit, and use others for personal
gain without remorse. They may engage in deceitful behaviors, impulsivity,
irritability, and aggression. Option A (compulsive attention to details) is
associated with obsessive-compulsive personality disorder. Option B
(avoids interacting with others) is characteristic of avoidant or schizoid
personality disorders. Option D (socially awkward in group situations) is
more typical of social anxiety disorder or autism spectrum disorders.
,2. Cardiac Rhythm Strip - Fibrillation
Question: A nurse is interpreting the cardiac rhythm strip of a client who
was admitted with syncope. Which of the following images indicates that
the client is experiencing fibrillation?
Answer: (Image showing chaotic, irregular baseline without discernible P
waves, QRS complexes, or organized rhythm)
Explanation: Fibrillation, whether atrial or ventricular, is characterized by
chaotic, disorganized electrical activity. On an ECG strip, this appears as an
irregular, wavy baseline with no identifiable P waves (atrial fibrillation) or
no identifiable QRS complexes (ventricular fibrillation). In atrial fibrillation,
the ventricular response is irregularly irregular. In ventricular fibrillation,
there is no effective cardiac output, and the rhythm is a chaotic waveform
without organized complexes.
3. Float Nurse Assignment - Pediatric Unit
Question: A charge nurse on a pediatric unit is making assignments for a
float nurse from the medical unit. Which of the following clients is
appropriate to assign to the float nurse?
A. A 10-year-old client who has pneumonia and is receiving respiratory
treatments
B. A 4-year-old client who has a Wilms tumor and is receiving
chemotherapy
C. An 8-month-old client who is scheduled for a surgical repair of a
, ventricular septal defect tomorrow
D. A 14-year-old client who is scheduled for discharge today following
placement of a Harrington rod
Answer: A. A 10-year-old client who has pneumonia and is receiving
respiratory treatments
Explanation: A float nurse from a medical unit would be most familiar with
routine medical conditions like pneumonia and respiratory treatments. This
assignment is appropriate as it involves stable, common medical care that a
general medical-surgical nurse can manage. Clients with complex
conditions (Wilms tumor, cardiac surgery, Harrington rod placement)
require specialized pediatric or surgical unit expertise and should be
assigned to nurses with specific experience in those areas.
4. Water Intoxication in Infants
Question: A nurse is assessing an infant who has water intoxication. Which
of the following findings should the nurse expect?
A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
D. Increased hematocrit
Answer: A. Generalized edema
Explanation: Water intoxication (hyponatremia) in infants occurs when
excessive water intake leads to dilutional hyponatremia. The excess fluid