NUR 2960 NCLEX-RN EXAM 2026
UPDATED EXAM BUNDLE PRACTICE
QUESTIONS ANSWERED| 3
VERSIONS|GUARANTEED SUCCESS
The nurse has just admitted a client with emphysema. Arterial blood gas results indicate hypoxia.
Which physician prescription would the nurse implement for the best improvement in the client's
hypoxia?
Elevate the head of the bed 45°.
Encourage diaphragmatic breathing.
Initiate an Alupent nebulizer treatment.
Start O2 at 2L/min.
d Start O2 at 2L/min.
Which vitamin should be administered with INH (isoniazid) in order to prevent possible nervous
system side effects?
Thiamine
Niacin
Pyridoxine
Riboflavin
c Pyridoxine
Pyridoxine (vitamin B6) is usually administered with INH (isoniazid)
A client has suffered a severe electrical burn. Which medication would the nurse expect to have
ordered for application to the burned area?
Mafenide acetate (Sulfamylon)
Silver nitrate
Providone-iodine ointment
Silver sulfadiazine (Silvadene)
a Mafenide acetate (Sulfamylon)
topical agent of choice for electrical burns because of its ability to penetrate thick eschar
,When administering total parenteral nutrition, the nurse should assess the client for signs of rebound
hypoglycemia. The nurse knows that rebound hypoglycemia occurs when:
The infusion rate is too rapid.
The infusion is discontinued without tapering.
The solution is infused through a peripheral line.
The infusion is administered without a filter.
b The infusion is discontinued without tapering.
A client's admission history reveals complaints of fatigue, chronic sore throat, and enlarged lymph
nodes in the axilla and neck. Which exam would assist the physician to make a tentative diagnosis of
leukemia?
A complete blood count
An x-ray of the chest
A bone marrow aspiration
A CT scan of the abdomen
a A complete blood count
During morning assessments, the nurse finds that a client's nephrostomy tube has been clamped. The
nurse's first action should be to:
Assess the drainage bag.
Check for bladder distention.
Unclamp the tubing.
Irrigate the tubing.
c Unclamp the tubing.
should not be clamped or irrigated because of the damage that can result to the kidney
The physician has ordered a thyroid scan to confirm the diagnosis of a goiter. Before the procedure,
the nurse should:
Assess the client for allergies to iodine
Bolus the client with IV fluid
Administer an anxiolytic
Insert a urinary catheter
a Assess the client for allergies to iodine
The nurse is instructing a patient scheduled for abdominal surgery on the use of a flow metered
incentive spirometer . Which instruction would the nurse include in the teaching plan?
Blow on the mouth piece of the device fast for 3 breaths, followed by slow for 3 more breaths.
Use the incentive spirometer once every morning.
Inhale slowly on the device to elevate and maintain the flow indicator.
Briskly inhale on the device making sure the flow indicator does not rise.
,c Inhale slowly on the device to elevate and maintain the flow indicator.
The client with a pacemaker should be taught to:
Report ankle edema
Check his blood pressure daily
Refrain from using a microwave oven
Monitor his pulse rate
d Monitor his pulse rate
The nurse is assessing the client with a total knee replacement two hours post-operative. Which
information requires notification of the doctor?
Scant bleeding on the dressing
Low-grade temperature
Hemoglobin of 7gm/dL
Urine output of 120 mL during the last hour
c Hemoglobin of 7gm/dL
low and might a blood transfusion might be required
The nurse is teaching a group of prenatal clients about the effects of cigarette smoke on fetal
development. Which characteristic is associated with babies born to mothers who smoked during
pregnancy?
Low birth weight
Large for gestational age
Preterm birth, but appropriate size for gestation
Growth retardation in weight and length
a Low birth weight
A client has had diarrhea for the past three days. Which acid/base imbalance would the nurse expect
the client to have?
Respiratory alkalosis
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
b Metabolic acidosis
, The registered nurse is assigning staff for four clients on the 3-11 shift. Which client should be
assigned to the LPN?
A client with a diagnosis of adult respiratory distress syndrome (ARDS) who was transferred from the
critical care unit at 1400
A one-hour post-operative colon resection
A client with pneumonia expecting discharge in the morning
A client with cirrhosis of the liver experiencing bleeding from esophageal varices
c A client with pneumonia expecting discharge in the morning
A client with hyperthyroidism is taking Eskalith (lithium carbonate) to inhibit thyroid hormone
release. Which complaint by the client should alert the nurse to a problem with the client's
medication?
The client complains of blurred vision.
The client complains of increased thirst and increased urination.
The client complains of increased weight gain over the past year.
The client complains of rhinorrhea.
b The client complains of increased thirst and increased urination.
After several hospitalizations for respiratory ailments, a six-month-old has been diagnosed as having
HIV. The infant's respiratory ailments were most likely due to:
Pneumocystis jiroveci
Cytomegalovirus
Cryptosporidiosis
Herpes simplex
a Pneumocystis jiroveci
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
a Folic acid
UPDATED EXAM BUNDLE PRACTICE
QUESTIONS ANSWERED| 3
VERSIONS|GUARANTEED SUCCESS
The nurse has just admitted a client with emphysema. Arterial blood gas results indicate hypoxia.
Which physician prescription would the nurse implement for the best improvement in the client's
hypoxia?
Elevate the head of the bed 45°.
Encourage diaphragmatic breathing.
Initiate an Alupent nebulizer treatment.
Start O2 at 2L/min.
d Start O2 at 2L/min.
Which vitamin should be administered with INH (isoniazid) in order to prevent possible nervous
system side effects?
Thiamine
Niacin
Pyridoxine
Riboflavin
c Pyridoxine
Pyridoxine (vitamin B6) is usually administered with INH (isoniazid)
A client has suffered a severe electrical burn. Which medication would the nurse expect to have
ordered for application to the burned area?
Mafenide acetate (Sulfamylon)
Silver nitrate
Providone-iodine ointment
Silver sulfadiazine (Silvadene)
a Mafenide acetate (Sulfamylon)
topical agent of choice for electrical burns because of its ability to penetrate thick eschar
,When administering total parenteral nutrition, the nurse should assess the client for signs of rebound
hypoglycemia. The nurse knows that rebound hypoglycemia occurs when:
The infusion rate is too rapid.
The infusion is discontinued without tapering.
The solution is infused through a peripheral line.
The infusion is administered without a filter.
b The infusion is discontinued without tapering.
A client's admission history reveals complaints of fatigue, chronic sore throat, and enlarged lymph
nodes in the axilla and neck. Which exam would assist the physician to make a tentative diagnosis of
leukemia?
A complete blood count
An x-ray of the chest
A bone marrow aspiration
A CT scan of the abdomen
a A complete blood count
During morning assessments, the nurse finds that a client's nephrostomy tube has been clamped. The
nurse's first action should be to:
Assess the drainage bag.
Check for bladder distention.
Unclamp the tubing.
Irrigate the tubing.
c Unclamp the tubing.
should not be clamped or irrigated because of the damage that can result to the kidney
The physician has ordered a thyroid scan to confirm the diagnosis of a goiter. Before the procedure,
the nurse should:
Assess the client for allergies to iodine
Bolus the client with IV fluid
Administer an anxiolytic
Insert a urinary catheter
a Assess the client for allergies to iodine
The nurse is instructing a patient scheduled for abdominal surgery on the use of a flow metered
incentive spirometer . Which instruction would the nurse include in the teaching plan?
Blow on the mouth piece of the device fast for 3 breaths, followed by slow for 3 more breaths.
Use the incentive spirometer once every morning.
Inhale slowly on the device to elevate and maintain the flow indicator.
Briskly inhale on the device making sure the flow indicator does not rise.
,c Inhale slowly on the device to elevate and maintain the flow indicator.
The client with a pacemaker should be taught to:
Report ankle edema
Check his blood pressure daily
Refrain from using a microwave oven
Monitor his pulse rate
d Monitor his pulse rate
The nurse is assessing the client with a total knee replacement two hours post-operative. Which
information requires notification of the doctor?
Scant bleeding on the dressing
Low-grade temperature
Hemoglobin of 7gm/dL
Urine output of 120 mL during the last hour
c Hemoglobin of 7gm/dL
low and might a blood transfusion might be required
The nurse is teaching a group of prenatal clients about the effects of cigarette smoke on fetal
development. Which characteristic is associated with babies born to mothers who smoked during
pregnancy?
Low birth weight
Large for gestational age
Preterm birth, but appropriate size for gestation
Growth retardation in weight and length
a Low birth weight
A client has had diarrhea for the past three days. Which acid/base imbalance would the nurse expect
the client to have?
Respiratory alkalosis
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
b Metabolic acidosis
, The registered nurse is assigning staff for four clients on the 3-11 shift. Which client should be
assigned to the LPN?
A client with a diagnosis of adult respiratory distress syndrome (ARDS) who was transferred from the
critical care unit at 1400
A one-hour post-operative colon resection
A client with pneumonia expecting discharge in the morning
A client with cirrhosis of the liver experiencing bleeding from esophageal varices
c A client with pneumonia expecting discharge in the morning
A client with hyperthyroidism is taking Eskalith (lithium carbonate) to inhibit thyroid hormone
release. Which complaint by the client should alert the nurse to a problem with the client's
medication?
The client complains of blurred vision.
The client complains of increased thirst and increased urination.
The client complains of increased weight gain over the past year.
The client complains of rhinorrhea.
b The client complains of increased thirst and increased urination.
After several hospitalizations for respiratory ailments, a six-month-old has been diagnosed as having
HIV. The infant's respiratory ailments were most likely due to:
Pneumocystis jiroveci
Cytomegalovirus
Cryptosporidiosis
Herpes simplex
a Pneumocystis jiroveci
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
a Folic acid
