NCLEX RN
ACTUAL EXAM TEST BANK
WITH REAL AND EXACT
EXAM QUESTIONS &
ANSWERS NCLEX
2026/2027 NCLEX EXAM
Q&A | Updated |
,1.
Question: A client with ascites is scheduled for a paracentesis. Which
instruction should be given to the client before the procedure?
Answer Choices:
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 Answer: B. "You need to empty your bladder before the
procedure."
Rationale: Emptying the bladder reduces the risk of accidental bladder
puncture during paracentesis. The client is typically positioned sitting upright or in
a semi-Fowler's position, not flat (A). Conscious sedation, not general anesthesia,
is usually used (C).
2.
Question: A client's lab values reveal Hgb 12.6, WBC 6500 cu.mm, K+ 1.9,
uric acid 7.0, Na+ 136, and platelets 178,000 cu.mm. The nurse evaluates that the
client is experiencing which of the following?
Answer Choices:
A. Hypernatremia
B. Hypokalemia
C. Myelosuppression
D. Leukopenia
Correct Answer: B. Hypokalemia
,Rationale: The normal serum potassium range is 3.5-5.0 mEq/L. A
potassium level of 1.9 mEq/L is dangerously low (hypokalemia). Normal sodium is
135-145, WBC 5,000-10,000, and platelets 150,000-400,000.
3.
Question: 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?
Answer Choices:
A. Tell the wife that the hospital will honor her wishes regarding organ donation,
but contact the organ-retrieval staff.
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 Answer: A. Tell the wife that the hospital will honor her wishes
regarding organ donation, but contact the organ-retrieval staff.
Rationale: While the husband signed a donor card, the family's wishes are
typically honored to avoid conflict. The organ-retrieval staff should be contacted
to discuss the situation further. The nurse should not force donation (B, C) or
delay discussion (D).
4.
, Question: 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?
Answer Choices:
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 Answer: B. A 40-year-old female with a hysterectomy
Rationale: A postpartum unit is designed to care for female clients with
gynecological or obstetrical conditions. A hysterectomy patient is the most
appropriate transfer. Gastroenteritis (A) would go to a medical unit, depression
(C) to a psychiatric unit, and ulcerative colitis (D) to a medical-surgical unit.
5.
Question: Before administering Theo-Dur (theophylline), the nurse should
check the patient's:
Answer Choices:
A. Output
B. Blood pressure
C. Pulse
D. Temperature
Correct Answer: C. Pulse
ACTUAL EXAM TEST BANK
WITH REAL AND EXACT
EXAM QUESTIONS &
ANSWERS NCLEX
2026/2027 NCLEX EXAM
Q&A | Updated |
,1.
Question: A client with ascites is scheduled for a paracentesis. Which
instruction should be given to the client before the procedure?
Answer Choices:
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 Answer: B. "You need to empty your bladder before the
procedure."
Rationale: Emptying the bladder reduces the risk of accidental bladder
puncture during paracentesis. The client is typically positioned sitting upright or in
a semi-Fowler's position, not flat (A). Conscious sedation, not general anesthesia,
is usually used (C).
2.
Question: A client's lab values reveal Hgb 12.6, WBC 6500 cu.mm, K+ 1.9,
uric acid 7.0, Na+ 136, and platelets 178,000 cu.mm. The nurse evaluates that the
client is experiencing which of the following?
Answer Choices:
A. Hypernatremia
B. Hypokalemia
C. Myelosuppression
D. Leukopenia
Correct Answer: B. Hypokalemia
,Rationale: The normal serum potassium range is 3.5-5.0 mEq/L. A
potassium level of 1.9 mEq/L is dangerously low (hypokalemia). Normal sodium is
135-145, WBC 5,000-10,000, and platelets 150,000-400,000.
3.
Question: 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?
Answer Choices:
A. Tell the wife that the hospital will honor her wishes regarding organ donation,
but contact the organ-retrieval staff.
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 Answer: A. Tell the wife that the hospital will honor her wishes
regarding organ donation, but contact the organ-retrieval staff.
Rationale: While the husband signed a donor card, the family's wishes are
typically honored to avoid conflict. The organ-retrieval staff should be contacted
to discuss the situation further. The nurse should not force donation (B, C) or
delay discussion (D).
4.
, Question: 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?
Answer Choices:
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 Answer: B. A 40-year-old female with a hysterectomy
Rationale: A postpartum unit is designed to care for female clients with
gynecological or obstetrical conditions. A hysterectomy patient is the most
appropriate transfer. Gastroenteritis (A) would go to a medical unit, depression
(C) to a psychiatric unit, and ulcerative colitis (D) to a medical-surgical unit.
5.
Question: Before administering Theo-Dur (theophylline), the nurse should
check the patient's:
Answer Choices:
A. Output
B. Blood pressure
C. Pulse
D. Temperature
Correct Answer: C. Pulse
