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NCLEX PREP ARCHER 2026/2027
ACTUAL QUESTIONS WITH
VERIFIED ANSWERS.
List in order how the PPE should be put on - ANSWER-1st-
Gown
2nd-Mask/Respirator
3rd-Goggles
4th-Gloves
List in order how the PPE should be removed - ANSWER-1st-
Gloves
2nd-Goggles
3rd-Gown
4th-Mask/Respirator
The nurse teaches the family of a patient with end stage renal
disease to offer foods high in?
a. Fluids
b. Protein
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c. Potassium
d. Carbohydrates - ANSWER-d. Carbohydrates
A pt has an epidural for the birth of her child. While massaging
the fundus, it is found to be firm and located under the right rib
cage. To alleviate this problem, the nurse should first:
a. Empty the pt's bladder
b. Initiate breast feeding the infant
c. Give Oxytocic drugs as ordered
d. Massage the uterus for another 15 minutes - ANSWER-a.
Empty the pt's bladder
The nurse is caring for a newborn who is pale and jittery and
has a high-pitched cry. The Primary nursing action is to:
a. Check the newborn's serum glucose level
b. Obtain the newborn's axillary temp
c. Review the maternal history for substance abuse
d. Determine if the mother was anxious during the birthing
process - ANSWER-a. Check the newborn's serum glucose
level
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A pt w/heart failure is receiving digoxin and furosemide. The lab
values of the pt include serum digoxin 2.9ng/mL and K+
3.2mEq/L. Based on these lab results the most appropriate
nursing action is to:
a. Withhold the next dose of Furosemide
b. Administer an addt'l dose of digoxin
c. Notify the physician of the lab results
d. These results are w/in normal limits and require no action -
ANSWER-c. Notify the physician of the lab results
A 64-year-old man is admitted to the ER w/complaints of
shortness of breath, heartburn, and pain in the left shoulder.
After obtaining vital signs, the nurse performs a focused
assessment related to the pt's:
a. Heart
b. Abdomen
c. Current stressors
d. Recent life changes - ANSWER-a. Heart
One nursing intervention in the plan of care for a pt w/paranoid
personality disorder is promoting consensual validation of
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reality. Which nursing action is most appropriate to implement
this plan?
a. Reinforcing the facts of the situation
b. Encouraging verbalization of feelings
c. Administering antidepressant medications
d. Using humor to challenge patient misperceptions -
ANSWER-a. Reinforcing the facts of the situation
A 50-yr-old pt has been under extreme job stress for 10 yrs and
is diagnosed as having an enlarged heart. The nurse
understands which factor in his history is a modifiable risk
factor for heart disease?
a. He eats beef once a week
b. He exercises four times a week
c. He has a family history of heart attacks
d. He smokes one pack of cigarettes a day - ANSWER-d. He
smokes one pack of cigarettes a day
Liver involvement is associated with Reye's syndrome. When
caring for children with this condition, the nurse takes with
special precaution?
NCLEX PREP ARCHER 2026/2027
ACTUAL QUESTIONS WITH
VERIFIED ANSWERS.
List in order how the PPE should be put on - ANSWER-1st-
Gown
2nd-Mask/Respirator
3rd-Goggles
4th-Gloves
List in order how the PPE should be removed - ANSWER-1st-
Gloves
2nd-Goggles
3rd-Gown
4th-Mask/Respirator
The nurse teaches the family of a patient with end stage renal
disease to offer foods high in?
a. Fluids
b. Protein
,2 | Page
c. Potassium
d. Carbohydrates - ANSWER-d. Carbohydrates
A pt has an epidural for the birth of her child. While massaging
the fundus, it is found to be firm and located under the right rib
cage. To alleviate this problem, the nurse should first:
a. Empty the pt's bladder
b. Initiate breast feeding the infant
c. Give Oxytocic drugs as ordered
d. Massage the uterus for another 15 minutes - ANSWER-a.
Empty the pt's bladder
The nurse is caring for a newborn who is pale and jittery and
has a high-pitched cry. The Primary nursing action is to:
a. Check the newborn's serum glucose level
b. Obtain the newborn's axillary temp
c. Review the maternal history for substance abuse
d. Determine if the mother was anxious during the birthing
process - ANSWER-a. Check the newborn's serum glucose
level
,3 | Page
A pt w/heart failure is receiving digoxin and furosemide. The lab
values of the pt include serum digoxin 2.9ng/mL and K+
3.2mEq/L. Based on these lab results the most appropriate
nursing action is to:
a. Withhold the next dose of Furosemide
b. Administer an addt'l dose of digoxin
c. Notify the physician of the lab results
d. These results are w/in normal limits and require no action -
ANSWER-c. Notify the physician of the lab results
A 64-year-old man is admitted to the ER w/complaints of
shortness of breath, heartburn, and pain in the left shoulder.
After obtaining vital signs, the nurse performs a focused
assessment related to the pt's:
a. Heart
b. Abdomen
c. Current stressors
d. Recent life changes - ANSWER-a. Heart
One nursing intervention in the plan of care for a pt w/paranoid
personality disorder is promoting consensual validation of
, 4 | Page
reality. Which nursing action is most appropriate to implement
this plan?
a. Reinforcing the facts of the situation
b. Encouraging verbalization of feelings
c. Administering antidepressant medications
d. Using humor to challenge patient misperceptions -
ANSWER-a. Reinforcing the facts of the situation
A 50-yr-old pt has been under extreme job stress for 10 yrs and
is diagnosed as having an enlarged heart. The nurse
understands which factor in his history is a modifiable risk
factor for heart disease?
a. He eats beef once a week
b. He exercises four times a week
c. He has a family history of heart attacks
d. He smokes one pack of cigarettes a day - ANSWER-d. He
smokes one pack of cigarettes a day
Liver involvement is associated with Reye's syndrome. When
caring for children with this condition, the nurse takes with
special precaution?
