NCLEX RN Test 1 Practice Test 2026 | Questions &
Answers PDF
1. What is the correct time to administer Coumadin (sodium warfarin) for a client
with thrombophlebitis according to the physician's order?
1200
0900
2100
1700
2. A client with cancer is admitted to the oncology unit. Stat lab values reveal
Hgb 12.6, WBC 6500, K+ 1.9, uric acid 7.0, Na+ 136, and platelets 178,000. The
nurse evaluates that the client is experiencing which of the following?
Hypernatremia
Hypokalemia
Leukocytosis
Myelosuppression
3. Why is using a sitz bath recommended for a patient recovering from a
hemorrhoidectomy?
It encourages a high-fiber diet.
It prevents the need for medication.
Using a sitz bath helps to soothe the area and promote healing after
bowel movements.
It reduces the risk of infection in the surgical area.
,4. What is one key precaution a patient should take during radiation therapy for
breast cancer?
Report redness and soreness of the area to the physician
Avoid exposing radiation areas to sunlight during treatment time
and for a year after completion of therapy
Moisturize the radiation site with oil-based lotion
Use bath oil when tub bathing
5. Why is it important for the nurse to respect the wife's wishes regarding organ
donation, despite the husband's signed donor card?
The hospital policy requires organ retrieval regardless of family
wishes.
The signed donor card overrides any objections from family members.
The nurse must respect the wife's wishes as she is the legal next of
kin and has the right to make decisions about her husband's care.
The wife has no legal standing in the decision-making process.
6. A staff nurse informs the charge nurse that she has a child who is sick at home
with the chickenpox. which clients must the charge nurse assign to the staff
nurse?
clients who are immunocompromised
clients who have previously had the chickenpox
none, because the staff nurse must be sent home
any client on the floor as long as the staff nurse wears a face mask
while giving nursing care
,7. The charge nurse on a medical-surgical unit is assigning tasks for the day.
Which assignment is most appropriate for a pediatric nurse floating to the
medical-surgical unit?
13-year-old with appendicitis scheduled for CT scan
30-year-old with a traumatic brain injury (TBI)
65-year-old with dementia receiving oxygen
40-year-old with peritonitis and a nasogastric (NG) tube to suction
8. Describe the role of Vibramycin (doxycycline) in the treatment of gonorrhea
and why it is preferred.
Vibramycin (doxycycline) is used to enhance the immune response
against gonorrhea.
Vibramycin (doxycycline) is an antibiotic that effectively targets
Neisseria gonorrhoeae, making it a preferred treatment option.
Vibramycin (doxycycline) is a pain reliever for symptoms associated
with gonorrhea.
Vibramycin (doxycycline) is an antiviral medication used to treat viral
infections.
9. Which snack is appropriate for a client with sodium restriction due to
glomerulonephritis?
Grilled cheese sandwich
Peanut butter cookies
Cottage cheese and fruit
Fresh peach
, 10. A client with diverticulitis is experiencing discomfort after consuming a meal.
If they had eaten a low-roughage diet but included a high-fiber food, which
of the following foods might have caused this discomfort?
Cooked broccoli
Roasted chicken
Noodles
Custard
11. A client is ordered to receive cyclophosphamide (Cytoxan). The client is
advised to drink increased water and fluids to:
prevent liver dysfunction.
increase the red blood cell count.
prevent hemorrhagic cystitis.
prevent renal failure.
12. What is the correct distance to measure between the top of the crutch and
the axilla?
Three inches
Five fingerbreadths
Ten degrees
Eight inches
13. Why is it important for a client to empty their bladder before undergoing a
paracentesis?
Emptying the bladder reduces the risk of injury to the bladder
during the procedure.
Answers PDF
1. What is the correct time to administer Coumadin (sodium warfarin) for a client
with thrombophlebitis according to the physician's order?
1200
0900
2100
1700
2. A client with cancer is admitted to the oncology unit. Stat lab values reveal
Hgb 12.6, WBC 6500, K+ 1.9, uric acid 7.0, Na+ 136, and platelets 178,000. The
nurse evaluates that the client is experiencing which of the following?
Hypernatremia
Hypokalemia
Leukocytosis
Myelosuppression
3. Why is using a sitz bath recommended for a patient recovering from a
hemorrhoidectomy?
It encourages a high-fiber diet.
It prevents the need for medication.
Using a sitz bath helps to soothe the area and promote healing after
bowel movements.
It reduces the risk of infection in the surgical area.
,4. What is one key precaution a patient should take during radiation therapy for
breast cancer?
Report redness and soreness of the area to the physician
Avoid exposing radiation areas to sunlight during treatment time
and for a year after completion of therapy
Moisturize the radiation site with oil-based lotion
Use bath oil when tub bathing
5. Why is it important for the nurse to respect the wife's wishes regarding organ
donation, despite the husband's signed donor card?
The hospital policy requires organ retrieval regardless of family
wishes.
The signed donor card overrides any objections from family members.
The nurse must respect the wife's wishes as she is the legal next of
kin and has the right to make decisions about her husband's care.
The wife has no legal standing in the decision-making process.
6. A staff nurse informs the charge nurse that she has a child who is sick at home
with the chickenpox. which clients must the charge nurse assign to the staff
nurse?
clients who are immunocompromised
clients who have previously had the chickenpox
none, because the staff nurse must be sent home
any client on the floor as long as the staff nurse wears a face mask
while giving nursing care
,7. The charge nurse on a medical-surgical unit is assigning tasks for the day.
Which assignment is most appropriate for a pediatric nurse floating to the
medical-surgical unit?
13-year-old with appendicitis scheduled for CT scan
30-year-old with a traumatic brain injury (TBI)
65-year-old with dementia receiving oxygen
40-year-old with peritonitis and a nasogastric (NG) tube to suction
8. Describe the role of Vibramycin (doxycycline) in the treatment of gonorrhea
and why it is preferred.
Vibramycin (doxycycline) is used to enhance the immune response
against gonorrhea.
Vibramycin (doxycycline) is an antibiotic that effectively targets
Neisseria gonorrhoeae, making it a preferred treatment option.
Vibramycin (doxycycline) is a pain reliever for symptoms associated
with gonorrhea.
Vibramycin (doxycycline) is an antiviral medication used to treat viral
infections.
9. Which snack is appropriate for a client with sodium restriction due to
glomerulonephritis?
Grilled cheese sandwich
Peanut butter cookies
Cottage cheese and fruit
Fresh peach
, 10. A client with diverticulitis is experiencing discomfort after consuming a meal.
If they had eaten a low-roughage diet but included a high-fiber food, which
of the following foods might have caused this discomfort?
Cooked broccoli
Roasted chicken
Noodles
Custard
11. A client is ordered to receive cyclophosphamide (Cytoxan). The client is
advised to drink increased water and fluids to:
prevent liver dysfunction.
increase the red blood cell count.
prevent hemorrhagic cystitis.
prevent renal failure.
12. What is the correct distance to measure between the top of the crutch and
the axilla?
Three inches
Five fingerbreadths
Ten degrees
Eight inches
13. Why is it important for a client to empty their bladder before undergoing a
paracentesis?
Emptying the bladder reduces the risk of injury to the bladder
during the procedure.
