NCLEX PREVIEW GRADE A+
COMPLETE EXAM QUESTIONS AND
100% VERIFIED ANSWERS (2026/2027)
PASS GUARANTEE
TheRchargeRnurseRhasRreceivedRaRchange-of-
shiftRreportRonRtheRfollowingRclientsRinRlabor.RTheRchargeRnurseRshouldRaskRaRstaffRmemberRtoRfirstR
seeRtheRclientRinRthe
1.RfirstRstageRofRlaborRwhoRhasRanRoralRtemperatureRofR99.7°RFR(37.6°RC)R
2.RfirstRstageRofRlaborRwhoseRcontractionsRareRoccurringReveryR30RsecondsR
3.RsecondRstageRofRlaborRwhoRhasRrespirationsRofR26R
4.RsecondRstageRofRlaborRwhoseRcontractionsRareRlastingRforR60RsecondsR-
RCORRECTRANSWER2.RfirstRstageRofRlaborRwhoseRcontractionsRareRoccurringReveryR30RsecondsR
ContractionsRshouldRbeRnoRlongerRthanR90RsecsRandRnoRcloserRthanR2RminsR(120Rsecs)
90RsecsRisRtheRduration,R2RminsRisRtheRfrequency.
Rationale:
1.RElevatedRtempRisRnormalRduringRlabor
3.RIncreasedRrespsRareRnormalRduringRlaborR"pant-pant-blow"R"hee-hee-hoo"RbreathingRpattern
4.RContractionsRshouldn'tRbeRlongerRthanR90Rsecs,R60RsecsRisRokayRandRnormal
SecondRstage:R2-3RminsRapart,R60-90RsecsRlong,R10RcmRdilated,RstrongRpain
TheRnurseRisRobservingRaRstaffRmemberRcaringRforRaRclientRwhoRhasRchickenpox.
R WhichRofRtheRfollowingRactionsRbyRtheRstaffRmemberRwouldRrequireRtheRnurseRtoRintervene?
1.RplacingRtheRclientRinRaRprivateRroomRwithRmonitoredRnegativeRairRpressure
2.RplacingRaRboxRofRdisposableRfaceRshieldsRoutsideRtheRclient'sRroom
3.RplacingRanRalcohol-basedRhandRrubRinRtheRclient'sRroomRforRhandRhygiene
,4.RplacingRaRsurgicalRmaskRonRtheRclientRduringRtransportRoutRofRtheRclient'sRroomR-
RCORRECTRANSWER2.RplacingRaRboxRofRdisposableRfaceRshieldsRoutsideRtheRclient'sRroom
disposableRfaceRmasksRareRnotRsuitableRforRairborneRprecautions
Rationale:
VaricellaR(chickenpox)RisRairborneRprecaution.RPrivate,RnegativeRpressureRroom,RuniversalRprecauti
onsR(handRsanitizerRinRroom)RandRplacingRsurgicalRmaskRonRclientRduringRtransportRareRallRcorrectRi
nterventionsRforRVaricilla.
TheRnurseRisRcaringRforRaRclientRwhoRreportsRfeelingRfaintRandRisRexperiencingRtheRcardiacRrhythmRs
hownRinRtheRelectrocardiogramR(ECG)RstripRbelow.
-RBRADYCARDIAR(itRisRmoreRthanR5RspacesRapart,RsinusRrhythm)
WhichRofRtheRfollowingRactionsRwouldRbeRappropriateRforRtheRnurseRtoRtake?RSelectRallRthatRapply:
1.RAdministerRtheRclient'sRprescribedRbetaRblocker.
2.RPrepareRforRtranscutaneousRpacing.
3.RInstructRtheRclientRtoRperformRtheRValsalvaRmaneuver.
4.RBeginRchestRcompressions.
5.RAssessRtheRclientRforRangina.R-RCORRECTRANSWER2.RtranscutaneousRpacingR
-RexternalRpacingRthatRstimulatesRtheRventriclesRtoRpumpRatRaRsetRrate
5.RAssessRtheRclientRforRanginaR
-
RAnginaR(ChestRpain)RcanRbeRcausedRbyRbothRtachycardiaR(mostRcommon)RandRbradycardiaR(rareRb
utRcanRhappen).RAssessmentRofRanginaRisRappropriate
Rationale:
1.RBetaRblockerRwouldRfurtherRdecreaseRHR
3.RValsalvaRmaneuver/VagalRstimulationRwouldRfurtherRdecreaseRHR.R(canRbeRindicatedRforRsinusRT
achy)
,4.RChestRcompressionsRareRforRcardiacRarrest
TheRnurseRisRplanningRcareRforRaRclientRwithRmoderateRAlzheimer'sRdiseaseR(AD).
R WhichRofRtheRfollowingRinterventionsRshouldRtheRnurseRincludeRinRtheRclient'sRplanRofRcare?
1.REncourageRtheRclientRtoRreminisceRaboutRhappyRmemories.
2.RConfrontRtheRclientRwhenRinappropriateRorRagitatedRbehaviorsRoccur.
3.RAdministerRtoRtheRclientRtheRcholinesteraseRinhibitorRtoRreverseRtheRcourseRofRAD.
4.RProvideRtheRclientRwithRinformationRaboutRactivityRchoicesRinRtheRmorningRsoRtheRclientRcanRma
keRplansRforRtheRday.R-
RCORRECTRANSWER1.REncourageRtheRclientRtoRreminisceRaboutRhappyRmemories.
ItsRpossibleRforRADRpatientsRtoRretainRlong-termRmemories
Rationale:
2.RAcknowledgeRfeelingsR-->RRedirectRisRprotocolRforRDementia.RDon'tRconfront;RtheyRcan'tRlearn
3.RADRisRirreversible
4.RInRmoderateRAD,RdementiaRhasRalreadyRprogressedRtoRwhereRptRneedsRhelpRwithRADLsRandRplan
ningRdailyRactivities.RAskingRthemRtoRplanRcanRfrustrateRthemRandRcauseRdistress.R
STRUCTUREDRpleasantRactivitiesRthatRconsiderRtheRpersonsRlikesRandRinterestsRareRtheRbest.
TheRnurseRisRteachingRaRclientRhowRtoRambulateRusingRcrutches.RWhichRofRtheRfollowingRinformati
onRshouldRtheRnurseRinclude?
1.R"UseRyourRhandsRandRarmsRtoRsupportRyourRbodyRweight."
2.R"WearRslippersRwhenRambulatingRwithRtheRcrutchesRinRyourRhome."
3.R"MaintainRtheRcrutchesR12RinR(30Rcm)RinRfrontRofRyourRfeetRwhileRstanding."
4.R"AdjustRtheRhandRgripsRofRtheRcrutchesRsoRthatRyourRelbowsRareRfullyRextended."R-
RCORRECTRANSWER1.R"UseRyourRhandsRandRarmsRtoRsupportRyourRbodyRweight."
True!RButRwatchRoutRifRitRisn'tR2-3Rfinger-
widths,RcrutchRparalysisRcanRoccur.Rs/s:RparesisRandRparesthesiasRinRwristsRandRhands
, Rationales:
2.RFallRrisk!
3.RShouldRbeR6Rin.RinRfrontRandR6Rin.Rlateral
4.RElbowsRshouldRbeRbentRatR30RdegreeRangle
TheRnurseRhasRtaughtRaRclientRwithRmultipleRsclerosisR(MS).
WhichRofRtheRfollowingRstatementsRbyRtheRclientRwouldRindicateRaRcorrectRunderstandingRofRtheRte
aching?
1.R"IRwillRcompleteRallRofRmyRhouseholdRchoresRinRtheRmorningRwhenRIRamRwellRrested."
2.R"IRhaveRlearnedRhowRtoRmassageRmyRbladderRtoRhelpRemptyRmyRbladderRcompletely."
3.R"IRwillRtakeRaRhotRbathRinRtheReveningRtoRhelpRmeRrelaxRifRIRhaveRhadRaRstressfulRdayRatRwork."
4.R"IRshouldRexpectRtheRblurredRvisionRtoRresolveRafterRIRhaveRreceivedRmedicationsRforRseveralRwe
eks."R-
RCORRECTRANSWER4.R"IRshouldRexpectRtheRblurredRvisionRtoRresolveRafterRIRhaveRreceivedRmedica
tionsRforRseveralRweeks."
MSRcausesRnerveRdamageRandRcanRresultRinRopticRneuritisR(visionRloss,RburryRvision).RInRmostRcases
RitRresolvesRitselfRinR4-
12Rweeks,RbutRmedicationR(steroids)RcanRspeedRupRtheRprocessRandRresolveRitRquicker
Rationale:
1.RMSRpatientsRshouldRnotRexertRthemselvesRtooRmuchRatRoneRtime.RSpaceRoutRactivitiesRandRallow
RtimeRforRrest.
2.RUrinaryRretentionRisRprimarilyRtreatedRbyRmedicationR(bethanochol),RandRexercisesRcanRaidRwith
RitRbutRareRnotRtheRprimaryRtreatment
3.RHotRtemperaturesRareRbadRforRMSRandRcanRworsenRsymptoms.RYourRnervesRareRalreadyRfckedRu
pRandRextraRheatRcanRstressRyourRbodyRintoRoverdrive
COMPLETE EXAM QUESTIONS AND
100% VERIFIED ANSWERS (2026/2027)
PASS GUARANTEE
TheRchargeRnurseRhasRreceivedRaRchange-of-
shiftRreportRonRtheRfollowingRclientsRinRlabor.RTheRchargeRnurseRshouldRaskRaRstaffRmemberRtoRfirstR
seeRtheRclientRinRthe
1.RfirstRstageRofRlaborRwhoRhasRanRoralRtemperatureRofR99.7°RFR(37.6°RC)R
2.RfirstRstageRofRlaborRwhoseRcontractionsRareRoccurringReveryR30RsecondsR
3.RsecondRstageRofRlaborRwhoRhasRrespirationsRofR26R
4.RsecondRstageRofRlaborRwhoseRcontractionsRareRlastingRforR60RsecondsR-
RCORRECTRANSWER2.RfirstRstageRofRlaborRwhoseRcontractionsRareRoccurringReveryR30RsecondsR
ContractionsRshouldRbeRnoRlongerRthanR90RsecsRandRnoRcloserRthanR2RminsR(120Rsecs)
90RsecsRisRtheRduration,R2RminsRisRtheRfrequency.
Rationale:
1.RElevatedRtempRisRnormalRduringRlabor
3.RIncreasedRrespsRareRnormalRduringRlaborR"pant-pant-blow"R"hee-hee-hoo"RbreathingRpattern
4.RContractionsRshouldn'tRbeRlongerRthanR90Rsecs,R60RsecsRisRokayRandRnormal
SecondRstage:R2-3RminsRapart,R60-90RsecsRlong,R10RcmRdilated,RstrongRpain
TheRnurseRisRobservingRaRstaffRmemberRcaringRforRaRclientRwhoRhasRchickenpox.
R WhichRofRtheRfollowingRactionsRbyRtheRstaffRmemberRwouldRrequireRtheRnurseRtoRintervene?
1.RplacingRtheRclientRinRaRprivateRroomRwithRmonitoredRnegativeRairRpressure
2.RplacingRaRboxRofRdisposableRfaceRshieldsRoutsideRtheRclient'sRroom
3.RplacingRanRalcohol-basedRhandRrubRinRtheRclient'sRroomRforRhandRhygiene
,4.RplacingRaRsurgicalRmaskRonRtheRclientRduringRtransportRoutRofRtheRclient'sRroomR-
RCORRECTRANSWER2.RplacingRaRboxRofRdisposableRfaceRshieldsRoutsideRtheRclient'sRroom
disposableRfaceRmasksRareRnotRsuitableRforRairborneRprecautions
Rationale:
VaricellaR(chickenpox)RisRairborneRprecaution.RPrivate,RnegativeRpressureRroom,RuniversalRprecauti
onsR(handRsanitizerRinRroom)RandRplacingRsurgicalRmaskRonRclientRduringRtransportRareRallRcorrectRi
nterventionsRforRVaricilla.
TheRnurseRisRcaringRforRaRclientRwhoRreportsRfeelingRfaintRandRisRexperiencingRtheRcardiacRrhythmRs
hownRinRtheRelectrocardiogramR(ECG)RstripRbelow.
-RBRADYCARDIAR(itRisRmoreRthanR5RspacesRapart,RsinusRrhythm)
WhichRofRtheRfollowingRactionsRwouldRbeRappropriateRforRtheRnurseRtoRtake?RSelectRallRthatRapply:
1.RAdministerRtheRclient'sRprescribedRbetaRblocker.
2.RPrepareRforRtranscutaneousRpacing.
3.RInstructRtheRclientRtoRperformRtheRValsalvaRmaneuver.
4.RBeginRchestRcompressions.
5.RAssessRtheRclientRforRangina.R-RCORRECTRANSWER2.RtranscutaneousRpacingR
-RexternalRpacingRthatRstimulatesRtheRventriclesRtoRpumpRatRaRsetRrate
5.RAssessRtheRclientRforRanginaR
-
RAnginaR(ChestRpain)RcanRbeRcausedRbyRbothRtachycardiaR(mostRcommon)RandRbradycardiaR(rareRb
utRcanRhappen).RAssessmentRofRanginaRisRappropriate
Rationale:
1.RBetaRblockerRwouldRfurtherRdecreaseRHR
3.RValsalvaRmaneuver/VagalRstimulationRwouldRfurtherRdecreaseRHR.R(canRbeRindicatedRforRsinusRT
achy)
,4.RChestRcompressionsRareRforRcardiacRarrest
TheRnurseRisRplanningRcareRforRaRclientRwithRmoderateRAlzheimer'sRdiseaseR(AD).
R WhichRofRtheRfollowingRinterventionsRshouldRtheRnurseRincludeRinRtheRclient'sRplanRofRcare?
1.REncourageRtheRclientRtoRreminisceRaboutRhappyRmemories.
2.RConfrontRtheRclientRwhenRinappropriateRorRagitatedRbehaviorsRoccur.
3.RAdministerRtoRtheRclientRtheRcholinesteraseRinhibitorRtoRreverseRtheRcourseRofRAD.
4.RProvideRtheRclientRwithRinformationRaboutRactivityRchoicesRinRtheRmorningRsoRtheRclientRcanRma
keRplansRforRtheRday.R-
RCORRECTRANSWER1.REncourageRtheRclientRtoRreminisceRaboutRhappyRmemories.
ItsRpossibleRforRADRpatientsRtoRretainRlong-termRmemories
Rationale:
2.RAcknowledgeRfeelingsR-->RRedirectRisRprotocolRforRDementia.RDon'tRconfront;RtheyRcan'tRlearn
3.RADRisRirreversible
4.RInRmoderateRAD,RdementiaRhasRalreadyRprogressedRtoRwhereRptRneedsRhelpRwithRADLsRandRplan
ningRdailyRactivities.RAskingRthemRtoRplanRcanRfrustrateRthemRandRcauseRdistress.R
STRUCTUREDRpleasantRactivitiesRthatRconsiderRtheRpersonsRlikesRandRinterestsRareRtheRbest.
TheRnurseRisRteachingRaRclientRhowRtoRambulateRusingRcrutches.RWhichRofRtheRfollowingRinformati
onRshouldRtheRnurseRinclude?
1.R"UseRyourRhandsRandRarmsRtoRsupportRyourRbodyRweight."
2.R"WearRslippersRwhenRambulatingRwithRtheRcrutchesRinRyourRhome."
3.R"MaintainRtheRcrutchesR12RinR(30Rcm)RinRfrontRofRyourRfeetRwhileRstanding."
4.R"AdjustRtheRhandRgripsRofRtheRcrutchesRsoRthatRyourRelbowsRareRfullyRextended."R-
RCORRECTRANSWER1.R"UseRyourRhandsRandRarmsRtoRsupportRyourRbodyRweight."
True!RButRwatchRoutRifRitRisn'tR2-3Rfinger-
widths,RcrutchRparalysisRcanRoccur.Rs/s:RparesisRandRparesthesiasRinRwristsRandRhands
, Rationales:
2.RFallRrisk!
3.RShouldRbeR6Rin.RinRfrontRandR6Rin.Rlateral
4.RElbowsRshouldRbeRbentRatR30RdegreeRangle
TheRnurseRhasRtaughtRaRclientRwithRmultipleRsclerosisR(MS).
WhichRofRtheRfollowingRstatementsRbyRtheRclientRwouldRindicateRaRcorrectRunderstandingRofRtheRte
aching?
1.R"IRwillRcompleteRallRofRmyRhouseholdRchoresRinRtheRmorningRwhenRIRamRwellRrested."
2.R"IRhaveRlearnedRhowRtoRmassageRmyRbladderRtoRhelpRemptyRmyRbladderRcompletely."
3.R"IRwillRtakeRaRhotRbathRinRtheReveningRtoRhelpRmeRrelaxRifRIRhaveRhadRaRstressfulRdayRatRwork."
4.R"IRshouldRexpectRtheRblurredRvisionRtoRresolveRafterRIRhaveRreceivedRmedicationsRforRseveralRwe
eks."R-
RCORRECTRANSWER4.R"IRshouldRexpectRtheRblurredRvisionRtoRresolveRafterRIRhaveRreceivedRmedica
tionsRforRseveralRweeks."
MSRcausesRnerveRdamageRandRcanRresultRinRopticRneuritisR(visionRloss,RburryRvision).RInRmostRcases
RitRresolvesRitselfRinR4-
12Rweeks,RbutRmedicationR(steroids)RcanRspeedRupRtheRprocessRandRresolveRitRquicker
Rationale:
1.RMSRpatientsRshouldRnotRexertRthemselvesRtooRmuchRatRoneRtime.RSpaceRoutRactivitiesRandRallow
RtimeRforRrest.
2.RUrinaryRretentionRisRprimarilyRtreatedRbyRmedicationR(bethanochol),RandRexercisesRcanRaidRwith
RitRbutRareRnotRtheRprimaryRtreatment
3.RHotRtemperaturesRareRbadRforRMSRandRcanRworsenRsymptoms.RYourRnervesRareRalreadyRfckedRu
pRandRextraRheatRcanRstressRyourRbodyRintoRoverdrive
