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BSN366 NCLEX EXAM 2026 COMPLETE
STUDY GUIDE AND PRACTICE
QUESTIONS WITH RATIONALES FOR
EACH ANSWER
The nurse has attended a staff education program about caring for clients who are receiving
positive pressure mechanical ventilation. Which of the following statements by the nurse would
indicate a correct understanding of the teaching?
1. "Clients should avoid range-of-motion (ROM) exercises until weaned from ventilation."
2. "Clients may develop stress ulcers and gastrointestinal bleeding."
3. "Clients will be chemically paralyzed to improve oxygenation."
4. "Clients will experience diuresis and polyuria." --//ANS//--2. "Clients may develop stress
ulcers and gastrointestinal bleeding."
Rationale: Postive Pressure Ventilation may cause stress ulcers and GI bleeding because
The charge nurse must transfer a female client from the medical-surgical unit to the maternity
unit to make a bed available. It would be most appropriate for the nurse to transfer the client who
is
1. 28 years old, had a right mastectomy and has a closed-wound drainage system
2. 49 years old, has diabetes mellitus (type 2) and has begun receiving insulin
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3. 56 years old, has hepatitis C (HCV) and has been afebrile for 24 hours
4. 70 years old, has a fractured left tibia and had an external fixation device applied 48 hours ago
--//ANS//--3. 56 years old, has hepatitis C (HCV) and has been afebrile for 24 hours
The nurse has been made aware of the following client situations. The nurse should first assess
the client with:
1. heart failure who has a productive cough and is anxious
2. regional enteritis (Crohn's disease) who is reporting cramping abdominal pain and diarrhea
3. idiopathic thrombocytopenic purpura (ITP) who has petechiae on the trunk and is reporting
heavy menses
4. chronic obstructive pulmonary disease (COPD) who has dyspnea with exertion and is using
accessory muscles to breathe --//ANS//--1. heart failure who has a productive cough and is
anxious
Productive cough (pink frothy sputum) indicates pulmonary edema, anxiety might be caused by
decreased perfusion
The nurse and unlicensed assistive personnel (UAP) are caring for assigned clients. Which of the
following tasks would be appropriate for the nurse to assign to UAP?
1. assisting a client with atrial fibrillation to shower
2. checking the ability of a client to swallow water after a transesophageal echocardiogram
(TEE)
3. observing while a client with dysphagia begins a thickened liquid diet
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4. transporting a client with respiratory distress to the radiology department for a chest
radiograph --//ANS//--1. assisting a client with atrial fibrillation to shower
UAP can perform hygiene
Rationale:
Only nurses can assess. Transporting a client in respiratory arrest is not safe to delegate to a UAP
The nurse has taken a nutritional history from parents of clients. It would be a priority for the
nurse to follow up with the
1. 5-month-old client whose only source of nutrition is 5 formula feedings daily
2. 7-month-old client who eats several crackers as finger food
3. 9-month-old client whose typical daily diet includes 10 bottles of 2% milk, 1 cup of apple
juice, and 3 servings of infant cereal
4. 1-year-old client whose typical food intake includes 4 breast-feedings and 3 servings of
cooked vegetables, pears, or sliced cheese --//ANS//--3. 9-month-old client whose typical daily
diet includes 10 bottles of 2% milk, 1 cup of apple juice, and 3 servings of infant cereal
Rationale: Cows milk should be introduced at 12 months old. It doesn't provide the necessary
nutrients and baby can develop iron deficiency
The nurse is planning a staff education program about client privacy. Which of the following
scenarios should the nurse include as an example of a violation of client privacy?
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1. discussing with an unlicensed assistive personnel (UAP) that the UAP's assigned client will
require a smaller condom catheter
2. sharing the client's blood alcohol level (BAL) test result with the police officer who brought
the client to the emergency department (ED)
3. responding to the call light of the client who is assigned to another nurse and needs assistance
in the bathroom
4. allowing a nursing student who has been assigned to the client to review the client's medical
record --//ANS//--2. sharing the client's blood alcohol level (BAL) test result with the police
officer who brought the client to the emergency department (ED)
Rationale: PHI is permitted to be disclosed to police when PHI is needed to apprehend the
perpetrator of a violent crime, suspect, or fugitive.
The nurse has become aware of the following client situations. The nurse should first assess the
client
1. who had a right pneumonectomy 24 hours ago and is in the high-Fowler's position while lying
on the right side
2. with chronic obstructive pulmonary disease (COPD) who is using pursed-lip breathing and
reporting hemoptysis
3. who had a wedge resection of the left lung 24 hours ago and is sitting in the high-Fowler's
position
4. with heart failure who has a productive cough and is restless --//ANS//--4. with heart failure
who has a productive cough and is restless
BSN366 NCLEX EXAM 2026 COMPLETE
STUDY GUIDE AND PRACTICE
QUESTIONS WITH RATIONALES FOR
EACH ANSWER
The nurse has attended a staff education program about caring for clients who are receiving
positive pressure mechanical ventilation. Which of the following statements by the nurse would
indicate a correct understanding of the teaching?
1. "Clients should avoid range-of-motion (ROM) exercises until weaned from ventilation."
2. "Clients may develop stress ulcers and gastrointestinal bleeding."
3. "Clients will be chemically paralyzed to improve oxygenation."
4. "Clients will experience diuresis and polyuria." --//ANS//--2. "Clients may develop stress
ulcers and gastrointestinal bleeding."
Rationale: Postive Pressure Ventilation may cause stress ulcers and GI bleeding because
The charge nurse must transfer a female client from the medical-surgical unit to the maternity
unit to make a bed available. It would be most appropriate for the nurse to transfer the client who
is
1. 28 years old, had a right mastectomy and has a closed-wound drainage system
2. 49 years old, has diabetes mellitus (type 2) and has begun receiving insulin
,2|Page
3. 56 years old, has hepatitis C (HCV) and has been afebrile for 24 hours
4. 70 years old, has a fractured left tibia and had an external fixation device applied 48 hours ago
--//ANS//--3. 56 years old, has hepatitis C (HCV) and has been afebrile for 24 hours
The nurse has been made aware of the following client situations. The nurse should first assess
the client with:
1. heart failure who has a productive cough and is anxious
2. regional enteritis (Crohn's disease) who is reporting cramping abdominal pain and diarrhea
3. idiopathic thrombocytopenic purpura (ITP) who has petechiae on the trunk and is reporting
heavy menses
4. chronic obstructive pulmonary disease (COPD) who has dyspnea with exertion and is using
accessory muscles to breathe --//ANS//--1. heart failure who has a productive cough and is
anxious
Productive cough (pink frothy sputum) indicates pulmonary edema, anxiety might be caused by
decreased perfusion
The nurse and unlicensed assistive personnel (UAP) are caring for assigned clients. Which of the
following tasks would be appropriate for the nurse to assign to UAP?
1. assisting a client with atrial fibrillation to shower
2. checking the ability of a client to swallow water after a transesophageal echocardiogram
(TEE)
3. observing while a client with dysphagia begins a thickened liquid diet
,3|Page
4. transporting a client with respiratory distress to the radiology department for a chest
radiograph --//ANS//--1. assisting a client with atrial fibrillation to shower
UAP can perform hygiene
Rationale:
Only nurses can assess. Transporting a client in respiratory arrest is not safe to delegate to a UAP
The nurse has taken a nutritional history from parents of clients. It would be a priority for the
nurse to follow up with the
1. 5-month-old client whose only source of nutrition is 5 formula feedings daily
2. 7-month-old client who eats several crackers as finger food
3. 9-month-old client whose typical daily diet includes 10 bottles of 2% milk, 1 cup of apple
juice, and 3 servings of infant cereal
4. 1-year-old client whose typical food intake includes 4 breast-feedings and 3 servings of
cooked vegetables, pears, or sliced cheese --//ANS//--3. 9-month-old client whose typical daily
diet includes 10 bottles of 2% milk, 1 cup of apple juice, and 3 servings of infant cereal
Rationale: Cows milk should be introduced at 12 months old. It doesn't provide the necessary
nutrients and baby can develop iron deficiency
The nurse is planning a staff education program about client privacy. Which of the following
scenarios should the nurse include as an example of a violation of client privacy?
, 4|Page
1. discussing with an unlicensed assistive personnel (UAP) that the UAP's assigned client will
require a smaller condom catheter
2. sharing the client's blood alcohol level (BAL) test result with the police officer who brought
the client to the emergency department (ED)
3. responding to the call light of the client who is assigned to another nurse and needs assistance
in the bathroom
4. allowing a nursing student who has been assigned to the client to review the client's medical
record --//ANS//--2. sharing the client's blood alcohol level (BAL) test result with the police
officer who brought the client to the emergency department (ED)
Rationale: PHI is permitted to be disclosed to police when PHI is needed to apprehend the
perpetrator of a violent crime, suspect, or fugitive.
The nurse has become aware of the following client situations. The nurse should first assess the
client
1. who had a right pneumonectomy 24 hours ago and is in the high-Fowler's position while lying
on the right side
2. with chronic obstructive pulmonary disease (COPD) who is using pursed-lip breathing and
reporting hemoptysis
3. who had a wedge resection of the left lung 24 hours ago and is sitting in the high-Fowler's
position
4. with heart failure who has a productive cough and is restless --//ANS//--4. with heart failure
who has a productive cough and is restless
