NCLEX RN Test 1 - Exam Questions & Verified Answers
A client with ascites is scheduled for a paracentesis. Which b. "You need to empty your bladder before the procedure."
instruction should be given to the client before the
procedure?
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."
A client's lab values reveal Hgb 12.6, WBC 6500cu.mm, b Hypokalemia
K+ 1.9, uric acid 7.0, Na+ 136, and platelets
178,000cu.mm. The nurse evaluates that the client is
experiencing which of the following?
Hypernatremia
b Hypokalemia
Myelosuppression
Leukopenia
The nurse is caring for the client who has been in a coma a Tell the wife that the hospital will honor her wishes regarding organ donation, but
for two months. He has signed a donor card, but the wife is contact the organ-retrieval staff.
opposed to the idea of organ donation. How should the
nurse handle the topic of organ donation with the wife?
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.
Due to a high census, it has been necessary for a number b A 40-year-old female with a hysterectomy
of clients to be transferred to other units within the hospital.
Which client should be transferred to the postpartum unit?
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
Before administering Theo-Dur (theophylline), the nurse c Pulse
should check the patient's:
a output
b Blood pressure
c Pulse
d Temperature
Which information should be given to the patient a Avoid exposing radiation areas to sunlight during treatment time and for a year
undergoing radiation therapy for breast cancer? after completion of therapy
a Avoid exposing radiation areas to sunlight during
treatment time and for a year after completion of therapy
b Moisturize the radiation site with oil-based lotion to
prevent blistering
c Use bath oil when tub bathing to prevent drying and
peeling
d Report redness and soreness of the area to the
physician
The charge nurse is making assignments for the day. After d Ask the nurse if she has ever had the chickenpox.
accepting the assignment to care for a client with
leukemia, the nurse tells the charge nurse that her child
has chickenpox. Which initial action should the charge
nurse take?
a Change the nurse's assignment to another client.
b Explain to the nurse that there is no risk to the client.
c Ask the nurse if the chickenpox have crusted.
d Ask the nurse if she has ever had the chickenpox.
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, NCLEX RN Test 1 - Exam Questions & Verified Answers
Which statement is true regarding therapy with Levemir d The duration is 24 hours.
(insulin detemir)?
a The onset is 1-2 hours.
b It may be mixed with regular insulin.
c It peaks in 2-3 hours.
d The duration is 24 hours.
Which client should be assigned to the nursing assistant? c The elderly client with a thyroidectomy four days ago
a The 18-year-old with a fracture to two cervical vertebrae
b The infant with meningitis with a temperature of 101°F
c The elderly client with a thyroidectomy four days ago
d The client with a thoracotomy two days ago
The physician has ordered the Schilling test for a patient a Folic acid
with suspected pernicious anemia. What other vitamin
level is often assessed at the same time as the B12 level?
a Folic acid
b Pyridoxine
c Ascorbic acid
d Thiamine
The client is admitted to the emergency room with d Prolonged QT interval
shortness of breath, anxiety, and tachycardia. His ECG
reveals atrial fibrillation with a ventricular response rate of Quinidine can cause widened Q-T intervals and heart block.
130 beats per minute. The doctor orders quinidine sulfate.
While he is receiving quinidine, the nurse should monitor
his ECG for:
a Peaked P wave
b Elevated ST segment
c Inverted T wave
d Prolonged QT interval
A 25-year-old client arrives in the emergency room with a c Buck's traction
possible fracture of the right femur. The nurse should
anticipate an order for:
a Bryant's traction
b Ice to the entire extremity
c Buck's traction
d An abduction pillow
Which statement should be included in the teaching b "You may experience a feeling of pressure or discomfort during aspiration of the
session of a client scheduled for a renal biopsy? biopsy."
a "You will be placed in a sitting position for the biopsy."
b "You may experience a feeling of pressure or discomfort
during aspiration of the biopsy."
c "You will be asleep during the procedure."
d "You will not be able to drink fluids for 24 hours following
the study."
The client is admitted with chronic obstructive pulmonary c Compensated metabolic acidosis
disease. Blood gases reveal pH 7.36, CO2 45, O2 84,
bicarb 28. The nurse would assess the client to be in:
a Uncompensated acidosis
b Compensated alkalosis
c Compensated metabolic acidosis
d Uncompensated metabolic acidosis
Before administering intravenous chemotherapy to the c Administer an antiemetic.
patient being treated, the nurse should:
a Administer a bolus of IV fluid.
b Administer pain medication.
c Administer an antiemetic.
d Allow the patient a chance to eat.
Stuvia.com - 2026-2027
, NCLEX RN Test 1 - Exam Questions & Verified Answers
Which one of the following statements is correct when b The nurse should measure three inches between the top of the crutch and the
measuring the client for crutches? axilla.
a A distance of five fingerbreadths should exist between
the top of the crutch and the axilla.
b The nurse should measure three inches between the top
of the crutch and the axilla.
c The client's elbows should be flexed at a 10°angle.
d The crutches should be extended 8 to 10 inches from the
side of the foot.
A patient of Greek descent has been prescribed Bactrim a G6PD deficiency
(sulfamethoxazole-trimethoprim) for treatment of a urinary
tract infection. Before beginning the medication, the patient
should be assessed for which of the following disorders?
a G6PD deficiency
b β-thalassemia
c Sickle cell anemia
d Von Willebrand disease
The physician has ordered Coumadin (sodium warfarin) for c 1700
a client with thrombophlebitis. The order should be entered
to administer the medication at:
a 0900
b 1200
c 1700
d 2100
To get the full Test Bank Email To get the full Test Bank Email . Remember our Test
. Remember our Test Bank Bank are updated every year(most recently in April 2026.) to accommodate
are updated every year(most recently in April 2026.) to changes done by National Council of State Board of Nursing (NCSBN) and prepare
accommodate changes done by National Council of State student for their examination. to get actual exam questions. April 2026 latest update
Board of Nursing (NCSBN) and prepare student for their Copy the link below
examination. to get actual exam questions. April 2026 https://jamesdicksonm.gumroad.com/l/okrxje
latest update Copy the link below
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Which medication is often used to treat the client with b Vibramycin (doxycycline)
N.gonorrhea?
a Sitavig (acyclovir)
b Vibramycin (doxycycline)
c Retrovir (zidovudine)
d Aldara (imiquimod)
The nurse is caring for a client with cerebral palsy. The a Grimacing and writhing movements decrease with relaxation and rest.
nurse should provide frequent rest periods because:
a Grimacing and writhing movements decrease with
relaxation and rest.
b Hypoactive deep tendon reflexes become more active
with rest.
c Stretch reflexes are increased with rest.
d Fine motor movements are improved by rest.
The nurse is assisting in the care of a patient who is two d Use a sitz bath after each bowel movement
days post-operative from a hemorrhoidectomy. The nurse
would be correct in instructing the patient to:
a Avoid a high-fiber diet
b Continue to apply ice packs
c Take a laxative daily to p revent constipation
d Use a sitz bath after each bowel movement
A client with an abdominal aortic aneurysm is admitted in a A WBC of 14,000 cu.mm.
preparation for surgery. Which finding should be reported
to the doctor?
a A WBC of 14,000 cu.mm.
b Auscultation of abdominal bruit
c Complaints of lower back pain
d A platelet count of 175,000 cu.mm.
Stuvia.com - 2026-2027
, NCLEX RN Test 1 - Exam Questions & Verified Answers
The nurse is performing an assessment on a client with c Glossitis
possible pernicious anemia. Which finding is specific to
pernicious anemia?
a A weight loss of 10 pounds in six months
b Fatigue
c Glossitis
d Pallor
The nurse is making assignments for the day. The staff a A client with Alzheimer's disease
consists of an RN, an LPN, and a nursing assistant. Which
client could the nursing assistant care for?
a A client with Alzheimer's disease
b A client with pneumonia
c A client with cirrhosis
d A client with thrombophlebitis
The client is diagnosed with multiple myeloma. The doctor d "Drink at least eight large glasses of water a day."
has ordered cyclophosphamide (Cytoxan). Which
instruction should be given to the client?
a "Walk about a mile a day to prevent calcium loss."
b "Increase the fiber in your diet."
c "Report nausea to the doctor immediately."
d "Drink at least eight large glasses of water a day."
While caring for an elderly patient with hypertension, the a Report the findings to the physician
nurse notes the following vital signs: BP of 140/40, pulse
120, respirations 36. The nurse's initial action should be to:
a Report the findings to the physician
b Recheck the vital signs in one hour
c Ask the patient if he is in pain
d Compare the current vital signs with those on admission
The charge nurse overhears the patient care assistant b Explore the interaction with the nursing assistant
speaking harshly to the client with dementia. The charge
nurse should:
a Change the nursing assistant's assignment
b Explore the interaction with the nursing assistant
c Discuss the matter with the client's family
d Initiate a group session with the nursing assistant
Which action by the home health nurse indicates a d Reinforcing teaching regarding the prevention of falls
knowledge of the needs of an elderly client?
a Teaching regarding availability and services offered by
hospice care
b Speaking in a higher pitched voice tone to facilitate
hearing
c Encouraging fluid restriction to prevent nighttime voiding
d Reinforcing teaching regarding the prevention of falls
A client with glomerulonephritis is placed on a low-sodium Fresh peach
diet. Which of the following snacks is suitable for the client
with sodium restriction?
Peanut butter cookies
Grilled cheese sandwich
Cottage cheese and fruit
Fresh peach
The nurse can help alleviate the discomfort the client is Providing sugarless hard candy
experiencing associated with xerostomia by:
Limiting fluid intake dry mouth
Administering an analgesic
Splinting swollen joints
Providing sugarless hard candy
Stuvia.com - 2026-2027
A client with ascites is scheduled for a paracentesis. Which b. "You need to empty your bladder before the procedure."
instruction should be given to the client before the
procedure?
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."
A client's lab values reveal Hgb 12.6, WBC 6500cu.mm, b Hypokalemia
K+ 1.9, uric acid 7.0, Na+ 136, and platelets
178,000cu.mm. The nurse evaluates that the client is
experiencing which of the following?
Hypernatremia
b Hypokalemia
Myelosuppression
Leukopenia
The nurse is caring for the client who has been in a coma a Tell the wife that the hospital will honor her wishes regarding organ donation, but
for two months. He has signed a donor card, but the wife is contact the organ-retrieval staff.
opposed to the idea of organ donation. How should the
nurse handle the topic of organ donation with the wife?
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.
Due to a high census, it has been necessary for a number b A 40-year-old female with a hysterectomy
of clients to be transferred to other units within the hospital.
Which client should be transferred to the postpartum unit?
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
Before administering Theo-Dur (theophylline), the nurse c Pulse
should check the patient's:
a output
b Blood pressure
c Pulse
d Temperature
Which information should be given to the patient a Avoid exposing radiation areas to sunlight during treatment time and for a year
undergoing radiation therapy for breast cancer? after completion of therapy
a Avoid exposing radiation areas to sunlight during
treatment time and for a year after completion of therapy
b Moisturize the radiation site with oil-based lotion to
prevent blistering
c Use bath oil when tub bathing to prevent drying and
peeling
d Report redness and soreness of the area to the
physician
The charge nurse is making assignments for the day. After d Ask the nurse if she has ever had the chickenpox.
accepting the assignment to care for a client with
leukemia, the nurse tells the charge nurse that her child
has chickenpox. Which initial action should the charge
nurse take?
a Change the nurse's assignment to another client.
b Explain to the nurse that there is no risk to the client.
c Ask the nurse if the chickenpox have crusted.
d Ask the nurse if she has ever had the chickenpox.
Stuvia.com - 2026-2027
, NCLEX RN Test 1 - Exam Questions & Verified Answers
Which statement is true regarding therapy with Levemir d The duration is 24 hours.
(insulin detemir)?
a The onset is 1-2 hours.
b It may be mixed with regular insulin.
c It peaks in 2-3 hours.
d The duration is 24 hours.
Which client should be assigned to the nursing assistant? c The elderly client with a thyroidectomy four days ago
a The 18-year-old with a fracture to two cervical vertebrae
b The infant with meningitis with a temperature of 101°F
c The elderly client with a thyroidectomy four days ago
d The client with a thoracotomy two days ago
The physician has ordered the Schilling test for a patient a Folic acid
with suspected pernicious anemia. What other vitamin
level is often assessed at the same time as the B12 level?
a Folic acid
b Pyridoxine
c Ascorbic acid
d Thiamine
The client is admitted to the emergency room with d Prolonged QT interval
shortness of breath, anxiety, and tachycardia. His ECG
reveals atrial fibrillation with a ventricular response rate of Quinidine can cause widened Q-T intervals and heart block.
130 beats per minute. The doctor orders quinidine sulfate.
While he is receiving quinidine, the nurse should monitor
his ECG for:
a Peaked P wave
b Elevated ST segment
c Inverted T wave
d Prolonged QT interval
A 25-year-old client arrives in the emergency room with a c Buck's traction
possible fracture of the right femur. The nurse should
anticipate an order for:
a Bryant's traction
b Ice to the entire extremity
c Buck's traction
d An abduction pillow
Which statement should be included in the teaching b "You may experience a feeling of pressure or discomfort during aspiration of the
session of a client scheduled for a renal biopsy? biopsy."
a "You will be placed in a sitting position for the biopsy."
b "You may experience a feeling of pressure or discomfort
during aspiration of the biopsy."
c "You will be asleep during the procedure."
d "You will not be able to drink fluids for 24 hours following
the study."
The client is admitted with chronic obstructive pulmonary c Compensated metabolic acidosis
disease. Blood gases reveal pH 7.36, CO2 45, O2 84,
bicarb 28. The nurse would assess the client to be in:
a Uncompensated acidosis
b Compensated alkalosis
c Compensated metabolic acidosis
d Uncompensated metabolic acidosis
Before administering intravenous chemotherapy to the c Administer an antiemetic.
patient being treated, the nurse should:
a Administer a bolus of IV fluid.
b Administer pain medication.
c Administer an antiemetic.
d Allow the patient a chance to eat.
Stuvia.com - 2026-2027
, NCLEX RN Test 1 - Exam Questions & Verified Answers
Which one of the following statements is correct when b The nurse should measure three inches between the top of the crutch and the
measuring the client for crutches? axilla.
a A distance of five fingerbreadths should exist between
the top of the crutch and the axilla.
b The nurse should measure three inches between the top
of the crutch and the axilla.
c The client's elbows should be flexed at a 10°angle.
d The crutches should be extended 8 to 10 inches from the
side of the foot.
A patient of Greek descent has been prescribed Bactrim a G6PD deficiency
(sulfamethoxazole-trimethoprim) for treatment of a urinary
tract infection. Before beginning the medication, the patient
should be assessed for which of the following disorders?
a G6PD deficiency
b β-thalassemia
c Sickle cell anemia
d Von Willebrand disease
The physician has ordered Coumadin (sodium warfarin) for c 1700
a client with thrombophlebitis. The order should be entered
to administer the medication at:
a 0900
b 1200
c 1700
d 2100
To get the full Test Bank Email To get the full Test Bank Email . Remember our Test
. Remember our Test Bank Bank are updated every year(most recently in April 2026.) to accommodate
are updated every year(most recently in April 2026.) to changes done by National Council of State Board of Nursing (NCSBN) and prepare
accommodate changes done by National Council of State student for their examination. to get actual exam questions. April 2026 latest update
Board of Nursing (NCSBN) and prepare student for their Copy the link below
examination. to get actual exam questions. April 2026 https://jamesdicksonm.gumroad.com/l/okrxje
latest update Copy the link below
https://jamesdicksonm.gumroad.com/l/okrxje
Which medication is often used to treat the client with b Vibramycin (doxycycline)
N.gonorrhea?
a Sitavig (acyclovir)
b Vibramycin (doxycycline)
c Retrovir (zidovudine)
d Aldara (imiquimod)
The nurse is caring for a client with cerebral palsy. The a Grimacing and writhing movements decrease with relaxation and rest.
nurse should provide frequent rest periods because:
a Grimacing and writhing movements decrease with
relaxation and rest.
b Hypoactive deep tendon reflexes become more active
with rest.
c Stretch reflexes are increased with rest.
d Fine motor movements are improved by rest.
The nurse is assisting in the care of a patient who is two d Use a sitz bath after each bowel movement
days post-operative from a hemorrhoidectomy. The nurse
would be correct in instructing the patient to:
a Avoid a high-fiber diet
b Continue to apply ice packs
c Take a laxative daily to p revent constipation
d Use a sitz bath after each bowel movement
A client with an abdominal aortic aneurysm is admitted in a A WBC of 14,000 cu.mm.
preparation for surgery. Which finding should be reported
to the doctor?
a A WBC of 14,000 cu.mm.
b Auscultation of abdominal bruit
c Complaints of lower back pain
d A platelet count of 175,000 cu.mm.
Stuvia.com - 2026-2027
, NCLEX RN Test 1 - Exam Questions & Verified Answers
The nurse is performing an assessment on a client with c Glossitis
possible pernicious anemia. Which finding is specific to
pernicious anemia?
a A weight loss of 10 pounds in six months
b Fatigue
c Glossitis
d Pallor
The nurse is making assignments for the day. The staff a A client with Alzheimer's disease
consists of an RN, an LPN, and a nursing assistant. Which
client could the nursing assistant care for?
a A client with Alzheimer's disease
b A client with pneumonia
c A client with cirrhosis
d A client with thrombophlebitis
The client is diagnosed with multiple myeloma. The doctor d "Drink at least eight large glasses of water a day."
has ordered cyclophosphamide (Cytoxan). Which
instruction should be given to the client?
a "Walk about a mile a day to prevent calcium loss."
b "Increase the fiber in your diet."
c "Report nausea to the doctor immediately."
d "Drink at least eight large glasses of water a day."
While caring for an elderly patient with hypertension, the a Report the findings to the physician
nurse notes the following vital signs: BP of 140/40, pulse
120, respirations 36. The nurse's initial action should be to:
a Report the findings to the physician
b Recheck the vital signs in one hour
c Ask the patient if he is in pain
d Compare the current vital signs with those on admission
The charge nurse overhears the patient care assistant b Explore the interaction with the nursing assistant
speaking harshly to the client with dementia. The charge
nurse should:
a Change the nursing assistant's assignment
b Explore the interaction with the nursing assistant
c Discuss the matter with the client's family
d Initiate a group session with the nursing assistant
Which action by the home health nurse indicates a d Reinforcing teaching regarding the prevention of falls
knowledge of the needs of an elderly client?
a Teaching regarding availability and services offered by
hospice care
b Speaking in a higher pitched voice tone to facilitate
hearing
c Encouraging fluid restriction to prevent nighttime voiding
d Reinforcing teaching regarding the prevention of falls
A client with glomerulonephritis is placed on a low-sodium Fresh peach
diet. Which of the following snacks is suitable for the client
with sodium restriction?
Peanut butter cookies
Grilled cheese sandwich
Cottage cheese and fruit
Fresh peach
The nurse can help alleviate the discomfort the client is Providing sugarless hard candy
experiencing associated with xerostomia by:
Limiting fluid intake dry mouth
Administering an analgesic
Splinting swollen joints
Providing sugarless hard candy
Stuvia.com - 2026-2027
