NCLEX-RN QBank: 100+ High-Yield
Questions & Rationales | 2025–2026
Update | GRADED A+ | Clinical Judgment
Focus
,Before a paracentesis, the client should Page | 2
empty their bladder to reduce the risk of
bladder puncture during the procedure.
High Fowler’s position is appropriate
during the procedure, and diuretics are
typically used after fluid removal as
prescribed. Encouraging fluids before the
procedure is not standard.
1. A client with ascites is scheduled for a paracentesis. Which 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." -
CORRECT ANSWERS b. "You need to empty your bladder before the procedure."
, 2. A client's lab values reveal Hgb 12.6, WBC 6500cu.mm, 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?
Page | 3
Hypernatremia
b Hypokalemia
Myelosuppression
Leukopenia - CORRECT ANSWERS b Hypokalemia
3. Due to a high census, it has been necessary for a number 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 -
CORRECT ANSWERS b A 40-year-old female with a hysterectomy
4. Before administering Theo-Dur (theophylline), the nurse should check the patient's:
a output
, b Blood pressure
c Pulse
d Temperature Page | 4
CORRECT ANSWERS c Pulse
5. Which information should be given to the patient undergoing radiation therapy for
breast cancer?
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 –
CORRECT ANSWERS a Avoid exposing radiation areas to sunlight during treatment time
and for a year after completion of therapy
The charge nurse is making assignments for the day. After 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.