NCLEX EXAM PREVIEW 2026
NEWEST EXAM CURRENTLY
TESTING COMPLETE EXAM
QUESTIONS WITH DETAILED
VERIFIED ANSWERS(100%
CORRECT ANSWERS) A+
STUDY MATERIAL
The nurse is caring for a client in the first stage of labor and observes that a segment of the umbilical
cord is visible in the vaginal opening after rupture of the client's amniotic membranes. Which of the
following actions should the nurse take?
1. Instruct the client to lie on her left side.
2. Attempt to place the umbilical cord back into the uterus.
3. Assist the client into a knee-chest position.
4. Administer an intravenous tocolytic agent.
3. Assist the client into a knee-chest position.
The nurse is preparing to administer an aminoglycoside. Which of the following laboratory test results
should the nurse review before administering the medication?
1. serum electrolyte level and serum uric acid level
2. hemoglobin (Hgb) and white blood cell (WBC) count
3. serum ammonia level and serum glucose level
4. blood urea nitrogen (BUN) and serum creatinine
4. blood urea nitrogen (BUN) and serum creatinine
Aminoglycosides are Ototoxic and Nephrotoxic
The nurse is talking with a client who is scheduled for endoscopic retrograde
cholangiopancreatography (ERCP) in 2 hours in the outpatient department.
Which of the following questions would be important for the nurse to ask? Select all that apply.
1. "How will you be getting home after the procedure?"
2. "Do you have access to a thermometer after you leave here?"
,3. "What allergies do you have?"
4. "Are you wearing dentures?"
5. "Do you have external hemorrhoids?"
1,2,3
The nurse is assessing a client who had cardiac catheterization 2 hours ago. Which of the following
findings would require immediate follow-up?
1. blood pressure, 104/70 mm Hg
2. 1+ pedal pulse of the affected extremity
3. heart rate, 98
4. urine output of 100 mL for the past 2 hours
2. 1+ pedal pulse of the affected extremity
The nurse has taught the parent of a 9-year-old child who has been newly diagnosed with bacterial
conjunctivitis. Which of the following statements by the parent would indicate a correct
understanding of the teaching?
1. "The infection produces profuse watery discharge."
2. "I should clean my child's eyelids and eyelashes with soap and water prior to instilling the
medication."
3. "My child's eyes may be sensitive to light until the infection resolves."
4. "The prescribed corticosteroid eyedrops should be used for 1 week."
3. "My child's eyes may be sensitive to light until the infection resolves."
The nurse is talking with a client who has diabetes mellitus (type 1) and is receiving insulin via an
infusion pump. Which of the following statements by the client would require follow-up?
1. "I need a bolus dose of insulin prior to a meal."
2. "I should refill the pump with short-duration insulin."
3. "I can decrease serum glucose monitoring to twice daily."
4. "I will change the infusion needle every 2 to 3 days."
3. "I can decrease serum glucose monitoring to twice daily." ?
Not sure
The nurse is caring for a client who is scheduled for a spinal fusion in 1 hour. Which of the following
situations would require follow-up? Select all that apply.
1. The nurse notes that the client signed the consent form 1 week ago.
2. The nurse determines that the last analgesia the client received was yesterday afternoon.
3. The client states, "I need to find out why the surgery is needed before I sign the consent form."
4. The nurse administers the prescribed preoperative sedation after the client signs the consent form.
5. The client states, "I am afraid to sign the consent form because I know I am going to die during the
surgery."
6. The client states, "The surgery may result in some paralysis, but the resolution of the pain is worth
the risk to me."
3, 5
,The charge nurse must transfer a client from a locked psychiatric unit to an unlocked unit in order to
make a bed available. The charge nurse should recommend for transfer the client with
1. depression who has suddenly become more animated and involved in unit activities
2. bipolar I disorder who is experiencing a manic episode, is disrobing, and is laughing with other
clients
3. schizophrenia who is withdrawn and requires assistance with activities of daily living (ADL)
4. dementia who is delusional about being poisoned by staff members
3. schizophrenia who is withdrawn and requires assistance with activities of daily living (ADL)
The nurse in the emergency department (ED) is assessing a client with multiple injuries that occurred
as a result of a motor vehicle collision. Which of the following findings should receive highest priority?
1. avulsion injury of the left index finger
2. deep laceration on the right forearm with blood oozing from the surface
3. hematoma on the left side of the neck
4. open fracture of the right tibia and fibula
3. hematoma on the left side of the neckline
The nurse has received information about assigned clients. The nurse should first assess the client
1. with multiple sclerosis (MS) who had an indwelling urethral catheter removed 5 hours ago and has
not been able to urinate
2. with an abdominal aortic aneurysm who reports recent onset of low back pain
3. who had coronary artery bypass graft (CABG) surgery 2 days ago and reports sternal pain when
coughing
4. who has bacterial pneumonia and is requesting a cough suppressant
2. with an abdominal aortic aneurysm who reports recent onset of low back pain
The nurse that cared for a client with chronic obstructive pulmonary disease (COPD) who lost more
than 10% of ideal body weight has been named in a lawsuit charging negligence. Which of the
following entries in the client's medical record would help refute the charge of negligence?
1. The client has been instructed to eat 3 large meals daily.
2. The client has been encouraged to maintain a high-calorie, high-protein diet.
3. The client has been encouraged to drink fluids with meals to promote digestion.
4. The client has been instructed to exercise 30 minutes before eating to improve appetite. via
2. The client has been encouraged to maintain a high-calorie, high-protein diet.
The nurse is documenting care for a client who had a peripheral venous access device (VAD) inserted
10 minutes ago. Which of the following would be the best example of correct documentation for the
nurse to include in the client's medical record?
1. 22-gauge catheter inserted into the right hand.
2. Secured the site with paper tape to avoid skin tears.
3. Infusion started slowly due to reports of coolness at the site.
4. Labeled site, tubing, and intravenous fluid bag.
1. 22-gauge catheter inserted into the right hand.
, The nurse is caring for assigned clients.
It would be most important for the nurse to monitor
1. serum lipase levels for the client with hypercholesterolemia
2. arterial blood gas (ABG) results for the client who has an acid-base imbalance
3. serum glucose levels for the client with diabetes insipidus (DI)
4. adrenocorticotropic hormone (ACTH) levels for the client who has a fluid imbalance
2. arterial blood gas (ABG) results for the client who has an acid-base imbalance
The nurse is planning a staff education program about collaborative conflict resolution strategies.
Which of the following would best describe implementation of a collaborative conflict resolution
strategy?
1. "A staff nurse is working with the nurse manager and offering suggestions about an upcoming new
procedure."
2. "The clinical nurse leader is flattered by being asked to help create a clinical ladder for nursing staff
members."
3. "The charge nurse is working with staff nurses and the nurse manager to develop shared goals and
a plan for the new staffing format."
4. "A new nurse has offered to work on a holiday in exchange for having the following weekend off."
3. "The charge nurse is working with staff nurses and the nurse manager to develop shared goals and a
plan for the new staffing format."
Key word is collaborative
The nurse is caring for a client who lives with a spouse and 2 adolescent children. The client has been
admitted to a hospital for treatment of active pulmonary tuberculosis (TB). The local health
department has been notified about the client's diagnosis.
The nurse should recognize that after this notification the local health department will
1. schedule periodic examinations of the client's chest and sputum
2. contact the client's family to arrange for family members to be examined
3. immunize those persons with whom the client has been in contact
4. isolate members of the client's immediate family at home until diagnostic studies rule out TB
2. contact the client's family to arrange for family members to be examined
The nurse is participating in a community-based disaster drill. The nurse should give priority for
treatment to a
1. 2-year-old client with a bleeding scalp laceration and briskly reactive pupils
2. 15-year-old client who is restless and has a distended, firm abdomen
3. 30-year-old client who has a leg wound exposing the femur, a blood pressure of 120/76 mm Hg, and
a pulse of 90
4. 60-year-old client with heart failure whose pulse oximetry reading is 92% on room air and whose
respirations are 26
2. 15-year-old client who is restless and has a distended, firm abdomen
The nurse in a community-based setting has received the following telephone messages. The nurse
should first return the telephone call to the parent of a
NEWEST EXAM CURRENTLY
TESTING COMPLETE EXAM
QUESTIONS WITH DETAILED
VERIFIED ANSWERS(100%
CORRECT ANSWERS) A+
STUDY MATERIAL
The nurse is caring for a client in the first stage of labor and observes that a segment of the umbilical
cord is visible in the vaginal opening after rupture of the client's amniotic membranes. Which of the
following actions should the nurse take?
1. Instruct the client to lie on her left side.
2. Attempt to place the umbilical cord back into the uterus.
3. Assist the client into a knee-chest position.
4. Administer an intravenous tocolytic agent.
3. Assist the client into a knee-chest position.
The nurse is preparing to administer an aminoglycoside. Which of the following laboratory test results
should the nurse review before administering the medication?
1. serum electrolyte level and serum uric acid level
2. hemoglobin (Hgb) and white blood cell (WBC) count
3. serum ammonia level and serum glucose level
4. blood urea nitrogen (BUN) and serum creatinine
4. blood urea nitrogen (BUN) and serum creatinine
Aminoglycosides are Ototoxic and Nephrotoxic
The nurse is talking with a client who is scheduled for endoscopic retrograde
cholangiopancreatography (ERCP) in 2 hours in the outpatient department.
Which of the following questions would be important for the nurse to ask? Select all that apply.
1. "How will you be getting home after the procedure?"
2. "Do you have access to a thermometer after you leave here?"
,3. "What allergies do you have?"
4. "Are you wearing dentures?"
5. "Do you have external hemorrhoids?"
1,2,3
The nurse is assessing a client who had cardiac catheterization 2 hours ago. Which of the following
findings would require immediate follow-up?
1. blood pressure, 104/70 mm Hg
2. 1+ pedal pulse of the affected extremity
3. heart rate, 98
4. urine output of 100 mL for the past 2 hours
2. 1+ pedal pulse of the affected extremity
The nurse has taught the parent of a 9-year-old child who has been newly diagnosed with bacterial
conjunctivitis. Which of the following statements by the parent would indicate a correct
understanding of the teaching?
1. "The infection produces profuse watery discharge."
2. "I should clean my child's eyelids and eyelashes with soap and water prior to instilling the
medication."
3. "My child's eyes may be sensitive to light until the infection resolves."
4. "The prescribed corticosteroid eyedrops should be used for 1 week."
3. "My child's eyes may be sensitive to light until the infection resolves."
The nurse is talking with a client who has diabetes mellitus (type 1) and is receiving insulin via an
infusion pump. Which of the following statements by the client would require follow-up?
1. "I need a bolus dose of insulin prior to a meal."
2. "I should refill the pump with short-duration insulin."
3. "I can decrease serum glucose monitoring to twice daily."
4. "I will change the infusion needle every 2 to 3 days."
3. "I can decrease serum glucose monitoring to twice daily." ?
Not sure
The nurse is caring for a client who is scheduled for a spinal fusion in 1 hour. Which of the following
situations would require follow-up? Select all that apply.
1. The nurse notes that the client signed the consent form 1 week ago.
2. The nurse determines that the last analgesia the client received was yesterday afternoon.
3. The client states, "I need to find out why the surgery is needed before I sign the consent form."
4. The nurse administers the prescribed preoperative sedation after the client signs the consent form.
5. The client states, "I am afraid to sign the consent form because I know I am going to die during the
surgery."
6. The client states, "The surgery may result in some paralysis, but the resolution of the pain is worth
the risk to me."
3, 5
,The charge nurse must transfer a client from a locked psychiatric unit to an unlocked unit in order to
make a bed available. The charge nurse should recommend for transfer the client with
1. depression who has suddenly become more animated and involved in unit activities
2. bipolar I disorder who is experiencing a manic episode, is disrobing, and is laughing with other
clients
3. schizophrenia who is withdrawn and requires assistance with activities of daily living (ADL)
4. dementia who is delusional about being poisoned by staff members
3. schizophrenia who is withdrawn and requires assistance with activities of daily living (ADL)
The nurse in the emergency department (ED) is assessing a client with multiple injuries that occurred
as a result of a motor vehicle collision. Which of the following findings should receive highest priority?
1. avulsion injury of the left index finger
2. deep laceration on the right forearm with blood oozing from the surface
3. hematoma on the left side of the neck
4. open fracture of the right tibia and fibula
3. hematoma on the left side of the neckline
The nurse has received information about assigned clients. The nurse should first assess the client
1. with multiple sclerosis (MS) who had an indwelling urethral catheter removed 5 hours ago and has
not been able to urinate
2. with an abdominal aortic aneurysm who reports recent onset of low back pain
3. who had coronary artery bypass graft (CABG) surgery 2 days ago and reports sternal pain when
coughing
4. who has bacterial pneumonia and is requesting a cough suppressant
2. with an abdominal aortic aneurysm who reports recent onset of low back pain
The nurse that cared for a client with chronic obstructive pulmonary disease (COPD) who lost more
than 10% of ideal body weight has been named in a lawsuit charging negligence. Which of the
following entries in the client's medical record would help refute the charge of negligence?
1. The client has been instructed to eat 3 large meals daily.
2. The client has been encouraged to maintain a high-calorie, high-protein diet.
3. The client has been encouraged to drink fluids with meals to promote digestion.
4. The client has been instructed to exercise 30 minutes before eating to improve appetite. via
2. The client has been encouraged to maintain a high-calorie, high-protein diet.
The nurse is documenting care for a client who had a peripheral venous access device (VAD) inserted
10 minutes ago. Which of the following would be the best example of correct documentation for the
nurse to include in the client's medical record?
1. 22-gauge catheter inserted into the right hand.
2. Secured the site with paper tape to avoid skin tears.
3. Infusion started slowly due to reports of coolness at the site.
4. Labeled site, tubing, and intravenous fluid bag.
1. 22-gauge catheter inserted into the right hand.
, The nurse is caring for assigned clients.
It would be most important for the nurse to monitor
1. serum lipase levels for the client with hypercholesterolemia
2. arterial blood gas (ABG) results for the client who has an acid-base imbalance
3. serum glucose levels for the client with diabetes insipidus (DI)
4. adrenocorticotropic hormone (ACTH) levels for the client who has a fluid imbalance
2. arterial blood gas (ABG) results for the client who has an acid-base imbalance
The nurse is planning a staff education program about collaborative conflict resolution strategies.
Which of the following would best describe implementation of a collaborative conflict resolution
strategy?
1. "A staff nurse is working with the nurse manager and offering suggestions about an upcoming new
procedure."
2. "The clinical nurse leader is flattered by being asked to help create a clinical ladder for nursing staff
members."
3. "The charge nurse is working with staff nurses and the nurse manager to develop shared goals and
a plan for the new staffing format."
4. "A new nurse has offered to work on a holiday in exchange for having the following weekend off."
3. "The charge nurse is working with staff nurses and the nurse manager to develop shared goals and a
plan for the new staffing format."
Key word is collaborative
The nurse is caring for a client who lives with a spouse and 2 adolescent children. The client has been
admitted to a hospital for treatment of active pulmonary tuberculosis (TB). The local health
department has been notified about the client's diagnosis.
The nurse should recognize that after this notification the local health department will
1. schedule periodic examinations of the client's chest and sputum
2. contact the client's family to arrange for family members to be examined
3. immunize those persons with whom the client has been in contact
4. isolate members of the client's immediate family at home until diagnostic studies rule out TB
2. contact the client's family to arrange for family members to be examined
The nurse is participating in a community-based disaster drill. The nurse should give priority for
treatment to a
1. 2-year-old client with a bleeding scalp laceration and briskly reactive pupils
2. 15-year-old client who is restless and has a distended, firm abdomen
3. 30-year-old client who has a leg wound exposing the femur, a blood pressure of 120/76 mm Hg, and
a pulse of 90
4. 60-year-old client with heart failure whose pulse oximetry reading is 92% on room air and whose
respirations are 26
2. 15-year-old client who is restless and has a distended, firm abdomen
The nurse in a community-based setting has received the following telephone messages. The nurse
should first return the telephone call to the parent of a
