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NCSBN NCLEX 400 Questions & Answers update

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Prepare for your NCLEX-RN or NCLEX-PN exam with this verified 400-question study guide from NCSBN. Covers all client needs categories: safe care environment, health promotion, psychosocial integrity, and physiological integrity with detailed rationales. Guaranteed passing strategy for nursing licensure.

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NCSBN NCLEX 400 QUESTIONS AND ANSWERS - b b b b b b



2026 UPDATE (PASSING 100% GUARANTEED)b b b b




A LPN complains to the charge nurse that an unlicensed assistive person (UAP) consistently l
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eaves the work area untidy and does not restock supplies. What is the best initial response by
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the charge nurse?b b



1Write down potential solutions to the problems today by shift'
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s endb bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb



2Add this concern to the agenda of the next unit meeting
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3Assure the staff nurse that the complaint will be investigated
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4Explore for further identification about the nature of the problem -
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bANS>>4 Explore for further identification about the nature of the problem
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The nurse assists with the reinforcement of information about breast self-
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examination to a group of college students. A female student asks when to perform the month
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ly exam. The appropriate reply by the nurse should include which statement?
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1"Ovulation, or midcycle is the best time to detect change b b b b b b b b b



s." 2"Do the exam at the same time every month."
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3"Right after the period, when your breasts are less tender."
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4"The first of every month, because it will be easiest to remember." - ANS>>3
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The nurse is caring for a 75 year-
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old client with type 2 diabetes mellitus. The client should be instructed to contact the outpati
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ent clinic immediately if which findings are present?
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1An open wound on the heel with minimal discomfort 2O
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ccasional hiccups and sneezing b b b



3Sustained insomnia and daytime fatigue b b b b



4Persistent dryness and itching of the perineal area - b b b b b b b b


ANS>>1An open wound on the heel with minimal discomfort-
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A pregnant woman has been advised to alter her diet during pregnancy by increasing the intak
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e of protein and vitamin C to meet the needs of the growing fetus. Which diet choice would be
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st meet the woman's needs?
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,1. 1bcupbofbmacaroni,bthree-fourthsbcupbofbpeas,bglassbwholebmilk,bmediumbpear

,2. Scrambledbegg,bhashbbrownedbpotatoes,bone-halfbglassbofbbuttermilk,blargebnectarine
3. 3boz.bchicken,bone-halfbcupbofbcorn,blettucebsalad,bsmallbbanana
4. Beef,bone-halfbcupbofblimabbeans,bglassbofbskimbmilk,bthree-fourthsbcupbofbstrawberriesb-
bANS>>4. Beef, one-half cup of lima beans, glass of skim milk, three-
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fourths cup of strawberries - b b b b




A nurse is taking a health history from parents of a child admitted with possible Reye's syndr
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ome. Which recent illness should the nurse recognize as being associated with an increased t
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he risk for the development of Reye's syndrome?
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1. Varicella
2. Meningitis
3. Hepatitis
4. Rubeolab-bANS>>1.bVaricellab-


A Native American chief visits his newborn son and performs a traditional ceremony that invol
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ves feathers and chanting. The nurse comments to a colleague: "I wonder if he has any idea ho
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w ridiculous he looks -
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he's a grown man!" The nurse's comment is an example of what type of attitude?
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1. Prejudice
2. Ethnocentrism
3. Discrimination
4. Stereotypingb-bANS>>1.bPrejudice-


A nursing student asks the licensed practical nurse (LPN) to explain the forces that drive he
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alth care reform. When responding to the student's question, what information should the nu
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rse emphasize? b



1. Increasedbcompetitionbbetweenbhealthbcarebinsurers
2. Increasebinbhealthbcarebspendingbthat'sbgrowingbfasterbthanbthebeconomy
3. Increasebinbthebpopulationbwhobhavebhealthbinsurance
4. Increasebinbspendingbforbend-of-lifebtreatmentb-bANS>>2


A child is admitted to the unit with the suspected diagnosis of pertussis (whooping cough). Wh
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at is the priority nursing intervention for this child?
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1. Maintainbhydrationbandbencouragebfluids
2. Implementbdropletbprecautions
30b/b36

, 3. Monitorbrespiratorybratebandboxygenbsaturation
4. Anti-binfectivebtherapyb-bANS>>2


A client has an indwelling catheter with continuous bladder irrigation after undergoing a tra
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nsurethral resection of the prostate (TURP) 12 hours ago. Which finding at this time should b
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e reported to the registered nurse (RN) charge nurse?
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1Complaints for the feeling of pulling on the urinary catheter
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31b/b36

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