NCSBN NCLEX UPDATED EXAM SCRIPT QUESTIONS AND
SOLUTIONS RATED A+
✔✔The nurse is collecting data from a client with an acute myocardial infarction. Which
of the following findings would be consistent with an acute MI? - ✔✔nausea and
vomiting, diaphoresis, and dyspnea
✔✔The nurse is caring for a client who sustained a closed head injury. Which of the
following findings would require immediate intervention? - ✔✔Ecchymotic area over the
left temple
✔✔The nurse has attended a staff education program about elder abuse. Which of the
following statements by the nurse would indicate a correct understanding of the
teaching? - ✔✔A health care worker or family member who threatens to withhold food,
water, or medical care is committing a form of abuse.
✔✔The nurse is caring for a client born 6 hours ago and observes the finding depicted
below. - ✔✔Administer oxygen therapy prescribed p.r.n
✔✔Mongolian spot - ✔✔common variation of hyperpigmentation in Black, Asian,
American Indian, and Hispanic newborns.
✔✔The nurse is contributing to a staff education program about confidentiality. Which of
the following information should the nurse suggest including? - ✔✔Clients must wait
until after discharge to view their medical records.
✔✔The nurse and unlicensed assistive personnel (UAP) are caring for assigned clients.
Which of the following activities would be appropriate for the nurse to assign to UAP? -
✔✔Applying a condom catheter to the male client with a hip fracture who is incontinent.
✔✔The nurse is reinforcing teaching with the parents of a 9-year-old child who is
receiving methylphenidate. Which of the following information should the nurse
reinforce? - ✔✔Increase your child's intake of foods that are high in iron and potassium.
✔✔The nursing is reinforcing teaching with the parents of a 10-year-old client with a
seizure disorder about ketogenic diet therapy. The nurse should reinforce that a
ketogenic diet includes foods that are - ✔✔High in fat, contain adequate protein, and
are low in carbohydrates
✔✔The nurse has reinforced dietary teaching with a client who has esophageal varices.
Which of the following food choices by the client would indicate a correct understanding
of the teaching? - ✔✔8 oz (226.4 g) of vanilla yogurt
SOLUTIONS RATED A+
✔✔The nurse is collecting data from a client with an acute myocardial infarction. Which
of the following findings would be consistent with an acute MI? - ✔✔nausea and
vomiting, diaphoresis, and dyspnea
✔✔The nurse is caring for a client who sustained a closed head injury. Which of the
following findings would require immediate intervention? - ✔✔Ecchymotic area over the
left temple
✔✔The nurse has attended a staff education program about elder abuse. Which of the
following statements by the nurse would indicate a correct understanding of the
teaching? - ✔✔A health care worker or family member who threatens to withhold food,
water, or medical care is committing a form of abuse.
✔✔The nurse is caring for a client born 6 hours ago and observes the finding depicted
below. - ✔✔Administer oxygen therapy prescribed p.r.n
✔✔Mongolian spot - ✔✔common variation of hyperpigmentation in Black, Asian,
American Indian, and Hispanic newborns.
✔✔The nurse is contributing to a staff education program about confidentiality. Which of
the following information should the nurse suggest including? - ✔✔Clients must wait
until after discharge to view their medical records.
✔✔The nurse and unlicensed assistive personnel (UAP) are caring for assigned clients.
Which of the following activities would be appropriate for the nurse to assign to UAP? -
✔✔Applying a condom catheter to the male client with a hip fracture who is incontinent.
✔✔The nurse is reinforcing teaching with the parents of a 9-year-old child who is
receiving methylphenidate. Which of the following information should the nurse
reinforce? - ✔✔Increase your child's intake of foods that are high in iron and potassium.
✔✔The nursing is reinforcing teaching with the parents of a 10-year-old client with a
seizure disorder about ketogenic diet therapy. The nurse should reinforce that a
ketogenic diet includes foods that are - ✔✔High in fat, contain adequate protein, and
are low in carbohydrates
✔✔The nurse has reinforced dietary teaching with a client who has esophageal varices.
Which of the following food choices by the client would indicate a correct understanding
of the teaching? - ✔✔8 oz (226.4 g) of vanilla yogurt
