NCLEX EXAM 2026 QUESTIONS AND
VERIFIED SOLUTIONS GRADED A+
100% PASS
A client with paranoid delusions stares at the nurse over a period of several days. The client
suddenly walks up to the nurse and shouts, "You think you're so perfect, pure and good." How
should the nurse respond?
1"You seem to be in a bad mood."
2"Perfect? I don't quite understand."
3"You sound angry right now."
4"That explains why you've been staring at me."
3
The client with coronary artery disease has a prescription for nitroglycerin transdermal patches.
What is the best reason the client should not wear a patch for more than 12 to 14 hours each day?
1It can cause severe headaches
2It may no longer work as well
3It will cause profound hypotensive effects
4it will irritate the skin
2
A hospitalized infant is receiving gentamicin. Which nursing intervention should receive priority
in the plan of care?
1Compare daily infant weights
2Monitor the infant's urine output
3Ensure appropriate fluid intake
4Maintain accurate intake and output
,2
A newborn is diagnosed with hypothyroidism. In discussing the condition and treatment with the
family, the nurse should emphasize which point?
1They can expect the child will be mentally retarded
2Administration of a thyroid hormone will prevent problems
3This rare condition is hereditary
4Physical growth and development will be delayed
2
A child is admitted to the hospital for emergency surgery. The child's parent reports several
allergies. Which of these allergies should all the operative health care personnel be notified
about?
1Perfumed soap
2Shellfish
3Balloons
4Mold
3
A practical nurse (PN) team member identifies that the fundus is boggy for a woman who is
gravida 4 para 4 and is two hours after a spontaneous vaginal delivery. The fundus is displaced
slightly above and to the right of the umbilicus. What should be the initial nursing action?
1Assist the woman to empty her bladder
2Monitor the pulse and blood pressure
3Call the registered nurse (RN) immediately
4Check lochia for color and amount
1Assist the woman to empty her bladder -
,The nurse is planning the therapeutic milieu and the various activity groups for a client. What is
the primary goal for the nurse to consider?
1Diminish destructive behavior through peer pressure
2Plan strict schedules with defined expectations
3Punish inappropriate behavior as it occurs
4Achieve a client's therapeutic goals
4Achieve a client's therapeutic goals -
A client tells a nurse, "I have something very important to tell you if you promise not to tell
anyone." Which statement by the nurse would be the most appropriate response?
1"That depends on what you tell me."
2"I must report everything to the treatment team."
3"All right, I promise."
4"I can't make such a promise."
4"I can't make such a promise." -
A client is discharged with a prescription for warfarin. A nurse recognizes that additional
teaching is needed if the client makes which incorrect comment?
1"I know I must avoid crowds."
2"I will report any bruises or bleeding."
3"I plan to use an electric razor for shaving."
4"I will keep all laboratory appointments."
1"I know I must avoid crowds." -
, The nurse discovers an unresponsive client and determines there is no pulse. This nurse then
activates the code notification button to alert all personnel about the code and begins chest
compressions. What is the function of the second nurse on the scene?
1Validate the client's advance directive
2Participate with the compressions or breathing as requested by the first nurse
3Bring the code cart -
4Relieve the first nurse on the scene and continue single person CPR
3
The nurse and client are discussing the client's progress toward understanding the client's
behavioral responses to stressful events. This is typical of which phase in the therapeutic
relationship?
1Termination
2Working -
3Orientation
4Pre-interaction
2
The nurse is collecting data on a group of clients in a long-term health care facility. Which client
is at a highest risk for the development of pressure ulcers?
1Ambulatory client who had three incontinent diarrhea stools in the past 24 hours
2Ambulatory older adult diagnosed with type 2 diabetes for the past 20 years
3Obese client who uses a wheelchair throughout the facility
4Malnourished older adult client who is on bed rest
4
VERIFIED SOLUTIONS GRADED A+
100% PASS
A client with paranoid delusions stares at the nurse over a period of several days. The client
suddenly walks up to the nurse and shouts, "You think you're so perfect, pure and good." How
should the nurse respond?
1"You seem to be in a bad mood."
2"Perfect? I don't quite understand."
3"You sound angry right now."
4"That explains why you've been staring at me."
3
The client with coronary artery disease has a prescription for nitroglycerin transdermal patches.
What is the best reason the client should not wear a patch for more than 12 to 14 hours each day?
1It can cause severe headaches
2It may no longer work as well
3It will cause profound hypotensive effects
4it will irritate the skin
2
A hospitalized infant is receiving gentamicin. Which nursing intervention should receive priority
in the plan of care?
1Compare daily infant weights
2Monitor the infant's urine output
3Ensure appropriate fluid intake
4Maintain accurate intake and output
,2
A newborn is diagnosed with hypothyroidism. In discussing the condition and treatment with the
family, the nurse should emphasize which point?
1They can expect the child will be mentally retarded
2Administration of a thyroid hormone will prevent problems
3This rare condition is hereditary
4Physical growth and development will be delayed
2
A child is admitted to the hospital for emergency surgery. The child's parent reports several
allergies. Which of these allergies should all the operative health care personnel be notified
about?
1Perfumed soap
2Shellfish
3Balloons
4Mold
3
A practical nurse (PN) team member identifies that the fundus is boggy for a woman who is
gravida 4 para 4 and is two hours after a spontaneous vaginal delivery. The fundus is displaced
slightly above and to the right of the umbilicus. What should be the initial nursing action?
1Assist the woman to empty her bladder
2Monitor the pulse and blood pressure
3Call the registered nurse (RN) immediately
4Check lochia for color and amount
1Assist the woman to empty her bladder -
,The nurse is planning the therapeutic milieu and the various activity groups for a client. What is
the primary goal for the nurse to consider?
1Diminish destructive behavior through peer pressure
2Plan strict schedules with defined expectations
3Punish inappropriate behavior as it occurs
4Achieve a client's therapeutic goals
4Achieve a client's therapeutic goals -
A client tells a nurse, "I have something very important to tell you if you promise not to tell
anyone." Which statement by the nurse would be the most appropriate response?
1"That depends on what you tell me."
2"I must report everything to the treatment team."
3"All right, I promise."
4"I can't make such a promise."
4"I can't make such a promise." -
A client is discharged with a prescription for warfarin. A nurse recognizes that additional
teaching is needed if the client makes which incorrect comment?
1"I know I must avoid crowds."
2"I will report any bruises or bleeding."
3"I plan to use an electric razor for shaving."
4"I will keep all laboratory appointments."
1"I know I must avoid crowds." -
, The nurse discovers an unresponsive client and determines there is no pulse. This nurse then
activates the code notification button to alert all personnel about the code and begins chest
compressions. What is the function of the second nurse on the scene?
1Validate the client's advance directive
2Participate with the compressions or breathing as requested by the first nurse
3Bring the code cart -
4Relieve the first nurse on the scene and continue single person CPR
3
The nurse and client are discussing the client's progress toward understanding the client's
behavioral responses to stressful events. This is typical of which phase in the therapeutic
relationship?
1Termination
2Working -
3Orientation
4Pre-interaction
2
The nurse is collecting data on a group of clients in a long-term health care facility. Which client
is at a highest risk for the development of pressure ulcers?
1Ambulatory client who had three incontinent diarrhea stools in the past 24 hours
2Ambulatory older adult diagnosed with type 2 diabetes for the past 20 years
3Obese client who uses a wheelchair throughout the facility
4Malnourished older adult client who is on bed rest
4
