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NCLEX-RN Exam Preview

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NCLEX-RN Exam Preview

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NCLEX-RN
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January 7, 2026
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NCLEX-RN Exam Preview I I




TheIchargeInurseIhasIreceivedIaIchange-of-shiftIreportIonItheIfollowingIclientsIinIlabor.I
TheIchargeInurseIshouldIaskIaIstaffImemberItoIfirstIseeItheIclientIinIthe
1.IFirstIstageIofIlaborIwhoIhasIanIoralItemperatureIofI99.7FI(37.6IC)I
2.IFirstIstageIofIlaborIwhoseIcontractionsIareIoccurringIeveryI30Iseconds
3.ISecondIstageIofIlaborIwhoIhasIrespirationsIofI26.I
4.ISecondIstageIofIlaborIwhoseIcontractionsIareIlastingIforI60Iseconds.I
💠ANSWER:2.IFirstIstageIofIlaborIwhoseIcontractionsIareIoccurringIeveryI30Iseconds

Rationale:I
1.IElevatedItemperatureIisInormalIduringIlabor.I
3.IIncreasedIrespirationsIareInormalIduringIlaborI"pant-pant-blow"I"hee-hee-
hoo"IbreathingIpattern.I
4.IContractionsIshouldn'tIbeIlongerIthanI90Iseconds,I60IsecondsIisIokayIandInormal.ISecondIstage:
I2-3IminutesIapart,I60-90IsecondsIlong,I10cmIdilated,IstrongIpain.




TheInurseIisIobservingIaIstaffImemberIcaringIforIaIclientIwhoIhasIchickenpox.I
WhichIofItheIfollowingIactionsIbyItheIstaffImemberIwouldIrequireItheInurseItoIintervene?I
1.IPlacingItheIclientIinIaIprivateIroomIwithImonitoredInegativeIairIpressure.I
2.IPlacingIaIboxIofIdisposableIfaceIshieldsIoutsideItheIclient'sIroom.I
3.IPlacingIanIalcohol-basedIhandIrubIinItheIclient'sIroomIforIhandIhygiene.I
4.IPlacingIaIsurgicalImaskIonItheIclientIduringItransportIoutIofItheIclient'sIroom.I
💠ANSWER:2.IPlacingIaIboxIofIdisposableIfaceIshieldsIoutsideItheIclient'sIroom.I

Rationale:I
VaricellaIAKAIchickenIpoxIisIanIairborneIprecaution.IPrivate,InegativeIpressureIroom,IuniversalIp
recautionsI(handIsanitizerIinIroom)IandIplacingIaIsurgicalImaskIonIclientIduringItransportIareIallIco
rrectIinterventionsIforIvaricella.

2.IPrepareIforItranscutaneousIpacing.I
&I5.IAssessItheIclientIforIangina.I

Rationale:I
1.IBetaIBlockersIwouldIfurtherIdecreaseIHR.I
2.IExternalIpacingIstimulatesItheIventriclesItoIpumpIatIaIsetIrate.
3.IValsalvaImaneuverIwouldIfurtherIdecreaseIHR.I
4.IChestIcompressionsIareIforIcardiacIarrest.I
5.IAnginaI(ChestIpain)IcanIbeIcausedIbyIbothItachycardiaI(mostIcommon)IandIbradycardiaI(rareIbu
tIcanIhappen).ITherefore,IassessmentIofIanginaIisIappropriate.I
💠ANSWER:TheInurseIisIcaringIforIaIclientIwhoIreportsIfeelingIfaintIandIisIexperiencingItheIcardia
cIrhythmIshownIinItheIelectrocardiogramI(ECG)IstripIbelow.I

,WhichIofItheIfollowingIactionsIwouldIbeIappropriateIforItheInurseItoItake?ISelectIallIthatIapply.I
1.IAdministerItheIclient'sIprescribedIbetaIblocker.I
2.IPrepareIforItranscutaneousIpacing.I
3.IInstructItheIclientItoIperformItheIValsalvaImaneuver.I
4.IBeginIchestIcompressions.I
5.IAssessItheIclientIforIangina.

1.IEncourageItheIclientItoIreminisceIaboutIhappyImemories.I

Rationale:I
1.IIsIcorrectIbecauseIitIisIpossibleIforIADIpatientsItoIretainIlong-termImemories.I
2.IRedirectIisIprotocolIforIdementia.IDon'tIconfront,ItheyIcan'tIlearn.I
3.IADIisIirreversible.I
4.IInItheImoderateIAD,IdementiaIhasIalreadyIprogressedItoIwhereItheIpatientIneedsIhelpIwithIAD
L'sI&IplanningIdailyIactivities.IAskingIthemItoIplanIcanIfrustrateIthemI&IcauseIdistress.IStructured,I
pleasantIactivitiesIthatIconsiderItheIperson'sIlikesI&IinterestsIareItheIbest.I
💠ANSWER:TheInurseIisIplanningIcareIforIaIclientIwithImoderateIAlzheimer'sIDiseaseI(AD).I
WhichIofItheIfollowingIinterventionsIshouldItheInurseIincludeIinItheIclient'sIplanIofIcare?I
1.IEncourageItheIclientItoIreminisceIaboutIhappyImemories.I
2.IConfrontItheIclientIwhenIinappropriateIorIagitatedIbehaviorsIoccur.I
3.IAdministerItoItheIclientItheIcholinesteraseIinhibitorItoIreverseItheIcourseIofIAD.I
4.IProvideItheIclientIwithIinformationIaboutIactivityIchoicesIinItheImorningIsoItheIclientIcanImakeIp
lansIforItheIday.

1.I"UseIyourIhandsIandIarmsItoIsupportIyourIbodyIweight."I

Rationale:I
1.IIsItrue,IbutIwatchIoutIifIitIisn'tI2-3Ifinger-
widths,IbecauseIcrutchIparalysisIcanIoccur.IS/S:IParesisI&IParesthesiasIinIwristI&Ihands.I
2.IIsIaIfallIrisk.I
3.ICrutchesIshouldIbeI6IinchesIinIfrontI&I6IinchesIlateral.I
4.IElbowIshouldIbeIbentIatIaI30IdegreeIangle.I
💠ANSWER:TheInurseIisIteachingIaIclientIhowItoIambulateIusingIcrutches.I
WhichIofItheIfollowingIinformationIshouldItheInurseIinclude?I
1.I"UseIyourIhandsIandIarmsItoIsupportIyourIbodyIweight."I
2.I"WearIslippersIwhenIambulatingIwithItheIcrutchesIinIyourIhome."I
3.I"MaintainItheIcrutchesI12inchI(30cm)IinIfrontIofIyourIfeetIwhileIstanding."I
4.I"AdjustItheIhandIgripsIofItheIcrutchesIsoIthatIyourIelbowsIareIfullyIextended."

4.I"IIshouldIexpectItheIblurredIvisionItoIresolveIafterIIIhaveIreceivedImedicationsIforIseveralIweek
s."I

,Rationale:I
MSIcausesInerveIdamageI&IcanIresultIinIopticIneuritisI(VisionIloss,IblurryIvision).IInImostIcasesIitIre
solvesIitselfIinI4-
12Iweeks,IbutImedicationsI(steroidsIcanIspeedIupItheIprocessI&IresolveIitIquicker.I
1.IMSIpatientsIshouldInotIexertIthemselvesItooImuchIatIoneItime.ISpaceIoutIactivitiesI&IallowItimeI
forIrest.I
2.IUrinaryIretentionIisIprimarilyItreatedIbyImedicationI(bethanochol),IandIexercisesIcanIaidIwithIitI
butIareInotItheIprimaryItreatment.I
3.IHotItemperaturesIareIbadIforIMSIandIcanIworsenIsymptoms.IYourInervesIareIalreadyImessedIu
pIandIextraIheatIcanIstressItheIbodyIintoIoverdrive.I
💠ANSWER:TheInurseIhasItaughtIaIclientIwithImultipleIsclerosisI(MS).I
WhichIofItheIfollowingIstatementsIbyItheIclientIwouldIindicateIaIcorrectIunderstandingIofItheIteac
hing?I
1.I"IIwillIcompleteIallIofImyIhouseholdIchoresIinItheImorningIwhenIIIamIwellIrested."I
2.I"IIhaveIlearnedIhowItoImassageImyIbladderItoIhelpIemptyImyIbladderIcompletely."I
3.I"IIwillItakeIaIhotIbathIinItheIeveningItoIhelpImeIrelaxIifIIIhaveIhadIaIstressfulIdayIatIwork."I
4.I"IIshouldIexpectItheIblurredIvisionItoIresolveIafterIIIhaveIreceivedImedicationsIforIseveralIweek
s."

Highlight:I
"LossIofIappetite"I
"AbdominalIpainIratedI7/10IonItheINumericalIRatingIScaleIforI1Iweek."I
"ClientIstates,I"TheIabdominalIpainIstartedIafterImyI7-year-
oldIchildIaccidentallyIkickedImeIinItheIstomach."I
"VitalIsigns:ITI103.4IFI(39.7IC),IPI92,IRRI22,IBPI130/86,IpulseIoximetryIreadingI98%IonIroomIair.I

Rationale:I
LossIofIappetiteImayIindicateIanIunderlyingImedicalIconditionIorIinfection.I
TheIintensityIofIabdominalIpainIrequiresIevaluationItoIdetermineItheIcause.I
TraumaItoItheIabdomenIcanIcauseIinternalIinjuriesIthatIneedItoIbeIassessedItoIensureInoIsignifican
tIdamageIorIcomplications.I
💠ANSWER:TheInurseIinItheIemergencyIdepartmentI(ED)IisIcaringIforIaI41-year-oldImaleIclient.I
HighlightItheIfindingsIbelowIthatIwouldIrequireIfollow-up.I
(SeeIPicture)

Answer:I
BowelIobstruction:IAppetite,IBowelIPattern,IGastrointestinalISymptoms.I
Appendicitis:IPainIlevel.I
RupturedISpleen:IPainIlevel.I
💠ANSWER:TheInurseIinItheIemergencyIdepartmentIisIcaringIforIaI41-year-oldImaleIclient.I

Nurse'sINotes:I

, 11:00:IClientIreportsInausea,IlossIofIappetite,Ivomiting,Ifever,IandIconstipationIforItheIpastI2Iweek
sIandIabdominalIpainIratedI7/10IonItheINumericalIRatingIScaleIforI1Iweek.IClientIstatesI"TheIabdo
minalIpainIstartedIafterImyI7-year-
oldIchildIaccidentallyIkickedImeIinItheIstomach."IClientIplaysIsoccerIwithItheIchildIonceIaIweek.IVit
alIsigns:ITI103.4IFI(39.7IC),IPI92,IRRI22,IBPI130/86,IpulseIoximetryIreadingI98%IonIroomIair.INoIsig
nificantIpastImedicalIorIsurgicalIhistory.IBodyImassIindexI(BMI)I32.IDrinksIalcoholIonlyIduringIsoci
alIoccasions,IusuallyI3Ibeverages.ISmokesIcigarettesIduringIsocialIoccasions.I

ForIeachIassessmentIfindingIbelow,IclickItoIspecifyIifItheIfindingIisIconsistentIwithItheIdiseaseIproc
essIofIbowelIobstruction,Iappendicitis,IorIrupturedIspleen.IEachIfindingImayIsupportImoreIthanI1Id
iseaseIprocess.

Answer:I
•AnemiaI
•PeritonitisI
•SepticIShockI
💠ANSWER:TheInurseIinItheIemergencyIdepartmentIisIcaringIforIaI41-year-oldImaleIclient.I

Nurse'sINotes:I
11:00:IClientIreportsInausea,IlossIofIappetite,Ivomiting,Ifever,IandIconstipationIforItheIpastI2Iweek
sIandIabdominalIpainIratedI7/10IonItheINumericalIRatingIScaleIforI1Iweek.IClientIstatesI"TheIabdo
minalIpainIstartedIafterImyI7-year-
oldIchildIaccidentallyIkickedImeIinItheIstomach."IClientIplaysIsoccerIwithItheIchildIonceIaIweek.IVit
alIsigns:ITI103.4IFI(39.7IC),IPI92,IRRI22,IBPI130/86,IpulseIoximetryIreadingI98%IonIroomIair.INoIsig
nificantIpastImedicalIorIsurgicalIhistory.IBodyImassIindexI(BMI)I32.IDrinksIalcoholIonlyIduringIsoci
alIoccasions,IusuallyI3Ibeverages.ISmokesIcigarettesIduringIsocialIoccasions.I

SelectItheI3IcomplicationsItheIclientIisIatIriskIforIdeveloping.I
•AnemiaI
•PeritonitisI
•SepticIShock
•HypovolemiaI
•DysrhythmiasI
•CardiacIArrest

Answer:I
Answers:I
Indicated:I
•ClearIliquidIdietI
•SoapsudsIenemaI
•AbdominalIgirthImeasurementsI
•AbdominalIComputedITomographyI(CT)IscanI
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