Page 1 of 245
“NCLEX PN ARCHER REVIEW QUESTIONS &
ANSWERS EXAM 2026 ”LATEST EXAM 2026 –
2027 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED 100% GUARANTEE PASS
NCLEX PN ARCHER REVIEW
The nurse is caring for a seven-year-old client brought to the clinic by her
parents
Item 2 of 6
Diagnosis
Varicella
Complete the following sentence by choosing from the list of options
The primary healthcare provider diagnoses the client with varicella. The nurse
understands that this virus is primarily spread through (aerosolized droplets,
contaminated water, or surfaces of objects.) To primarily prevent the
transmission of varicella, the nurse should advocate for (immunization, a
prescription for valacyclovir, or screening those in the household.)
aerosolized droplets
immunization
Rationale:
High concentrations of the varicella-zoster virus are found in the nasopharynx. The
virus is primarily transmitted through aerosolized droplets.
, Page 2 of 245
Primary prevention stems from education and immunization. To advocate for the
primary prevention of varicella, the nurse should encourage immunization.
The nurse is caring for a seven-year-old client brought to the clinic by her
parents
Item 3 of 6
The nurse determines that if the client's itching is not controlled, which
complication may develop?
Cellulitis
Pneumonia
Encephalitis
Desquamation
Cellulitis
Rationale:
The most common complication of varicella infections is secondary bacterial skin
infections such as cellulitis. This is caused when bacteria enter from a break in the
skin.
The nurse is caring for a seven-year-old client brought to the clinic by her
parents
Item 4 of 6
The nurse creates a plan of care for the client
Click to specify if each intervention is indicated or not indicated
Apply hydrogen peroxide solution to the affected area (Indicated or Not
Indicated)
Educate the client on appropriate hand hygiene (Indicated or Not Indicated)
Education on warm baths with baking soda for itching (Indicated or Not
Indicated)
Administration of prescribed acetaminophen (Indicated or Not Indicated)
Collection of blood cultures (Indicated or Not Indicated)
Apply hydrogen peroxide solution to the affected area (Not Indicated)
Educate the client on appropriate hand hygiene (Indicated)
Education on warm baths with baking soda for itching (Indicated)
Administration of prescribed acetaminophen (Indicated)
Collection of blood cultures (Not Indicated)
Rationale:
, Page 3 of 245
Interventions that are indicated include appropriate hand hygiene. Frequent hand
sanitation will decrease the likelihood of cellulitis if the skin is broken by itching.
Educating on comfort measures such as warm baths with baking soda or oats is
indicated to soothe itching. Acetaminophen would be helpful if the client has a fever.
The nurse is caring for a seven-year-old client brought to the clinic by her
parents
Item 5 of 6
Orders
Acetaminophen 325 mg PO x 1 dose
Diphenhydramine 25 mg PO x 1 dose
Discharge client home
The nurse receives orders and prescriptions from the primary healthcare
provider
Complete the following sentence by choosing from the list of options
The nurse understands that the acetaminophen is prescribed to treat the
client’s (pruritus, pyrexia, or skin lesions.) Additionally, the diphenhydramine
has been prescribed to (decrease symptoms of pruritis, decrease the pyrexia,
or prevent viral replication.)
pyrexia
decrease symptoms of pruritus
Rationale:
Pyrexia is a common feature of varicella infections. The pyrexia (fever) can be
mitigated with acetaminophen.
Diphenhydramine is an antihistamine and can be used to mitigate symptoms of
pruritus. This medication is intended to decrease the symptoms of pruritus (itching)
and promote comfort.
The nurse is caring for a seven-year-old client brought to the clinic by her
parents
Item 6 of 6
The nurse reinforces discharge teaching to the client
Click to specify the information the nurse should reinforce? Select all that
apply
Your child may return to school once all the lesions have crusted.
Warm baths with baking soda or oats may help with the itching.
, Page 4 of 245
Contact the school to report your child’s infection.
Watch for signs of skin infection including swelling, drainage, and pain.
To treat the fever, you may alternate between acetaminophen and aspirin.
Your child may return to school once all the lesions have crusted.
Warm baths with baking soda or oats may help with the itching.
Contact the school to report your child's infection.
Watch for signs of skin infection including swelling, drainage, and pain.
Rationale:
Once all of the lesions have crusted over the child may resume attending school.
The school should be notified of the infection to initiate appropriate notification to
those who could be infected. Treatment of varicella is primarily symptomatic through
antipyretics and antihistamines. Warm baths with baking soda or oats may provide
additional relief from itching. Cellulitis is a complication of varicella caused by
bacteria that enters the skin that is excessively itched.
The nurse is caring for a client with schizophrenia and has received a new
prescription for clozapine. Prior to administering the first dose, the nurse
plans on obtaining the client's
A. weight.
B. pulmonary function tests.
C. urine analysis.
D. visual acuity.
weight
Rationale:
Clozapine is an atypical (second-generation) antipsychotic indicated in treating
schizophrenia. Clozapine causes the worst metabolic disturbances, including
hyperglycemia, weight gain, and hyperlipidemia. These manifestations may drive the
client into metabolic syndrome. The nurse must obtain a baseline weight to trend at
future visits. Additional baseline data needed prior to starting clozapine include the
client's neutrophil count, liver function tests, fasting blood glucose, and hemoglobin.
While on your first shift at a Sleep clinic, you are reviewing the stages of sleep.
Place the following steps or phases of sleep in an appropriate sequential order
of the sleep cycle.
The stage of the sleep cycle that is characterized by a 10 to 20-minute
duration.
“NCLEX PN ARCHER REVIEW QUESTIONS &
ANSWERS EXAM 2026 ”LATEST EXAM 2026 –
2027 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED 100% GUARANTEE PASS
NCLEX PN ARCHER REVIEW
The nurse is caring for a seven-year-old client brought to the clinic by her
parents
Item 2 of 6
Diagnosis
Varicella
Complete the following sentence by choosing from the list of options
The primary healthcare provider diagnoses the client with varicella. The nurse
understands that this virus is primarily spread through (aerosolized droplets,
contaminated water, or surfaces of objects.) To primarily prevent the
transmission of varicella, the nurse should advocate for (immunization, a
prescription for valacyclovir, or screening those in the household.)
aerosolized droplets
immunization
Rationale:
High concentrations of the varicella-zoster virus are found in the nasopharynx. The
virus is primarily transmitted through aerosolized droplets.
, Page 2 of 245
Primary prevention stems from education and immunization. To advocate for the
primary prevention of varicella, the nurse should encourage immunization.
The nurse is caring for a seven-year-old client brought to the clinic by her
parents
Item 3 of 6
The nurse determines that if the client's itching is not controlled, which
complication may develop?
Cellulitis
Pneumonia
Encephalitis
Desquamation
Cellulitis
Rationale:
The most common complication of varicella infections is secondary bacterial skin
infections such as cellulitis. This is caused when bacteria enter from a break in the
skin.
The nurse is caring for a seven-year-old client brought to the clinic by her
parents
Item 4 of 6
The nurse creates a plan of care for the client
Click to specify if each intervention is indicated or not indicated
Apply hydrogen peroxide solution to the affected area (Indicated or Not
Indicated)
Educate the client on appropriate hand hygiene (Indicated or Not Indicated)
Education on warm baths with baking soda for itching (Indicated or Not
Indicated)
Administration of prescribed acetaminophen (Indicated or Not Indicated)
Collection of blood cultures (Indicated or Not Indicated)
Apply hydrogen peroxide solution to the affected area (Not Indicated)
Educate the client on appropriate hand hygiene (Indicated)
Education on warm baths with baking soda for itching (Indicated)
Administration of prescribed acetaminophen (Indicated)
Collection of blood cultures (Not Indicated)
Rationale:
, Page 3 of 245
Interventions that are indicated include appropriate hand hygiene. Frequent hand
sanitation will decrease the likelihood of cellulitis if the skin is broken by itching.
Educating on comfort measures such as warm baths with baking soda or oats is
indicated to soothe itching. Acetaminophen would be helpful if the client has a fever.
The nurse is caring for a seven-year-old client brought to the clinic by her
parents
Item 5 of 6
Orders
Acetaminophen 325 mg PO x 1 dose
Diphenhydramine 25 mg PO x 1 dose
Discharge client home
The nurse receives orders and prescriptions from the primary healthcare
provider
Complete the following sentence by choosing from the list of options
The nurse understands that the acetaminophen is prescribed to treat the
client’s (pruritus, pyrexia, or skin lesions.) Additionally, the diphenhydramine
has been prescribed to (decrease symptoms of pruritis, decrease the pyrexia,
or prevent viral replication.)
pyrexia
decrease symptoms of pruritus
Rationale:
Pyrexia is a common feature of varicella infections. The pyrexia (fever) can be
mitigated with acetaminophen.
Diphenhydramine is an antihistamine and can be used to mitigate symptoms of
pruritus. This medication is intended to decrease the symptoms of pruritus (itching)
and promote comfort.
The nurse is caring for a seven-year-old client brought to the clinic by her
parents
Item 6 of 6
The nurse reinforces discharge teaching to the client
Click to specify the information the nurse should reinforce? Select all that
apply
Your child may return to school once all the lesions have crusted.
Warm baths with baking soda or oats may help with the itching.
, Page 4 of 245
Contact the school to report your child’s infection.
Watch for signs of skin infection including swelling, drainage, and pain.
To treat the fever, you may alternate between acetaminophen and aspirin.
Your child may return to school once all the lesions have crusted.
Warm baths with baking soda or oats may help with the itching.
Contact the school to report your child's infection.
Watch for signs of skin infection including swelling, drainage, and pain.
Rationale:
Once all of the lesions have crusted over the child may resume attending school.
The school should be notified of the infection to initiate appropriate notification to
those who could be infected. Treatment of varicella is primarily symptomatic through
antipyretics and antihistamines. Warm baths with baking soda or oats may provide
additional relief from itching. Cellulitis is a complication of varicella caused by
bacteria that enters the skin that is excessively itched.
The nurse is caring for a client with schizophrenia and has received a new
prescription for clozapine. Prior to administering the first dose, the nurse
plans on obtaining the client's
A. weight.
B. pulmonary function tests.
C. urine analysis.
D. visual acuity.
weight
Rationale:
Clozapine is an atypical (second-generation) antipsychotic indicated in treating
schizophrenia. Clozapine causes the worst metabolic disturbances, including
hyperglycemia, weight gain, and hyperlipidemia. These manifestations may drive the
client into metabolic syndrome. The nurse must obtain a baseline weight to trend at
future visits. Additional baseline data needed prior to starting clozapine include the
client's neutrophil count, liver function tests, fasting blood glucose, and hemoglobin.
While on your first shift at a Sleep clinic, you are reviewing the stages of sleep.
Place the following steps or phases of sleep in an appropriate sequential order
of the sleep cycle.
The stage of the sleep cycle that is characterized by a 10 to 20-minute
duration.
