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“NAXLEX RAT 4 2026 ”LATEST EXAM 2026 –
2027 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED 100% GUARANTEE PASS
don't miss any practice revision materials contact me +254111429458
NAXLEX RAT 4
A nurse enters a client's room and sees a fire in the electrical outlet.
• What should the nurse do first?
A. Activate the fire alarm.
x B. Extinguish the fire with a fire extinguisher.
< C.Evacuate the client from the room.
D. Close the door to contain the fire.
C.Evacuate the client from the room.
A client is currently on a dopamine infusion, and their blood pressure has
increased markedly.
• What would be the nurse's immediate course of action?
A. Stop the infusion immediately.
B. Notify the healthcare provider.
C. Maintain the infusion while monitoring the client.
D. Decrease the infusion rate.
B. Notify the healthcare provider
A nurse is caring for a client in the Intensive care unit (ICU).
> Which action should the nurse take first to verify the correct placement of an
endotracheal tube after its insertion?
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A. Use an end-tidal carbon dioxide (ETCO,) detector
B. Auscultation
C. Chest radiograph
D. Observe for chest rise and fall during ventilation
A. Use an end-tidal carbon dioxide (ETCO,) detector
A nurse is preparing to administer medications to four clients.
• Which client requires the most immediate attention?
A. A client receiving digoxin with a heart rate of 55 beats per minute.
B. A client taking warfarin with an INR of 2.5.
• C. A client receiving morphine for pain but is drowsy but arousable.
D. A client with diabetes due for insulin and a blood glucose of 70 mg/dL.
A. A client receiving digoxin with a heart rate of 55 beats per minute.
A nurse administers ciproflaxin to a client and subsequently realizes that the
client is allergic to the medication.
> What should the nurse do first?
A. Induce vomiting
B. Obtain the client's vital signs
C. Complete an incident report
D .Notify the healthcare provider
B. Obtain the client's vital signs
A nurse is teaching a 20-year-old client with bipolar disorder about lithium.
• Which of the following statements by the client indicates effective teaching?
Select all that apply
A. "I will stop taking lithium as soon as I feel better."
B. "I will avoid salty foods in my diet."
C. "I will call my doctor right away if I start feeling shaky."
D. "I will take lithium with an antacid to protect my stomach."
• E. "I will drink plenty of fluids while taking lithium."
C. "I will call my doctor right away if I start feeling shaky."
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E. "I will drink plenty of fluids while taking lithium."
A nurse is caring for a client who just had an exploratory laparotomy.
• The client reports feeling something "pop" while coughing. What should the
nurse do first?
A. Instruct the client to lie flat.
x B. Apply an abdominal binder.
• C. Assess the surgical site.
D. Notify the healthcare provider.
C. Assess the surgical site.
A registered nurse is working with an LPN and UAP in a medical-surgical floor.
• Which of the following tasks will the registered nurse delegate to the UAP?
Select all that apply
A. Collecting blood from the laboratory
B. Collecting urine specimen
C. Administering oral medication
D. Teaching a discharged client on how to take medication at home
E. Monitoring fluid input and output
A. Collecting blood from the laboratory
B. Collecting urine specimen
E. Monitoring fluid input and output
A nurse is caring for a client who is on treatment for tuberculosis.
• Which of the following medications requires regular eye examination?
A. Ethambutol
B. Rifampicin
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• C. Pyrazinamide
• D. Isoniazid
A. Ethambutol
A nurse delegates duties to unlicensed assistive personnel.
> Which of the following duties should the UAP be assigned?
A. Helping a client with grooming.
B. Administering IV medication to a client.
C. Assisting a client with initial ambulation after surgery.
D. Collecting a clean urine sample and transporting it to the laboratory for
testing.
A. Helping a client with grooming.
A nurse is caring for a client with diabetes mellitus who missed their morning
insulin dose.
• What should the nurse do first?
A. Notify the healthcare provider.
• B. Assess the client's vital signs.
• C. Administer insulin dose immediately.
D. Check the client's blood glucose level.
D. Check the client's blood glucose level.
A nurse is working in a medical-surgical unit and is caring for several clients.
• Which client should the nurse see first?
A. A client with a temperature of 39°C (102° F) who is otherwise asymptomatic.
B. A client with newly diagnosed hyperthyroidism presenting with a
temperature of 40°C (104°F).
C. A client with pneumonia and a temperature of 38.5°C (101.3°F) and is
currently on
antibiotics.
D. A client with a fractured femur and a temperature of 37.5°C (99.5°F).
B. A client with newly diagnosed hyperthyroidism presenting with a temperature of
40°C (104°F).
“NAXLEX RAT 4 2026 ”LATEST EXAM 2026 –
2027 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED 100% GUARANTEE PASS
don't miss any practice revision materials contact me +254111429458
NAXLEX RAT 4
A nurse enters a client's room and sees a fire in the electrical outlet.
• What should the nurse do first?
A. Activate the fire alarm.
x B. Extinguish the fire with a fire extinguisher.
< C.Evacuate the client from the room.
D. Close the door to contain the fire.
C.Evacuate the client from the room.
A client is currently on a dopamine infusion, and their blood pressure has
increased markedly.
• What would be the nurse's immediate course of action?
A. Stop the infusion immediately.
B. Notify the healthcare provider.
C. Maintain the infusion while monitoring the client.
D. Decrease the infusion rate.
B. Notify the healthcare provider
A nurse is caring for a client in the Intensive care unit (ICU).
> Which action should the nurse take first to verify the correct placement of an
endotracheal tube after its insertion?
, Page 2 of 40
A. Use an end-tidal carbon dioxide (ETCO,) detector
B. Auscultation
C. Chest radiograph
D. Observe for chest rise and fall during ventilation
A. Use an end-tidal carbon dioxide (ETCO,) detector
A nurse is preparing to administer medications to four clients.
• Which client requires the most immediate attention?
A. A client receiving digoxin with a heart rate of 55 beats per minute.
B. A client taking warfarin with an INR of 2.5.
• C. A client receiving morphine for pain but is drowsy but arousable.
D. A client with diabetes due for insulin and a blood glucose of 70 mg/dL.
A. A client receiving digoxin with a heart rate of 55 beats per minute.
A nurse administers ciproflaxin to a client and subsequently realizes that the
client is allergic to the medication.
> What should the nurse do first?
A. Induce vomiting
B. Obtain the client's vital signs
C. Complete an incident report
D .Notify the healthcare provider
B. Obtain the client's vital signs
A nurse is teaching a 20-year-old client with bipolar disorder about lithium.
• Which of the following statements by the client indicates effective teaching?
Select all that apply
A. "I will stop taking lithium as soon as I feel better."
B. "I will avoid salty foods in my diet."
C. "I will call my doctor right away if I start feeling shaky."
D. "I will take lithium with an antacid to protect my stomach."
• E. "I will drink plenty of fluids while taking lithium."
C. "I will call my doctor right away if I start feeling shaky."
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E. "I will drink plenty of fluids while taking lithium."
A nurse is caring for a client who just had an exploratory laparotomy.
• The client reports feeling something "pop" while coughing. What should the
nurse do first?
A. Instruct the client to lie flat.
x B. Apply an abdominal binder.
• C. Assess the surgical site.
D. Notify the healthcare provider.
C. Assess the surgical site.
A registered nurse is working with an LPN and UAP in a medical-surgical floor.
• Which of the following tasks will the registered nurse delegate to the UAP?
Select all that apply
A. Collecting blood from the laboratory
B. Collecting urine specimen
C. Administering oral medication
D. Teaching a discharged client on how to take medication at home
E. Monitoring fluid input and output
A. Collecting blood from the laboratory
B. Collecting urine specimen
E. Monitoring fluid input and output
A nurse is caring for a client who is on treatment for tuberculosis.
• Which of the following medications requires regular eye examination?
A. Ethambutol
B. Rifampicin
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• C. Pyrazinamide
• D. Isoniazid
A. Ethambutol
A nurse delegates duties to unlicensed assistive personnel.
> Which of the following duties should the UAP be assigned?
A. Helping a client with grooming.
B. Administering IV medication to a client.
C. Assisting a client with initial ambulation after surgery.
D. Collecting a clean urine sample and transporting it to the laboratory for
testing.
A. Helping a client with grooming.
A nurse is caring for a client with diabetes mellitus who missed their morning
insulin dose.
• What should the nurse do first?
A. Notify the healthcare provider.
• B. Assess the client's vital signs.
• C. Administer insulin dose immediately.
D. Check the client's blood glucose level.
D. Check the client's blood glucose level.
A nurse is working in a medical-surgical unit and is caring for several clients.
• Which client should the nurse see first?
A. A client with a temperature of 39°C (102° F) who is otherwise asymptomatic.
B. A client with newly diagnosed hyperthyroidism presenting with a
temperature of 40°C (104°F).
C. A client with pneumonia and a temperature of 38.5°C (101.3°F) and is
currently on
antibiotics.
D. A client with a fractured femur and a temperature of 37.5°C (99.5°F).
B. A client with newly diagnosed hyperthyroidism presenting with a temperature of
40°C (104°F).
