“CASE STUDIES NAXLEX 2026 ”LATEST EXAM
2026 – 2027 SOLVED QUESTIONS & ANSWERS
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day 7
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Case Studies naxlex
The client is a 3-year-old male with a history of ventricular septal defect
(VSD). He was born prematurely at 35 weeks and spent 3 weeks in the neonatal
intensive care unit (NICU) due to poor feeding.
What can the nurse do to help the parents decrease their anxiety? Select all
that apply.
Provide the parents with ideas about how to make their child feel better after the
procedure
Find a comfortable area for the parents to wait that is close to the procedure area
The patient is a 3-year-old male with a history of ventricular septal defect. He
was born vaginally at 35 weeks and was in the neonatal intensive care unit
(NICU) for 3 weeks due to poor feeding. Which two orders would the nurse
question?
Point of care blood glucose
NPO
The patient is a 3-year-old male with a history of ventricular septal defect. He
was born vaginally at 35 weeks and was in the neonatal intensive care unit
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(NICU) for 3 weeks due to poor feeding. What should the nurse include in post
discharge care education? Select all that apply.
Monitor for fever
Alert the physician if the site bleeds or swells
The child may take ibuprofen for pain
The client is a 3-year-old male with a history of ventricular septal defect. He
was born vaginally at 35 weeks and was in the neonatal intensive care unit
(NICU) for 3 weeks due to poor feeding.
What can the nurse do to help the parents to decrease their anxiety? Select all
that apply.
Find a comfortable area that the parents can wait that is close to the procedure area
Provide the parents with ideas about how to make their child feel better after the
procedure
A 22-year-old female client is brought to the emergency department by her
mother after the client became dizzy and fell
Which interventions are indicated to promote positive outcomes for the
patient? Select all that apply.
Allow for menu deviations.
Set precise mealtimes.
Monitor trips to the restroom.
Provide family education on the condition.
Weigh the patient twice weekly.
Acknowledge feelings of anxiety.
The client is a 58-year-old male who wants to be screened for diabetes
mellitus. The client has a sister who has type 2 diabetes mellitus
indicate whether each represents a modifiable risk factor, a non-modifiable
risk factor, or is unrelated to type 2 diabetes mellitus.
BMI of 28 kg/m² is considered overweight and is a modifiable
An HDL level of 43 mg/dL (1.11 mmol/L) is slightly below the recommended range
and is a modifiable
Having a sister with type 2 diabetes mellitus is a non-modifiable
Occupational fume exposure is generally considered unrelated
Cannabis use is typically unrelated
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The client is a 58-year-old male who wants to be screened for
diabetes mellitus. The client has a sister who has type 2 diabetes mellitus
What item(s) should be included in the treatment regimen for this client?
Select all that apply.
Weight reduction treatment
Exercise planning
Nutrition education
Oral antidiabetic
The client is a 58-year-old male who wants to be screened for
diabetes mellitus. The client has a sister who has type 2 diabetes mellitus
Dropdown Group 1: Decreasing portion sizes
Dropdown Group 2: choosing a well-rounded diet
The client is a 58-year-old male who wants to be screened for
diabetes mellitus. The client has a sister who has type 2 diabetes mellitus
What other nutritional recommendation(s) would be helpful for this client in
reducing risk for type 2 diabetes mellitus? Select all that apply.
Take a cinnamon supplement
Minimize the number of refined grains in the diet
Eliminate sugary beverages and juices from the diet
Increase the amount of dietary fiber
The client is a 58-year-old male who wants to be screened for
diabetes mellitus. The client has a sister who has type 2 diabetes mellitus.
"If I make the changes we talked about, 1 will not get type 2 diabetes. "No
understanding.
"I can never eat sugar again."Understanding.
"If my fasting blood sugar is less than 100 mg/dL (5.6 mmol/L) next time, 1 can go
back to my usual eating habits." No understanding
D . "Making these changes will also help me avoid other chronic health conditions."
understanding
E . "If I have symptoms like increased thirst and urination, I should come in and get
my blood sugar checked Understanding.
The client is a 58-year-old male who wants to be screened for
diabetes mellitus. The client has a sister who has type 2 diabetes mellitus
Review H and P and laboratory results.
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Dropdown Group 1: prediabetes
Dropdown Group 2: impaired glucose tolerance
A 37-year-old female client reports to the preoperative area for her scheduled
bariatric surgery.
What discharge education should the nurse provide? Select all that apply.
Walk frequently during recovery.
Advance diet from clear liquids to full liquid.
Begin taking supplements per the healthcare provider's orders.
Start with room temperature water.
A 37-year-old female client reports to the preoperative area for her scheduled
bariatric surgery.
Actions to Take -- Raise the head of the bed
Change to face mask for oxygen delivery
Potential conditions-- Hypoxia
Parameters to Monitor --Lung sounds Oxygen saturation
A 37-year-old female client reports to the preoperative area for her scheduled
bariatric surgery.
Click to highlight the findings that indicate the client is stable for discharge.
Correct highlights:
The client ambulated 100 yards (91 meters) last night and 200 yards (183 meters)
this morning ✅
She has tolerated fluids throughout the night with no nausea or vomiting ✅
Alert and oriented times 4 ✅
Voided twice throughout night, urine clear amber in appearance ✅
37-year-old female client is transferred from the psychiatric floor to
the emergency department (ED). The client was hospitalized for a psychotic
episode related to bipolar disorder.
What finding(s) should the nurse recognize as signs of dehydration that
require immediate follow up? Select all that apply.
Blood pressure 100/52 mm Hg
Weak peripheral pulses
Dry mucous membranes
Poor skin turgor