“NCLEX EXAM PREVIEW EXAM 2026 ”LATEST
EXAM 2026 – 2027 SOLVED 110 QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED 100% GUARANTEE
PASS
well analyzed
day 1
NCLEX EXAM PREVIEW
The nurse has taken a nutritional history from parents of clients. It would be a
priority for the nurse to follow up with the
1. 5-month-old client whose only source of nutrition is 5 formula feedings daily
2. 7-month-old client who eats several crackers as finger food
3. 9-month-old client whose typical daily diet includes 10 bottles of 2% milk, 1
cup of apple juice, and 3 servings of infant cereal
4. 1-year-old client whose typical food intake includes 4 breast-feedings and 3
servings of cooked vegetables, pears, or sliced cheese
3. 9-month-old client whose typical daily diet includes 10 bottles of 2% milk, 1 cup of
apple juice, and 3 servings of infant cereal
Rationale: Cows milk should be introduced at 12 months old. It doesn't provide the
necessary nutrients and baby can develop iron deficiency
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The nurse is planning a staff education program about client privacy. Which of
the following scenarios should the nurse include as an example of a violation
of client privacy?
1. discussing with an unlicensed assistive personnel (UAP) that the UAP's
assigned client will require a smaller condom catheter
2. sharing the client's blood alcohol level (BAL) test result with the police
officer who brought the client to the emergency department (ED)
3. responding to the call light of the client who is assigned to another nurse
and needs assistance in the bathroom
4. allowing a nursing student who has been assigned to the client to review the
client's medical record
2. sharing the client's blood alcohol level (BAL) test result with the police officer who
brought the client to the emergency department (ED)
Rationale: PHI is permitted to be disclosed to police when PHI is needed to
apprehend the perpetrator of a violent crime, suspect, or fugitive.
The nurse has become aware of the following client situations. The nurse
should first assess the client
1. who had a right pneumonectomy 24 hours ago and is in the high-Fowler's
position while lying on the right side
2. with chronic obstructive pulmonary disease (COPD) who is using pursed-lip
breathing and reporting hemoptysis
3. who had a wedge resection of the left lung 24 hours ago and is sitting in the
high-Fowler's position
4. with heart failure who has a productive cough and is restless
4. with heart failure who has a productive cough and is restless
Productive cough (pink frothy sputum) is indicative of pulmonary edema which is life-
threatening. T(x) would be to improve cardiac output by placing client in high fowlers,
O2, mechanical ventilation, meds
The nurse is caring for a 3-year-old client with a cerebral concussion who is
being observed overnight in the pediatric unit. Which of the following
observations would be most significant for the nurse to report to the
oncoming shift?
1. The client has a blood pressure of 94/58 mm Hg and an apical pulse of 90.
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2. The client is sleeping but is easily aroused.
3. The client's pupils are equal and reactive to light.
4. The client has an axillary temperature of 99.0° F (37.2° C) and respirations of
24.
2. The client is sleeping but is easily aroused.
Important to keep checking for decline in M/S with concussions, even when sleeping.
The nurse in the same-day surgical center has received a change-of-shift
report on the following clients. The nurse should first see the client who had
1. closed reduction of a fractured tibia with cast application 1 hour ago and is
reporting that the casted leg feels hot
2. extraction of a cataract lens 2 hours ago and is reporting nausea
3. an arthroscopy of the right knee 3 hours ago and is reporting knee pain
rated as 4 on a scale of 0 (no pain) to 10 (severe pain)
4. a laparoscopic cholecystectomy 4 hours ago and is reporting right shoulder
pain
1. closed reduction of a fractured tibia with cast application 1 hour ago and is
reporting that the casted leg feels hot
Pain, tightness, hot feeling can indicate that the cast is on too tight
Rationale:
2. Normal to feel nauseous after coming off of anesthesia
3. Knee pain is expected after knee surgery
4. Right shoulder pain is common in laparoscopic cholecystectomy due to gas left in
abdomen after the procedure. Will resolve on its own
The nurse is planning care for a client with multiple sclerosis (MS) who has
ataxia. Which of the following interventions should the nurse include in the
client's plan of care?
1. Add thickener to thin liquids for the client.
2. Obtain a referral to a physical therapist for the client.
3. Face the client directly when speaking with the client.
4. Provide a board with pictures to help the client communicate needs.
2. Obtain a referral to a physical therapist for the client.
Ataxia is lack of muscle control in arms and legs leading to lack of balance,
coordination, and walking. PT is the area of referral for this type of issue.
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Rationale:
1. thick liquids for dysphagia
3. Always indicated
4. Can be a tool for patients with expressive aphasia
The home-health nurse is assigned to visit the following clients who live within
3 miles (4.8 km) of one another. The nurse should first visit the client with
1. breast cancer who had a mastectomy 2 days ago and has had 25 mL of
drainage from the closed-wound drainage system in the past 12 hours
2. lung cancer who received a dose of chemotherapy 2 weeks ago and has a
temperature of 101.1° F (38.4° C)
3. chronic obstructive pulmonary disease (COPD) who is reporting
expectorating large amounts of thick, yellow mucus
4. diabetes mellitus (type 1) who had a right below-the-knee amputation (BKA)
and is reporting having right toe pain
1. breast cancer who had a mastectomy 2 days ago and has had 25 mL of drainage
from the closed-wound drainage system in the past 12 hours
This is really little blood in 12 hours for a surgery that was only 2 days ago. Nurse
should assess for obstruction of the drainage system which could be life-threatening
if not resolved.
The nurse has become aware of the following client situations. The nurse
should first assess the client
1. who had a total abdominal hysterectomy (TAH) 1 day ago and is unable to
void 7 hours after the indwelling urethral catheter was removed
2. who had a total knee replacement 24 hours ago, is restless, and has a
petechial rash on the chest
3. with bacterial pneumonia who has bronchial breath sounds auscultated
between the scapulae and a temperature of 103.3° F (39.6° C)
4. with hepatic cirrhosis who has an elevated aspartate aminotransferase
(AST) level and respirations of 24
2. who had a total knee replacement 24 hours ago, is restless, and has a petechial
rash on the chest
petechial rash — sign of DIC or fat embolus