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NCSBN NCLEX 2026
QUESTIONS AND ANSWERS|
ACE YOUR GRADES.
The nurse is caring for a client with a medical history of peripheral
artery disease, hypertension and smoking. The client reports
severe pain in the right lower leg that started very suddenly and
did not get better after receiving an analgesic. What action should
the nurse take first?
1Check the client's pedal pulse.
2Offer the client an ice pack for the pain.
3Administer an additional dose of the analgesic.
4Notify the health care provider. - correct answer -1
A client presents to the emergency department with a prolonged
asthma attack that did not resolve after the client used a metered-
dosed inhaler at home. Which medication should the nurse plan
to administer first for this client?
1Oral prednisone
2Fluticasone inhaler
3Intravenous azithromycin
4Nebulized albuterol - correct answer -4
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The nurse on a postpartum nursing unit is receiving report about a
client who had a normal spontaneous vaginal delivery the night
before. The client has been passing golf ball-sized clots on her
peri-pad for the last few hours. The client's most recent blood
pressure is 88/56, and her heart rate is 118. The nurse enters the
client's room and notices blood oozing from her intravenous
insertion site. Which action should the nurse take first?
1Notify the client's health care provider.
2Palpate and massage the client's uterus.
3Perform peri-care and change the client's peri-pad.
4Encourage breastfeeding to promote uterine contractions. -
correct answer -1
The nurse is beginning a shift caring for a group of adult clients on
a neurological unit in an acute care hospital. Which client should
the nurse see first?
1A client admitted two days ago with an ischemic stroke who has
a blood pressure of 158/64
2A client admitted several hours ago with a subdural hematoma
due to an unwitnessed fall at home
3A client admitted with hepatic encephalopathy who has an
elevated ammonia level
4A client admitted with a transient ischemic attack, who has a
bubble study echocardiogram ordered - correct answer -2
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The nurse is reviewing vital signs documented in the electronic
health record for a group of clients. Based on this data, which
client should the nurse see first?
1A client diagnosed with heart failure who has a SpO2 of 82%.
2A client diagnosed with mitral valve insufficiency who has a
blood pressure of 152/88.
3A client diagnosed with infective endocarditis who has a
temperature of 101.8 °F (39° C).
4A client diagnosed with atrial fibrillation who has a heart rate of
110 beats per minute. - correct answer -1
The off-duty nurse witnesses a motor vehicle accident and is
concerned that the driver of the automobile may be injured. What
should the nurse do first?
1Consider scene safety to prevent further injury.
2Check the driver's respiratory rate.
3Check the driver's pulse.
4Minimize movement of the driver's cervical spine. - correct
answer -1
The nurse is talking with a client during a home health visit. The
client states, "my right arm and right leg are beginning to feel
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heavy." The nurse notices the client is having trouble speaking
and has stopped moving the right side of their face. What action
the nurse should take first?
1Take the client's vital signs.
2Document the onset of symptoms in the medical record.
3Call 911.
4Ask the client if they have a headache. - correct answer -3
An adult client who has been experiencing a seizure for
approximately 15 minutes is brought to the emergency
department by private vehicle. Which intervention should the
nurse implement first?
1Obtain a STAT 12-lead electrocardiogram.
2Obtain a STAT electroencephalogram.
3Administer levetiracetam intravenously.
4Administer lorazepam intravenously. - correct answer -4
The nurse is caring for a client who suddenly develops slurred
speech and a facial droop. What diagnostic test would the nurse
expect to be performed first?
1Echocardiogram
2Computerized tomography scan
3Arterial blood gas
NCSBN NCLEX 2026
QUESTIONS AND ANSWERS|
ACE YOUR GRADES.
The nurse is caring for a client with a medical history of peripheral
artery disease, hypertension and smoking. The client reports
severe pain in the right lower leg that started very suddenly and
did not get better after receiving an analgesic. What action should
the nurse take first?
1Check the client's pedal pulse.
2Offer the client an ice pack for the pain.
3Administer an additional dose of the analgesic.
4Notify the health care provider. - correct answer -1
A client presents to the emergency department with a prolonged
asthma attack that did not resolve after the client used a metered-
dosed inhaler at home. Which medication should the nurse plan
to administer first for this client?
1Oral prednisone
2Fluticasone inhaler
3Intravenous azithromycin
4Nebulized albuterol - correct answer -4
, Page | 2
The nurse on a postpartum nursing unit is receiving report about a
client who had a normal spontaneous vaginal delivery the night
before. The client has been passing golf ball-sized clots on her
peri-pad for the last few hours. The client's most recent blood
pressure is 88/56, and her heart rate is 118. The nurse enters the
client's room and notices blood oozing from her intravenous
insertion site. Which action should the nurse take first?
1Notify the client's health care provider.
2Palpate and massage the client's uterus.
3Perform peri-care and change the client's peri-pad.
4Encourage breastfeeding to promote uterine contractions. -
correct answer -1
The nurse is beginning a shift caring for a group of adult clients on
a neurological unit in an acute care hospital. Which client should
the nurse see first?
1A client admitted two days ago with an ischemic stroke who has
a blood pressure of 158/64
2A client admitted several hours ago with a subdural hematoma
due to an unwitnessed fall at home
3A client admitted with hepatic encephalopathy who has an
elevated ammonia level
4A client admitted with a transient ischemic attack, who has a
bubble study echocardiogram ordered - correct answer -2
, Page | 3
The nurse is reviewing vital signs documented in the electronic
health record for a group of clients. Based on this data, which
client should the nurse see first?
1A client diagnosed with heart failure who has a SpO2 of 82%.
2A client diagnosed with mitral valve insufficiency who has a
blood pressure of 152/88.
3A client diagnosed with infective endocarditis who has a
temperature of 101.8 °F (39° C).
4A client diagnosed with atrial fibrillation who has a heart rate of
110 beats per minute. - correct answer -1
The off-duty nurse witnesses a motor vehicle accident and is
concerned that the driver of the automobile may be injured. What
should the nurse do first?
1Consider scene safety to prevent further injury.
2Check the driver's respiratory rate.
3Check the driver's pulse.
4Minimize movement of the driver's cervical spine. - correct
answer -1
The nurse is talking with a client during a home health visit. The
client states, "my right arm and right leg are beginning to feel
, Page | 4
heavy." The nurse notices the client is having trouble speaking
and has stopped moving the right side of their face. What action
the nurse should take first?
1Take the client's vital signs.
2Document the onset of symptoms in the medical record.
3Call 911.
4Ask the client if they have a headache. - correct answer -3
An adult client who has been experiencing a seizure for
approximately 15 minutes is brought to the emergency
department by private vehicle. Which intervention should the
nurse implement first?
1Obtain a STAT 12-lead electrocardiogram.
2Obtain a STAT electroencephalogram.
3Administer levetiracetam intravenously.
4Administer lorazepam intravenously. - correct answer -4
The nurse is caring for a client who suddenly develops slurred
speech and a facial droop. What diagnostic test would the nurse
expect to be performed first?
1Echocardiogram
2Computerized tomography scan
3Arterial blood gas
