NCSBN NCLEX FINAL TEST PAPER 2026
ACCURATE ANSWERS GRADED A+
◉ The nurse is caring for a client who has just been admitted to the
inpatient mental health unit with severe depression. Which concern
should be a priority of care?
1Safety
2Elimination
3Rest
4Nutrition. Answer: 1
◉ A nurse is discussing with a client the precautions with warfarin.
The nurse should tell the client to avoid foods with excessive amounts
of what substance?
1Iron
2Calcium
3Vitamin E
4Vitamin K. Answer: 4
◉ The nurse has established a therapeutic relationship with a client.
Which observation would indicate that the nurse-client relationship
has passed from the orienting phase to the working phase?
1The client revitalizes a relationship with the family to help in coping
with a child's death
2The client recognizes feelings and expresses them appropriately
,3The client expresses a desire to be mothered and pampered
4The client recognizes regression as a part of a defense mechanism.
Answer: 2
During the working phase, problems are identified and the client is
able to focus on unpleasant feelings and express them appropriately.
◉ During the working phase, problems are identified and the client is
able to focus on unpleasant feelings and express them appropriately..
Answer: An advance health care directive is also known as a living
will. It is a legal document in which a person specifies his or her
wishes concerning medical treatments at the end-of-life, when s/he is
unable to make those decisions. Advance care planning involves
sharing personal values and wishes with loved ones and selecting
someone, (called a medical power of attorney or health care proxy)
who will eventually make medical decisions on the client's behalf
◉ A nurse is talking to a group of parents about how to reduce risks
in the home. What is the most important factor for the nurse to
consider during the discussion?
1Proximity to emergency services
2Number of children in the home
3Knowledge level of the parents
4Age of children in the home. Answer: 4
◉ When reviewing the medication lithium with a client, the client
asks, "How long will it take before I can feel the effects of the
medication?" Which response by the nurse is the best?
,1"About two weeks"
2"One month"
3"Immediately"
4"Several days". Answer: 1
◉ A client has completed a renal biopsy. Which nursing intervention
is appropriate after a renal biopsy?
1Ambulate the client within four hours after procedure
2Change the dressing when it becomes saturated
3Monitor vital signs using post-op protocols
4Maintain client on NPO status for 24 hours. Answer: 3
◉ The nurse is caring for a client who is one-day postoperative with
a T-tube following a cholecystectomy. What color would the nurse
expect the drainage from the client's T-tube to be?
1Dark brown
2Green
3Yellowish-brown
4Orange. Answer: 3
◉ A newly admitted client reports taking phenytoin for several
months. Which of the following assessments should the nurse be sure
to include in the admission report? (Select all that apply.). Answer:
Serious adverse outcomes of antiseizure medications such as
phenytoin (Dilantin) are unsteady gait, slurred speech, extreme
fatigue, blurred vision or feelings of suicide. Increased hunger (not
, anorexia), increased thirst or increased urination are additional serious
side effects.
◉ The nurse is giving a morning bath to a client who has a
colostomy. While giving the bath, the nurse should reinforce that the
collection pouch should be emptied at what time?
1Prior to going to sleep at night
2After each fecal elimination
3At the same time each day
4When it is one-third to one-half full. Answer: 4
◉ A client is scheduled to have blood drawn for serum cholesterol
and triglycerides tomorrow morning. What information should the
nurse reinforce to the client about the test?
1"Be sure to eat a fat-free diet until the test, and drink lots of water."
2"Stay at the laboratory so that two blood samples can be drawn an
hour apart."
3"Do not eat or drink anything but water for 12 hours before the
blood test."
4"Have the blood drawn within two hours of eating breakfast.".
Answer: 3
◉ The nurse is caring for a hospitalized adolescent. The nurse
recognizes that which of these concerns will be the greatest for a
hospitalized adolescent?
1Restricted physical activity
ACCURATE ANSWERS GRADED A+
◉ The nurse is caring for a client who has just been admitted to the
inpatient mental health unit with severe depression. Which concern
should be a priority of care?
1Safety
2Elimination
3Rest
4Nutrition. Answer: 1
◉ A nurse is discussing with a client the precautions with warfarin.
The nurse should tell the client to avoid foods with excessive amounts
of what substance?
1Iron
2Calcium
3Vitamin E
4Vitamin K. Answer: 4
◉ The nurse has established a therapeutic relationship with a client.
Which observation would indicate that the nurse-client relationship
has passed from the orienting phase to the working phase?
1The client revitalizes a relationship with the family to help in coping
with a child's death
2The client recognizes feelings and expresses them appropriately
,3The client expresses a desire to be mothered and pampered
4The client recognizes regression as a part of a defense mechanism.
Answer: 2
During the working phase, problems are identified and the client is
able to focus on unpleasant feelings and express them appropriately.
◉ During the working phase, problems are identified and the client is
able to focus on unpleasant feelings and express them appropriately..
Answer: An advance health care directive is also known as a living
will. It is a legal document in which a person specifies his or her
wishes concerning medical treatments at the end-of-life, when s/he is
unable to make those decisions. Advance care planning involves
sharing personal values and wishes with loved ones and selecting
someone, (called a medical power of attorney or health care proxy)
who will eventually make medical decisions on the client's behalf
◉ A nurse is talking to a group of parents about how to reduce risks
in the home. What is the most important factor for the nurse to
consider during the discussion?
1Proximity to emergency services
2Number of children in the home
3Knowledge level of the parents
4Age of children in the home. Answer: 4
◉ When reviewing the medication lithium with a client, the client
asks, "How long will it take before I can feel the effects of the
medication?" Which response by the nurse is the best?
,1"About two weeks"
2"One month"
3"Immediately"
4"Several days". Answer: 1
◉ A client has completed a renal biopsy. Which nursing intervention
is appropriate after a renal biopsy?
1Ambulate the client within four hours after procedure
2Change the dressing when it becomes saturated
3Monitor vital signs using post-op protocols
4Maintain client on NPO status for 24 hours. Answer: 3
◉ The nurse is caring for a client who is one-day postoperative with
a T-tube following a cholecystectomy. What color would the nurse
expect the drainage from the client's T-tube to be?
1Dark brown
2Green
3Yellowish-brown
4Orange. Answer: 3
◉ A newly admitted client reports taking phenytoin for several
months. Which of the following assessments should the nurse be sure
to include in the admission report? (Select all that apply.). Answer:
Serious adverse outcomes of antiseizure medications such as
phenytoin (Dilantin) are unsteady gait, slurred speech, extreme
fatigue, blurred vision or feelings of suicide. Increased hunger (not
, anorexia), increased thirst or increased urination are additional serious
side effects.
◉ The nurse is giving a morning bath to a client who has a
colostomy. While giving the bath, the nurse should reinforce that the
collection pouch should be emptied at what time?
1Prior to going to sleep at night
2After each fecal elimination
3At the same time each day
4When it is one-third to one-half full. Answer: 4
◉ A client is scheduled to have blood drawn for serum cholesterol
and triglycerides tomorrow morning. What information should the
nurse reinforce to the client about the test?
1"Be sure to eat a fat-free diet until the test, and drink lots of water."
2"Stay at the laboratory so that two blood samples can be drawn an
hour apart."
3"Do not eat or drink anything but water for 12 hours before the
blood test."
4"Have the blood drawn within two hours of eating breakfast.".
Answer: 3
◉ The nurse is caring for a hospitalized adolescent. The nurse
recognizes that which of these concerns will be the greatest for a
hospitalized adolescent?
1Restricted physical activity
