NCLEX EXAM PREVIEW 2/5/2026
The charge nurse has received a change-of-shift report 2. first stage of labor whose contractions are occurring every 30 seconds
on the following clients in labor. The charge nurse should Contractions should be no longer than 90 secs and no closer than 2 mins (120
ask a staff member to first see the client in the secs)
1. first stage of labor who has an oral temperature of 99.7° 90 secs is the duration, 2 mins is the frequency.
F (37.6° C)
2. first stage of labor whose contractions are occurring Rationale:
every 30 seconds 1. Elevated temp is normal during labor
3. second stage of labor who has respirations of 26 3. Increased resps are normal during labor "pant-pant-blow" "hee-hee-hoo"
4. second stage of labor whose contractions are lasting breathing pattern
for 60 seconds 4. Contractions shouldn't be longer than 90 secs, 60 secs is okay and normal
Second stage: 2-3 mins apart, 60-90 secs long, 10 cm dilated, strong pain
NCLEX EXAM PREVIEW Page 1 of 82
,NCLEX EXAM PREVIEW 2/5/2026
The charge nurse is observing the following client 1. client with hepatitis B (HBV) is eating food brought into the facility by a visitor
situations. It would require intervention if a HBV is spread through contact with body fluids including saliva, so it is important
1. client with hepatitis B (HBV) is eating food brought into to intervene if the patient is eating and possibly sharing food with another
the facility by a visitor person.
2. visitor is sitting on the side of the bed of a client with
acute pancreatitis
3. staff member is entering the room of a client with
Haemophilus influenzae meningitis wearing a protective
gown and gloves
4. family member of a client with mycoplasma pneumonia
leaves the door to the client's room open
NCLEX EXAM PREVIEW Page 2 of 82
,NCLEX EXAM PREVIEW 2/5/2026
The charge nurse must transfer a client from a locked 3. schizophrenia who is withdrawn and requires assistance with activities of daily
psychiatric unit to an unlocked unit in order to make a living (ADL)
bed available. The charge nurse should recommend for
transfer the client with
1. depression who has suddenly become more animated
and involved in unit activities
2. bipolar I disorder who is experiencing a manic
episode, is disrobing, and is laughing with other clients
3. schizophrenia who is withdrawn and requires
assistance with activities of daily living (ADL)
4. dementia who is delusional about being poisoned by
staff members
NCLEX EXAM PREVIEW Page 3 of 82
, NCLEX EXAM PREVIEW 2/5/2026
The charge nurse must transfer a female client from the 3. 56 years old, has hepatitis C (HCV) and has been afebrile for 24 hours
medical-surgical unit to the maternity unit to make a bed
available. It would be most appropriate for the nurse to
transfer the client who is
1. 28 years old, had a right mastectomy and has a closed-
wound drainage system
2. 49 years old, has diabetes mellitus (type 2) and has
begun receiving insulin
3. 56 years old, has hepatitis C (HCV) and has been
afebrile for 24 hours
4. 70 years old, has a fractured left tibia and had an
external fixation device applied 48 hours ago
NCLEX EXAM PREVIEW Page 4 of 82
The charge nurse has received a change-of-shift report 2. first stage of labor whose contractions are occurring every 30 seconds
on the following clients in labor. The charge nurse should Contractions should be no longer than 90 secs and no closer than 2 mins (120
ask a staff member to first see the client in the secs)
1. first stage of labor who has an oral temperature of 99.7° 90 secs is the duration, 2 mins is the frequency.
F (37.6° C)
2. first stage of labor whose contractions are occurring Rationale:
every 30 seconds 1. Elevated temp is normal during labor
3. second stage of labor who has respirations of 26 3. Increased resps are normal during labor "pant-pant-blow" "hee-hee-hoo"
4. second stage of labor whose contractions are lasting breathing pattern
for 60 seconds 4. Contractions shouldn't be longer than 90 secs, 60 secs is okay and normal
Second stage: 2-3 mins apart, 60-90 secs long, 10 cm dilated, strong pain
NCLEX EXAM PREVIEW Page 1 of 82
,NCLEX EXAM PREVIEW 2/5/2026
The charge nurse is observing the following client 1. client with hepatitis B (HBV) is eating food brought into the facility by a visitor
situations. It would require intervention if a HBV is spread through contact with body fluids including saliva, so it is important
1. client with hepatitis B (HBV) is eating food brought into to intervene if the patient is eating and possibly sharing food with another
the facility by a visitor person.
2. visitor is sitting on the side of the bed of a client with
acute pancreatitis
3. staff member is entering the room of a client with
Haemophilus influenzae meningitis wearing a protective
gown and gloves
4. family member of a client with mycoplasma pneumonia
leaves the door to the client's room open
NCLEX EXAM PREVIEW Page 2 of 82
,NCLEX EXAM PREVIEW 2/5/2026
The charge nurse must transfer a client from a locked 3. schizophrenia who is withdrawn and requires assistance with activities of daily
psychiatric unit to an unlocked unit in order to make a living (ADL)
bed available. The charge nurse should recommend for
transfer the client with
1. depression who has suddenly become more animated
and involved in unit activities
2. bipolar I disorder who is experiencing a manic
episode, is disrobing, and is laughing with other clients
3. schizophrenia who is withdrawn and requires
assistance with activities of daily living (ADL)
4. dementia who is delusional about being poisoned by
staff members
NCLEX EXAM PREVIEW Page 3 of 82
, NCLEX EXAM PREVIEW 2/5/2026
The charge nurse must transfer a female client from the 3. 56 years old, has hepatitis C (HCV) and has been afebrile for 24 hours
medical-surgical unit to the maternity unit to make a bed
available. It would be most appropriate for the nurse to
transfer the client who is
1. 28 years old, had a right mastectomy and has a closed-
wound drainage system
2. 49 years old, has diabetes mellitus (type 2) and has
begun receiving insulin
3. 56 years old, has hepatitis C (HCV) and has been
afebrile for 24 hours
4. 70 years old, has a fractured left tibia and had an
external fixation device applied 48 hours ago
NCLEX EXAM PREVIEW Page 4 of 82
