NCLEX ARCHER REVIEW FINAL PAPER 2026
TEST PAPER QUESTIONS AND SOLUTIONS
GRADED A+
◉ What action does the nurse perform to follow safe technique
when using a portable oxygen cylinder?
A. Check the amount of oxygen in the cylinder before using it.
B. Use a cylinder for a patient transfer that indicates available
oxygen is at 500 psi.
C. Place the oxygen cylinder on the stretcher next to the patient.
D. Discontinue oxygen flow by turning the cylinder key counter-
clockwise until it is tight.
Submit Answer. Answer: Choice A is correct. The cylinder must
always be checked before use to ensure that enough oxygen is
available for the patient.
◉ Which of the following statements best describe the stage of
development that should be expected of preschoolers based on
developmental theories?
Select all that apply.
According to Freud, the child is in the phallic stage.
According to Erikson, the child is in the trust vs. mistrust stage.
,According to Havighurst, the child is learning to get along with
others.
According to Fowler, the child imitates the religious behavior of
others.
According to Kohlberg, the child defines satisfying acts as right.
According to Havighurst, the child is achieving gender-specific roles.
Answer: Choices A, D, and E are correct. According to Freud, the
child is in the phallic stage. According to Fowler, the child imitates
the religious behavior of others. According to Kohlberg, the child
defines satisfying acts as right.
Human growth and development have been studied since the
beginning of the 20th century and many theories have been
developed to explain human responses usually occurring at certain
ages during life. Although a psychological approach is familiar to
most developmental theories, each method has a different focus.
Different opinions examine cognitive, social, and instinctual
influences on human growth and development.
Choice B is incorrect. According to Erikson, the child is in the
initiative versus guilt stage.
Choice C is incorrect. According to Havighurts, the child is learning
sex differences, forming concepts, and getting ready to read.
Choice F is incorrect. According to Havighurst, the adolescent, not
the preschooler, is achieving gender-specific social roles.
◉ The primary health care provider (PHCP) prescribes ondansetron
0.15 mg/kg IV to a pediatric client who weighs 40 lb. The medication
,label reads 2 mg/mL. How many milliliters will the nurse administer
to the client? Fill in the blank. Round the answer to the nearest
tenth.. Answer: 1.36 mL = 1.4 mL
◉ You are monitoring an 18-month old child who has just had
surgical correction of an epispadias completed. Which of the
following assessment findings would the nurse need to report to the
healthcare provider?
Select all that apply.
Urine output of 2.2 mL/Kg/hr.
Cloudy, foul smelling urine.
Stent in the meatus appears clogged.
Temperature of 37.4 degrees Celsius.
Resting heart rate of 180 bpm. Answer: Choices B, C and E are
correct. Cloudy, foul-smelling urine could indicate an infection and
needs to be reported to the healthcare provider. If the stent placed in
the urethral meatus appears clogged, no urine will be able to exit the
bladder. This needs to be corrected surgically, and the provider
needs to be notified. A heart rate of 180 bpm in an 18-month old
child is considered tachycardia. The child may be in pain or could be
developing an infection, which needs to be reported to the
healthcare provider.
Choice A is incorrect. Urine output greater than 1.5 mL/Kg/hr is
desired in children, so this is a normal finding. If there had been no
, urine output for 1 hour after surgery, the nurse would need to notify
the provider.
Choice D is incorrect. A temperature of 36.4 to 37.4 degrees Celsius
is average. A child is not considered febrile until their temperature
reaches 38.0 degrees Celsius.
◉ The nurse is caring for a newborn immediately after delivery.
Which of the following actions would be appropriate?
A. Perform APGAR assessment at five and ten minutes
B. Suctions the nose then the mouth
C. Administer RhoGAM intramuscularly
D. Place the infant skin to skin with a parent. Answer: Choice D is
correct. A newborn is at risk of cold stress during the first few hours
of post-intrauterine life. The nurse should dry the newborn
thoroughly and place the newborn skin-to-skin with a parent.
Choices A, B, and C are incorrect. The APGAR assessment is
completed at one and five minutes. If suctioning is indicated, the
nurse should suction the mouth, then the nose, not the nose, then
the mouth. RhoGAM is indicated for Rh-negative mothers - not
newborns. Medications administered to a newborn include
intramuscular Vitamin K and erythromycin eye ointment.
TEST PAPER QUESTIONS AND SOLUTIONS
GRADED A+
◉ What action does the nurse perform to follow safe technique
when using a portable oxygen cylinder?
A. Check the amount of oxygen in the cylinder before using it.
B. Use a cylinder for a patient transfer that indicates available
oxygen is at 500 psi.
C. Place the oxygen cylinder on the stretcher next to the patient.
D. Discontinue oxygen flow by turning the cylinder key counter-
clockwise until it is tight.
Submit Answer. Answer: Choice A is correct. The cylinder must
always be checked before use to ensure that enough oxygen is
available for the patient.
◉ Which of the following statements best describe the stage of
development that should be expected of preschoolers based on
developmental theories?
Select all that apply.
According to Freud, the child is in the phallic stage.
According to Erikson, the child is in the trust vs. mistrust stage.
,According to Havighurst, the child is learning to get along with
others.
According to Fowler, the child imitates the religious behavior of
others.
According to Kohlberg, the child defines satisfying acts as right.
According to Havighurst, the child is achieving gender-specific roles.
Answer: Choices A, D, and E are correct. According to Freud, the
child is in the phallic stage. According to Fowler, the child imitates
the religious behavior of others. According to Kohlberg, the child
defines satisfying acts as right.
Human growth and development have been studied since the
beginning of the 20th century and many theories have been
developed to explain human responses usually occurring at certain
ages during life. Although a psychological approach is familiar to
most developmental theories, each method has a different focus.
Different opinions examine cognitive, social, and instinctual
influences on human growth and development.
Choice B is incorrect. According to Erikson, the child is in the
initiative versus guilt stage.
Choice C is incorrect. According to Havighurts, the child is learning
sex differences, forming concepts, and getting ready to read.
Choice F is incorrect. According to Havighurst, the adolescent, not
the preschooler, is achieving gender-specific social roles.
◉ The primary health care provider (PHCP) prescribes ondansetron
0.15 mg/kg IV to a pediatric client who weighs 40 lb. The medication
,label reads 2 mg/mL. How many milliliters will the nurse administer
to the client? Fill in the blank. Round the answer to the nearest
tenth.. Answer: 1.36 mL = 1.4 mL
◉ You are monitoring an 18-month old child who has just had
surgical correction of an epispadias completed. Which of the
following assessment findings would the nurse need to report to the
healthcare provider?
Select all that apply.
Urine output of 2.2 mL/Kg/hr.
Cloudy, foul smelling urine.
Stent in the meatus appears clogged.
Temperature of 37.4 degrees Celsius.
Resting heart rate of 180 bpm. Answer: Choices B, C and E are
correct. Cloudy, foul-smelling urine could indicate an infection and
needs to be reported to the healthcare provider. If the stent placed in
the urethral meatus appears clogged, no urine will be able to exit the
bladder. This needs to be corrected surgically, and the provider
needs to be notified. A heart rate of 180 bpm in an 18-month old
child is considered tachycardia. The child may be in pain or could be
developing an infection, which needs to be reported to the
healthcare provider.
Choice A is incorrect. Urine output greater than 1.5 mL/Kg/hr is
desired in children, so this is a normal finding. If there had been no
, urine output for 1 hour after surgery, the nurse would need to notify
the provider.
Choice D is incorrect. A temperature of 36.4 to 37.4 degrees Celsius
is average. A child is not considered febrile until their temperature
reaches 38.0 degrees Celsius.
◉ The nurse is caring for a newborn immediately after delivery.
Which of the following actions would be appropriate?
A. Perform APGAR assessment at five and ten minutes
B. Suctions the nose then the mouth
C. Administer RhoGAM intramuscularly
D. Place the infant skin to skin with a parent. Answer: Choice D is
correct. A newborn is at risk of cold stress during the first few hours
of post-intrauterine life. The nurse should dry the newborn
thoroughly and place the newborn skin-to-skin with a parent.
Choices A, B, and C are incorrect. The APGAR assessment is
completed at one and five minutes. If suctioning is indicated, the
nurse should suction the mouth, then the nose, not the nose, then
the mouth. RhoGAM is indicated for Rh-negative mothers - not
newborns. Medications administered to a newborn include
intramuscular Vitamin K and erythromycin eye ointment.
