NCSBN NCLEX ACTUAL EXAM || MOST RECENT EXAM
2026-2027 ACTUAL COMLETE REAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ | GUARANTEED SUCCESS!!
| NEWEST EXAM | JUST RELEASED!!
A client is admitted to the telemetry unit with syncope due to
sinus bradycardia.
Which intervention should the nurse include in the client's plan
of care?
1Maintain the client on bedrest.
2Administer a stool softener daily.
3Implement seizure precautions.
4Discuss the client's wishes for organ donation. - ANSWER -2
To avoid a vasovagal response (i.e., the slowing of the heart
rate caused by bearing down when trying to defecate) and the
risk for another syncopal episode, it is important to ensure that
the client's bowel movements are soft and easily expelled. The
client should also be instructed to avoid holding their breath or
bearing down (Valsalva maneuver).
A client diagnosed with iron deficiency anemia is prescribed
ferrous sulfate suspension orally. Which instruction would be
most appropriate for the nurse to give to the client regarding
this medication?
1"You should use a straw when taking this medication."
2'Taking this medication will turn your urine dark orange in
color."
,3"Diarrhea is a common side effect when taking this
medication."
4"You should take the medication with food to enhance
absorption." - ANSWER
-
1
Because liquid iron can stain the teeth, the most appropriate
instruction is to
use a
straw
The nurse is caring for a client with severe iron deficiency
anemia. Which interventions should the nurse include in the
client's plan of care? (Select all that apply.) - ANSWER -Instruct
assistive personnel to allow the client to rest during care
activities.
Monitor the client for palpitations and orthostatic hypotension.
Review the client's medical record for NSAID use.
Encourage the client to eat more green leafy vegetables and
beans. Monitor the client's stool for color, consistency and
frequency.
The nurse is caring for a client with a diagnosis of pericarditis.
The unlicensed assistive person reports to the nurse that the
client's last set of vital signs were blood pressure of 84/40 mm
Hg, respiratory rate of 28 breaths/minute, heart rate of 112 and
the client seemed short of breath. The nurse examines the
client and also notes the presence of jugular vein distention.
What should the nurse do next?
,1Administer the prescribed metoprolol.
2Notify the health care provider.
3Place the client on nothing by mouth
status. 4Obtain a 12-lead electrocardiogram.
- ANSWER -2 risk for cardiac tamponade
due to jugular vein distention
The nurse in the outpatient clinic is reviewing the medical
record of a client diagnosed with Raynaud's disease. What
information from the client's health history would support this
diagnosis? (Select all that apply.) - ANSWER -The client works
in an office setting as a typist.
The client smokes two packs of cigarettes per day.
Warfarin is listed on the medication reconciliation form.
The client complains of brittle fingernails that break easily.
Fingers become cyanotic when exposed to cold objects.
A client is admitted to the cardiology unit for treatment for
recurrent supraventricular tachycardia. Which observation by
the nurse would best indicate that the client's condition can be
considered hemodynamically stable?
1The client denies any chest pain and capillary refill is less than
three seconds.
2The client's blood pressure is 88/40 mm Hg.
3The client's pulse oximeter reads 91% on three liters nasal
cannula.
4The client's cardiac monitor shows a heart rate of 170 beats
per minute. -
, ANSWER -
1
A client with a history of chronic alcohol use disorder is
admitted to the inpatient
unit with a serum magnesium level of 1.0 mEq/L. Which
intervention should the
nurse implement
first?
1Assess the client's deep tendon
reflexes.
2Order the client a meal with foods high in
magnesium.
3Obtain the client's heart rate and oxygen
saturation.
4Place the client on fall risk and seizure precautions.
- ANSWER -3
The nurse administered furosemide to a client with acute
pulmonary edema. Which observation by the nurse would
indicate that the client is experiencing an adverse side effect of
the medication?
1The client exhibits exertional dyspnea with walking.
2The client reports muscle cramps in both legs.
3The client's blood pressure is 104/60 mm Hg.
4The client's weight decreased by 2 lbs. in two days. -
ANSWER -2 Muscle cramps and spasms while receiving
diuretic therapy could indicate hypokalemia, an adverse drug
effect of furosemide because this is a potassium wasting
diuretic
2026-2027 ACTUAL COMLETE REAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ | GUARANTEED SUCCESS!!
| NEWEST EXAM | JUST RELEASED!!
A client is admitted to the telemetry unit with syncope due to
sinus bradycardia.
Which intervention should the nurse include in the client's plan
of care?
1Maintain the client on bedrest.
2Administer a stool softener daily.
3Implement seizure precautions.
4Discuss the client's wishes for organ donation. - ANSWER -2
To avoid a vasovagal response (i.e., the slowing of the heart
rate caused by bearing down when trying to defecate) and the
risk for another syncopal episode, it is important to ensure that
the client's bowel movements are soft and easily expelled. The
client should also be instructed to avoid holding their breath or
bearing down (Valsalva maneuver).
A client diagnosed with iron deficiency anemia is prescribed
ferrous sulfate suspension orally. Which instruction would be
most appropriate for the nurse to give to the client regarding
this medication?
1"You should use a straw when taking this medication."
2'Taking this medication will turn your urine dark orange in
color."
,3"Diarrhea is a common side effect when taking this
medication."
4"You should take the medication with food to enhance
absorption." - ANSWER
-
1
Because liquid iron can stain the teeth, the most appropriate
instruction is to
use a
straw
The nurse is caring for a client with severe iron deficiency
anemia. Which interventions should the nurse include in the
client's plan of care? (Select all that apply.) - ANSWER -Instruct
assistive personnel to allow the client to rest during care
activities.
Monitor the client for palpitations and orthostatic hypotension.
Review the client's medical record for NSAID use.
Encourage the client to eat more green leafy vegetables and
beans. Monitor the client's stool for color, consistency and
frequency.
The nurse is caring for a client with a diagnosis of pericarditis.
The unlicensed assistive person reports to the nurse that the
client's last set of vital signs were blood pressure of 84/40 mm
Hg, respiratory rate of 28 breaths/minute, heart rate of 112 and
the client seemed short of breath. The nurse examines the
client and also notes the presence of jugular vein distention.
What should the nurse do next?
,1Administer the prescribed metoprolol.
2Notify the health care provider.
3Place the client on nothing by mouth
status. 4Obtain a 12-lead electrocardiogram.
- ANSWER -2 risk for cardiac tamponade
due to jugular vein distention
The nurse in the outpatient clinic is reviewing the medical
record of a client diagnosed with Raynaud's disease. What
information from the client's health history would support this
diagnosis? (Select all that apply.) - ANSWER -The client works
in an office setting as a typist.
The client smokes two packs of cigarettes per day.
Warfarin is listed on the medication reconciliation form.
The client complains of brittle fingernails that break easily.
Fingers become cyanotic when exposed to cold objects.
A client is admitted to the cardiology unit for treatment for
recurrent supraventricular tachycardia. Which observation by
the nurse would best indicate that the client's condition can be
considered hemodynamically stable?
1The client denies any chest pain and capillary refill is less than
three seconds.
2The client's blood pressure is 88/40 mm Hg.
3The client's pulse oximeter reads 91% on three liters nasal
cannula.
4The client's cardiac monitor shows a heart rate of 170 beats
per minute. -
, ANSWER -
1
A client with a history of chronic alcohol use disorder is
admitted to the inpatient
unit with a serum magnesium level of 1.0 mEq/L. Which
intervention should the
nurse implement
first?
1Assess the client's deep tendon
reflexes.
2Order the client a meal with foods high in
magnesium.
3Obtain the client's heart rate and oxygen
saturation.
4Place the client on fall risk and seizure precautions.
- ANSWER -3
The nurse administered furosemide to a client with acute
pulmonary edema. Which observation by the nurse would
indicate that the client is experiencing an adverse side effect of
the medication?
1The client exhibits exertional dyspnea with walking.
2The client reports muscle cramps in both legs.
3The client's blood pressure is 104/60 mm Hg.
4The client's weight decreased by 2 lbs. in two days. -
ANSWER -2 Muscle cramps and spasms while receiving
diuretic therapy could indicate hypokalemia, an adverse drug
effect of furosemide because this is a potassium wasting
diuretic
