NCLEX-RN Test 1 2026 | Complete
Practice Exam with Answers &
Detailed Rationales q
Study online at https://quizlet.com/_fhpxih
1. A client with ascites is scheduled for a paracentesis. Which
instruction should
be given to the client before the procedure?
a "You will need to lay flat during the procedure."
b. "You need to empty your bladder before the procedure."
c. "You will be asleep during the procedure."
d. "The doctor will inject a medication during the procedure.": b. "You
need to empty
your bladder before the procedure."
2. A client's lab values reveal Hgb 12.6, WBC 6500cu.mm, K+ 1.9, uric
acid 7.0,
Na+ 136, and platelets 178,000cu.mm. The nurse evaluates that the
client is
experiencing which of the following?
Hypernatremia
b Hypokalemia
Myelosuppression
Leukopenia: b Hypokalemia
,3. The nurse is caring for the client who has been in a coma for two
months. He
has signed a donor card, but the wife is opposed to the idea of organ
donation.
How should the nurse handle the topic of organ donation with the
wife?
a Tell the wife that the hospital will honor her wishes regarding organ
donation,
but contact the organ-retrieval staff.
b Tell her that because her husband signed a donor card, the hospital
has the
right to take the organs upon the death of her husband.
c Explain that it is necessary for her to donate her husband's organs
because
he signed the permit.
d Refrain from talking about the subject until after the death of her
husband.: a
Tell the wife that the hospital will honor her wishes regarding organ
donation, but contact the organ-retrieval staff.
4. Due to a high census, it has been necessary for a number of clients to
be trans ferred to other units within the hospital. Which client should
be transferred to
the postpartum unit?
a A 66-year-old female with gastroenteritis
b A 40-year-old female with a hysterectomy
,c A 27-year-old male with severe depression
d A 28-year-old male with ulcerative colitis: b A 40-year-old female with
a hysterectomy
q
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5. Before administering Theo-Dur (theophylline), the nurse should
check the
patient's:
a output
b Blood pressure
c Pulse
d Temperature: c Pulse
6. Which information should be given to the patient undergoing
radiation ther apy for breast cancer?
a Avoid exposing radiation areas to sunlight during treatment time and
for a
year after completion of therapy
b Moisturize the radiation site with oil-based lotion to prevent
blistering
c Use bath oil when tub bathing to prevent drying and peeling
d Report redness and soreness of the area to the physician: a Avoid
exposing radiation
, areas to sunlight during treatment time and for a year after completion
of therapy
7. The charge nurse is making assignments for the day. After accepting
the
assignment to care for a client with leukemia, the nurse tells the charge
nurse
that her child has chickenpox. Which initial action should the charge
nurse
take?
a Change the nurse's assignment to another client.
b Explain to the nurse that there is no risk to the client.
c Ask the nurse if the chickenpox have crusted.
d Ask the nurse if she has ever had the chickenpox.: d Ask the nurse if
she has ever had the
chickenpox.
8. Which statement is true regarding therapy with Levemir (insulin
detemir)?
a The onset is 1-2 hours.
b It may be mixed with regular insulin.
c It peaks in 2-3 hours.
d The duration is 24 hours.: d The duration is 24 hours.
9. Which client should be assigned to the nursing assistant?
a The 18-year-old with a fracture to two cervical vertebrae
b The infant with meningitis with a temperature of 101°F
Practice Exam with Answers &
Detailed Rationales q
Study online at https://quizlet.com/_fhpxih
1. A client with ascites is scheduled for a paracentesis. Which
instruction should
be given to the client before the procedure?
a "You will need to lay flat during the procedure."
b. "You need to empty your bladder before the procedure."
c. "You will be asleep during the procedure."
d. "The doctor will inject a medication during the procedure.": b. "You
need to empty
your bladder before the procedure."
2. A client's lab values reveal Hgb 12.6, WBC 6500cu.mm, K+ 1.9, uric
acid 7.0,
Na+ 136, and platelets 178,000cu.mm. The nurse evaluates that the
client is
experiencing which of the following?
Hypernatremia
b Hypokalemia
Myelosuppression
Leukopenia: b Hypokalemia
,3. The nurse is caring for the client who has been in a coma for two
months. He
has signed a donor card, but the wife is opposed to the idea of organ
donation.
How should the nurse handle the topic of organ donation with the
wife?
a Tell the wife that the hospital will honor her wishes regarding organ
donation,
but contact the organ-retrieval staff.
b Tell her that because her husband signed a donor card, the hospital
has the
right to take the organs upon the death of her husband.
c Explain that it is necessary for her to donate her husband's organs
because
he signed the permit.
d Refrain from talking about the subject until after the death of her
husband.: a
Tell the wife that the hospital will honor her wishes regarding organ
donation, but contact the organ-retrieval staff.
4. Due to a high census, it has been necessary for a number of clients to
be trans ferred to other units within the hospital. Which client should
be transferred to
the postpartum unit?
a A 66-year-old female with gastroenteritis
b A 40-year-old female with a hysterectomy
,c A 27-year-old male with severe depression
d A 28-year-old male with ulcerative colitis: b A 40-year-old female with
a hysterectomy
q
Study online at https://quizlet.com/_fhpxih
5. Before administering Theo-Dur (theophylline), the nurse should
check the
patient's:
a output
b Blood pressure
c Pulse
d Temperature: c Pulse
6. Which information should be given to the patient undergoing
radiation ther apy for breast cancer?
a Avoid exposing radiation areas to sunlight during treatment time and
for a
year after completion of therapy
b Moisturize the radiation site with oil-based lotion to prevent
blistering
c Use bath oil when tub bathing to prevent drying and peeling
d Report redness and soreness of the area to the physician: a Avoid
exposing radiation
, areas to sunlight during treatment time and for a year after completion
of therapy
7. The charge nurse is making assignments for the day. After accepting
the
assignment to care for a client with leukemia, the nurse tells the charge
nurse
that her child has chickenpox. Which initial action should the charge
nurse
take?
a Change the nurse's assignment to another client.
b Explain to the nurse that there is no risk to the client.
c Ask the nurse if the chickenpox have crusted.
d Ask the nurse if she has ever had the chickenpox.: d Ask the nurse if
she has ever had the
chickenpox.
8. Which statement is true regarding therapy with Levemir (insulin
detemir)?
a The onset is 1-2 hours.
b It may be mixed with regular insulin.
c It peaks in 2-3 hours.
d The duration is 24 hours.: d The duration is 24 hours.
9. Which client should be assigned to the nursing assistant?
a The 18-year-old with a fracture to two cervical vertebrae
b The infant with meningitis with a temperature of 101°F
