NCLEX 2026 EXAM UPDATED QUESTIONS AND ANSWERS
The nurse notes blanching, coolness, and edema at the peripheral IV site. On the basis of these
findings, the nurse should implement which action?
1. remove the IV
2. apply a warm compress
3. check for blood return
4. measure the area of infiltration
1. remove the IV
The nurse has received the client assignment for the day. Which client should the nurse assess
first?
1. The client who needs to receive subq insulin before breakfast
2. the client who has a nasogastric tube attached to low intermittent suction
3. the client who is 2 days postoperative and is complaining of incisional pain
4. the client who has a blood glucose level of 50 mg/dl and complaints of blurred vision
4. the client who has a blood glucose level of 50 mg/dl and complaints of blurred vision
The nurse prepares to care for a client on contact precautions who has a hospital acquired
infection cause by MRSA. The client has an abdominal wound that requires irrigation and has a
trach attached to a mechanical ventilator, which requires frequent suctioning. The nurse should
assemble which necessary protective items before entering the client's room?
1. gloves and gown
The nurse notes blanching, coolness, and edema at the peripheral IV site. On the basis of these
findings, the nurse should implement which action?
1. remove the IV
2. apply a warm compress
3. check for blood return
4. measure the area of infiltration
1. remove the IV
The nurse has received the client assignment for the day. Which client should the nurse assess
first?
1. The client who needs to receive subq insulin before breakfast
2. the client who has a nasogastric tube attached to low intermittent suction
3. the client who is 2 days postoperative and is complaining of incisional pain
4. the client who has a blood glucose level of 50 mg/dl and complaints of blurred vision
4. the client who has a blood glucose level of 50 mg/dl and complaints of blurred vision
The nurse prepares to care for a client on contact precautions who has a hospital acquired
infection cause by MRSA. The client has an abdominal wound that requires irrigation and has a
trach attached to a mechanical ventilator, which requires frequent suctioning. The nurse should
assemble which necessary protective items before entering the client's room?
1. gloves and gown
