NCLEX EXAM ga ga
Exam Solution ga
NCSBN NCLEX QUESTIONS 2026 A+ GRADE ASSURED CO ga ga ga ga ga ga ga
MPLETE SOLUTIONS AND VERIFIED ANSWERS (034AA) ga ga ga ga ga
QUESTION 1 ga
The nurse is caring for a 75 year-
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old client with type 2 diabetes mellitus. The client should be instructed to contact the ou
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tpatient clinic immediately if which findings are present? 1An open wound on the heel
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with minimal discomfort 2Occasional hiccups and sneezing 3Sustained insomnia and da
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ytime fatigue 4Persistent dryness and itching of the perineal area
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ANSWER
1An open wound on the heel with minimal discomfort-
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QUESTION 2 ga
A nurse is taking a health history from parents of a child admitted with possible Reye's s
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yndrome. Which recent illness should the nurse recognize as being associated with an in
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creased the risk for the development of Reye's syndrome? 1. Varicella 2. Meningitis 3. H
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epatitis 4. Rubeola ga ga
ANSWER
1. Varicella -
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QUESTION 3 ga
A Native American chief visits his newborn son and performs a traditional ceremony tha
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t involves feathers and chanting. The nurse comments to a colleague: "I wonder if he has
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any idea how ridiculous he looks -
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he's a grown man!" The nurse's comment is an example of what type of attitude? 1. Prej
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udice 2. Ethnocentrism 3. Discrimination 4. Stereotyping
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ANSWER
1. Prejudice-
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,QUESTION 4 ga
A child is admitted to the unit with the suspected diagnosis of pertussis (whooping coug
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h). What is the priority nursing intervention for this child? 1. Maintain hydration and en
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courage fluids 2. Implement droplet precautions 3. Monitor respiratory rate and oxygen
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saturation 4. Anti- infective therapy ga ga ga ga
ANSWER
2
QUESTION 5 ga
A nurse is caring for a woman two hours after a vaginal delivery. Documentation indicat
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es that the membranes ruptured 36 hours prior to delivery. Which of these nursing diag
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noses should the nurse expect the charge nurse to list as a priority at this time? 1Risk fo
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r fluid volume deficit 2Risk for excessive bleeding 3Risk for infection -
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4Altered tissue perfusion
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ANSWER
3
QUESTION 6 ga
A 14 month-
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old child ingests a half a bottle of baby aspirin (81 mg) tablets. Which finding should a n
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urse expect to see in the child? 1Hypothermia 2Nausea and vomiting 3Hypoventilation 4
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Bradycardia
ANSWER
2
QUESTION 7 ga
A client is admitted with diagnosis of a right upper lobe infiltrate and to rule out active t
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uberculosis (TB). Which type of precautions will be needed for this client? 1Droplet 2Co
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ntact 3Standard 4Airborne ga ga
ANSWER
4
QUESTION 8 ga
,A client has had a positive reaction to purified protein derivative (PPD). Which statemen
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t made by the client suggests the client understands the teaching by the registered nurs
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e (RN)? 1"I have active tuberculosis." 2"I have been exposed to mycobacterium tubercul
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osis." 3"I have never been infected with mycobacterium tuberculosis." 4"I have never ha
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d tuberculosis."
ga
ANSWER
2
QUESTION 9 ga
A nurse is caring for a client with pneumococcal pneumonia. Which breath sounds woul
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d the nurse expect to disappear as the client responds to the antibiotic treatment? 1Whe
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ezes 2Friction rubs 3Rhonchi 4Diminished sounds
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ANSWER
3
QUESTION 10 ga
Lactulose has been prescribed for a client with advanced liver disease. Which finding sh
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ould the nurse use to evaluate the effectiveness of this treatment? 1Less jaundice 2Incre
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ased appetite 3Decreased lethargy 4Less edema
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ANSWER
3
QUESTION 11 ga
The nurse is assisting with the delivery of a newborn infant. What is the priority nursing
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intervention for a normal newborn immediately after delivery? 1Dry off infant with a w
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arm blanket or towel 2Apply identification bracelets 3Assign the one-
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minute APGAR score 4Obtain vital signs
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ANSWER
1Dry off infant with a warm blanket or towel -
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QUESTION 12 ga
The nurse is reinforcing information about the side effects of fluoxetine to a client. Whic
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h group of findings should be included? 1Diarrhea, dry mouth, weight loss, reduced libid
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o 2Tachycardia, blurred vision, hypotension, anorexia 3Orthostatic hypotension, vertigo,
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reactions to tyramine, nausea 4Photosensitivity, seizures, edema, hyperglycemia
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, ANSWER
1Diarrhea, dry mouth, weight loss, reduced libido
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QUESTION 13 ga
A client has a diagnosis of heart failure. Which intervention is most important for the nu
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rse to implement prior to the administration of digoxin? 1Use the pulse reading from th
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e electronic blood pressure device 2Take a radial pulse, counting for a full 60 seconds 3
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Check for a pulse deficit at least twice with another nurse 4Assess the apical pulse, coun
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ting for a full 60 seconds
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ANSWER
4Assess the apical pulse, counting for a full 60 seconds -
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QUESTION 14 ga
A parent expresses frustration and anger about the toddler constantly saying "no" and r
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efusing to follow directions. The nurse should help the parent understand that this beha
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vior meets which developmental need? 1Self-esteem 2Initiative 3Independence 4Trust
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ANSWER
3
QUESTION 15 ga
A newborn has hyperbilirubinemia and is being treated with a biliblanket. Which interv
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ention is indicated during this therapy? 1Discontinue breastfeeding during treatment 2R
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otate the neonate to treat all of his/her skin 3Restrict holding the newborn during treat
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ment 4Provide more frequent feedings
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ANSWER
4Provide more frequent feedings- ga ga ga
QUESTION 16 ga
A client with paranoid delusions stares at the nurse over a period of several days. The cl
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ient suddenly walks up to the nurse and shouts, "You think you're so perfect, pure and g
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ood." How should the nurse respond? 1"You seem to be in a bad mood." 2"Perfect? I don
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't quite understand." 3"You sound angry right now." 4"That explains why you've been st
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aring at me." ga ga
ANSWER
3
Exam Solution ga
NCSBN NCLEX QUESTIONS 2026 A+ GRADE ASSURED CO ga ga ga ga ga ga ga
MPLETE SOLUTIONS AND VERIFIED ANSWERS (034AA) ga ga ga ga ga
QUESTION 1 ga
The nurse is caring for a 75 year-
ga ga ga ga ga ga ga
old client with type 2 diabetes mellitus. The client should be instructed to contact the ou
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
tpatient clinic immediately if which findings are present? 1An open wound on the heel
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
with minimal discomfort 2Occasional hiccups and sneezing 3Sustained insomnia and da
ga ga ga ga ga ga ga ga ga ga
ytime fatigue 4Persistent dryness and itching of the perineal area
ga ga ga ga ga ga ga ga ga
ANSWER
1An open wound on the heel with minimal discomfort-
ga ga ga ga ga ga ga ga
QUESTION 2 ga
A nurse is taking a health history from parents of a child admitted with possible Reye's s
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
yndrome. Which recent illness should the nurse recognize as being associated with an in
ga ga ga ga ga ga ga ga ga ga ga ga ga
creased the risk for the development of Reye's syndrome? 1. Varicella 2. Meningitis 3. H
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
epatitis 4. Rubeola ga ga
ANSWER
1. Varicella -
ga ga
QUESTION 3 ga
A Native American chief visits his newborn son and performs a traditional ceremony tha
ga ga ga ga ga ga ga ga ga ga ga ga ga
t involves feathers and chanting. The nurse comments to a colleague: "I wonder if he has
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
any idea how ridiculous he looks -
ga ga ga ga ga ga ga
he's a grown man!" The nurse's comment is an example of what type of attitude? 1. Prej
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
udice 2. Ethnocentrism 3. Discrimination 4. Stereotyping
ga ga ga ga ga ga
ANSWER
1. Prejudice-
ga
,QUESTION 4 ga
A child is admitted to the unit with the suspected diagnosis of pertussis (whooping coug
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
h). What is the priority nursing intervention for this child? 1. Maintain hydration and en
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
courage fluids 2. Implement droplet precautions 3. Monitor respiratory rate and oxygen
ga ga ga ga ga ga ga ga ga ga ga ga
saturation 4. Anti- infective therapy ga ga ga ga
ANSWER
2
QUESTION 5 ga
A nurse is caring for a woman two hours after a vaginal delivery. Documentation indicat
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
es that the membranes ruptured 36 hours prior to delivery. Which of these nursing diag
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
noses should the nurse expect the charge nurse to list as a priority at this time? 1Risk fo
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
r fluid volume deficit 2Risk for excessive bleeding 3Risk for infection -
ga ga ga ga ga ga ga ga ga ga ga
4Altered tissue perfusion
ga ga ga
ANSWER
3
QUESTION 6 ga
A 14 month-
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old child ingests a half a bottle of baby aspirin (81 mg) tablets. Which finding should a n
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
urse expect to see in the child? 1Hypothermia 2Nausea and vomiting 3Hypoventilation 4
ga ga ga ga ga ga ga ga ga ga ga ga
Bradycardia
ANSWER
2
QUESTION 7 ga
A client is admitted with diagnosis of a right upper lobe infiltrate and to rule out active t
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
uberculosis (TB). Which type of precautions will be needed for this client? 1Droplet 2Co
ga ga ga ga ga ga ga ga ga ga ga ga ga
ntact 3Standard 4Airborne ga ga
ANSWER
4
QUESTION 8 ga
,A client has had a positive reaction to purified protein derivative (PPD). Which statemen
ga ga ga ga ga ga ga ga ga ga ga ga ga
t made by the client suggests the client understands the teaching by the registered nurs
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
e (RN)? 1"I have active tuberculosis." 2"I have been exposed to mycobacterium tubercul
ga ga ga ga ga ga ga ga ga ga ga ga
osis." 3"I have never been infected with mycobacterium tuberculosis." 4"I have never ha
ga ga ga ga ga ga ga ga ga ga ga ga
d tuberculosis."
ga
ANSWER
2
QUESTION 9 ga
A nurse is caring for a client with pneumococcal pneumonia. Which breath sounds woul
ga ga ga ga ga ga ga ga ga ga ga ga ga
d the nurse expect to disappear as the client responds to the antibiotic treatment? 1Whe
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ezes 2Friction rubs 3Rhonchi 4Diminished sounds
ga ga ga ga ga
ANSWER
3
QUESTION 10 ga
Lactulose has been prescribed for a client with advanced liver disease. Which finding sh
ga ga ga ga ga ga ga ga ga ga ga ga ga
ould the nurse use to evaluate the effectiveness of this treatment? 1Less jaundice 2Incre
ga ga ga ga ga ga ga ga ga ga ga ga ga
ased appetite 3Decreased lethargy 4Less edema
ga ga ga ga ga
ANSWER
3
QUESTION 11 ga
The nurse is assisting with the delivery of a newborn infant. What is the priority nursing
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
intervention for a normal newborn immediately after delivery? 1Dry off infant with a w
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
arm blanket or towel 2Apply identification bracelets 3Assign the one-
ga ga ga ga ga ga ga ga ga
minute APGAR score 4Obtain vital signs
ga ga ga ga ga
ANSWER
1Dry off infant with a warm blanket or towel -
ga ga ga ga ga ga ga ga ga
QUESTION 12 ga
The nurse is reinforcing information about the side effects of fluoxetine to a client. Whic
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
h group of findings should be included? 1Diarrhea, dry mouth, weight loss, reduced libid
ga ga ga ga ga ga ga ga ga ga ga ga ga
o 2Tachycardia, blurred vision, hypotension, anorexia 3Orthostatic hypotension, vertigo,
ga ga ga ga ga ga ga ga
reactions to tyramine, nausea 4Photosensitivity, seizures, edema, hyperglycemia
ga ga ga ga ga ga ga ga
, ANSWER
1Diarrhea, dry mouth, weight loss, reduced libido
ga ga ga ga ga ga
QUESTION 13 ga
A client has a diagnosis of heart failure. Which intervention is most important for the nu
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
rse to implement prior to the administration of digoxin? 1Use the pulse reading from th
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
e electronic blood pressure device 2Take a radial pulse, counting for a full 60 seconds 3
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
Check for a pulse deficit at least twice with another nurse 4Assess the apical pulse, coun
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ting for a full 60 seconds
ga ga ga ga ga
ANSWER
4Assess the apical pulse, counting for a full 60 seconds -
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QUESTION 14 ga
A parent expresses frustration and anger about the toddler constantly saying "no" and r
ga ga ga ga ga ga ga ga ga ga ga ga ga
efusing to follow directions. The nurse should help the parent understand that this beha
ga ga ga ga ga ga ga ga ga ga ga ga ga
vior meets which developmental need? 1Self-esteem 2Initiative 3Independence 4Trust
ga ga ga ga ga ga ga ga
ANSWER
3
QUESTION 15 ga
A newborn has hyperbilirubinemia and is being treated with a biliblanket. Which interv
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ention is indicated during this therapy? 1Discontinue breastfeeding during treatment 2R
ga ga ga ga ga ga ga ga ga ga
otate the neonate to treat all of his/her skin 3Restrict holding the newborn during treat
ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ment 4Provide more frequent feedings
ga ga ga ga
ANSWER
4Provide more frequent feedings- ga ga ga
QUESTION 16 ga
A client with paranoid delusions stares at the nurse over a period of several days. The cl
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ient suddenly walks up to the nurse and shouts, "You think you're so perfect, pure and g
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
ood." How should the nurse respond? 1"You seem to be in a bad mood." 2"Perfect? I don
ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga ga
't quite understand." 3"You sound angry right now." 4"That explains why you've been st
ga ga ga ga ga ga ga ga ga ga ga ga ga
aring at me." ga ga
ANSWER
3
