Nclex Rn Exam A+ Grade Assured Complete Solutions And Verified Answers

NCLEX EXAM ms ms




Exam Solution ms




NCLEX RN Test 1 for 2026 A+ GRADE ASSURED COMPL ms ms ms ms ms ms ms ms ms




ETE SOLUTIONS AND VERIFIED ANSWERS (95D74)
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QUESTION 1 ms




A client with ascites is scheduled for a paracentesis. Which instruction should be give
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n to the client before the procedure? a "You will need to lay flat during the procedure
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."
b. "You need to empty your bladder before the procedure."
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c. "You will be asleep during the procedure."
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d. "The doctor will inject a medication during the procedure."
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ANSWER

b. "You need to empty your bladder before the procedure."
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QUESTION 2 ms




A client's lab values reveal Hgb 12.6, WBC 6500cu.mm, K+ 1.9, uric acid 7.0, Na+ 136,
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and platelets 178,000cu.mm. The nurse evaluates that the client is experiencing which
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of the following? Hypernatremia b Hypokalemia Myelosuppression Leukopenia
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ANSWER

b Hypokalemia
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QUESTION 3 ms




Due to a high census, it has been necessary for a number of clients to be transferred t
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o other units within the hospital. Which client should be transferred to the postpartu
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m unit? a A 66-year-old female with gastroenteritis b A 40-year-
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old female with a hysterectomy c A 27-year-old male with severe depression d A 28-
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year-old male with ulcerative colitisms ms ms ms




ANSWER

b A 40-year-old female with a hysterectomy
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,QUESTION 4 ms




Before administering Theo- ms ms



Dur (theophylline), the nurse should check the patient's: a output b Blood pressure c
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Pulse d Temperature ms ms




ANSWER

c Pulse
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QUESTION 5 ms




Which statement is true regarding therapy with Levemir (insulin detemir)? a The ons
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et is 1-2 hours. b It may be mixed with regular insulin. c It peaks in 2-
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3 hours. d The duration is 24 hours.
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ANSWER

d The duration is 24 hours.
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QUESTION 6 ms




Which client should be assigned to the nursing assistant? a The 18-year-
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old with a fracture to two cervical vertebrae b The infant with meningitis with a temp
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erature of 101°F c The elderly client with a thyroidectomy four days ago d The client
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with a thoracotomy two days ago
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ANSWER

c The elderly client with a thyroidectomy four days ago
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QUESTION 7 ms




The physician has ordered the Schilling test for a patient with suspected pernicious a
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nemia. What other vitamin level is often assessed at the same time as the B12 level? a
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Folic acid b Pyridoxine c Ascorbic acid d Thiamine
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ANSWER

a Folic acid
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QUESTION 8 ms




The client is admitted to the emergency room with shortness of breath, anxiety, and t
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achycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130
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beats per minute. The doctor orders quinidine sulfate. While he is receiving quinidine,
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, the nurse should monitor his ECG for: a Peaked P wave b Elevated ST segment c Inve
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rted T wave d Prolonged QT interval
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ANSWER

d Prolonged QT interval Quinidine can cause widened Q-T intervals and heart block.
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QUESTION 9 ms




A 25-year-
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old client arrives in the emergency room with a possible fracture of the right femur. T
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he nurse should anticipate an order for: a Bryant's traction b Ice to the entire extremi
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ty c Buck's traction d An abduction pillow
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ANSWER

c Buck's traction
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QUESTION 10 ms




Which statement should be included in the teaching session of a client scheduled for a
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renal biopsy? a "You will be placed in a sitting position for the biopsy." b "You may e
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xperience a feeling of pressure or discomfort during aspiration of the biopsy." c "You
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will be asleep during the procedure." d "You will not be able to drink fluids for 24 ho
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urs following the study."
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ANSWER

b "You may experience a feeling of pressure or discomfort during aspiration of the biopsy."
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QUESTION 11 ms




The client is admitted with chronic obstructive pulmonary disease. Blood gases reveal
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pH 7.36, CO2 45, O2 84, bicarb 28. The nurse would assess the client to be in: a Unco
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mpensated acidosis b Compensated alkalosis c Compensated metabolic acidosis d Unc
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ompensated metabolic acidosis ms ms




ANSWER

c Compensated metabolic acidosis
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QUESTION 12 ms




Before administering intravenous chemotherapy to the patient being treated, the nurs
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e should: a Administer a bolus of IV fluid. b Administer pain medication. c Administer
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an antiemetic. d Allow the patient a chance to eat.
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ANSWER

, c Administer an antiemetic.
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QUESTION 13 ms




Which one of the following statements is correct when measuring the client for crutch
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es? a A distance of five fingerbreadths should exist between the top of the crutch and
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the axilla. b The nurse should measure three inches between the top of the crutch an
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d the axilla. c The client's elbows should be flexed at a 10°angle. d The crutches shoul
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d be extended 8 to 10 inches from the side of the foot.
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ANSWER

b The nurse should measure three inches between the top of the crutch and the axilla.
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QUESTION 14 ms




A patient of Greek descent has been prescribed Bactrim (sulfamethoxazole-
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trimethoprim) for treatment of a urinary tract infection. Before beginning the medicat
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ion, the patient should be assessed for which of the following disorders? a G6PD defici
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ency b β-thalassemia c Sickle cell anemia d Von Willebrand disease
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ANSWER

a G6PD deficiency
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QUESTION 15 ms




The physician has ordered Coumadin (sodium warfarin) for a client with thrombophle
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bitis. The order should be entered to administer the medication at: a 0900 b 1200 c 1
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700 d 2100 ms ms




ANSWER

c 1700
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QUESTION 16 ms




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