NCLEX RN Test 1 for 2026 LATEST
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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." - correct ans:b. "You need to empty your
bladder before the procedure."
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 - correct ans:b Hypokalemia
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. - correct ans:a Tell the
wife that the hospital will honor her wishes regarding organ donation, but contact the organ-retrieval
staff.
Due to a high census, it has been necessary for a number of clients to be transferred 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 - correct ans:b A 40-year-old female with a hysterectomy
,Before administering Theo-Dur (theophylline), the nurse should check the patient's:
a output
b Blood pressure
c Pulse
d Temperature - correct ans:c Pulse
Which information should be given to the patient undergoing radiation therapy 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 - correct ans:a Avoid exposing radiation
areas to sunlight during treatment time and for a year after completion of therapy
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. - correct ans:d Ask the nurse if she has ever had the
chickenpox.
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. - correct ans:d The duration is 24 hours.
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
c The elderly client with a thyroidectomy four days ago
d The client with a thoracotomy two days ago - correct ans:c The elderly client with a thyroidectomy
four days ago
The physician has ordered the Schilling test for a patient with suspected pernicious anemia. What other
vitamin level is often assessed at the same time as the B12 level?
a Folic acid
b Pyridoxine
c Ascorbic acid
d Thiamine - correct ans:a Folic acid
The client is admitted to the emergency room with shortness of breath, anxiety, and tachycardia. His
ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. The doctor orders
quinidine sulfate. While he is receiving quinidine, the nurse should monitor his ECG for:
a Peaked P wave
b Elevated ST segment
c Inverted T wave
d Prolonged QT interval - correct ans:d Prolonged QT interval
Quinidine can cause widened Q-T intervals and heart block.
A 25-year-old client arrives in the emergency room with a possible fracture of the right femur. The nurse
should anticipate an order for:
a Bryant's traction
b Ice to the entire extremity
c Buck's traction
d An abduction pillow - correct ans:c Buck's traction
EXAM VERSION With Expected real
and comprehensive Questions and
Revised Correct Answers Guarantee
Pass A+
Professional Academic Assistance Services
Services Offered
Proctored Exam Assistance
Online Class Management (Full Course Support)
Exam Preparation & Study Materials
Assignments and Coursework Support
Essays and Research Papers
Discussion Posts and Replies
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." - correct ans:b. "You need to empty your
bladder before the procedure."
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 - correct ans:b Hypokalemia
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. - correct ans:a Tell the
wife that the hospital will honor her wishes regarding organ donation, but contact the organ-retrieval
staff.
Due to a high census, it has been necessary for a number of clients to be transferred 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 - correct ans:b A 40-year-old female with a hysterectomy
,Before administering Theo-Dur (theophylline), the nurse should check the patient's:
a output
b Blood pressure
c Pulse
d Temperature - correct ans:c Pulse
Which information should be given to the patient undergoing radiation therapy 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 - correct ans:a Avoid exposing radiation
areas to sunlight during treatment time and for a year after completion of therapy
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. - correct ans:d Ask the nurse if she has ever had the
chickenpox.
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. - correct ans:d The duration is 24 hours.
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
c The elderly client with a thyroidectomy four days ago
d The client with a thoracotomy two days ago - correct ans:c The elderly client with a thyroidectomy
four days ago
The physician has ordered the Schilling test for a patient with suspected pernicious anemia. What other
vitamin level is often assessed at the same time as the B12 level?
a Folic acid
b Pyridoxine
c Ascorbic acid
d Thiamine - correct ans:a Folic acid
The client is admitted to the emergency room with shortness of breath, anxiety, and tachycardia. His
ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. The doctor orders
quinidine sulfate. While he is receiving quinidine, the nurse should monitor his ECG for:
a Peaked P wave
b Elevated ST segment
c Inverted T wave
d Prolonged QT interval - correct ans:d Prolonged QT interval
Quinidine can cause widened Q-T intervals and heart block.
A 25-year-old client arrives in the emergency room with a possible fracture of the right femur. The nurse
should anticipate an order for:
a Bryant's traction
b Ice to the entire extremity
c Buck's traction
d An abduction pillow - correct ans:c Buck's traction
