BPH NCLEX CORE MAIN EXAMINATION SET 2026
QUESTIONS AND ANSWERS SURE A+
✔✔When collecting data on a 4-month-old client with gastroenteritis, the nurse
observes an irregular area of dark blue pigmentation on the client's sacral area. The
nurse should first
1.determine whether this finding is normal for an infant of the client's racial background
2.ask the client's parent whether the child has shown any tendency toward bleeding
3.report the finding to the charge nurse as evidence of possible child abuse
4.apply gentle pressure to the area to check for tenderness - ✔✔1.determine whether
this finding is normal for an infant of the client's racial background
✔✔The nurse and unlicensed assistive personnel (UAP) are caring for assigned clients.
Which of the following activities would be appropriate to assign to UAP? Select all that
apply.
1.bathing the client who has an altered mental status
2.assisting the client who uses a walker to ambulate
3.checking the vital signs of the client who has a peripheral venous access device
(VAD)
4.adjusting the prescribed oxygen flow rate for the client based on oxygen saturation
levels
5.measuring the oral intake and urine output for the client who has an indwelling
urethral catheter - ✔✔2.assisting the client who uses a walker to ambulate
, ✔✔The nurse is reinforcing teaching about sleep and rest at home for a client who had
a vaginal delivery 24 hours ago. Which of the following information should the nurse
reinforce?
1."Take a nap when your baby is sleeping."
2."Perform all of your household chores in the morning, when you have more energy."
3."Wake up and go to sleep at the same time every day."
4."On the weekend, plan and prepare all meals for the week to prevent fatigue." -
✔✔1."Take a nap when your baby is sleeping."
✔✔The nurse and unlicensed assistive personnel (UAP) are caring for assigned clients.
Which of the following activities would be appropriate for the nurse to assign to UAP?
1.obtaining vital signs from the client with major depression
2.providing medication teaching to the client with schizophrenia
3.monitoring medication side effects of the client with bipolar I disorder
4.telephoning the primary health care provider to report the intake and output
information from the client with anorexia nervosa (AN) - ✔✔1.obtaining vital signs from
the client with major depression
✔✔The nurse is preparing to administer prescribed regular insulin to a client. Which of
the following routes should the nurse understand can be used to administer regular
insulin? Select all that apply.
1.subcutaneous
2.oral
3.intravenous
4.intramuscular
5.intradermal - ✔✔1,3
✔✔The nurse is talking with the spouse of a client who has malignant melanoma and is
terminally ill. Which of the following statements by the spouse would be essential to
follow up?
1."I give my spouse the prescribed pain medication regularly even though the
medication causes my spouse to become drowsy."
2."I feel as though there is so much happening now and I have been relying on my adult
children to help care for my spouse."
3."I sometimes feel bad because I often have 1 or 2 glasses of wine to help me relax
and sleep at night."
4."I try to keep my spouse's window open when the weather is nice because my spouse
enjoys listening to the birds." - ✔✔3."I sometimes feel bad because I often have 1 or 2
glasses of wine to help me relax and sleep at night."
✔✔The nurse has reinforced dietary teaching with a client who has esophageal varices.
Which of the following food choices by the client would indicate a correct understanding
of the teaching?
1.1 cup vanilla yogurt
2.8 oz of chicken broth
QUESTIONS AND ANSWERS SURE A+
✔✔When collecting data on a 4-month-old client with gastroenteritis, the nurse
observes an irregular area of dark blue pigmentation on the client's sacral area. The
nurse should first
1.determine whether this finding is normal for an infant of the client's racial background
2.ask the client's parent whether the child has shown any tendency toward bleeding
3.report the finding to the charge nurse as evidence of possible child abuse
4.apply gentle pressure to the area to check for tenderness - ✔✔1.determine whether
this finding is normal for an infant of the client's racial background
✔✔The nurse and unlicensed assistive personnel (UAP) are caring for assigned clients.
Which of the following activities would be appropriate to assign to UAP? Select all that
apply.
1.bathing the client who has an altered mental status
2.assisting the client who uses a walker to ambulate
3.checking the vital signs of the client who has a peripheral venous access device
(VAD)
4.adjusting the prescribed oxygen flow rate for the client based on oxygen saturation
levels
5.measuring the oral intake and urine output for the client who has an indwelling
urethral catheter - ✔✔2.assisting the client who uses a walker to ambulate
, ✔✔The nurse is reinforcing teaching about sleep and rest at home for a client who had
a vaginal delivery 24 hours ago. Which of the following information should the nurse
reinforce?
1."Take a nap when your baby is sleeping."
2."Perform all of your household chores in the morning, when you have more energy."
3."Wake up and go to sleep at the same time every day."
4."On the weekend, plan and prepare all meals for the week to prevent fatigue." -
✔✔1."Take a nap when your baby is sleeping."
✔✔The nurse and unlicensed assistive personnel (UAP) are caring for assigned clients.
Which of the following activities would be appropriate for the nurse to assign to UAP?
1.obtaining vital signs from the client with major depression
2.providing medication teaching to the client with schizophrenia
3.monitoring medication side effects of the client with bipolar I disorder
4.telephoning the primary health care provider to report the intake and output
information from the client with anorexia nervosa (AN) - ✔✔1.obtaining vital signs from
the client with major depression
✔✔The nurse is preparing to administer prescribed regular insulin to a client. Which of
the following routes should the nurse understand can be used to administer regular
insulin? Select all that apply.
1.subcutaneous
2.oral
3.intravenous
4.intramuscular
5.intradermal - ✔✔1,3
✔✔The nurse is talking with the spouse of a client who has malignant melanoma and is
terminally ill. Which of the following statements by the spouse would be essential to
follow up?
1."I give my spouse the prescribed pain medication regularly even though the
medication causes my spouse to become drowsy."
2."I feel as though there is so much happening now and I have been relying on my adult
children to help care for my spouse."
3."I sometimes feel bad because I often have 1 or 2 glasses of wine to help me relax
and sleep at night."
4."I try to keep my spouse's window open when the weather is nice because my spouse
enjoys listening to the birds." - ✔✔3."I sometimes feel bad because I often have 1 or 2
glasses of wine to help me relax and sleep at night."
✔✔The nurse has reinforced dietary teaching with a client who has esophageal varices.
Which of the following food choices by the client would indicate a correct understanding
of the teaching?
1.1 cup vanilla yogurt
2.8 oz of chicken broth
