NCLEX RN Test COMPREHENSIVE TEST BANK
PRACTICE FINAL EXAM 2026ACCURATE EXAM
APPROVED QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(CORRECT VERIFIED SOLUTIONS) CURRENTLY
UPDATED 2026-2027
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
a Folic acid
The nurse is caring for a client with a diagnosis of cirrhosis who is
experiencing pruritis. Which of the following is an appropriate nursing
intervention?
Suggesting that the client take warm showers twice daily
Applying a lotion containing menthol or camphor to the skin after
bathing
Applying powder to the client's skin
Placing warm compresses on the affected areas
b Applying a lotion containing menthol or camphor to the skin after
bathing
,The nurse is caring for a client with a recent laparoscopic hemicolectomy.
Which finding should be reported to the physician?
Sluggish bowel sounds
Pain and tenderness at the umbilicus
Passage of small amount of liquid stool
Increasing abdominal girth
d Increasing abdominal girth
The client presents to the emergency room with a hyphema. Which
action by the nurse would be appropriate?
Elevate the head of the bed and apply ice to the eye.
Place the client in a supine position and apply heat to the knee.
Insert a Foley catheter and measure the intake and output.
Perform a vaginal exam and check for a discharge.
a Elevate the head of the bed and apply ice to the eye.
The patient is prescribed metronidazole (Flagyl) for adjunct treatment for
a duodenal ulcer. When teaching about this medication, the nurse would
include:
"This medication should be taken only until you begin to feel better."
"This medication should be taken on an empty stomach to increase
absorption."
"While taking this medication, you do not have to be concerned about
being in the sun."
"While taking this medication, alcoholic beverages and products
containing alcohol should be avoided."
d "While taking this medication, alcoholic beverages and products
containing alcohol should be avoided."
,The nurse is evaluating the client's pulmonary artery pressure (PAP). The
nurse is aware that PAP evaluates:
Pressure in the left ventricle
Systolic, diastolic, and mean pressure in the pulmonary artery
Pressure in the pulmonary veins
Pressure in the right ventricle
Systolic, diastolic, and mean pressure in the pulmonary artery
When assessing the client's blood pressure, the nurse should use a cuff
with a width that is ____% of the circumference of the extremity. (Fill in the
blank.)
40
30
20
10
a 40
A client is admitted to the hospital in chronic renal failure. A low protein
diet is ordered. The rationale for a low protein diet is that:
A low protein diet helps reduce blood urea nitrogen and other wastes
excreted by the kidneys.
A low protein diet increases the sodium and potassium levels.
A low protein diet increases albumin production.
A low protein diet increases the calcium and phosphorous levels.
a A low protein diet helps reduce blood urea nitrogen and other wastes
excreted by the kidneys.
, Before administering eye drops, the nurse should recognize that it is
essential to consider which of the following?
The eye should be cleansed with warm water to remove any exudate,
before instilling the eye drops.
The patient will be more comfortable if allowed to instill his own eye
drops.
Eye drops should be instilled with the patient looking down.
Eye drops should always be warmed before instilling in the patient's
eyes.
a The eye should be cleansed with warm water to remove any exudate,
before instilling the eye drops.
A client with cirrhosis is receiving Cephulac (lactulose). The nurse is
aware that Cephulac is given to lower:
Blood glucose
Uric acid
Ammonia
Creatinine
c Ammonia
The physician prescribes captopril (Capoten) 25mg PO bid for the client
with hypertension. Which of the following adverse reactions can occur
with administration of Capoten?
Tinnitus
Persistent cough
Muscle weakness
Diarrhea
b Persistent cough
PRACTICE FINAL EXAM 2026ACCURATE EXAM
APPROVED QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(CORRECT VERIFIED SOLUTIONS) CURRENTLY
UPDATED 2026-2027
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
a Folic acid
The nurse is caring for a client with a diagnosis of cirrhosis who is
experiencing pruritis. Which of the following is an appropriate nursing
intervention?
Suggesting that the client take warm showers twice daily
Applying a lotion containing menthol or camphor to the skin after
bathing
Applying powder to the client's skin
Placing warm compresses on the affected areas
b Applying a lotion containing menthol or camphor to the skin after
bathing
,The nurse is caring for a client with a recent laparoscopic hemicolectomy.
Which finding should be reported to the physician?
Sluggish bowel sounds
Pain and tenderness at the umbilicus
Passage of small amount of liquid stool
Increasing abdominal girth
d Increasing abdominal girth
The client presents to the emergency room with a hyphema. Which
action by the nurse would be appropriate?
Elevate the head of the bed and apply ice to the eye.
Place the client in a supine position and apply heat to the knee.
Insert a Foley catheter and measure the intake and output.
Perform a vaginal exam and check for a discharge.
a Elevate the head of the bed and apply ice to the eye.
The patient is prescribed metronidazole (Flagyl) for adjunct treatment for
a duodenal ulcer. When teaching about this medication, the nurse would
include:
"This medication should be taken only until you begin to feel better."
"This medication should be taken on an empty stomach to increase
absorption."
"While taking this medication, you do not have to be concerned about
being in the sun."
"While taking this medication, alcoholic beverages and products
containing alcohol should be avoided."
d "While taking this medication, alcoholic beverages and products
containing alcohol should be avoided."
,The nurse is evaluating the client's pulmonary artery pressure (PAP). The
nurse is aware that PAP evaluates:
Pressure in the left ventricle
Systolic, diastolic, and mean pressure in the pulmonary artery
Pressure in the pulmonary veins
Pressure in the right ventricle
Systolic, diastolic, and mean pressure in the pulmonary artery
When assessing the client's blood pressure, the nurse should use a cuff
with a width that is ____% of the circumference of the extremity. (Fill in the
blank.)
40
30
20
10
a 40
A client is admitted to the hospital in chronic renal failure. A low protein
diet is ordered. The rationale for a low protein diet is that:
A low protein diet helps reduce blood urea nitrogen and other wastes
excreted by the kidneys.
A low protein diet increases the sodium and potassium levels.
A low protein diet increases albumin production.
A low protein diet increases the calcium and phosphorous levels.
a A low protein diet helps reduce blood urea nitrogen and other wastes
excreted by the kidneys.
, Before administering eye drops, the nurse should recognize that it is
essential to consider which of the following?
The eye should be cleansed with warm water to remove any exudate,
before instilling the eye drops.
The patient will be more comfortable if allowed to instill his own eye
drops.
Eye drops should be instilled with the patient looking down.
Eye drops should always be warmed before instilling in the patient's
eyes.
a The eye should be cleansed with warm water to remove any exudate,
before instilling the eye drops.
A client with cirrhosis is receiving Cephulac (lactulose). The nurse is
aware that Cephulac is given to lower:
Blood glucose
Uric acid
Ammonia
Creatinine
c Ammonia
The physician prescribes captopril (Capoten) 25mg PO bid for the client
with hypertension. Which of the following adverse reactions can occur
with administration of Capoten?
Tinnitus
Persistent cough
Muscle weakness
Diarrhea
b Persistent cough
