⭐ NCLEX & NURSING EXAM MASTER REVISION GUIDE 2026: 500+ PRACTICE QUESTIONS,
CORRECT ANSWERS & RATIONALES FOR A+ SUCCESS ⭐
1. A 64 year-old client scheduled for surgery with a general anesthetic refuses to remove a set
of dentures prior to leaving the unit for the operating room. What would be the most
appropriate intervention by the nurse?
CORRECT ANSWER:
Ask the client if the preference would be to remove the dentures in the operating room
receiving area
RATIONALE:
Dentures should generally be removed before general anesthesia because they can obstruct the
airway or become dislodged. Allowing the client to remove them in the operating room
receiving area respects the client's preference while maintaining safety.
2. The nurse has been teaching adult clients about cardiac risks when they visit the
hypertension clinic. Which form of evaluation would best measure learning?
CORRECT ANSWER:
Reported behavioral changes
RATIONALE:
The best evidence that teaching has been effective is a change in the client's behavior, such as
taking medications correctly, following diet recommendations, exercising, and monitoring blood
pressure.
3. The nurse is planning care for an 18 month-old child. Which action should be included in
the child's care?
CORRECT ANSWER:
Encourage the child to feed himself finger food
RATIONALE:
At 18 months, toddlers are developing independence and fine motor skills. Allowing self-feeding
promotes growth, coordination, and autonomy.
, 4. A partner is concerned because the client frequently daydreams about moving to Arizona
to get away from the pollution and crowding in southern California. The nurse explains that:
CORRECT ANSWER:
Such fantasies can gratify unconscious wishes or prepare for anticipated future events
RATIONALE:
Fantasy is a normal defense mechanism that allows individuals to mentally escape stressful
situations or rehearse possible future events. It does not necessarily indicate abnormal
behavior.
5. An appropriate goal for a client with anxiety would be to:
CORRECT ANSWER:
Learn self-help techniques
RATIONALE:
Teaching coping skills, relaxation methods, and problem-solving techniques helps clients
manage anxiety independently and promotes long-term control.
6. While the nurse is administering medications to a client, the client states "I do not want to
take that medicine today." Which of the following responses by the nurse would be best?
CORRECT ANSWER:
"Is there a reason why you don't want to take your medicine?"
RATIONALE:
The nurse should explore the client's concerns first. Clients have the right to refuse medications,
and understanding the reason allows the nurse to provide education or address problems.
7. While caring for a client, the nurse notes a pulsating mass in the client's periumbilical area.
Which of the following assessments is appropriate for the nurse to perform?
CORRECT ANSWER:
Auscultate the mass
RATIONALE:
A pulsating abdominal mass may indicate an abdominal aortic aneurysm (AAA). The nurse
CORRECT ANSWERS & RATIONALES FOR A+ SUCCESS ⭐
1. A 64 year-old client scheduled for surgery with a general anesthetic refuses to remove a set
of dentures prior to leaving the unit for the operating room. What would be the most
appropriate intervention by the nurse?
CORRECT ANSWER:
Ask the client if the preference would be to remove the dentures in the operating room
receiving area
RATIONALE:
Dentures should generally be removed before general anesthesia because they can obstruct the
airway or become dislodged. Allowing the client to remove them in the operating room
receiving area respects the client's preference while maintaining safety.
2. The nurse has been teaching adult clients about cardiac risks when they visit the
hypertension clinic. Which form of evaluation would best measure learning?
CORRECT ANSWER:
Reported behavioral changes
RATIONALE:
The best evidence that teaching has been effective is a change in the client's behavior, such as
taking medications correctly, following diet recommendations, exercising, and monitoring blood
pressure.
3. The nurse is planning care for an 18 month-old child. Which action should be included in
the child's care?
CORRECT ANSWER:
Encourage the child to feed himself finger food
RATIONALE:
At 18 months, toddlers are developing independence and fine motor skills. Allowing self-feeding
promotes growth, coordination, and autonomy.
, 4. A partner is concerned because the client frequently daydreams about moving to Arizona
to get away from the pollution and crowding in southern California. The nurse explains that:
CORRECT ANSWER:
Such fantasies can gratify unconscious wishes or prepare for anticipated future events
RATIONALE:
Fantasy is a normal defense mechanism that allows individuals to mentally escape stressful
situations or rehearse possible future events. It does not necessarily indicate abnormal
behavior.
5. An appropriate goal for a client with anxiety would be to:
CORRECT ANSWER:
Learn self-help techniques
RATIONALE:
Teaching coping skills, relaxation methods, and problem-solving techniques helps clients
manage anxiety independently and promotes long-term control.
6. While the nurse is administering medications to a client, the client states "I do not want to
take that medicine today." Which of the following responses by the nurse would be best?
CORRECT ANSWER:
"Is there a reason why you don't want to take your medicine?"
RATIONALE:
The nurse should explore the client's concerns first. Clients have the right to refuse medications,
and understanding the reason allows the nurse to provide education or address problems.
7. While caring for a client, the nurse notes a pulsating mass in the client's periumbilical area.
Which of the following assessments is appropriate for the nurse to perform?
CORRECT ANSWER:
Auscultate the mass
RATIONALE:
A pulsating abdominal mass may indicate an abdominal aortic aneurysm (AAA). The nurse
