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NCLEX Exam Preview 2026| Latest
Actual Questions With Verified
Answers
The nurse is planning care for a client with multiple sclerosis (MS) who has ataxia.
Which of the following interventions should the nurse include in the client's plan
of care?
1. Add thickener to thin liquids for the client.
2. Obtain a referral to a physical therapist for the client.
3. Face the client directly when speaking with the client.
4. Provide a board with pictures to help the client communicate needs. - correct-
answer - 2. Obtain a referral to a physical therapist for the client.
Ataxia is lack of muscle control in arms and legs leading to lack of balance,
coordination, and walking. PT is the area of referral for this type of issue.
Rationale:
1. thick liquids for dysphagia
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3. Always indicated
4. Can be a tool for patients with expressive aphasia
The home-health nurse is assigned to visit the following clients who live within 3
miles (4.8 km) of one another. The nurse should first visit the client with
1. breast cancer who had a mastectomy 2 days ago and has had 25 mL of drainage
from the closed-wound drainage system in the past 12 hours
2. lung cancer who received a dose of chemotherapy 2 weeks ago and has a
temperature of 101.1° F (38.4° C)
3. chronic obstructive pulmonary disease (COPD) who is reporting expectorating
large amounts of thick, yellow mucus
4. diabetes mellitus (type 1) who had a right below-the-knee amputation (BKA)
and is reporting having right toe pain - correct-answer - 1. breast cancer who had
a mastectomy 2 days ago and has had 25 mL of drainage from the closed-wound
drainage system in the past 12 hours
This is really little blood in 12 hours for a surgery that was only 2 days ago. Nurse
should assess for obstruction of the drainage system which could be life-
threatening if not resolved.
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The nurse has become aware of the following client situations. The nurse should
first assess the client
1. who had a total abdominal hysterectomy (TAH) 1 day ago and is unable to void
7 hours after the indwelling urethral catheter was removed
2. who had a total knee replacement 24 hours ago, is restless, and has a petechial
rash on the chest
3. with bacterial pneumonia who has bronchial breath sounds auscultated
between the scapulae and a temperature of 103.3° F (39.6° C)
4. with hepatic cirrhosis who has an elevated aspartate aminotransferase (AST)
level and respirations of 24 - correct-answer - 2. who had a total knee
replacement 24 hours ago, is restless, and has a petechial rash on the chest
petechial rash — sign of DIC or fat embolus
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The nurse is planning care for a pediatric client being admitted with pertussis.
Which of the following interventions should the nurse include in the client's plan
of care?
1. Keep the client NPO.
2. Place a dehumidifier in the client's room.
3. Encourage the client to ambulate frequently.
4. Implement droplet precautions. - correct-answer - 4. Implement droplet
precautions.
The nurse has attended a staff education program about infection control
precautions. It would indicate a correct understanding of the teaching if the nurse
is observed
1. wearing a particulate respirator mask (N95) when entering the room of a client
with Haemophilus influenzae pneumonia
2. placing a client with streptococcal pneumonia in a room with a client who has
respiratory syncytial virus (RSV)
3. wearing a protective gown when entering the room of a client with Escherichia
coli who is incontinent
NCLEX Exam Preview 2026| Latest
Actual Questions With Verified
Answers
The nurse is planning care for a client with multiple sclerosis (MS) who has ataxia.
Which of the following interventions should the nurse include in the client's plan
of care?
1. Add thickener to thin liquids for the client.
2. Obtain a referral to a physical therapist for the client.
3. Face the client directly when speaking with the client.
4. Provide a board with pictures to help the client communicate needs. - correct-
answer - 2. Obtain a referral to a physical therapist for the client.
Ataxia is lack of muscle control in arms and legs leading to lack of balance,
coordination, and walking. PT is the area of referral for this type of issue.
Rationale:
1. thick liquids for dysphagia
,2|Page
3. Always indicated
4. Can be a tool for patients with expressive aphasia
The home-health nurse is assigned to visit the following clients who live within 3
miles (4.8 km) of one another. The nurse should first visit the client with
1. breast cancer who had a mastectomy 2 days ago and has had 25 mL of drainage
from the closed-wound drainage system in the past 12 hours
2. lung cancer who received a dose of chemotherapy 2 weeks ago and has a
temperature of 101.1° F (38.4° C)
3. chronic obstructive pulmonary disease (COPD) who is reporting expectorating
large amounts of thick, yellow mucus
4. diabetes mellitus (type 1) who had a right below-the-knee amputation (BKA)
and is reporting having right toe pain - correct-answer - 1. breast cancer who had
a mastectomy 2 days ago and has had 25 mL of drainage from the closed-wound
drainage system in the past 12 hours
This is really little blood in 12 hours for a surgery that was only 2 days ago. Nurse
should assess for obstruction of the drainage system which could be life-
threatening if not resolved.
,3|Page
The nurse has become aware of the following client situations. The nurse should
first assess the client
1. who had a total abdominal hysterectomy (TAH) 1 day ago and is unable to void
7 hours after the indwelling urethral catheter was removed
2. who had a total knee replacement 24 hours ago, is restless, and has a petechial
rash on the chest
3. with bacterial pneumonia who has bronchial breath sounds auscultated
between the scapulae and a temperature of 103.3° F (39.6° C)
4. with hepatic cirrhosis who has an elevated aspartate aminotransferase (AST)
level and respirations of 24 - correct-answer - 2. who had a total knee
replacement 24 hours ago, is restless, and has a petechial rash on the chest
petechial rash — sign of DIC or fat embolus
, 4|Page
The nurse is planning care for a pediatric client being admitted with pertussis.
Which of the following interventions should the nurse include in the client's plan
of care?
1. Keep the client NPO.
2. Place a dehumidifier in the client's room.
3. Encourage the client to ambulate frequently.
4. Implement droplet precautions. - correct-answer - 4. Implement droplet
precautions.
The nurse has attended a staff education program about infection control
precautions. It would indicate a correct understanding of the teaching if the nurse
is observed
1. wearing a particulate respirator mask (N95) when entering the room of a client
with Haemophilus influenzae pneumonia
2. placing a client with streptococcal pneumonia in a room with a client who has
respiratory syncytial virus (RSV)
3. wearing a protective gown when entering the room of a client with Escherichia
coli who is incontinent
