NCLEX RN NGN COMPREHENSIVE TEST BANK FINAL EXAM 2026/2027
COMPLETE ACCURATE EXAM REAL QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH DETALED RATIONALES (100% CORRECT VERIFIED ANSWERS)
CURRENTLY UPDATED VERSION 2026 EDITION |GUARANTEED PASS A+ |FULL
REVISED EXAM
A nurse is caring for a client who is pregnant.
Nurses' Notes
1000:
The client reports repeated episodes of vomiting and two episodes
of diarrhea in past 24 hr. Client is at 18 weeks of gestation and
reports a history of nausea and vomiting for the past 12 weeks.
1015:
IV fluids initiated. Prochlorperazine administered via intermittent IV
bolus.
1100:
Client reports improvement in nausea. Ice chips provided. Client
voided 50 mL of dark yellow urine.
1500:
Client tolerating fluids well. Ate
Recommended: Alternate eating solid foods and liquids, eat every 2
to 3 hours, drink warm ginger ale when nauseated
Contraindicated: Increase intake of high-fat foods
When taking action and providing discharge teaching for a client
who has hyperemesis gravidarum, the nurse should recommend the
client should eat every 2 to 3 hr to avoid having an empty stomach,
which can increase nausea. The client should separate liquids from
solids every 2 to 3 hr to help minimize nausea. The client should eat
foods high in protein that are low in fat. Warm ginger ale or ginger
tea can also decrease nausea.
,A nurse is caring for a client who has a new diagnosis of anorexia
nervosa.
Vital Signs
Day 1, 2005:
Temperature 35.3° C (95.5° F)Heart rate 60/minRespiratory rate
23/minBlood pressure 90/55 mm HgOxygen saturation 98% on
room air
Day 2, 0800:
Temperature 36.1° C (97° F)Heart rate 65/minRespiratory rate
20/minBlood pressure 88/57 mm HgOxygen saturation 98% on
room air
Graphic Record
Day 1, 2005:
Weight 37.5 kg (82.7 lb) Height 162.56 cm (64 in)BMI 14.2
Day 2, 0800:
Weight 37.4 kg (82.5 lb
The nurse should first address the client's electrolyte imbalance,
followed by the client's fear of weight gain.
When analyzing cues, the nurse should first address the client's
electrolyte imbalance. The client has hypokalemia, which increases
the risk for cardiac arrhythmias. Once the client's medical concerns
are addressed, the nurse should then focus on the underlying
psychological issues behind the eating disorder, such as the client's
fear of weight gain.
,A nurse is planning teaching about allowable foods for a client who has
a history of uric acid-based urinary calculi formation. Which of the
following foods should the nurse include in the teaching?
A. Liver
B. Oranges
C. Chicken
D. Red wine
Oranges
A client who is prone to uric acid calculi formation can eat citrus fruits.
Incorrect
A client who is prone to uric acid calculi should avoid eating organ
meats, which contain purine.
A client who is prone to uric acid calculi should avoid eating chicken,
which contains purine.
A client who is prone to uric acid calculi should avoid consuming red
wines, which contain purine.
, A nurse is caring for a client who is immediately postoperative
following a subtotal thyroidectomy.
Vital Signs
1100:
Temperature 37.4° C (99.4° F) Heart rate 98/min Respiratory rate
18/min Blood pressure 128/68 mm Hg Oxygen saturation 97% on
room air
1115:
Temperature 37.8° C (100.1° F) Heart rate 110/min Respiratory rate
16/min Blood pressure 138/74 mm Hg Pulse oximetry 95% on room
air
1130:
Temperature 38.6° C (101.5° F) Heart rate 136/min Respiratory rate
16/min Blood pressure 154
Select the 4 client findings that lead the nurse to suspect that the
client is experiencing thyroid storm.
- Mental status
- Heart rate
- Temperature
- Blood pressure
When analyzing cues, the nurse should identify that thyroid storm
can be caused by trauma to the thyroid gland, such as surgery, and
excessive release of thyroid hormone greatly increases the
metabolic rate. Fever greater than 38.5° C (101.3° F), heart rate
greater than 130/min, systolic hypertension, and mental status
changes, such as confusion, restlessness, and sleepiness, are
characteristic of thyroid storm.
COMPLETE ACCURATE EXAM REAL QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH DETALED RATIONALES (100% CORRECT VERIFIED ANSWERS)
CURRENTLY UPDATED VERSION 2026 EDITION |GUARANTEED PASS A+ |FULL
REVISED EXAM
A nurse is caring for a client who is pregnant.
Nurses' Notes
1000:
The client reports repeated episodes of vomiting and two episodes
of diarrhea in past 24 hr. Client is at 18 weeks of gestation and
reports a history of nausea and vomiting for the past 12 weeks.
1015:
IV fluids initiated. Prochlorperazine administered via intermittent IV
bolus.
1100:
Client reports improvement in nausea. Ice chips provided. Client
voided 50 mL of dark yellow urine.
1500:
Client tolerating fluids well. Ate
Recommended: Alternate eating solid foods and liquids, eat every 2
to 3 hours, drink warm ginger ale when nauseated
Contraindicated: Increase intake of high-fat foods
When taking action and providing discharge teaching for a client
who has hyperemesis gravidarum, the nurse should recommend the
client should eat every 2 to 3 hr to avoid having an empty stomach,
which can increase nausea. The client should separate liquids from
solids every 2 to 3 hr to help minimize nausea. The client should eat
foods high in protein that are low in fat. Warm ginger ale or ginger
tea can also decrease nausea.
,A nurse is caring for a client who has a new diagnosis of anorexia
nervosa.
Vital Signs
Day 1, 2005:
Temperature 35.3° C (95.5° F)Heart rate 60/minRespiratory rate
23/minBlood pressure 90/55 mm HgOxygen saturation 98% on
room air
Day 2, 0800:
Temperature 36.1° C (97° F)Heart rate 65/minRespiratory rate
20/minBlood pressure 88/57 mm HgOxygen saturation 98% on
room air
Graphic Record
Day 1, 2005:
Weight 37.5 kg (82.7 lb) Height 162.56 cm (64 in)BMI 14.2
Day 2, 0800:
Weight 37.4 kg (82.5 lb
The nurse should first address the client's electrolyte imbalance,
followed by the client's fear of weight gain.
When analyzing cues, the nurse should first address the client's
electrolyte imbalance. The client has hypokalemia, which increases
the risk for cardiac arrhythmias. Once the client's medical concerns
are addressed, the nurse should then focus on the underlying
psychological issues behind the eating disorder, such as the client's
fear of weight gain.
,A nurse is planning teaching about allowable foods for a client who has
a history of uric acid-based urinary calculi formation. Which of the
following foods should the nurse include in the teaching?
A. Liver
B. Oranges
C. Chicken
D. Red wine
Oranges
A client who is prone to uric acid calculi formation can eat citrus fruits.
Incorrect
A client who is prone to uric acid calculi should avoid eating organ
meats, which contain purine.
A client who is prone to uric acid calculi should avoid eating chicken,
which contains purine.
A client who is prone to uric acid calculi should avoid consuming red
wines, which contain purine.
, A nurse is caring for a client who is immediately postoperative
following a subtotal thyroidectomy.
Vital Signs
1100:
Temperature 37.4° C (99.4° F) Heart rate 98/min Respiratory rate
18/min Blood pressure 128/68 mm Hg Oxygen saturation 97% on
room air
1115:
Temperature 37.8° C (100.1° F) Heart rate 110/min Respiratory rate
16/min Blood pressure 138/74 mm Hg Pulse oximetry 95% on room
air
1130:
Temperature 38.6° C (101.5° F) Heart rate 136/min Respiratory rate
16/min Blood pressure 154
Select the 4 client findings that lead the nurse to suspect that the
client is experiencing thyroid storm.
- Mental status
- Heart rate
- Temperature
- Blood pressure
When analyzing cues, the nurse should identify that thyroid storm
can be caused by trauma to the thyroid gland, such as surgery, and
excessive release of thyroid hormone greatly increases the
metabolic rate. Fever greater than 38.5° C (101.3° F), heart rate
greater than 130/min, systolic hypertension, and mental status
changes, such as confusion, restlessness, and sleepiness, are
characteristic of thyroid storm.
