NCLEX-RN EXAM NUR 2960 2026 UPDATED
EXAM BUNDLE PRACTICE QUESTIONS
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The nurse is preparing to administer exogenous surfactant to a premature infant who has respiratory
distress syndrome. The nurse prepares to administer the medication by which route?
1. Intradermal
2. Intratracheal
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3. Subcutaneous
4. Intramuscular –
Correct Answer :ANSWER: 2 Intratracheal
Rationale:
Respiratory distress syndrome is a serious lung disorder caused by immaturity and the inability to
produce surfactant, resulting in hypoxia and acidosis. It is common in premature infants and may be
due to lung immaturity as a result of surfactant deficiency. The mainstay of treatment is the
administration of exogenous surfactant, which is administered by the intratracheal route. Options 1, 3,
and 4 are not routes of administration for this medication.
The nurse is providing instructions to a client regarding measures to minimize the risk of dumping
syndrome. The nurse should make which suggestion to the client?
1. Maintain a high-carbohydrate diet.
2. Increase fluid intake, particularly at mealtime.
3. Maintain a low Fowler's position while eating.
4. Ambulate for at least 30 minutes following each meal. –
Correct Answer :ANSWER: 3 Maintain a low Fowler's position while eating.
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Rationale:
The client at risk for dumping syndrome should be instructed to maintain a low Fowler's position while
eating and lie down for at least 30 minutes after eating. The client also should be told that small,
frequent meals are best and to avoid liquids with meals. Avoiding high-carbohydrate food sources also
will assist in minimizing dumping syndrome.
A client is diagnosed with herpes simplex virus type 1 (HSV 1). The health care provider prescribes a
topical medication for treatment. The nurse anticipates that which medication will be prescribed?
1. Acyclovir
2. Salicylic acid
3. Gentamicin sulfate
4. Mupirocin calcium –
Correct Answer :ANSWER: 1 Acyclovir
Rationale:
Acyclovir is a topical antiviral agent that inhibits DNA replication in the virus. Acyclovir has activity
against herpes simplex virus types 1 and 2, varicella-zoster virus (VZV), Epstein-Barr virus (EBV), and
cytomegalovirus (CMV). Salicylic acid is a keratolytic. Gentamicin sulfate is an antibacterial agent and
would not be effective in treating herpesvirus. Mupirocin calcium is a topical antibacterial agent that is
active against Staphylococcus aureus, beta-hemolytic streptococci, and Streptococcus pyogenes.
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A client is at risk for vasovagal attacks that cause bradydysrhythmias. The nurse would tell the client to
avoid which actions to prevent this occurrence? Select all that apply.
1. Applying pressure on the eyes
2. Raising the arms above the head
3. Taking stool softeners on a daily basis
4. Bearing down during a bowel movement
5. Simulating a gag reflex when brushing the teeth –
Correct Answer :ANSWER:
1 Applying pressure on the eyes
2 Raising the arms above the head
4 Bearing down during a bowel movement
5 Simulating a gag reflex when brushing the teeth
Rationale:
Vasovagal attacks or syncope occurs when the client faints because the body overreacts to certain
triggers. The vasovagal syncope trigger causes your heart rate and blood pressure to drop suddenly.
That leads to reduced blood flow to the brain, causing the client to briefly lose consciousness. The
client at risk should be taught to avoid actions that stimulate the vagus nerve. Actions to avoid include
raising the arms above the head, applying pressure over the carotid artery, applying pressure over the
eyes, stimulating a gag reflex when brushing the teeth or putting objects into the mouth, and bearing
down or straining during a bowel movement. Taking stool softeners is an important measure to
prevent the bearing down and straining during a bowel movement.
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