NCLEX sample test 3 (New 2026/ 2027
Update) Questions & Answers {Grade A}
100% Correct (Verified Solutions)
Probable signs - Correct answer observed by the 3examiner
Uterine enlargement, sougffle and contractions, positive urine pregnancy test, hegar's
sign (softening of cervix), Chadwick sign (bluish color of cervix)
The home care nurse visits a new mother and her newborn. The infant has been
diagnosed with physiological jaundice. The nurse determines that teaching is effective
if the mother states which of the following?
1. "my baby is jaundiced because of an incompatibility between my blood and the
baby's blood."
2. "my baby is jaundiced because i am rh-negative and the baby is rh-positive."
3. "my baby is jaundiced because the liver is unable to clear bilirubin from the blood."
4. "my baby is jaundiced because this was my second pregnancy." - Correct answer
strategy: think about each answer.
,1) causes pathological jaundice; pathological jaundice occurs within the first 24 hours
of birth and is caused by destruction of rbcs from an antigen-antibody reaction
2) causes pathological jaundice
3) correct— caused by immature hepatic function; occurs after 24 hours, peaks at 72
hours, and lasts 5-7 days
4) causes pathological jaundice
Amniotic fluid - Correct answer normal: straw pale color
Bad: greenis or brownsih
Urine: acidic ph 5.5
Amniotic fluid: alkaline
Tracheal shift/a(airway) > chest pain (circulation)
, He home care nurse visits a client in a large apartment complex. During the visit, the
area experiences a major earthquake. Which of the following clients should the nurse
see first?
1. A restless client with a rigid abdomen and absent bowel sounds.
2. An unconscious client with left-sided tracheal shift from midline.
3. A client complaining of excruciating pain with an obvious deformity of the left leg.
4. A client clutching her chest and complaining of severe chest pain. - Correct answer
strategy: determine the most unstable client.
(1) likely has injuries to abdominal organs, resulting in hemorrhage and severe
circulatory compromise and requires emergent evaluation; airway and breathing take
priority
(2) correct—first sign of a tension pneumothorax; airway and breathing take priority
(3) assess for neurovascular compromise; client with breathing difficulties takes
priority
Update) Questions & Answers {Grade A}
100% Correct (Verified Solutions)
Probable signs - Correct answer observed by the 3examiner
Uterine enlargement, sougffle and contractions, positive urine pregnancy test, hegar's
sign (softening of cervix), Chadwick sign (bluish color of cervix)
The home care nurse visits a new mother and her newborn. The infant has been
diagnosed with physiological jaundice. The nurse determines that teaching is effective
if the mother states which of the following?
1. "my baby is jaundiced because of an incompatibility between my blood and the
baby's blood."
2. "my baby is jaundiced because i am rh-negative and the baby is rh-positive."
3. "my baby is jaundiced because the liver is unable to clear bilirubin from the blood."
4. "my baby is jaundiced because this was my second pregnancy." - Correct answer
strategy: think about each answer.
,1) causes pathological jaundice; pathological jaundice occurs within the first 24 hours
of birth and is caused by destruction of rbcs from an antigen-antibody reaction
2) causes pathological jaundice
3) correct— caused by immature hepatic function; occurs after 24 hours, peaks at 72
hours, and lasts 5-7 days
4) causes pathological jaundice
Amniotic fluid - Correct answer normal: straw pale color
Bad: greenis or brownsih
Urine: acidic ph 5.5
Amniotic fluid: alkaline
Tracheal shift/a(airway) > chest pain (circulation)
, He home care nurse visits a client in a large apartment complex. During the visit, the
area experiences a major earthquake. Which of the following clients should the nurse
see first?
1. A restless client with a rigid abdomen and absent bowel sounds.
2. An unconscious client with left-sided tracheal shift from midline.
3. A client complaining of excruciating pain with an obvious deformity of the left leg.
4. A client clutching her chest and complaining of severe chest pain. - Correct answer
strategy: determine the most unstable client.
(1) likely has injuries to abdominal organs, resulting in hemorrhage and severe
circulatory compromise and requires emergent evaluation; airway and breathing take
priority
(2) correct—first sign of a tension pneumothorax; airway and breathing take priority
(3) assess for neurovascular compromise; client with breathing difficulties takes
priority
