NCSBN ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ Contraindications for Macrolides.
Answer: Do not use with: statins, and ergotamine for lingual ischemia Renal
impairment and liver disease Prolonged QT - when used with CCB or other
QT prolongation meds
◍ Luteninizing (LH).
Answer: This test is used to help determine the reason for the cessation of
menstrual period, the loss of sex drive or infertility. This test is a blood
draw.For women of childbearing age, the test may need to be done midway
through the menstrual cycle, when LH levels peak.
◍ PAD symptoms.
Answer: The affected limb will present with:Waxy, hairless, cool, pale or
cyanotic skinWeak or absent pulsesParesthesiaAbnormal or unusual nerve
sensations, such as tingling and burning.Non-healing wounds
◍ The recommended protein intake is.
Answer: 0.8 grams per kilogram of the client's body weight per day.
◍ education for Allopurinol.
Answer: Monitor the client for hypersensitivity reactions including fever,
rash, and decreased liver/kidney function.Teach the client (or reinforce
teaching) to:Take the medication after meals and drink enough water to
produce 2 liters of urine a day.Adhere to a low purine diet to prevent uric
acid.Report any abnormal bleeding and bruising.During the first months of
use, an increase in gout "flare ups" may occur. The client should contact
their HCP for recommendations to treat this pain, but should not discontinue
use.
◍ ACE inhibitors use:.
, Answer: Control BP prevent CVAHeart failure kidney protectant for
diabetic nephropathy
◍ antispasmodic drugs.
Answer: oxybutynintolteradine
◍ D.
A. S.H diet.
Answer: The Dietary Approaches to Stop Hypertension (D.A.S.H.) diet is
used to help lower blood pressure but may also offer protection against
osteoporosis, cancer, stroke, diabetes and heart disease. The standard
D.A.S.H. diet limits sodium to 2300 mg/day and a lower D.A.S.H. diet
restricts sodium to 1500 mg/day. The D.A.S.H. diet is also low in saturated
fat, cholesterol and total fat.
◍ benzodiazepines.
Answer: alprazolamchlordiazepoxidediazepamlorazepam
◍ A client is admitted to the hospital with endocarditis. The nurse understands
that which risk factors can lead to the development of endocarditis? (Select
all that apply.)Atrial fibrillation with use of warfarinTreatment of substance
use disorder with methadonePlacement of an arteriovenous fistula for
hemodialysisOral abscess with tooth extractionPlacement of a central
venous access deviceHistory of aortic valve replacement.
Answer: Placement of an arteriovenous fistula for hemodialysisOral abscess
with tooth extractionPlacement of a central venous access deviceHistory of
aortic valve replacement
◍ Fluoroquinolones agents are used to treat.
Answer: gram-negative and gram-positive bacteria that infect primarily the
lower respiratory system, skin and soft tissues, urinary tract and sexually
transmitted diseases. Levofloxacin has been found to be effective against
inhalation anthrax infections.
◍ APGAR.
Answer: Activity, Pulse, Grimace (reflex irritability), Appearance
, Respiration.A score of 7 to 10 is normal.An infant score between 4 and 6
may indicate that the baby needs some resuscitation measures, including
oxygen and careful monitoring. The nurse can simulate the baby by flicking
the soles of the feet or rubbing the back. The nurse should be careful not to
rub too vigorously.A total score of 3 to 4 indicates moderate depression and
the newborn will need oxygen and possibly insertion of a feeding tube to
decompress the stomach.A score of three or below indicates the newborn
needs immediate resuscitation and lifesaving techniques.
◍ What is the NCLEX?.
Answer: The National Council Licensure Examination, used for nursing
licensure.
◍ D.
O. A.
B. L.E.
Answer: DIURETICS OXYGENACE INHIBBETA BLOCKLOW
SODIUM EXERCISE AS TOL
◍ SERMs (selective estrogen receptor modulators).
Answer: RaloxifeneToremifene USES: Breast cancer prophylaxis in
postmenopausal womenMOA: Act like antiestrogens to slow tumor growth,
but have fewer side effects than tamoxifen.
◍ Leuprolide and Goserelin contraindications and adverse effects.
Answer: NOT FOR: pregnant or breast feeding womenSeizures MI PE
Dysrhythmias GI bleedingNORMALS: hot flashes, memory loss, depression
and alopecia
◍ High risk meds: PINCH.
Answer: PotassiumInsulinNarcoticsChemoHeparin
◍ The oncology nurse is preparing to administer the initial dose of vincristine
to a child diagnosed with acute lymphocytic leukemia. Which interventions
should the nurse include in the plan of care? Select all that apply.Verify
blood return before, during and after intravenous administration.Select the
, appropriate catheter for intrathecal administration.Apply pressure to the
injection site if extravasation occurs.Monitor liver function tests
regularly.Monitor for numbness or tingling in the fingers and toes..
Answer: Verify blood return before, during and after intravenous
administration.Monitor liver function tests regularly.Monitor for numbness
or tingling in the fingers and toes.
◍ Raynauds phenomenon.
Answer: PROTECT FROM STRESS AND COLD
◍ lisinopril.
Answer: The client can take lisinopril without regard to food.Tablets may be
crushed to aid in swallowing.
◍ avoid when taking -prils.
Answer: being pregnantbreast feeding potassium supplements
◍ Chest tube management.
Answer: -Tidalling SHOULD occur: Ball in water seal chamber moves up
and down with pt.'s inspiration and expiration, increase in water level with
inspiration, a return to baseline level during exhalation-Bubbling in water
seal chamber indicates AIR LEAK-Bubbling in suction chamber is
NORMAL-NEVER CLAMP CHEST TUBE: Can increase positive pressure
within the lungs and collapse the lungs even more-ONLY clamp chest tube
if tube was severed, or if changing collection system or when removing
chest tube to see if pt. can handle no chest tube in place-Ensure drainage
system is BELOW the level of the chest-Reposition the patient every 1.5-2
hours (promotes drainage-Make sure the tubing is patent at all times
◍ TB.
Answer: ACID FAST Mycobacterium TB Fatigue, anorexia, wt loss, cough
with purulent drainage, night sweats
◍ Treatment for Hemophilia A.
Answer: Replacement of clotting factor 8 (VIII)Desmopressin* (aids blood
clotting)Pressure to bleeding, elevation, ice, rest, immobilize
QUESTIONS WITH ANSWERS GRADED A+
◍ Contraindications for Macrolides.
Answer: Do not use with: statins, and ergotamine for lingual ischemia Renal
impairment and liver disease Prolonged QT - when used with CCB or other
QT prolongation meds
◍ Luteninizing (LH).
Answer: This test is used to help determine the reason for the cessation of
menstrual period, the loss of sex drive or infertility. This test is a blood
draw.For women of childbearing age, the test may need to be done midway
through the menstrual cycle, when LH levels peak.
◍ PAD symptoms.
Answer: The affected limb will present with:Waxy, hairless, cool, pale or
cyanotic skinWeak or absent pulsesParesthesiaAbnormal or unusual nerve
sensations, such as tingling and burning.Non-healing wounds
◍ The recommended protein intake is.
Answer: 0.8 grams per kilogram of the client's body weight per day.
◍ education for Allopurinol.
Answer: Monitor the client for hypersensitivity reactions including fever,
rash, and decreased liver/kidney function.Teach the client (or reinforce
teaching) to:Take the medication after meals and drink enough water to
produce 2 liters of urine a day.Adhere to a low purine diet to prevent uric
acid.Report any abnormal bleeding and bruising.During the first months of
use, an increase in gout "flare ups" may occur. The client should contact
their HCP for recommendations to treat this pain, but should not discontinue
use.
◍ ACE inhibitors use:.
, Answer: Control BP prevent CVAHeart failure kidney protectant for
diabetic nephropathy
◍ antispasmodic drugs.
Answer: oxybutynintolteradine
◍ D.
A. S.H diet.
Answer: The Dietary Approaches to Stop Hypertension (D.A.S.H.) diet is
used to help lower blood pressure but may also offer protection against
osteoporosis, cancer, stroke, diabetes and heart disease. The standard
D.A.S.H. diet limits sodium to 2300 mg/day and a lower D.A.S.H. diet
restricts sodium to 1500 mg/day. The D.A.S.H. diet is also low in saturated
fat, cholesterol and total fat.
◍ benzodiazepines.
Answer: alprazolamchlordiazepoxidediazepamlorazepam
◍ A client is admitted to the hospital with endocarditis. The nurse understands
that which risk factors can lead to the development of endocarditis? (Select
all that apply.)Atrial fibrillation with use of warfarinTreatment of substance
use disorder with methadonePlacement of an arteriovenous fistula for
hemodialysisOral abscess with tooth extractionPlacement of a central
venous access deviceHistory of aortic valve replacement.
Answer: Placement of an arteriovenous fistula for hemodialysisOral abscess
with tooth extractionPlacement of a central venous access deviceHistory of
aortic valve replacement
◍ Fluoroquinolones agents are used to treat.
Answer: gram-negative and gram-positive bacteria that infect primarily the
lower respiratory system, skin and soft tissues, urinary tract and sexually
transmitted diseases. Levofloxacin has been found to be effective against
inhalation anthrax infections.
◍ APGAR.
Answer: Activity, Pulse, Grimace (reflex irritability), Appearance
, Respiration.A score of 7 to 10 is normal.An infant score between 4 and 6
may indicate that the baby needs some resuscitation measures, including
oxygen and careful monitoring. The nurse can simulate the baby by flicking
the soles of the feet or rubbing the back. The nurse should be careful not to
rub too vigorously.A total score of 3 to 4 indicates moderate depression and
the newborn will need oxygen and possibly insertion of a feeding tube to
decompress the stomach.A score of three or below indicates the newborn
needs immediate resuscitation and lifesaving techniques.
◍ What is the NCLEX?.
Answer: The National Council Licensure Examination, used for nursing
licensure.
◍ D.
O. A.
B. L.E.
Answer: DIURETICS OXYGENACE INHIBBETA BLOCKLOW
SODIUM EXERCISE AS TOL
◍ SERMs (selective estrogen receptor modulators).
Answer: RaloxifeneToremifene USES: Breast cancer prophylaxis in
postmenopausal womenMOA: Act like antiestrogens to slow tumor growth,
but have fewer side effects than tamoxifen.
◍ Leuprolide and Goserelin contraindications and adverse effects.
Answer: NOT FOR: pregnant or breast feeding womenSeizures MI PE
Dysrhythmias GI bleedingNORMALS: hot flashes, memory loss, depression
and alopecia
◍ High risk meds: PINCH.
Answer: PotassiumInsulinNarcoticsChemoHeparin
◍ The oncology nurse is preparing to administer the initial dose of vincristine
to a child diagnosed with acute lymphocytic leukemia. Which interventions
should the nurse include in the plan of care? Select all that apply.Verify
blood return before, during and after intravenous administration.Select the
, appropriate catheter for intrathecal administration.Apply pressure to the
injection site if extravasation occurs.Monitor liver function tests
regularly.Monitor for numbness or tingling in the fingers and toes..
Answer: Verify blood return before, during and after intravenous
administration.Monitor liver function tests regularly.Monitor for numbness
or tingling in the fingers and toes.
◍ Raynauds phenomenon.
Answer: PROTECT FROM STRESS AND COLD
◍ lisinopril.
Answer: The client can take lisinopril without regard to food.Tablets may be
crushed to aid in swallowing.
◍ avoid when taking -prils.
Answer: being pregnantbreast feeding potassium supplements
◍ Chest tube management.
Answer: -Tidalling SHOULD occur: Ball in water seal chamber moves up
and down with pt.'s inspiration and expiration, increase in water level with
inspiration, a return to baseline level during exhalation-Bubbling in water
seal chamber indicates AIR LEAK-Bubbling in suction chamber is
NORMAL-NEVER CLAMP CHEST TUBE: Can increase positive pressure
within the lungs and collapse the lungs even more-ONLY clamp chest tube
if tube was severed, or if changing collection system or when removing
chest tube to see if pt. can handle no chest tube in place-Ensure drainage
system is BELOW the level of the chest-Reposition the patient every 1.5-2
hours (promotes drainage-Make sure the tubing is patent at all times
◍ TB.
Answer: ACID FAST Mycobacterium TB Fatigue, anorexia, wt loss, cough
with purulent drainage, night sweats
◍ Treatment for Hemophilia A.
Answer: Replacement of clotting factor 8 (VIII)Desmopressin* (aids blood
clotting)Pressure to bleeding, elevation, ice, rest, immobilize
