NCLEX-RN EXAM | QUESTIONS & ANSWERS | NEW 2026/2027
UPDATE | GRADED A+| 100% CORRECT (VERIFIED SOLUTIONS)
A client is exhibiting early signs of hemorrhage. Which findings should the nurse anticipate?
1. Cold, clammy skin
2. Heart rate 120/min
3. Weak, thready pulse
4. Blood pressure 80/60 -
CORRECT|ANSWER
2. Heart rate 120/min
An older adult client reports recurring calf pain after walking one to two blocks that disappears with
rest. The client has weak pedal pulses, and skin on the left lower leg is shiny and cool to the touch.
Which nursing intervention is appropriate at this time?
1. Position the left leg dependently
2. Elevate the left leg above the heart
3. Immobilize the left leg to prevent further injury
4. Assess dorsiflexion and extension of the left foot -
CORRECT|ANSWER
1. Position the left leg dependently
A client who has just been diagnosed with rheumatoid arthritis is required to receive 3 months of
methotrexate therapy. The nurse recognizes which of the following are adverse effects associated
with the therapy? SATA
1. WBC 1,200
2. Weight gain 2.27 kg (5 lbs.)
3. Oral temperature of 37.2 (99)
4. Urine Specific Gravity 1.003
5. Platelets 5,000 -
CORRECT|ANSWER
1. WBC 1,200
5. Platelets 5,000
,A nurse prepares a staff in-service on incident reports. Which information should the nurse include?
SATA
1. Risk management investigates the incident
2. A copy of report is placed in client's health record
3. Reports include description of incident and actions taken
4. Reports are confidential and not shared with noninvolved staff
5. Completion of report should be documented in the nurses' notes -
CORRECT|ANSWER
1. Risk management investigates the incident
3. Reports include description of incident and actions taken
4. Reports are confidential and not shared with noninvolved staff
A nurse is unsure of the proper technique when caring for a client who is prescribes enteral feedings.
Which action should the nurse take?
1. Ask the charge nurse for step-by-step directions
2. Call the provider for specific instructions
3. Consult the unit procedure manual for guidance
4. Delegate task to a LPN to complete the feedings. -
CORRECT|ANSWER
3. Consult the unit procedure manual for guidance
A nurse admits a client from a long-term care facility. Which action should be implemented? SATA
1. Verify the admission medications prescribed by the provider
2. Review the current medication regimen with the client
3. Obtain the most recent list of mediations from the long-term care facility
4. Locate a list of discharge medications from the most recent hospitalization.
5. Discuss any discrepancies with the health care provider -
CORRECT|ANSWER
1. Verify the admission medications prescribed by the provider
2. Review the current medication regimen with the client
3. Obtain the most recent list of medications from the long-term care facility
5. discuss any discrepancies with the health care provider
,A nurse cares for a client with terminal lung cancer. Which action should be delegated to the UAP?
SATA
1. Encourage client to express feelings about the terminal diagnosis
2. Assist the client to ambulate to the bedside chair twice a day
3. Demonstrate to client the proper use of a bronchodilator inhaler
4. Complete vital signs that include oxygen saturation every 4 hours
5. Obtain a urine specimen from the client's indwelling bladder catheter -
CORRECT|ANSWER
2. Assist the client to ambulate to the bedside chair twice a day
4. Complete vital signs that include oxygen saturation every 4 hours
A nurse cares for a group of clients on a med-surg unit. Which client should be delegated to the LPN?
SATA. A client with
1. Newly diagnosed DM2
2. Facial lacerations and a subdural hematoma
3. Bronchitis receiving bronchodilator treatments
4. Exacerbation of myasthenia gravis admitted three hours ago
5. Advanced regular diet two days post chole -
CORRECT|ANSWER
3. Bronchitis receiving bronchodilator treatments
5. Advanced regular diet two days post chole
A nurse enters the room of a client who is at the foot of the bed lying on the floor. Which should be
the initial nursing action?
1. Examine the client for injuries
2. Obtain HR and BP
3. Assess vital signs and LOC
4. Determine intensity of pain with ROM -
CORRECT|ANSWER
3. Assess vital signs and LOC
, Four days after a ventral hernia repair, a client who is obese and has a history of COPD vomits and
reports severe abdominal pain. The oxygen saturation is 90%. Which action should the nurse
implement first?
1. Administer ondansetron hcl IV
2. Encourage pursed lip breathing
3. Assess the surgical incision site
4. Apply low dose oxygen via nasal cannula -
CORRECT|ANSWER
3. Assess the surgical incision site
A nurse arrives at a work site explosion. Which client should be triaged first? A client who has
1. Fixed pupils an agonal respirations
2. Burns to the face and respiratory stridor
3. Type 2 DM who is disoriented
4. A closed fracture reporting "a pain level of 3" -
CORRECT|ANSWER
2. Burns to the face and respiratory stridor
A home health nurse is performing an admission assessment on a client who has a knee arthroplasty
one week ago. Which client statement should concern the nurse the most?
1. "I am so glad to be of those blood thinners"
2. "I will keep a pillow under my knee when I am in bed"
3. "I am planning to use a wheelchair to help me get around"
4. "I plan to take ibuprofen instead of the prescribed hydrocodone with acetaminophen for pain
control" -
CORRECT|ANSWER
1. "I am so glad to be of those blood thinners"
A nurse provides care for a client who has a chest tube. The nurse notes the chest tube has become
disconnected from the chest drainage system. Which action should the nurse take?
1. Increase suction to the chest drainage system.
2. Reposition the client to a high-fowler's position
3. Apply to the client low-flow oxygen via nasal cannula
UPDATE | GRADED A+| 100% CORRECT (VERIFIED SOLUTIONS)
A client is exhibiting early signs of hemorrhage. Which findings should the nurse anticipate?
1. Cold, clammy skin
2. Heart rate 120/min
3. Weak, thready pulse
4. Blood pressure 80/60 -
CORRECT|ANSWER
2. Heart rate 120/min
An older adult client reports recurring calf pain after walking one to two blocks that disappears with
rest. The client has weak pedal pulses, and skin on the left lower leg is shiny and cool to the touch.
Which nursing intervention is appropriate at this time?
1. Position the left leg dependently
2. Elevate the left leg above the heart
3. Immobilize the left leg to prevent further injury
4. Assess dorsiflexion and extension of the left foot -
CORRECT|ANSWER
1. Position the left leg dependently
A client who has just been diagnosed with rheumatoid arthritis is required to receive 3 months of
methotrexate therapy. The nurse recognizes which of the following are adverse effects associated
with the therapy? SATA
1. WBC 1,200
2. Weight gain 2.27 kg (5 lbs.)
3. Oral temperature of 37.2 (99)
4. Urine Specific Gravity 1.003
5. Platelets 5,000 -
CORRECT|ANSWER
1. WBC 1,200
5. Platelets 5,000
,A nurse prepares a staff in-service on incident reports. Which information should the nurse include?
SATA
1. Risk management investigates the incident
2. A copy of report is placed in client's health record
3. Reports include description of incident and actions taken
4. Reports are confidential and not shared with noninvolved staff
5. Completion of report should be documented in the nurses' notes -
CORRECT|ANSWER
1. Risk management investigates the incident
3. Reports include description of incident and actions taken
4. Reports are confidential and not shared with noninvolved staff
A nurse is unsure of the proper technique when caring for a client who is prescribes enteral feedings.
Which action should the nurse take?
1. Ask the charge nurse for step-by-step directions
2. Call the provider for specific instructions
3. Consult the unit procedure manual for guidance
4. Delegate task to a LPN to complete the feedings. -
CORRECT|ANSWER
3. Consult the unit procedure manual for guidance
A nurse admits a client from a long-term care facility. Which action should be implemented? SATA
1. Verify the admission medications prescribed by the provider
2. Review the current medication regimen with the client
3. Obtain the most recent list of mediations from the long-term care facility
4. Locate a list of discharge medications from the most recent hospitalization.
5. Discuss any discrepancies with the health care provider -
CORRECT|ANSWER
1. Verify the admission medications prescribed by the provider
2. Review the current medication regimen with the client
3. Obtain the most recent list of medications from the long-term care facility
5. discuss any discrepancies with the health care provider
,A nurse cares for a client with terminal lung cancer. Which action should be delegated to the UAP?
SATA
1. Encourage client to express feelings about the terminal diagnosis
2. Assist the client to ambulate to the bedside chair twice a day
3. Demonstrate to client the proper use of a bronchodilator inhaler
4. Complete vital signs that include oxygen saturation every 4 hours
5. Obtain a urine specimen from the client's indwelling bladder catheter -
CORRECT|ANSWER
2. Assist the client to ambulate to the bedside chair twice a day
4. Complete vital signs that include oxygen saturation every 4 hours
A nurse cares for a group of clients on a med-surg unit. Which client should be delegated to the LPN?
SATA. A client with
1. Newly diagnosed DM2
2. Facial lacerations and a subdural hematoma
3. Bronchitis receiving bronchodilator treatments
4. Exacerbation of myasthenia gravis admitted three hours ago
5. Advanced regular diet two days post chole -
CORRECT|ANSWER
3. Bronchitis receiving bronchodilator treatments
5. Advanced regular diet two days post chole
A nurse enters the room of a client who is at the foot of the bed lying on the floor. Which should be
the initial nursing action?
1. Examine the client for injuries
2. Obtain HR and BP
3. Assess vital signs and LOC
4. Determine intensity of pain with ROM -
CORRECT|ANSWER
3. Assess vital signs and LOC
, Four days after a ventral hernia repair, a client who is obese and has a history of COPD vomits and
reports severe abdominal pain. The oxygen saturation is 90%. Which action should the nurse
implement first?
1. Administer ondansetron hcl IV
2. Encourage pursed lip breathing
3. Assess the surgical incision site
4. Apply low dose oxygen via nasal cannula -
CORRECT|ANSWER
3. Assess the surgical incision site
A nurse arrives at a work site explosion. Which client should be triaged first? A client who has
1. Fixed pupils an agonal respirations
2. Burns to the face and respiratory stridor
3. Type 2 DM who is disoriented
4. A closed fracture reporting "a pain level of 3" -
CORRECT|ANSWER
2. Burns to the face and respiratory stridor
A home health nurse is performing an admission assessment on a client who has a knee arthroplasty
one week ago. Which client statement should concern the nurse the most?
1. "I am so glad to be of those blood thinners"
2. "I will keep a pillow under my knee when I am in bed"
3. "I am planning to use a wheelchair to help me get around"
4. "I plan to take ibuprofen instead of the prescribed hydrocodone with acetaminophen for pain
control" -
CORRECT|ANSWER
1. "I am so glad to be of those blood thinners"
A nurse provides care for a client who has a chest tube. The nurse notes the chest tube has become
disconnected from the chest drainage system. Which action should the nurse take?
1. Increase suction to the chest drainage system.
2. Reposition the client to a high-fowler's position
3. Apply to the client low-flow oxygen via nasal cannula
