NCLEX RN Test 1 for 2026 exam with question and answer
100% correct
Terms in this set (312)
A client with ascites is scheduled for a b. "You need to empty your bladder before the procedure."
paracentesis. Which instruction should be
given to the client before the
procedure? a "You will need to lay flat
during the
procedure."
b. "You need to empty your bladder
before the procedure."
c. "You will be asleep during the procedure."
d. "The doctor will inject a
medication during the procedure."
,A client's lab values reveal Hgb 12.6, WBC b
Hypokalemia 6500cu.mm, K+ 1.9, uric acid 7.0, Na+ 136, and
platelets 178,000cu.mm. The nurse evaluates
that the client is experiencing which of
the following?
Hypernatremia
b Hypokalemia
Myelosuppression
Leukopenia
The nurse is caring for the client who has a Tell the wife that the hospital will honor her wishes
regarding been in a coma for two months. He has organ donation, but contact the organ-retrieval
staff.
signed a donor card, but the wife is
opposed to the idea of organ
donation. How should the nurse handle
the topic of organ donation with the
wife?
a Tell the wife that the hospital will honor
her wishes regarding organ donation, but
contact the organ-retrieval staff.
b Tell her that because her husband
signed a donor card, the hospital has the
right to take the organs upon the death
of her
husband.
c Explain that it is necessary for her to
donate her husband's organs because he
signed the permit.
d Refrain from talking about the subject until
after the death of her husband.
Due to a high census, it has been necessary b A 40-year-old female with a
hysterectomy for a number of clients to be transferred to
other units within the hospital. Which client
should be transferred to the postpartum
unit?
a A 66-year-old female with gastroenteritis
b A 40-year-old female with a hysterectomy
c A 27-year-old male with severe depression
d A 28-year-old male with ulcerative colitis
Before administering Theo-Dur c
Pulse (theophylline), the nurse should check the
patient's:
a output
b Blood pressure
c Pulse
d Temperature
,Which information should be given to the a Avoid exposing radiation areas to sunlight during
treatment patient undergoing radiation therapy for time and for a year after completion of therapy
breast cancer?
a Avoid exposing radiation areas to sunlight
during treatment time and for a year
after
completion of therapy
b Moisturize the radiation site with oil-based
lotion to prevent blistering
c Use bath oil when tub bathing to prevent
drying and peeling
d Report redness and soreness of the area
to the physician
The charge nurse is making assignments for d Ask the nurse if she has ever had the
chickenpox. the day. After accepting the assignment to
care for a client with leukemia, the nurse
tells the charge nurse that her child has
chickenpox. Which initial action should the
charge nurse take?
a Change the nurse's assignment to another
client.
b Explain to the nurse that there is no risk to
the client.
c Ask the nurse if the chickenpox have
crusted.
d Ask the nurse if she has ever had
the chickenpox.
Which statement is true regarding therapy d The duration is 24
hours. with Levemir (insulin detemir)?
a The onset is 1-2 hours.
b It may be mixed with regular insulin.
c It peaks in 2-3 hours.
d The duration is 24 hours.
Which client should be assigned to the c The elderly client with a thyroidectomy four days
ago nursing assistant?
a The 18-year-old with a fracture to two
cervical vertebrae
b The infant with meningitis with a
temperature of 101°F
c The elderly client with a thyroidectomy
four days ago
d The client with a thoracotomy two days
ago
The physician has ordered the Schilling test a Folic
acid for a patient with suspected pernicious
anemia. What other vitamin level is often
assessed at the same time as the B12 level?
a Folic acid
b Pyridoxine
c Ascorbic acid
d Thiamine
, The client is admitted to the emergency d Prolonged QT
interval room with shortness of breath, anxiety, and
tachycardia. His ECG reveals atrial Quinidine can cause widened Q-T intervals and heart block.
fibrillation with a ventricular response rate
of 130 beats per minute. The doctor orders
quinidine sulfate. While he is receiving
quinidine, the nurse should monitor his ECG
for:
a Peaked P wave
b Elevated ST segment
c Inverted T wave
d Prolonged QT interval
A 25-year-old client arrives in the c Buck's
traction emergency room with a possible fracture of
the right femur. The nurse should anticipate
an order for:
a Bryant's traction
b Ice to the entire extremity
c Buck's traction
d An abduction pillow
Which statement should be included in the b "You may experience a feeling of pressure or discomfort
teaching session of a client scheduled for a during aspiration of the biopsy."
renal biopsy?
a "You will be placed in a sitting position for
the biopsy."
b "You may experience a feeling of pressure
or discomfort during aspiration of the
biopsy."
c "You will be asleep during the procedure."
d "You will not be able to drink fluids for 24
hours following the study."
The client is admitted with chronic c Compensated metabolic acidosis
obstructive pulmonary disease. Blood gases
reveal pH 7.36, CO2 45, O2 84, bicarb 28.
The nurse would assess the client to be
in:
a Uncompensated acidosis
b Compensated alkalosis
c Compensated metabolic acidosis
d Uncompensated metabolic acidosis
Before administering intravenous c Administer an
antiemetic. chemotherapy to the patient being treated,
the nurse should:
a Administer a bolus of IV fluid.
b Administer pain medication.
c Administer an antiemetic.
d Allow the patient a chance to eat.
100% correct
Terms in this set (312)
A client with ascites is scheduled for a b. "You need to empty your bladder before the procedure."
paracentesis. Which instruction should be
given to the client before the
procedure? a "You will need to lay flat
during the
procedure."
b. "You need to empty your bladder
before the procedure."
c. "You will be asleep during the procedure."
d. "The doctor will inject a
medication during the procedure."
,A client's lab values reveal Hgb 12.6, WBC b
Hypokalemia 6500cu.mm, K+ 1.9, uric acid 7.0, Na+ 136, and
platelets 178,000cu.mm. The nurse evaluates
that the client is experiencing which of
the following?
Hypernatremia
b Hypokalemia
Myelosuppression
Leukopenia
The nurse is caring for the client who has a Tell the wife that the hospital will honor her wishes
regarding been in a coma for two months. He has organ donation, but contact the organ-retrieval
staff.
signed a donor card, but the wife is
opposed to the idea of organ
donation. How should the nurse handle
the topic of organ donation with the
wife?
a Tell the wife that the hospital will honor
her wishes regarding organ donation, but
contact the organ-retrieval staff.
b Tell her that because her husband
signed a donor card, the hospital has the
right to take the organs upon the death
of her
husband.
c Explain that it is necessary for her to
donate her husband's organs because he
signed the permit.
d Refrain from talking about the subject until
after the death of her husband.
Due to a high census, it has been necessary b A 40-year-old female with a
hysterectomy for a number of clients to be transferred to
other units within the hospital. Which client
should be transferred to the postpartum
unit?
a A 66-year-old female with gastroenteritis
b A 40-year-old female with a hysterectomy
c A 27-year-old male with severe depression
d A 28-year-old male with ulcerative colitis
Before administering Theo-Dur c
Pulse (theophylline), the nurse should check the
patient's:
a output
b Blood pressure
c Pulse
d Temperature
,Which information should be given to the a Avoid exposing radiation areas to sunlight during
treatment patient undergoing radiation therapy for time and for a year after completion of therapy
breast cancer?
a Avoid exposing radiation areas to sunlight
during treatment time and for a year
after
completion of therapy
b Moisturize the radiation site with oil-based
lotion to prevent blistering
c Use bath oil when tub bathing to prevent
drying and peeling
d Report redness and soreness of the area
to the physician
The charge nurse is making assignments for d Ask the nurse if she has ever had the
chickenpox. the day. After accepting the assignment to
care for a client with leukemia, the nurse
tells the charge nurse that her child has
chickenpox. Which initial action should the
charge nurse take?
a Change the nurse's assignment to another
client.
b Explain to the nurse that there is no risk to
the client.
c Ask the nurse if the chickenpox have
crusted.
d Ask the nurse if she has ever had
the chickenpox.
Which statement is true regarding therapy d The duration is 24
hours. with Levemir (insulin detemir)?
a The onset is 1-2 hours.
b It may be mixed with regular insulin.
c It peaks in 2-3 hours.
d The duration is 24 hours.
Which client should be assigned to the c The elderly client with a thyroidectomy four days
ago nursing assistant?
a The 18-year-old with a fracture to two
cervical vertebrae
b The infant with meningitis with a
temperature of 101°F
c The elderly client with a thyroidectomy
four days ago
d The client with a thoracotomy two days
ago
The physician has ordered the Schilling test a Folic
acid for a patient with suspected pernicious
anemia. What other vitamin level is often
assessed at the same time as the B12 level?
a Folic acid
b Pyridoxine
c Ascorbic acid
d Thiamine
, The client is admitted to the emergency d Prolonged QT
interval room with shortness of breath, anxiety, and
tachycardia. His ECG reveals atrial Quinidine can cause widened Q-T intervals and heart block.
fibrillation with a ventricular response rate
of 130 beats per minute. The doctor orders
quinidine sulfate. While he is receiving
quinidine, the nurse should monitor his ECG
for:
a Peaked P wave
b Elevated ST segment
c Inverted T wave
d Prolonged QT interval
A 25-year-old client arrives in the c Buck's
traction emergency room with a possible fracture of
the right femur. The nurse should anticipate
an order for:
a Bryant's traction
b Ice to the entire extremity
c Buck's traction
d An abduction pillow
Which statement should be included in the b "You may experience a feeling of pressure or discomfort
teaching session of a client scheduled for a during aspiration of the biopsy."
renal biopsy?
a "You will be placed in a sitting position for
the biopsy."
b "You may experience a feeling of pressure
or discomfort during aspiration of the
biopsy."
c "You will be asleep during the procedure."
d "You will not be able to drink fluids for 24
hours following the study."
The client is admitted with chronic c Compensated metabolic acidosis
obstructive pulmonary disease. Blood gases
reveal pH 7.36, CO2 45, O2 84, bicarb 28.
The nurse would assess the client to be
in:
a Uncompensated acidosis
b Compensated alkalosis
c Compensated metabolic acidosis
d Uncompensated metabolic acidosis
Before administering intravenous c Administer an
antiemetic. chemotherapy to the patient being treated,
the nurse should:
a Administer a bolus of IV fluid.
b Administer pain medication.
c Administer an antiemetic.
d Allow the patient a chance to eat.
