NCLEX Exam 2026/2027 |Essential Practice
Questions with Verified Answers | Key Topics
& Comprehensive Exam Preparation
What is required for informed consent to be valid? - ANSWER the patient giving consent must
be competent and of legal age. The consent is given voluntarily. The patient giving consent
understands the procedure, risks/benefits, and alternative procedures. The patient has the right
to have all questions answered satisfactorily. It is the duty of the HCP performing the procedure
or treatment to obtain informed consent and to answer any questions the patient might have
about the procedure. The RN is witnessing the signature not providing informed consent.
what type of communication and leadership is it if the person says "do it my way"? - ANSWER
Aggressive communication/authoritarian leader
The nurse is caring for assigned clients.
It would be most important for the nurse to monitor
1. serum lipase levels for the client with hypercholesterolemia
2. arterial blood gas (ABG) results for the client who has an acid-base imbalance
3. serum glucose levels for the client with diabetes insipidus (DI)
4. adrenocorticotropic hormone (ACTH) levels for the client who has a fluid imbalance -
ANSWER 2. arterial blood gas (ABG) results for the client who has an acid-base imbalance
The nurse is planning a staff education program about collaborative conflict resolution
strategies. Which of the following would best describe implementation of a collaborative
conflict resolution strategy?
1. "A staff nurse is working with the nurse manager and offering suggestions about an
upcoming new procedure."
,2. "The clinical nurse leader is flattered by being asked to help create a clinical ladder for nursing
staff members."
3. "The charge nurse is working with staff nurses and the nurse manager to develop shared
goals and a plan for the new staffing format."
4. "A new nurse has offered to work on a holiday in exchange for having the following weekend
off." - ANSWER 3. "The charge nurse is working with staff nurses and the nurse manager to
develop shared goals and a plan for the new staffing format."
Key word is collaborative
The nurse is caring for a client who lives with a spouse and 2 adolescent children. The client has
been admitted to a hospital for treatment of active pulmonary tuberculosis (TB). The local
health department has been notified about the client's diagnosis.
The nurse should recognize that after this notification the local health department will
1. schedule periodic examinations of the client's chest and sputum
2. contact the client's family to arrange for family members to be examined
3. immunize those persons with whom the client has been in contact
4. isolate members of the client's immediate family at home until diagnostic studies rule out TB
- ANSWER 2. contact the client's family to arrange for family members to be examined
The nurse is participating in a community-based disaster drill. The nurse should give priority for
treatment to a
1. 2-year-old client with a bleeding scalp laceration and briskly reactive pupils
2. 15-year-old client who is restless and has a distended, firm abdomen
3. 30-year-old client who has a leg wound exposing the femur, a blood pressure of 120/76 mm
Hg, and a pulse of 90
4. 60-year-old client with heart failure whose pulse oximetry reading is 92% on room air and
whose respirations are 26 - ANSWER 2. 15-year-old client who is restless and has a distended,
firm abdomen
,The nurse in a community-based setting has received the following telephone messages. The
nurse should first return the telephone call to the parent of a
1. 3-year-old child who sustained a concussion and was irritable when awakened every 2 hours
during the night
2. 4-year-old child with impetigo contagiosa who has eruptions spreading around the mouth
and nose that are draining thin yellow fluid
3. 5-year-old child with Ewing sarcoma who is receiving external radiation and the irradiated
area appears reddened
4. 6-year-old child with a right long-leg cast whose toes on the affected extremity are swollen
and cool to the touch - ANSWER 4. 6-year-old child with a right long-leg cast whose toes on the
affected extremity are swollen and cool to the touch
The nurse is teaching a client who is receiving newly prescribed clopidogrel. Which of the
following information should the nurse include?
1. "Notify your primary health care provider if you experience unusual bruising."
2. "Avoid taking over-the-counter (OTC) medications containing acetaminophen."
3. "Avoid driving your car for a short time until your response to the medication is known."
4. "Have a blood specimen obtained every 3 months to check your serum albumin level." -
ANSWER 1. "Notify your primary health care provider if you experience unusual bruising."
What type of communication and leadership is it if the persons says "Whatever...as long as you
like me." - ANSWER Passive communication/laissez-faire leader
What type of communication and leadership is it if the person says "Lets consider the options
available."? - ANSWER Assertive communication/democratic leader
What are the five rights of delegation? - ANSWER 1. right task
2. right circumstance
3. right person
, 4. right direction/communication
5. right supervision
Never IV push what electroylte - ANSWER K+
What is a sign of a fat embolism and what medication would you give? - ANSWER petechiae is a
sign of a fat embolism. Treat with heparin
To much CO2 causes what? - ANSWER vasoconstriction
What should be considered when communicating with a Chinese American? - ANSWER Most
Chinese Americans maintain a formal distance with others, which is a form of respect. Many
Chinese Americans are uncomfortable with face-to-face communications, especially when eye
contact is direct. If the client turns away from the nurse during a conversation, the best action is
to continue with the conversation. Walking around the client so that the nurse faces the client is
in direct conflict with this cultural practice. The client may consider it a rude gesture if the nurse
returns later to continue with the explanation. Telling the client about the importance of the
instructions for the maintenance of health care may be viewed as degrading.
What are low risk therapies - ANSWER Low-risk therapies are therapies that have no adverse
effects and, when implementing care, can be used by the nurse who has training and
experience in their use. Low-risk therapies include meditation, relaxation techniques, imagery,
music therapy, massage, touch, laughter and humor, and spiritual measures, such as prayer.
What Nationalities have a high risk r/t the development of obesity and diabetes mellitus? -
ANSWER Because of their health and dietary practices, Native Americans, Latino Americans,
Hispanic Americans, and African Americans have a high risk of obesity and diabetes mellitus.
Asian Americans have a lower risk for obesity and diabetes mellitus.
Questions with Verified Answers | Key Topics
& Comprehensive Exam Preparation
What is required for informed consent to be valid? - ANSWER the patient giving consent must
be competent and of legal age. The consent is given voluntarily. The patient giving consent
understands the procedure, risks/benefits, and alternative procedures. The patient has the right
to have all questions answered satisfactorily. It is the duty of the HCP performing the procedure
or treatment to obtain informed consent and to answer any questions the patient might have
about the procedure. The RN is witnessing the signature not providing informed consent.
what type of communication and leadership is it if the person says "do it my way"? - ANSWER
Aggressive communication/authoritarian leader
The nurse is caring for assigned clients.
It would be most important for the nurse to monitor
1. serum lipase levels for the client with hypercholesterolemia
2. arterial blood gas (ABG) results for the client who has an acid-base imbalance
3. serum glucose levels for the client with diabetes insipidus (DI)
4. adrenocorticotropic hormone (ACTH) levels for the client who has a fluid imbalance -
ANSWER 2. arterial blood gas (ABG) results for the client who has an acid-base imbalance
The nurse is planning a staff education program about collaborative conflict resolution
strategies. Which of the following would best describe implementation of a collaborative
conflict resolution strategy?
1. "A staff nurse is working with the nurse manager and offering suggestions about an
upcoming new procedure."
,2. "The clinical nurse leader is flattered by being asked to help create a clinical ladder for nursing
staff members."
3. "The charge nurse is working with staff nurses and the nurse manager to develop shared
goals and a plan for the new staffing format."
4. "A new nurse has offered to work on a holiday in exchange for having the following weekend
off." - ANSWER 3. "The charge nurse is working with staff nurses and the nurse manager to
develop shared goals and a plan for the new staffing format."
Key word is collaborative
The nurse is caring for a client who lives with a spouse and 2 adolescent children. The client has
been admitted to a hospital for treatment of active pulmonary tuberculosis (TB). The local
health department has been notified about the client's diagnosis.
The nurse should recognize that after this notification the local health department will
1. schedule periodic examinations of the client's chest and sputum
2. contact the client's family to arrange for family members to be examined
3. immunize those persons with whom the client has been in contact
4. isolate members of the client's immediate family at home until diagnostic studies rule out TB
- ANSWER 2. contact the client's family to arrange for family members to be examined
The nurse is participating in a community-based disaster drill. The nurse should give priority for
treatment to a
1. 2-year-old client with a bleeding scalp laceration and briskly reactive pupils
2. 15-year-old client who is restless and has a distended, firm abdomen
3. 30-year-old client who has a leg wound exposing the femur, a blood pressure of 120/76 mm
Hg, and a pulse of 90
4. 60-year-old client with heart failure whose pulse oximetry reading is 92% on room air and
whose respirations are 26 - ANSWER 2. 15-year-old client who is restless and has a distended,
firm abdomen
,The nurse in a community-based setting has received the following telephone messages. The
nurse should first return the telephone call to the parent of a
1. 3-year-old child who sustained a concussion and was irritable when awakened every 2 hours
during the night
2. 4-year-old child with impetigo contagiosa who has eruptions spreading around the mouth
and nose that are draining thin yellow fluid
3. 5-year-old child with Ewing sarcoma who is receiving external radiation and the irradiated
area appears reddened
4. 6-year-old child with a right long-leg cast whose toes on the affected extremity are swollen
and cool to the touch - ANSWER 4. 6-year-old child with a right long-leg cast whose toes on the
affected extremity are swollen and cool to the touch
The nurse is teaching a client who is receiving newly prescribed clopidogrel. Which of the
following information should the nurse include?
1. "Notify your primary health care provider if you experience unusual bruising."
2. "Avoid taking over-the-counter (OTC) medications containing acetaminophen."
3. "Avoid driving your car for a short time until your response to the medication is known."
4. "Have a blood specimen obtained every 3 months to check your serum albumin level." -
ANSWER 1. "Notify your primary health care provider if you experience unusual bruising."
What type of communication and leadership is it if the persons says "Whatever...as long as you
like me." - ANSWER Passive communication/laissez-faire leader
What type of communication and leadership is it if the person says "Lets consider the options
available."? - ANSWER Assertive communication/democratic leader
What are the five rights of delegation? - ANSWER 1. right task
2. right circumstance
3. right person
, 4. right direction/communication
5. right supervision
Never IV push what electroylte - ANSWER K+
What is a sign of a fat embolism and what medication would you give? - ANSWER petechiae is a
sign of a fat embolism. Treat with heparin
To much CO2 causes what? - ANSWER vasoconstriction
What should be considered when communicating with a Chinese American? - ANSWER Most
Chinese Americans maintain a formal distance with others, which is a form of respect. Many
Chinese Americans are uncomfortable with face-to-face communications, especially when eye
contact is direct. If the client turns away from the nurse during a conversation, the best action is
to continue with the conversation. Walking around the client so that the nurse faces the client is
in direct conflict with this cultural practice. The client may consider it a rude gesture if the nurse
returns later to continue with the explanation. Telling the client about the importance of the
instructions for the maintenance of health care may be viewed as degrading.
What are low risk therapies - ANSWER Low-risk therapies are therapies that have no adverse
effects and, when implementing care, can be used by the nurse who has training and
experience in their use. Low-risk therapies include meditation, relaxation techniques, imagery,
music therapy, massage, touch, laughter and humor, and spiritual measures, such as prayer.
What Nationalities have a high risk r/t the development of obesity and diabetes mellitus? -
ANSWER Because of their health and dietary practices, Native Americans, Latino Americans,
Hispanic Americans, and African Americans have a high risk of obesity and diabetes mellitus.
Asian Americans have a lower risk for obesity and diabetes mellitus.
