NCLEX-PN EXAM PREVIEW (Latest Update 2025/2026) Questions and Verified Rationalized Answers

NCLEX-PN EXAM PREVIEW (Latest Update 2025/2026)
Questions and Verified Rationalized Answers



1. The charge nurse has received a change-of-
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shift report on the following clients in labor.The charge nurse should ask a staff member
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to first see the client in the
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1. first stage of labor who has an oral temperature of 99.7° F (37.6° C)
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2. first stage of labor whose contractions are occurring every 30 seconds
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3. second stage of labor who has respirations of 26
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4. second stage of labor whose contractions are lasting for 60 seconds: 2. first stage of labor
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whose contractions are occurring every 30 seconds
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Contractions should be no longer than 90 secs and no closer than 2 mins (120 secs) 90 secs is th
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duration, 2 mins is the frequency. c c c c c




Rationale:
1. Elevated temp is normal during labor c c c c c



3. Increased resps are normal during labor "pant-pant-blow" "hee-hee-hoo" breath-
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cing pattern
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4. Contractions shouldn't be longer than 90 secs, 60 secs is okay and normal Second st
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age: 2-3 mins apart, 60-90 secs long, 10 cm dilated, strong pain
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2. The nurse is observing a staff member caring for a client who has chicken- pox.
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Which of the following actions by the staff member would require the nurse to intervene?
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1. placing the client in a private room with monitored negative air pressure
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2. placing a box of disposable face shields outside the client's room
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3. placing an alcohol-based hand rub in the client's room for hand hygiene
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4. placing a surgical mask on the client during transport out of the client's room: 2. plac
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ing a box of disposable face shields outside the client's room disposable face masks are n
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ot suitable for airborne precautions
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Rationale:
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,Varicella (chickenpox) is airborne precaution. Private, negative pressure room, universal prec
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utions (hand sanitizer in room) and placing surgical mask on client during transport are all corr
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ct interventions for Varicilla.
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3. The nurse is caring for a client who reports feeling faint and is experiencing the cardiac rh
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ythm shown in the electrocardiogram (ECG) strip below.
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- BRADYCARDIA (it is more than 5 spaces apart, sinus rhythm)
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Which of the following actions would be appropriate for the nurse to take? Select all that ap
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ly:
1. Administer the client's prescribed beta blocker.
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2. Prepare for transcutaneous pacing.
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,3. Instruct the client to perform the Valsalva maneuver. c c c c c c c



4. Begin chest compressions. c c



5. Assess the client for angina.: 2. transcutaneous pacing c c c c c c c



- external pacing that stimulates the ventricles to pump at a set rate
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5. Assess the client for angina c c c c



-
Angina (Chest pain) can be caused by both tachycardia (most common) and bradycardia (rare
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ut can happen). Assessment of angina is appropriate
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Rationale:
1. Beta blocker would further decrease HR
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3.Valsalva maneuver/Vagal stimulation would further decrease HR. (can be indicat-
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ced for sinus Tachy)c c c



4. Chest compressions are for cardiac arrest
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4. The nurse is planning care for a client with moderate Alzheimer's disease (AD).
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Which of the following interventions should the nurse include in the client's plan of care?
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1. Encourage the client to reminisce about happy memories. c c c c c c c



2. Confront the client when inappropriate or agitated behaviors occur. c c c c c c c c



3. Administer to the client the cholinesterase inhibitor to reverse the course of AD. c c c c c c c c c c c c



4. Provide the client with information about activity choices in the morning so the client ca
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n make plans for the day.: 1. Encourage the client to reminisce about happy memories.
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Its possible for AD patients to retain long-term memories
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Rationale:
2. Acknowledge feelings -- c c



> Redirect is protocol for Dementia. Don't confront; they can't learn
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3. AD is irreversible c c



4. In moderate AD, dementia has already progressed to where pt needs help with ADLs and pl
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anning daily activities. Asking them to plan can frustrate them and cause distress.
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STRUCTURED pleasant activities that consider the persons likes and interests are the best.
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5. The nurse is teaching a client how to ambulate using crutches.Which of the following info
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, rmation should the nurse include?
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1. "Use your hands and arms to support your body weight."
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2. "Wear slippers when ambulating with the crutches in your home."
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