NCLEX 28 - READINESS EXAM 2025/2026
WITH 100% ACCURATE ANSWERS
1. Why is it important for a midstream urine collection to be performed as
a sterile procedure?
To make the procedure quicker and easier.
To prevent contamination and ensure accurate test results.
To reduce the cost of the procedure.
To allow for multiple tests to be conducted at once.
2. A nurse is at the bedside when a client develops V-Fib. The client is
unresponsive, pulseless, and apneic. What is the nurses priority action?
Amiodarone administration
Epi administration
Airway management
Defibrillation
3. In a scenario where a family member insists on seeing a patient who is
under strict observation after surgery, what should the nurse do?
Go up the chain of command to the nurse manager
Contact the patient's physician for permission
Allow the family member to enter the room
Explain the situation to the family member and deny entry
4. Describe the physiological impact of epinephrine on blood circulation
during an emergency situation.
,Epinephrine has no significant impact on blood circulation during
emergencies.
, Epinephrine dilates blood vessels, increasing blood flow to all
organs equally.
Epinephrine only affects blood flow to the extremities, not vital
organs.
Epinephrine can cause vasoconstriction, which reduces blood
flow to certain areas, including vital organs, to prioritize blood
flow to the heart and muscles.
5. In a scenario where a patient has a hemoglobin level of 7.5 and is
experiencing symptoms of fatigue and shortness of breath, what should
the nurse's immediate action be?
Monitor the patient for 24 hours without intervention.
Increase the patient's fluid intake.
Administer a blood transfusion.
Schedule a follow-up appointment for the next week.
6. What is the first action to take for a patient experiencing ventricular
fibrillation?
Call for help
Defibrillate the client
Administer CPR
Provide oxygen
7. What position should the legs be in after a femoral angiogram?
Extended
Crossed
Elevated
Flexed
WITH 100% ACCURATE ANSWERS
1. Why is it important for a midstream urine collection to be performed as
a sterile procedure?
To make the procedure quicker and easier.
To prevent contamination and ensure accurate test results.
To reduce the cost of the procedure.
To allow for multiple tests to be conducted at once.
2. A nurse is at the bedside when a client develops V-Fib. The client is
unresponsive, pulseless, and apneic. What is the nurses priority action?
Amiodarone administration
Epi administration
Airway management
Defibrillation
3. In a scenario where a family member insists on seeing a patient who is
under strict observation after surgery, what should the nurse do?
Go up the chain of command to the nurse manager
Contact the patient's physician for permission
Allow the family member to enter the room
Explain the situation to the family member and deny entry
4. Describe the physiological impact of epinephrine on blood circulation
during an emergency situation.
,Epinephrine has no significant impact on blood circulation during
emergencies.
, Epinephrine dilates blood vessels, increasing blood flow to all
organs equally.
Epinephrine only affects blood flow to the extremities, not vital
organs.
Epinephrine can cause vasoconstriction, which reduces blood
flow to certain areas, including vital organs, to prioritize blood
flow to the heart and muscles.
5. In a scenario where a patient has a hemoglobin level of 7.5 and is
experiencing symptoms of fatigue and shortness of breath, what should
the nurse's immediate action be?
Monitor the patient for 24 hours without intervention.
Increase the patient's fluid intake.
Administer a blood transfusion.
Schedule a follow-up appointment for the next week.
6. What is the first action to take for a patient experiencing ventricular
fibrillation?
Call for help
Defibrillate the client
Administer CPR
Provide oxygen
7. What position should the legs be in after a femoral angiogram?
Extended
Crossed
Elevated
Flexed
