NCLEX-RN EXAM 2026 QUESTIONS AND
CORRECT SOLUTIONS GRADED A+
<BRAND NEW VERSION!!>
The nurse is preparing to administer an aminoglycoside.
Which of the following laboratory test results should the nurse review before administering the
medication?
1. Serum electrolyte level and serum uric acid level.
2. Hemoglobin (Hgb) and white blood cell (WBC) count.
3. Serum ammonia level and serum glucose level.
4. Blood urea nitrogen (BUN) and serum creatinine.
1. "How will you be getting home after the procedure?"
2. "Do you have access to a thermometer after you leave here?"
3. "What allergies do you have?"
The nurse is talking with a client who is scheduled for endoscopic retrograde cholangiopancreatography
(ERCP) in 2 hours in the outpatient department.
Which of the following questions would be important for the nurse to ask? Select all that apply.
1. "How will you be getting home after the procedure?"
2. "Do you have access to a thermometer after you leave here?"
3. "What allergies do you have?"
4. "Are you wearing dentures?"
,5. "Do you have external hemorrhoids?"
2. 1+ pedal pulse of the affected extremity
The nurse is assessing a client who had cardiac catheterization 2 hours ago.
Which of the following findings would require immediate follow-up?
1. Blood pressure, 104/70 mmHg
2. 1+ pedal pulse of the affected extremity
3. Heart rate, 98
4. Urine output of 100mL for the past 2 hours
3. "My child's eyes may be sensitive to light until the infection resolves."
Rationale:
2. Cleaning the eyelids and eyelashes is not necessary and may further irritate the eyes.
4. Bacterial conjunctivitis is typically treated with antibiotic eye drops or ointment.
The nurse taught the parent of a 9-year-old child who has been newly diagnosed with bacterial
conjunctivitis.
Which of the following statements by the parent would indicate a correct understanding of the
teaching?
1. "The infection produces profuse watery discharge."
,2. "I should clean my child's eyelids and eyelashes with soap and water prior to instilling the
medication."
3. "My child's eyes may be sensitive to light until the infection resolves."
4. "The prescribed corticosteroid eyedrops should be used for 1 week."
The charge nurse has received a change-of-shift report on the following clients in labor.
The charge nurse should ask a staff member to first see the client in the
1. First stage of labor who has an oral temperature of 99.7F (37.6 C)
2. First stage of labor whose contractions are occurring every 30 seconds
3. Second stage of labor who has respirations of 26.
4. Second stage of labor whose contractions are lasting for 60 seconds.
2. First stage of labor whose contractions are occurring every 30 seconds
Rationale:
1. Elevated temperature is normal during labor.
3. Increased respirations are normal during labor "pant-pant-blow" "hee-hee-hoo" breathing pattern.
4. Contractions shouldn't be longer than 90 seconds, 60 seconds is okay and normal. Second stage: 2-3
minutes apart, 60-90 seconds long, 10cm dilated, strong pain.
The nurse is observing a staff member caring for a client who has chickenpox.
Which of the following actions by the staff member would require the nurse to intervene?
, 1. Placing the client in a private room with monitored negative air pressure.
2. Placing a box of disposable face shields outside the client's room.
3. Placing an alcohol-based hand rub in the client's room for hand hygiene.
4. Placing a surgical mask on the client during transport out of the client's room.
2. Placing a box of disposable face shields outside the client's room.
Rationale:
Varicella AKA chicken pox is an airborne precaution. Private, negative pressure room, universal
precautions (hand sanitizer in room) and placing a surgical mask on client during transport are all correct
interventions for varicella.
2. Prepare for transcutaneous pacing.
& 5. Assess the client for angina.
Rationale:
1. Beta Blockers would further decrease HR.
2. External pacing stimulates the ventricles to pump at a set rate.
3. Valsalva maneuver would further decrease HR.
4. Chest compressions are for cardiac arrest.
5. Angina (Chest pain) can be caused by both tachycardia (most common) and bradycardia (rare but can
happen). Therefore, assessment of angina is appropriate.
The nurse is caring for a client who reports feeling faint and is experiencing the cardiac rhythm shown in
the electrocardiogram (ECG) strip below.
Which of the following actions would be appropriate for the nurse to take? Select all that apply.
1. Administer the client's prescribed beta blocker.
2. Prepare for transcutaneous pacing.
CORRECT SOLUTIONS GRADED A+
<BRAND NEW VERSION!!>
The nurse is preparing to administer an aminoglycoside.
Which of the following laboratory test results should the nurse review before administering the
medication?
1. Serum electrolyte level and serum uric acid level.
2. Hemoglobin (Hgb) and white blood cell (WBC) count.
3. Serum ammonia level and serum glucose level.
4. Blood urea nitrogen (BUN) and serum creatinine.
1. "How will you be getting home after the procedure?"
2. "Do you have access to a thermometer after you leave here?"
3. "What allergies do you have?"
The nurse is talking with a client who is scheduled for endoscopic retrograde cholangiopancreatography
(ERCP) in 2 hours in the outpatient department.
Which of the following questions would be important for the nurse to ask? Select all that apply.
1. "How will you be getting home after the procedure?"
2. "Do you have access to a thermometer after you leave here?"
3. "What allergies do you have?"
4. "Are you wearing dentures?"
,5. "Do you have external hemorrhoids?"
2. 1+ pedal pulse of the affected extremity
The nurse is assessing a client who had cardiac catheterization 2 hours ago.
Which of the following findings would require immediate follow-up?
1. Blood pressure, 104/70 mmHg
2. 1+ pedal pulse of the affected extremity
3. Heart rate, 98
4. Urine output of 100mL for the past 2 hours
3. "My child's eyes may be sensitive to light until the infection resolves."
Rationale:
2. Cleaning the eyelids and eyelashes is not necessary and may further irritate the eyes.
4. Bacterial conjunctivitis is typically treated with antibiotic eye drops or ointment.
The nurse taught the parent of a 9-year-old child who has been newly diagnosed with bacterial
conjunctivitis.
Which of the following statements by the parent would indicate a correct understanding of the
teaching?
1. "The infection produces profuse watery discharge."
,2. "I should clean my child's eyelids and eyelashes with soap and water prior to instilling the
medication."
3. "My child's eyes may be sensitive to light until the infection resolves."
4. "The prescribed corticosteroid eyedrops should be used for 1 week."
The charge nurse has received a change-of-shift report on the following clients in labor.
The charge nurse should ask a staff member to first see the client in the
1. First stage of labor who has an oral temperature of 99.7F (37.6 C)
2. First stage of labor whose contractions are occurring every 30 seconds
3. Second stage of labor who has respirations of 26.
4. Second stage of labor whose contractions are lasting for 60 seconds.
2. First stage of labor whose contractions are occurring every 30 seconds
Rationale:
1. Elevated temperature is normal during labor.
3. Increased respirations are normal during labor "pant-pant-blow" "hee-hee-hoo" breathing pattern.
4. Contractions shouldn't be longer than 90 seconds, 60 seconds is okay and normal. Second stage: 2-3
minutes apart, 60-90 seconds long, 10cm dilated, strong pain.
The nurse is observing a staff member caring for a client who has chickenpox.
Which of the following actions by the staff member would require the nurse to intervene?
, 1. Placing the client in a private room with monitored negative air pressure.
2. Placing a box of disposable face shields outside the client's room.
3. Placing an alcohol-based hand rub in the client's room for hand hygiene.
4. Placing a surgical mask on the client during transport out of the client's room.
2. Placing a box of disposable face shields outside the client's room.
Rationale:
Varicella AKA chicken pox is an airborne precaution. Private, negative pressure room, universal
precautions (hand sanitizer in room) and placing a surgical mask on client during transport are all correct
interventions for varicella.
2. Prepare for transcutaneous pacing.
& 5. Assess the client for angina.
Rationale:
1. Beta Blockers would further decrease HR.
2. External pacing stimulates the ventricles to pump at a set rate.
3. Valsalva maneuver would further decrease HR.
4. Chest compressions are for cardiac arrest.
5. Angina (Chest pain) can be caused by both tachycardia (most common) and bradycardia (rare but can
happen). Therefore, assessment of angina is appropriate.
The nurse is caring for a client who reports feeling faint and is experiencing the cardiac rhythm shown in
the electrocardiogram (ECG) strip below.
Which of the following actions would be appropriate for the nurse to take? Select all that apply.
1. Administer the client's prescribed beta blocker.
2. Prepare for transcutaneous pacing.
