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“NCLEX PRE-TEST QUESTIONS 2026 ”LATEST
EXAM 2026 – 2027 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED 100% GUARANTEE
PASS
The nurse is admitting a client who has metabolic alkalosis. The nurse plans to
assess for manifestations of which electrolyte imbalance? Select all that apply.
1. Hypernatremia
2. Hypochloremia
3. Hypermagnesemia
4. Hypocalcemia
5. Hypokalemia
Answer 2, 4, 5
A client's arterial blood gas ( ABG) results are pH 7.48; PaCO 2 30; HCO 3 - 23.
How will the nurse interpret these results?
1. Compensated respiratory alkalosis
2. Uncompensated metabolic alkalosis
3. Uncompensated respiratory alkalosis
4. Compensated metabolic alkalosis
Answer 3
The nurse determines that a client with a nasogastric tube on low suction for
five days is at risk for developing which acid- base imbalance?
1. Respiratory acidosis
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2. Metabolic alkalosis
3. Metabolic acidosis
4. Respiratory alkalosis
Answer 2
The following arterial blood gas ( ABG) results are on the client's chart: pH
7.50; PaCO 2 36; HCO 3 - 30. How will the nurse interpret this report?
1. Partially compensated metabolic alkalosis
2. Compensated respiratory alkalosis
3. Uncompensated metabolic alkalosis
4. Uncompensated respiratory alkalosis
Answer 3
A client is admitted to the hospital. Arterial blood gas ( ABG) results are pH
7.50; PaCO 2 40; HCO 3 - 29. Which question should the nurse ask the client to
help determine an etiology for these results?
1. " Have you had diarrhea lately?"
2. " Do you have a history of COPD?"
3. " How long have you had nausea and vomiting?"
4. " Do you smoke?"
Answer 3
A client's arterial blood gas ( ABG) results are pH 7.36; PaCO 2 50; HCO 3 - 28.
What do these results indicate to the nurse?
1. Compensated respiratory acidosis
2. Compensated metabolic acidosis
3. Uncompensated metabolic acidosis
4. Uncompensated respiratory acidosis
Answer 1
Which statement by the client indicates that discharge teaching for respiratory
alkalosis is understood?
1. " I will not take so many antacids anymore."
2. " I will take a stress management class."
3. " I will not take my furosemide ( Lasix) without taking my potassium
supplement."
4. " I will tell the doctor the next time I have diarrhea for so long."
5. " I am more aware of how my breathing changes when I get nervous."
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Answer 2, 5
A client is admitted with severe diarrhea. Arterial blood gas ( ABG) results are
pH 7.33; PaCO 2 42; HCO 3 - 20. The nurse concludes this client has which
acid- base imbalance?
1. Uncompensated metabolic acidosis
2. Compensated respiratory acidosis
3. Compensated metabolic acidosis
4. Uncompensated respiratory acidosis
Answer 1
A client has a continuously running peripheral infusion. The physician orders
an antibiotic as a piggyback infusion four times per day. In order to administer
the antibiotic, the nurse should do which of the following? Select all that
apply.
1. Avoid compatibility issues by starting an additional IV access.
2. Start a new IV access to eliminate the problem of too much volume for one
site.
3. Flush the IV line before and after infusion of an incompatible drug.
4. Check to see if the antibiotic is compatible with the continuous infusion.
5. Change the flow rate to facilitate the administration of the antibiotic.
Answer: 3,4, 5
The family of a home infusion client calls the home health nurse one night to
report that the electronic infusion pump is alarming. What should the nurse
anticipate as the cause of the infusion pump alarming? Select all that apply.
1. The client's pulse and blood pressure are falling.
2. The client is experiencing a reaction to the medication.
3. The prescribed infusion is complete.
4. There is an incompatibility with the medications.
5. An occlusion has interrupted the infusion.
Answer 3, 5
The home health nurse is monitoring a client who performs self- care of a
central line. The nurse observes the client doing all of the following activities.
Which activity indicates the need for further education?
1. Flushing the central line with a 3 mL syringe
2. Cleaning the needleless injection cap with alcohol before accessing
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3. Using sterile gloves to change the central line dressing 4. Wearing a mask
while changing the central line dressing
Answer 1
The client has a tunneled Groshong catheter for intermittent medication
administration. After administering the medication, the nurse prepares to do
which of the following?
1. Clamp the catheter after medication administration.
2. Flush the catheter with heparin at scheduled times.
3. Flush the catheter with saline after medication administration.
4. Initiate a Valsalva maneuver when disconnecting medication tubing.
Answer 3
The client has a percutaneous jugular central venous line that is capped and
used for intermittent infusions. After administering the medication, the best
method to maintain patency is to do which of the following?
1. Flush the line first with 3- 5 mL of normal saline, then with 1- 3 mL of
heparinized normal saline.
2. Flush the line with 3- 5 mL of normal saline.
3. Flush the line with 3- 5 mL of heparinized normal saline.
4. Flush the line first with 3- 5 mL of heparin, then with 1- 3 mL of normal
saline.
Answer 1
The nurse is caring for a client with a Hickman central line. While changing the
central line dressing, the nurse notes that the injection cap ( e. g., heplock
adapter) is of the slip lock variety instead of a luer lock device. The nurse
recognizes that this adapter puts the client at risk for which complication?
1. Sepsis
2. Occlusion
3. Phlebitis
4. Air embolism
Answer 4
The client is to receive the intravenous medication vancomycin ( Vancocin). To
prevent adverse reactions from rapid infusion, by what method should the
nurse plan to administer this drug?
1. Using gravity
“NCLEX PRE-TEST QUESTIONS 2026 ”LATEST
EXAM 2026 – 2027 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED 100% GUARANTEE
PASS
The nurse is admitting a client who has metabolic alkalosis. The nurse plans to
assess for manifestations of which electrolyte imbalance? Select all that apply.
1. Hypernatremia
2. Hypochloremia
3. Hypermagnesemia
4. Hypocalcemia
5. Hypokalemia
Answer 2, 4, 5
A client's arterial blood gas ( ABG) results are pH 7.48; PaCO 2 30; HCO 3 - 23.
How will the nurse interpret these results?
1. Compensated respiratory alkalosis
2. Uncompensated metabolic alkalosis
3. Uncompensated respiratory alkalosis
4. Compensated metabolic alkalosis
Answer 3
The nurse determines that a client with a nasogastric tube on low suction for
five days is at risk for developing which acid- base imbalance?
1. Respiratory acidosis
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2. Metabolic alkalosis
3. Metabolic acidosis
4. Respiratory alkalosis
Answer 2
The following arterial blood gas ( ABG) results are on the client's chart: pH
7.50; PaCO 2 36; HCO 3 - 30. How will the nurse interpret this report?
1. Partially compensated metabolic alkalosis
2. Compensated respiratory alkalosis
3. Uncompensated metabolic alkalosis
4. Uncompensated respiratory alkalosis
Answer 3
A client is admitted to the hospital. Arterial blood gas ( ABG) results are pH
7.50; PaCO 2 40; HCO 3 - 29. Which question should the nurse ask the client to
help determine an etiology for these results?
1. " Have you had diarrhea lately?"
2. " Do you have a history of COPD?"
3. " How long have you had nausea and vomiting?"
4. " Do you smoke?"
Answer 3
A client's arterial blood gas ( ABG) results are pH 7.36; PaCO 2 50; HCO 3 - 28.
What do these results indicate to the nurse?
1. Compensated respiratory acidosis
2. Compensated metabolic acidosis
3. Uncompensated metabolic acidosis
4. Uncompensated respiratory acidosis
Answer 1
Which statement by the client indicates that discharge teaching for respiratory
alkalosis is understood?
1. " I will not take so many antacids anymore."
2. " I will take a stress management class."
3. " I will not take my furosemide ( Lasix) without taking my potassium
supplement."
4. " I will tell the doctor the next time I have diarrhea for so long."
5. " I am more aware of how my breathing changes when I get nervous."
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Answer 2, 5
A client is admitted with severe diarrhea. Arterial blood gas ( ABG) results are
pH 7.33; PaCO 2 42; HCO 3 - 20. The nurse concludes this client has which
acid- base imbalance?
1. Uncompensated metabolic acidosis
2. Compensated respiratory acidosis
3. Compensated metabolic acidosis
4. Uncompensated respiratory acidosis
Answer 1
A client has a continuously running peripheral infusion. The physician orders
an antibiotic as a piggyback infusion four times per day. In order to administer
the antibiotic, the nurse should do which of the following? Select all that
apply.
1. Avoid compatibility issues by starting an additional IV access.
2. Start a new IV access to eliminate the problem of too much volume for one
site.
3. Flush the IV line before and after infusion of an incompatible drug.
4. Check to see if the antibiotic is compatible with the continuous infusion.
5. Change the flow rate to facilitate the administration of the antibiotic.
Answer: 3,4, 5
The family of a home infusion client calls the home health nurse one night to
report that the electronic infusion pump is alarming. What should the nurse
anticipate as the cause of the infusion pump alarming? Select all that apply.
1. The client's pulse and blood pressure are falling.
2. The client is experiencing a reaction to the medication.
3. The prescribed infusion is complete.
4. There is an incompatibility with the medications.
5. An occlusion has interrupted the infusion.
Answer 3, 5
The home health nurse is monitoring a client who performs self- care of a
central line. The nurse observes the client doing all of the following activities.
Which activity indicates the need for further education?
1. Flushing the central line with a 3 mL syringe
2. Cleaning the needleless injection cap with alcohol before accessing
, Page 4 of 87
3. Using sterile gloves to change the central line dressing 4. Wearing a mask
while changing the central line dressing
Answer 1
The client has a tunneled Groshong catheter for intermittent medication
administration. After administering the medication, the nurse prepares to do
which of the following?
1. Clamp the catheter after medication administration.
2. Flush the catheter with heparin at scheduled times.
3. Flush the catheter with saline after medication administration.
4. Initiate a Valsalva maneuver when disconnecting medication tubing.
Answer 3
The client has a percutaneous jugular central venous line that is capped and
used for intermittent infusions. After administering the medication, the best
method to maintain patency is to do which of the following?
1. Flush the line first with 3- 5 mL of normal saline, then with 1- 3 mL of
heparinized normal saline.
2. Flush the line with 3- 5 mL of normal saline.
3. Flush the line with 3- 5 mL of heparinized normal saline.
4. Flush the line first with 3- 5 mL of heparin, then with 1- 3 mL of normal
saline.
Answer 1
The nurse is caring for a client with a Hickman central line. While changing the
central line dressing, the nurse notes that the injection cap ( e. g., heplock
adapter) is of the slip lock variety instead of a luer lock device. The nurse
recognizes that this adapter puts the client at risk for which complication?
1. Sepsis
2. Occlusion
3. Phlebitis
4. Air embolism
Answer 4
The client is to receive the intravenous medication vancomycin ( Vancocin). To
prevent adverse reactions from rapid infusion, by what method should the
nurse plan to administer this drug?
1. Using gravity
