NCLEX FINAL EXAM STUDY GUIDE 2026/2027 COMPLETE QUESTIONS WITH VERIFIED CORRECT ANSWERS || 100% GUARANTEED PASS <NEWEST VERSION>

NCLEX FINAL EXAM STUDY GUIDE 2026/2027 COMPLETE QUESTIONS WITH VERIFIED CORRECT ANSWERS || 100% GUARANTEED PASS &lt;NEWEST VERSION&gt; 1. 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 99.7° F (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 - ANSWER 2. first stage of labor whose contractions are occurring every 30 seconds Contractions should be no longer than 90 secs and no closer than 2 mins (120 secs) 90 secs is the duration, 2 mins is the frequency. Rationale: 1. Elevated temp is normal during labor 2. Increased resps are normal during labor "pant-pant-blow" "hee-hee-hoo" breathing pattern 3. Contractions shouldn't be longer than 90 secs, 60 secs is okay and normal 2. Second stage: 2-3 mins apart, 60-90 secs long, 10 cm dilated, strong pain 2. 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 - ANSWER 2. placing a box of disposable face shields outside the client's room disposable face masks are not suitable for airborne precautions Rationale: Varicella (chickenpox) is airborne precaution. Private, negative pressure room, universal precautions (hand sanitizer in room) and placing surgical mask on client during transport are all correct interventions for Varicilla. 3. The nurse has been made aware of the following client situations. The nurse should first assess the client 1. with chronic obstructive pulmonary disease (COPD) who is using pursed-lip breathing after ambulating in the hallway 2. with pericarditis who has a systolic blood pressure that is 20 mm Hg higher during expiration than during inspiration 3. who had a total abdominal hysterectomy (TAH) 12 hours ago and has saturated 1 perineal pad in the past 5 hours 4. who has Guillain-Barré syndrome and has had an increase in the vital capacity over the past 4 hours - ANSWER 3. who had a total abdominal hysterectomy (TAH) 12 hours ago and has saturated 1 perineal pad in the past 5 hours Rationale: 1. Normal 2. Normal -- this is paradoxical hypotension where systolic BP decreases &gt;20 during inspiration 3. Good 4. The nurse has just received a change of shift report. Which client should the nurse assess first? a. A client 2 hours post-lobectomy with 150 cc drainage b. A client 2 days post-gastrectomy with scant drainage c. A client with pnuemonia with a oral temp of 102 F d. A client with a fractured hip in Bucks traction - ANSWER A. A client 2 hours post-lobectomy with 150 cc drainage why? The first client to be seen is the one who recently returned from surgery. 5. Several clients are admitted to the ER following a three- car vehicle accident. Which clients can be assigned to share a room in the emergency department during the disaster? a. The schizophrenic client having visual and auditory hallucinations and the client with ulcerative collitis b. The client who is 6 months pregnant with abdominal pain and the client with facial lacerations and a broken arm c. A child whose pupils are fixed and dilated and his parents, and the client with a frontal head injury d. The client who arrives with a large puncture wound to the abdomen and the client with chest pain - ANSWER B. The client who is 6 months pregnant with abdominal pain and the client with facial lacerations and a broken arm why? Out of all these clients, it is best to hold the pregnant client and the client with a broken arm and facial lacerations in the same room. 6. The home health nurse is planning for the day's visits. Which client should be seen first? a. The 78 year old who had a gastrectomy 3 weeks ago with a PEG tube b. The 5 month old discharged 1 week ago with pneumonia who is being treated with amoxicillin liquid suspension c. The 50 year old with MRSA being treated with Vancomycin via a PICC line d. The 30 year old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter - ANSWER D. The 30 year old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter why? The priority client is the one with multiple sclerosis who is being treated with cortisone via the central line. This client is at highest risk for complications. 7. The nurse is found to be guilty of charting blood glucose results without actually performing the procedure. After talking to the nurse, the charge nurse should: a. Call the Board of Nursing b. File a formal reprimand c. Terminate the nurse d. Charge the nurse with a tort - ANSWER B. File a formal reprimand why? The action after discussing the problem with the nurse is to document the incident and file a formal reprimand. If the behavior continues or if harm has resulted to the client, the nurse may be terminated and reported to the Board of Nursing, but this is not the first step.