NCLEX Final Exam
Readiness Study Guide with
100% Correct Answers –
2026 update, Exams of
Nursing Assured A+ Certified
Pass
The nurse is caring for a client who has had a left-sided ischemic stroke and is
having difficulty with expressive aphasia. Which interventions would be most
appropriate to assist the client with communication? Select all that apply. -
ANSWERS-▸ Offer the client a white board for communication.
▸ Decrease the amount of environmental noise.
▸ Give the client time to respond.
The nurse is caring for a client who has been diagnosed with metastatic brain
cancer and is moving to hospice care. For each potential prescription, click to
specify if the prescription is anticipated, nonessential, or contraindicated for the
care of the client. - ANSWERS-*Anticipated:*
▸ Apply fentanyl patch 50 mcg every 72 hours.
▸ Treat with hydromorphone 7.5 mg oral (po) around the clock.
,*Nonessential:*
▸ Educate the client and family about narcotic addiction.
*Contraindicated:*
▸ Treat with curative radiation to head and neck once a week.
▸ Hold hydromorphone for RR <10.
The nurse is providing postmortem care to a client whose death was anticipated.
Priority nursing actions include __________ and __________. - ANSWERS-▸
Replacing dentures
▸ Placing arms at the sides
Sleep disturbances can have detrimental health effects on clients with medical
conditions. Match the consequence of sleep disturbance to each client scenario.
Each consequence may relate to more than one scenario. - ANSWERS-*Client
With a Stage III Pressure Ulcer:*
▸ Decreased tissue renewal
▸ Increased stress response
*Client With Alzheimer's Disease:*
▸ Decreased ability to concentrate
▸ Increased confusion and irritability
*Client With Fall Risk:*
,▸ Decreased reflexes
▸ Decreased ability to concentrate
▸ Decreased visual acuity
The nurse is caring for a client with impacted cerumen in the right ear. The
healthcare provider writes a prescription to irrigate the ear. Please the nursing
actions for this procedure in the correct order. - ANSWERS-1. Place the client in
the sitting position.
2. Place the emesis basin under the ear.
3. Pull the auricle up and back.
4. Direct the solution above the impaction.
5. Use mild lubricant drops to soften the wax.
For each nonpharmacologic pain relief action, indicate if the action is appropriate
or contraindicated for a client with rheumatoid arthritis (RA). - ANSWERS-
*Appropriate:*
▸ Offer moist heat.
▸ Offer guided imagery teaching.
▸ Refer the client for acupuncture.
*Contraindicated:*
▸ Offer a rigorous exercise program.
▸ Assist the client to flex the legs and arms.
, When planning care for several clients, which client should receive hygiene
measures first? - ANSWERS-An older adult with diabetes who was incontinent of
urine and stool
The nurse must understand sleep across the lifespan. Match the client's age to the
correct sleep characteristic. - ANSWERS-*2-year-old* - May have separation
anxiety.
*Neonate* - Displays high percentage of rapid eye movement (REM) sleep.
*10-year-old* - May resist sleeping to show independence.
*70-year-old* - Has shorter episodes of deep sleep.
*4-year-old* - Bedtime fears and bed-wetting may occur.
*16-year-old* - Likely to have an electronic device on at bedtime.
*50-year-old* - Insomnia may be common.
The nurse is caring for a client who was admitted to the hospital after falling at
home. The client is unable to ambulate, and their left leg is shortened and
externally rotated. The nurse notes ecchymosis on the left lateral hip. The client is
placed in skin traction.
Readiness Study Guide with
100% Correct Answers –
2026 update, Exams of
Nursing Assured A+ Certified
Pass
The nurse is caring for a client who has had a left-sided ischemic stroke and is
having difficulty with expressive aphasia. Which interventions would be most
appropriate to assist the client with communication? Select all that apply. -
ANSWERS-▸ Offer the client a white board for communication.
▸ Decrease the amount of environmental noise.
▸ Give the client time to respond.
The nurse is caring for a client who has been diagnosed with metastatic brain
cancer and is moving to hospice care. For each potential prescription, click to
specify if the prescription is anticipated, nonessential, or contraindicated for the
care of the client. - ANSWERS-*Anticipated:*
▸ Apply fentanyl patch 50 mcg every 72 hours.
▸ Treat with hydromorphone 7.5 mg oral (po) around the clock.
,*Nonessential:*
▸ Educate the client and family about narcotic addiction.
*Contraindicated:*
▸ Treat with curative radiation to head and neck once a week.
▸ Hold hydromorphone for RR <10.
The nurse is providing postmortem care to a client whose death was anticipated.
Priority nursing actions include __________ and __________. - ANSWERS-▸
Replacing dentures
▸ Placing arms at the sides
Sleep disturbances can have detrimental health effects on clients with medical
conditions. Match the consequence of sleep disturbance to each client scenario.
Each consequence may relate to more than one scenario. - ANSWERS-*Client
With a Stage III Pressure Ulcer:*
▸ Decreased tissue renewal
▸ Increased stress response
*Client With Alzheimer's Disease:*
▸ Decreased ability to concentrate
▸ Increased confusion and irritability
*Client With Fall Risk:*
,▸ Decreased reflexes
▸ Decreased ability to concentrate
▸ Decreased visual acuity
The nurse is caring for a client with impacted cerumen in the right ear. The
healthcare provider writes a prescription to irrigate the ear. Please the nursing
actions for this procedure in the correct order. - ANSWERS-1. Place the client in
the sitting position.
2. Place the emesis basin under the ear.
3. Pull the auricle up and back.
4. Direct the solution above the impaction.
5. Use mild lubricant drops to soften the wax.
For each nonpharmacologic pain relief action, indicate if the action is appropriate
or contraindicated for a client with rheumatoid arthritis (RA). - ANSWERS-
*Appropriate:*
▸ Offer moist heat.
▸ Offer guided imagery teaching.
▸ Refer the client for acupuncture.
*Contraindicated:*
▸ Offer a rigorous exercise program.
▸ Assist the client to flex the legs and arms.
, When planning care for several clients, which client should receive hygiene
measures first? - ANSWERS-An older adult with diabetes who was incontinent of
urine and stool
The nurse must understand sleep across the lifespan. Match the client's age to the
correct sleep characteristic. - ANSWERS-*2-year-old* - May have separation
anxiety.
*Neonate* - Displays high percentage of rapid eye movement (REM) sleep.
*10-year-old* - May resist sleeping to show independence.
*70-year-old* - Has shorter episodes of deep sleep.
*4-year-old* - Bedtime fears and bed-wetting may occur.
*16-year-old* - Likely to have an electronic device on at bedtime.
*50-year-old* - Insomnia may be common.
The nurse is caring for a client who was admitted to the hospital after falling at
home. The client is unable to ambulate, and their left leg is shortened and
externally rotated. The nurse notes ecchymosis on the left lateral hip. The client is
placed in skin traction.
