NCLEX EXAM ms ms
Exam Solution ms
NCLEX RN Test 1 for 2026 A+ GRADE ASSURED COMPL ms ms ms ms ms ms ms ms ms
ETE SOLUTIONS AND VERIFIED ANSWERS (95D74)
ms ms ms ms ms
QUESTION 1 ms
A client with ascites is scheduled for a paracentesis. Which instruction should be give
ms ms ms ms ms ms ms ms ms ms ms ms ms
n to the client before the procedure? a "You will need to lay flat during the procedure
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
."
b. "You need to empty your bladder before the procedure."
ms ms ms ms ms ms ms ms ms
c. "You will be asleep during the procedure."
ms ms ms ms ms ms ms
d. "The doctor will inject a medication during the procedure."
ms ms ms ms ms ms ms ms ms
ANSWER
b. "You need to empty your bladder before the procedure."
ms ms ms ms ms ms ms ms ms
QUESTION 2 ms
A client's lab values reveal Hgb 12.6, WBC 6500cu.mm, K+ 1.9, uric acid 7.0, Na+ 136,
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
and platelets 178,000cu.mm. The nurse evaluates that the client is experiencing which
ms ms ms ms ms ms ms ms ms ms ms
of the following? Hypernatremia b Hypokalemia Myelosuppression Leukopenia
ms ms ms ms ms ms ms ms
ANSWER
b Hypokalemia
ms
QUESTION 3 ms
Due to a high census, it has been necessary for a number of clients to be transferred t
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
o other units within the hospital. Which client should be transferred to the postpartu
ms ms ms ms ms ms ms ms ms ms ms ms ms
m unit? a A 66-year-old female with gastroenteritis b A 40-year-
ms ms ms ms ms ms ms ms ms ms
old female with a hysterectomy c A 27-year-old male with severe depression d A 28-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
year-old male with ulcerative colitisms ms ms ms
ANSWER
b A 40-year-old female with a hysterectomy
ms ms ms ms ms ms
,QUESTION 4 ms
Before administering Theo- ms ms
Dur (theophylline), the nurse should check the patient's: a output b Blood pressure c
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
Pulse d Temperature ms ms
ANSWER
c Pulse
ms
QUESTION 5 ms
Which statement is true regarding therapy with Levemir (insulin detemir)? a The ons
ms ms ms ms ms ms ms ms ms ms ms ms
et is 1-2 hours. b It may be mixed with regular insulin. c It peaks in 2-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
3 hours. d The duration is 24 hours.
ms ms ms ms ms ms ms
ANSWER
d The duration is 24 hours.
ms ms ms ms ms
QUESTION 6 ms
Which client should be assigned to the nursing assistant? a The 18-year-
ms ms ms ms ms ms ms ms ms ms ms
old with a fracture to two cervical vertebrae b The infant with meningitis with a temp
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
erature of 101°F c The elderly client with a thyroidectomy four days ago d The client
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
with a thoracotomy two days ago
ms ms ms ms ms
ANSWER
c The elderly client with a thyroidectomy four days ago
ms ms ms ms ms ms ms ms ms
QUESTION 7 ms
The physician has ordered the Schilling test for a patient with suspected pernicious a
ms ms ms ms ms ms ms ms ms ms ms ms ms
nemia. What other vitamin level is often assessed at the same time as the B12 level? a
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
Folic acid b Pyridoxine c Ascorbic acid d Thiamine
ms ms ms ms ms ms ms ms ms
ANSWER
a Folic acid
ms ms
QUESTION 8 ms
The client is admitted to the emergency room with shortness of breath, anxiety, and t
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
achycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130
ms ms ms ms ms ms ms ms ms ms ms ms ms
beats per minute. The doctor orders quinidine sulfate. While he is receiving quinidine,
ms ms ms ms ms ms ms ms ms ms ms ms
, the nurse should monitor his ECG for: a Peaked P wave b Elevated ST segment c Inve
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
rted T wave d Prolonged QT interval
ms ms ms ms ms ms
ANSWER
d Prolonged QT interval Quinidine can cause widened Q-T intervals and heart block.
ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 9 ms
A 25-year-
ms
old client arrives in the emergency room with a possible fracture of the right femur. T
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
he nurse should anticipate an order for: a Bryant's traction b Ice to the entire extremi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ty c Buck's traction d An abduction pillow
ms ms ms ms ms ms ms
ANSWER
c Buck's traction
ms ms
QUESTION 10 ms
Which statement should be included in the teaching session of a client scheduled for a
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
renal biopsy? a "You will be placed in a sitting position for the biopsy." b "You may e
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
xperience a feeling of pressure or discomfort during aspiration of the biopsy." c "You
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
will be asleep during the procedure." d "You will not be able to drink fluids for 24 ho
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
urs following the study."
ms ms ms
ANSWER
b "You may experience a feeling of pressure or discomfort during aspiration of the biopsy."
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 11 ms
The client is admitted with chronic obstructive pulmonary disease. Blood gases reveal
ms ms ms ms ms ms ms ms ms ms ms m
pH 7.36, CO2 45, O2 84, bicarb 28. The nurse would assess the client to be in: a Unco
s ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
mpensated acidosis b Compensated alkalosis c Compensated metabolic acidosis d Unc
ms ms ms ms ms ms ms ms ms ms
ompensated metabolic acidosis ms ms
ANSWER
c Compensated metabolic acidosis
ms ms ms
QUESTION 12 ms
Before administering intravenous chemotherapy to the patient being treated, the nurs
ms ms ms ms ms ms ms ms ms ms
e should: a Administer a bolus of IV fluid. b Administer pain medication. c Administer
ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
an antiemetic. d Allow the patient a chance to eat.
s ms ms ms ms ms ms ms ms ms
ANSWER
, c Administer an antiemetic.
ms ms ms
QUESTION 13 ms
Which one of the following statements is correct when measuring the client for crutch
ms ms ms ms ms ms ms ms ms ms ms ms ms
es? a A distance of five fingerbreadths should exist between the top of the crutch and
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
the axilla. b The nurse should measure three inches between the top of the crutch an
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
d the axilla. c The client's elbows should be flexed at a 10°angle. d The crutches shoul
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
d be extended 8 to 10 inches from the side of the foot.
ms ms ms ms ms ms ms ms ms ms ms ms
ANSWER
b The nurse should measure three inches between the top of the crutch and the axilla.
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 14 ms
A patient of Greek descent has been prescribed Bactrim (sulfamethoxazole-
ms ms ms ms ms ms ms ms ms
trimethoprim) for treatment of a urinary tract infection. Before beginning the medicat
ms ms ms ms ms ms ms ms ms ms ms
ion, the patient should be assessed for which of the following disorders? a G6PD defici
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ency b β-thalassemia c Sickle cell anemia d Von Willebrand disease
ms ms ms ms ms ms ms ms ms ms
ANSWER
a G6PD deficiency
ms ms
QUESTION 15 ms
The physician has ordered Coumadin (sodium warfarin) for a client with thrombophle
ms ms ms ms ms ms ms ms ms ms ms
bitis. The order should be entered to administer the medication at: a 0900 b 1200 c 1
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
700 d 2100 ms ms
ANSWER
c 1700
ms
QUESTION 16 ms
use the link below to get the three test banks or email
ms ms ms ms ms ms ms ms ms ms ms ms ms
for discounted price http://www.stuvia.com/bundle/556262 Note our prediction Exam
ms ms ms ms ms ms ms
s contains 97% of the questions you will find in your exam, which makes as give you
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
100% assurance you will pass in your Exam.
ms ms ms ms ms ms ms
ANSWER
http://www.stuvia.com/bundle/556262
Exam Solution ms
NCLEX RN Test 1 for 2026 A+ GRADE ASSURED COMPL ms ms ms ms ms ms ms ms ms
ETE SOLUTIONS AND VERIFIED ANSWERS (95D74)
ms ms ms ms ms
QUESTION 1 ms
A client with ascites is scheduled for a paracentesis. Which instruction should be give
ms ms ms ms ms ms ms ms ms ms ms ms ms
n to the client before the procedure? a "You will need to lay flat during the procedure
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
."
b. "You need to empty your bladder before the procedure."
ms ms ms ms ms ms ms ms ms
c. "You will be asleep during the procedure."
ms ms ms ms ms ms ms
d. "The doctor will inject a medication during the procedure."
ms ms ms ms ms ms ms ms ms
ANSWER
b. "You need to empty your bladder before the procedure."
ms ms ms ms ms ms ms ms ms
QUESTION 2 ms
A client's lab values reveal Hgb 12.6, WBC 6500cu.mm, K+ 1.9, uric acid 7.0, Na+ 136,
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
and platelets 178,000cu.mm. The nurse evaluates that the client is experiencing which
ms ms ms ms ms ms ms ms ms ms ms
of the following? Hypernatremia b Hypokalemia Myelosuppression Leukopenia
ms ms ms ms ms ms ms ms
ANSWER
b Hypokalemia
ms
QUESTION 3 ms
Due to a high census, it has been necessary for a number of clients to be transferred t
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
o other units within the hospital. Which client should be transferred to the postpartu
ms ms ms ms ms ms ms ms ms ms ms ms ms
m unit? a A 66-year-old female with gastroenteritis b A 40-year-
ms ms ms ms ms ms ms ms ms ms
old female with a hysterectomy c A 27-year-old male with severe depression d A 28-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
year-old male with ulcerative colitisms ms ms ms
ANSWER
b A 40-year-old female with a hysterectomy
ms ms ms ms ms ms
,QUESTION 4 ms
Before administering Theo- ms ms
Dur (theophylline), the nurse should check the patient's: a output b Blood pressure c
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
Pulse d Temperature ms ms
ANSWER
c Pulse
ms
QUESTION 5 ms
Which statement is true regarding therapy with Levemir (insulin detemir)? a The ons
ms ms ms ms ms ms ms ms ms ms ms ms
et is 1-2 hours. b It may be mixed with regular insulin. c It peaks in 2-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
3 hours. d The duration is 24 hours.
ms ms ms ms ms ms ms
ANSWER
d The duration is 24 hours.
ms ms ms ms ms
QUESTION 6 ms
Which client should be assigned to the nursing assistant? a The 18-year-
ms ms ms ms ms ms ms ms ms ms ms
old with a fracture to two cervical vertebrae b The infant with meningitis with a temp
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
erature of 101°F c The elderly client with a thyroidectomy four days ago d The client
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
with a thoracotomy two days ago
ms ms ms ms ms
ANSWER
c The elderly client with a thyroidectomy four days ago
ms ms ms ms ms ms ms ms ms
QUESTION 7 ms
The physician has ordered the Schilling test for a patient with suspected pernicious a
ms ms ms ms ms ms ms ms ms ms ms ms ms
nemia. What other vitamin level is often assessed at the same time as the B12 level? a
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
Folic acid b Pyridoxine c Ascorbic acid d Thiamine
ms ms ms ms ms ms ms ms ms
ANSWER
a Folic acid
ms ms
QUESTION 8 ms
The client is admitted to the emergency room with shortness of breath, anxiety, and t
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
achycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130
ms ms ms ms ms ms ms ms ms ms ms ms ms
beats per minute. The doctor orders quinidine sulfate. While he is receiving quinidine,
ms ms ms ms ms ms ms ms ms ms ms ms
, the nurse should monitor his ECG for: a Peaked P wave b Elevated ST segment c Inve
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
rted T wave d Prolonged QT interval
ms ms ms ms ms ms
ANSWER
d Prolonged QT interval Quinidine can cause widened Q-T intervals and heart block.
ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 9 ms
A 25-year-
ms
old client arrives in the emergency room with a possible fracture of the right femur. T
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
he nurse should anticipate an order for: a Bryant's traction b Ice to the entire extremi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ty c Buck's traction d An abduction pillow
ms ms ms ms ms ms ms
ANSWER
c Buck's traction
ms ms
QUESTION 10 ms
Which statement should be included in the teaching session of a client scheduled for a
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
renal biopsy? a "You will be placed in a sitting position for the biopsy." b "You may e
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
xperience a feeling of pressure or discomfort during aspiration of the biopsy." c "You
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
will be asleep during the procedure." d "You will not be able to drink fluids for 24 ho
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
urs following the study."
ms ms ms
ANSWER
b "You may experience a feeling of pressure or discomfort during aspiration of the biopsy."
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 11 ms
The client is admitted with chronic obstructive pulmonary disease. Blood gases reveal
ms ms ms ms ms ms ms ms ms ms ms m
pH 7.36, CO2 45, O2 84, bicarb 28. The nurse would assess the client to be in: a Unco
s ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
mpensated acidosis b Compensated alkalosis c Compensated metabolic acidosis d Unc
ms ms ms ms ms ms ms ms ms ms
ompensated metabolic acidosis ms ms
ANSWER
c Compensated metabolic acidosis
ms ms ms
QUESTION 12 ms
Before administering intravenous chemotherapy to the patient being treated, the nurs
ms ms ms ms ms ms ms ms ms ms
e should: a Administer a bolus of IV fluid. b Administer pain medication. c Administer
ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
an antiemetic. d Allow the patient a chance to eat.
s ms ms ms ms ms ms ms ms ms
ANSWER
, c Administer an antiemetic.
ms ms ms
QUESTION 13 ms
Which one of the following statements is correct when measuring the client for crutch
ms ms ms ms ms ms ms ms ms ms ms ms ms
es? a A distance of five fingerbreadths should exist between the top of the crutch and
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
the axilla. b The nurse should measure three inches between the top of the crutch an
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
d the axilla. c The client's elbows should be flexed at a 10°angle. d The crutches shoul
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
d be extended 8 to 10 inches from the side of the foot.
ms ms ms ms ms ms ms ms ms ms ms ms
ANSWER
b The nurse should measure three inches between the top of the crutch and the axilla.
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 14 ms
A patient of Greek descent has been prescribed Bactrim (sulfamethoxazole-
ms ms ms ms ms ms ms ms ms
trimethoprim) for treatment of a urinary tract infection. Before beginning the medicat
ms ms ms ms ms ms ms ms ms ms ms
ion, the patient should be assessed for which of the following disorders? a G6PD defici
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ency b β-thalassemia c Sickle cell anemia d Von Willebrand disease
ms ms ms ms ms ms ms ms ms ms
ANSWER
a G6PD deficiency
ms ms
QUESTION 15 ms
The physician has ordered Coumadin (sodium warfarin) for a client with thrombophle
ms ms ms ms ms ms ms ms ms ms ms
bitis. The order should be entered to administer the medication at: a 0900 b 1200 c 1
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
700 d 2100 ms ms
ANSWER
c 1700
ms
QUESTION 16 ms
use the link below to get the three test banks or email
ms ms ms ms ms ms ms ms ms ms ms ms ms
for discounted price http://www.stuvia.com/bundle/556262 Note our prediction Exam
ms ms ms ms ms ms ms
s contains 97% of the questions you will find in your exam, which makes as give you
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
100% assurance you will pass in your Exam.
ms ms ms ms ms ms ms
ANSWER
http://www.stuvia.com/bundle/556262
