ANSWERS 2026/2027 | COMPLETE
NURSING NCLEX PREPARATION STUDY
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A nurse is teaching a client who has MS and a new prescription for baclofen.
Which of the following statements should the nurse include in the teaching?
A. "This med will help you with your tremors"
B. "This med will help you with your bladder function"
C. "This med may cause your skin to bruise easily"
D. "This med may cause your skin to appear yellow in color" - ANSWER D
A nurse is caring for a client who was recently admitted to the ED following a
head-on MVA. The client is unresponsive, has spontaneous respirations of 22/min,
and has a laceration on the forehead that is bleeding. Which of the following is the
priority nursing action at this time?
A. Keep neck stabilized
B. Insert NG tube
C. Monitor pulse and blood pressure frequently
D. Establish IV access and start fluid replacement - ANSWER A
,A nurse is caring for a client who has just been admitted following surgical
evacuation of a subdural hematoma. Which of the following is the priority
assessment?
A. Glasgow Coma Scale
B. Cranial nerve function
C. Oxygen saturation
D. Pupillary response - ANSWER C
A nurse is caring for a client who has a closed-head injury with ICP readings
ranging from 16-22 mm Hg. Which of the following actions should the nurse take
to decrease the potential for raising the client's ICP? (Select all that apply)
A. Suction the ETT frequently
B. Decrease the noise level in the client's room
C. Elevate the client's head on two pillows
D. Administer a stool softener
E. Keep the client well hydrated - ANSWER B, D
A nurse in the critical care unit is completing an admission assessment of a client
who has a gunshot wound to the head. Which of the following assessment findings
are indicative of increased ICP? (Select all that apply)
A. Headache
B. Dilated pupils
,C. Tachycardia
D. Decorticate posturing
E. Hypotension - ANSWER A, B, D
A nurse is caring for a client who has increased ICP and a new prescription for
mannitol. For which of the following adverse effects should the nurse monitor?
A. Hyperglycemia
B. Hyponatremia
C. Hypervolemia
D. Oliguria - ANSWER B
A nurse is caring for a client who has experienced a right-hemispheric stroke.
Which of the following are expected findings? (Select all that apply)
A. Impulse control difficulty
B. Left hemiplegia
C. Loss of depth perception
D. Aphasia
E. Lack of situational awareness - ANSWER A, B, C, E
A nurse is caring for a client who has left homonymous hemianopsia. Which of the
following is an appropriate nursing intervention?
A. Teach the client to scan to the right to see objects on the right side of her body
, B. Place the bedside table on the right side of the bed
C. Orient the client to the food on her plate using the clock method
D. Place the wheelchair on the client's left side - ANSWER B
A nurse is planning care for a client who has dysphagia and a new dietary
prescription. Which of the following should the nurse include in the plan of care?
(Select all that apply)
A. Have suction equipment available for use
B. Feed the client thickened liquids
C. Place food on the unaffected side of the client's mouth
D. Assign an AP to feed the client slowly
E. Teach the client to swallow with her neck flexed - ANSWER A, B, C, E
A nurse is caring for a client who has global aphasia (both receptive and
expressive). Which of the following should the nurse include in the client's plan of
care? (Select all that apply)
A. Speak to the client at a slower rate
B. Assist the client to use flash cards with pictures
C. Speak to the client in a loud voice
D. Complete sentences that the client cannot finish
E. Give instructions one step at a time - ANSWER A, B, E