NCLEX-RN EXAM PREVIEW NUR 215
COMPLETE STUDY GUIDE 2026 | PRACTICE
QUESTIONS & ANSWERS
| GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,The charge nurse has received a change-of-shift report on 2. First stage of labor whose contractions are occurring every 30 seconds
the following clients in labor.
The charge nurse should ask a staff member to first see Rationale:
the client in the 1. Elevated temperature is normal during labor.
1. First stage of labor who has an oral temperature of 3. Increased respirations are normal during labor "pant-pant-blow" "hee-hee-hoo"
99.7F (37.6 C) breathing pattern.
2. First stage of labor whose contractions are occurring 4. Contractions shouldn't be longer than 90 seconds, 60 seconds is okay and
every 30 seconds normal. Second stage: 2-3 minutes apart, 60-90 seconds long, 10cm dilated, strong
3. Second stage of labor who has respirations of 26. pain.
4. Second stage of labor whose contractions are lasting for
60 seconds.
The nurse is observing a staff member caring for a client 2. Placing a box of disposable face shields outside the client's room.
who has chickenpox.
Which of the following actions by the staff member would Rationale:
require the nurse to intervene? Varicella AKA chicken pox is an airborne precaution. Private, negative pressure
1. Placing the client in a private room with monitored room, universal precautions (hand sanitizer in room) and placing a surgical mask on
negative air pressure. client during transport are all correct interventions for varicella.
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.
2. Prepare for transcutaneous pacing. The nurse is caring for a client who reports feeling faint and is experiencing the
& 5. Assess the client for angina. cardiac rhythm shown in the electrocardiogram (ECG) strip below.
Which of the following actions would be appropriate for the nurse to take? Select all
Rationale: that apply.
1. Beta Blockers would further decrease HR. 1. Administer the client's prescribed beta blocker.
2. External pacing stimulates the ventricles to pump at a 2. Prepare for transcutaneous pacing.
set rate. 3. Instruct the client to perform the Valsalva maneuver.
3. Valsalva maneuver would further decrease HR. 4. Begin chest compressions.
4. Chest compressions are for cardiac arrest. 5. Assess the client for angina.
5. Angina (Chest pain) can be caused by both tachycardia
(most common) and bradycardia (rare but can happen).
Therefore, assessment of angina is appropriate.
1. Encourage the client to reminisce about happy The nurse is planning care for a client with moderate Alzheimer's Disease (AD).
memories. Which of the following interventions should the nurse include in the client's plan of
care?
Rationale: 1. Encourage the client to reminisce about happy memories.
1. Is correct because it is possible for AD patients to retain 2. Confront the client when inappropriate or agitated behaviors occur.
long-term memories. 3. Administer to the client the cholinesterase inhibitor to reverse the course of AD.
2. Redirect is protocol for dementia. Don't confront, they 4. Provide the client with information about activity choices in the morning so the
can't learn. client can make plans for the day.
3. AD is irreversible.
4. In the moderate AD, dementia has already progressed
to where the patient needs help with ADL's & planning
daily activities. Asking them to plan can frustrate them &
cause distress. Structured, pleasant activities that consider
the person's likes & interests are the best.
1. "Use your hands and arms to support your body weight." The nurse is teaching a client how to ambulate using crutches.
Which of the following information should the nurse include?
Rationale: 1. "Use your hands and arms to support your body weight."
1. Is true, but watch out if it isn't 2-3 finger-widths, because 2. "Wear slippers when ambulating with the crutches in your home."
crutch paralysis can occur. S/S: Paresis & Paresthesias in 3. "Maintain the crutches 12inch (30cm) in front of your feet while standing."
wrist & hands. 4. "Adjust the hand grips of the crutches so that your elbows are fully extended."
2. Is a fall risk.
3. Crutches should be 6 inches in front & 6 inches lateral.
4. Elbow should be bent at a 30 degree angle.
, 4. "I should expect the blurred vision to resolve after I have The nurse has taught a client with multiple sclerosis (MS).
received medications for several weeks." Which of the following statements by the client would indicate a correct
understanding of the teaching?
Rationale: 1. "I will complete all of my household chores in the morning when I am well rested."
MS causes nerve damage & can result in optic neuritis 2. "I have learned how to massage my bladder to help empty my bladder
(Vision loss, blurry vision). In most cases it resolves itself completely."
in 4-12 weeks, but medications (steroids can speed up the 3. "I will take a hot bath in the evening to help me relax if I have had a stressful day
process & resolve it quicker. at work."
1. MS patients should not exert themselves too much at 4. "I should expect the blurred vision to resolve after I have received medications for
one time. Space out activities & allow time for rest. several weeks."
2. Urinary retention is primarily treated by medication
(bethanochol), and exercises can aid with it but are not the
primary treatment.
3. Hot temperatures are bad for MS and can worsen
symptoms. Your nerves are already messed up and extra
heat can stress the body into overdrive.
Highlight: The nurse in the emergency department (ED) is caring for a 41-year-old male client.
"Loss of appetite" Highlight the findings below that would require follow-up.
"Abdominal pain rated 7/10 on the Numerical Rating Scale (See Picture)
for 1 week."
"Client states, "The abdominal pain started after my 7-
year-old child accidentally kicked me in the stomach."
"Vital signs: T 103.4 F (39.7 C), P 92, RR 22, BP 130/86,
pulse oximetry reading 98% on room air.
Rationale:
Loss of appetite may indicate an underlying medical
condition or infection.
The intensity of abdominal pain requires evaluation to
determine the cause.
Trauma to the abdomen can cause internal injuries that
need to be assessed to ensure no significant damage or
complications.
Answer: The nurse in the emergency department is caring for a 41-year-old male client.
Bowel obstruction: Appetite, Bowel Pattern,
Gastrointestinal Symptoms. Nurse's Notes:
Appendicitis: Pain level. 11:00: Client reports nausea, loss of appetite, vomiting, fever, and constipation for
Ruptured Spleen: Pain level. the past 2 weeks and abdominal pain rated 7/10 on the Numerical Rating Scale for
1 week. Client states "The abdominal pain started after my 7-year-old child
accidentally kicked me in the stomach." Client plays soccer with the child once a
week. Vital signs: T 103.4 F (39.7 C), P 92, RR 22, BP 130/86, pulse oximetry
reading 98% on room air. No significant past medical or surgical history. Body mass
index (BMI) 32. Drinks alcohol only during social occasions, usually 3 beverages.
Smokes cigarettes during social occasions.
For each assessment finding below, click to specify if the finding is consistent with
the disease process of bowel obstruction, appendicitis, or ruptured spleen. Each
finding may support more than 1 disease process.
Answer: The nurse in the emergency department is caring for a 41-year-old male client.
•Anemia
•Peritonitis Nurse's Notes:
•Septic Shock 11:00: Client reports nausea, loss of appetite, vomiting, fever, and constipation for
the past 2 weeks and abdominal pain rated 7/10 on the Numerical Rating Scale for
1 week. Client states "The abdominal pain started after my 7-year-old child
accidentally kicked me in the stomach." Client plays soccer with the child once a
week. Vital signs: T 103.4 F (39.7 C), P 92, RR 22, BP 130/86, pulse oximetry
reading 98% on room air. No significant past medical or surgical history. Body mass
index (BMI) 32. Drinks alcohol only during social occasions, usually 3 beverages.
Smokes cigarettes during social occasions.
Select the 3 complications the client is at risk for developing.
•Anemia
•Peritonitis
•Septic Shock
•Hypovolemia
•Dysrhythmias
•Cardiac Arrest
COMPLETE STUDY GUIDE 2026 | PRACTICE
QUESTIONS & ANSWERS
| GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,The charge nurse has received a change-of-shift report on 2. First stage of labor whose contractions are occurring every 30 seconds
the following clients in labor.
The charge nurse should ask a staff member to first see Rationale:
the client in the 1. Elevated temperature is normal during labor.
1. First stage of labor who has an oral temperature of 3. Increased respirations are normal during labor "pant-pant-blow" "hee-hee-hoo"
99.7F (37.6 C) breathing pattern.
2. First stage of labor whose contractions are occurring 4. Contractions shouldn't be longer than 90 seconds, 60 seconds is okay and
every 30 seconds normal. Second stage: 2-3 minutes apart, 60-90 seconds long, 10cm dilated, strong
3. Second stage of labor who has respirations of 26. pain.
4. Second stage of labor whose contractions are lasting for
60 seconds.
The nurse is observing a staff member caring for a client 2. Placing a box of disposable face shields outside the client's room.
who has chickenpox.
Which of the following actions by the staff member would Rationale:
require the nurse to intervene? Varicella AKA chicken pox is an airborne precaution. Private, negative pressure
1. Placing the client in a private room with monitored room, universal precautions (hand sanitizer in room) and placing a surgical mask on
negative air pressure. client during transport are all correct interventions for varicella.
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.
2. Prepare for transcutaneous pacing. The nurse is caring for a client who reports feeling faint and is experiencing the
& 5. Assess the client for angina. cardiac rhythm shown in the electrocardiogram (ECG) strip below.
Which of the following actions would be appropriate for the nurse to take? Select all
Rationale: that apply.
1. Beta Blockers would further decrease HR. 1. Administer the client's prescribed beta blocker.
2. External pacing stimulates the ventricles to pump at a 2. Prepare for transcutaneous pacing.
set rate. 3. Instruct the client to perform the Valsalva maneuver.
3. Valsalva maneuver would further decrease HR. 4. Begin chest compressions.
4. Chest compressions are for cardiac arrest. 5. Assess the client for angina.
5. Angina (Chest pain) can be caused by both tachycardia
(most common) and bradycardia (rare but can happen).
Therefore, assessment of angina is appropriate.
1. Encourage the client to reminisce about happy The nurse is planning care for a client with moderate Alzheimer's Disease (AD).
memories. Which of the following interventions should the nurse include in the client's plan of
care?
Rationale: 1. Encourage the client to reminisce about happy memories.
1. Is correct because it is possible for AD patients to retain 2. Confront the client when inappropriate or agitated behaviors occur.
long-term memories. 3. Administer to the client the cholinesterase inhibitor to reverse the course of AD.
2. Redirect is protocol for dementia. Don't confront, they 4. Provide the client with information about activity choices in the morning so the
can't learn. client can make plans for the day.
3. AD is irreversible.
4. In the moderate AD, dementia has already progressed
to where the patient needs help with ADL's & planning
daily activities. Asking them to plan can frustrate them &
cause distress. Structured, pleasant activities that consider
the person's likes & interests are the best.
1. "Use your hands and arms to support your body weight." The nurse is teaching a client how to ambulate using crutches.
Which of the following information should the nurse include?
Rationale: 1. "Use your hands and arms to support your body weight."
1. Is true, but watch out if it isn't 2-3 finger-widths, because 2. "Wear slippers when ambulating with the crutches in your home."
crutch paralysis can occur. S/S: Paresis & Paresthesias in 3. "Maintain the crutches 12inch (30cm) in front of your feet while standing."
wrist & hands. 4. "Adjust the hand grips of the crutches so that your elbows are fully extended."
2. Is a fall risk.
3. Crutches should be 6 inches in front & 6 inches lateral.
4. Elbow should be bent at a 30 degree angle.
, 4. "I should expect the blurred vision to resolve after I have The nurse has taught a client with multiple sclerosis (MS).
received medications for several weeks." Which of the following statements by the client would indicate a correct
understanding of the teaching?
Rationale: 1. "I will complete all of my household chores in the morning when I am well rested."
MS causes nerve damage & can result in optic neuritis 2. "I have learned how to massage my bladder to help empty my bladder
(Vision loss, blurry vision). In most cases it resolves itself completely."
in 4-12 weeks, but medications (steroids can speed up the 3. "I will take a hot bath in the evening to help me relax if I have had a stressful day
process & resolve it quicker. at work."
1. MS patients should not exert themselves too much at 4. "I should expect the blurred vision to resolve after I have received medications for
one time. Space out activities & allow time for rest. several weeks."
2. Urinary retention is primarily treated by medication
(bethanochol), and exercises can aid with it but are not the
primary treatment.
3. Hot temperatures are bad for MS and can worsen
symptoms. Your nerves are already messed up and extra
heat can stress the body into overdrive.
Highlight: The nurse in the emergency department (ED) is caring for a 41-year-old male client.
"Loss of appetite" Highlight the findings below that would require follow-up.
"Abdominal pain rated 7/10 on the Numerical Rating Scale (See Picture)
for 1 week."
"Client states, "The abdominal pain started after my 7-
year-old child accidentally kicked me in the stomach."
"Vital signs: T 103.4 F (39.7 C), P 92, RR 22, BP 130/86,
pulse oximetry reading 98% on room air.
Rationale:
Loss of appetite may indicate an underlying medical
condition or infection.
The intensity of abdominal pain requires evaluation to
determine the cause.
Trauma to the abdomen can cause internal injuries that
need to be assessed to ensure no significant damage or
complications.
Answer: The nurse in the emergency department is caring for a 41-year-old male client.
Bowel obstruction: Appetite, Bowel Pattern,
Gastrointestinal Symptoms. Nurse's Notes:
Appendicitis: Pain level. 11:00: Client reports nausea, loss of appetite, vomiting, fever, and constipation for
Ruptured Spleen: Pain level. the past 2 weeks and abdominal pain rated 7/10 on the Numerical Rating Scale for
1 week. Client states "The abdominal pain started after my 7-year-old child
accidentally kicked me in the stomach." Client plays soccer with the child once a
week. Vital signs: T 103.4 F (39.7 C), P 92, RR 22, BP 130/86, pulse oximetry
reading 98% on room air. No significant past medical or surgical history. Body mass
index (BMI) 32. Drinks alcohol only during social occasions, usually 3 beverages.
Smokes cigarettes during social occasions.
For each assessment finding below, click to specify if the finding is consistent with
the disease process of bowel obstruction, appendicitis, or ruptured spleen. Each
finding may support more than 1 disease process.
Answer: The nurse in the emergency department is caring for a 41-year-old male client.
•Anemia
•Peritonitis Nurse's Notes:
•Septic Shock 11:00: Client reports nausea, loss of appetite, vomiting, fever, and constipation for
the past 2 weeks and abdominal pain rated 7/10 on the Numerical Rating Scale for
1 week. Client states "The abdominal pain started after my 7-year-old child
accidentally kicked me in the stomach." Client plays soccer with the child once a
week. Vital signs: T 103.4 F (39.7 C), P 92, RR 22, BP 130/86, pulse oximetry
reading 98% on room air. No significant past medical or surgical history. Body mass
index (BMI) 32. Drinks alcohol only during social occasions, usually 3 beverages.
Smokes cigarettes during social occasions.
Select the 3 complications the client is at risk for developing.
•Anemia
•Peritonitis
•Septic Shock
•Hypovolemia
•Dysrhythmias
•Cardiac Arrest
