NCLEX EXAM PREVIEW (2026/2027) UPDATE|EXAM QUESTIONS WITH MULTIPLE CHOICES |VERIFIED & REVISED ANSWERS (NEW)!!!

NCLEX EXAM PREVIEW (2026/2027)
UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
Themchargemnursemhasmreceivedmamchange-of-
shiftmreportmonmthemfollowingmclientsminmlabor.mThemchargemnursemshouldmaskmamstaffmmembermtom
firstmseemthemclientminmthe

1.mfirstmstagemofmlabormwhomhasmanmoralmtemperaturemofm99.7°mFm(37.6°mC)m

2.mfirstmstagemofmlabormwhosemcontractionsmaremoccurringmeverym30msecondsm

3.msecondmstagemofmlabormwhomhasmrespirationsmofm26m

4.msecondmstagemofmlabormwhosemcontractionsmaremlastingmform60msecondsm-
mCORRECTmANSWERm2.mfirstmstagemofmlabormwhosemcontractionsmaremoccurringmeverym30mseconds

m



Contractionsmshouldmbemnomlongermthanm90msecsmandmnomclosermthanm2mminsm(120msecs)

90msecsmismthemduration,m2mminsmismthemfrequency.



Rationale:

1.mElevatedmtempmismnormalmduringmlabor

3.mIncreasedmrespsmaremnormalmduringmlaborm"pant-pant-blow"m"hee-hee-
hoo"mbreathingmpattern

4.mContractionsmshouldn'tmbemlongermthanm90msecs,m60msecsmismokaymandmnormal

Secondmstage:m2-3mminsmapart,m60-90msecsmlong,m10mcmmdilated,mstrongmpain



Themnursemismobservingmamstaffmmembermcaringmformamclientmwhomhasmchickenpox.

m Whichmofmthemfollowingmactionsmbymthemstaffmmembermwouldmrequiremthemnursemtomintervene?

1.mplacingmthemclientminmamprivatemroommwithmmonitoredmnegativemairmpressure

,2.mplacingmamboxmofmdisposablemfacemshieldsmoutsidemthemclient'smroom

3.mplacingmanmalcohol-basedmhandmrubminmthemclient'smroommformhandmhygiene

4.mplacingmamsurgicalmmaskmonmthemclientmduringmtransportmoutmofmthemclient'smroomm-
mCORRECTmANSWERm2.mplacingmamboxmofmdisposablemfacemshieldsmoutsidemthemclient'smroom



disposablemfacemmasksmaremnotmsuitablemformairbornemprecautions



Rationale:

Varicellam(chickenpox)mismairbornemprecaution.mPrivate,mnegativempressuremroom,muniversalmpreca
utionsm(handmsanitizerminmroom)mandmplacingmsurgicalmmaskmonmclientmduringmtransportmaremallmc
orrectminterventionsmformVaricilla.



Themnursemismcaringmformamclientmwhomreportsmfeelingmfaintmandmismexperiencingmthemcardiacmrhyt
hmmshownminmthemelectrocardiogramm(ECG)mstripmbelow.

-mBRADYCARDIAm(itmismmoremthanm5mspacesmapart,msinusmrhythm)

Whichmofmthemfollowingmactionsmwouldmbemappropriatemformthemnursemtomtake?mSelectmallmthatmap
ply:

1.mAdministermthemclient'smprescribedmbetamblocker.

2.mPreparemformtranscutaneousmpacing.

3.mInstructmthemclientmtomperformmthemValsalvammaneuver.

4.mBeginmchestmcompressions.

5.mAssessmthemclientmformangina.m-mCORRECTmANSWERm2.mtranscutaneousmpacingm

-mexternalmpacingmthatmstimulatesmthemventriclesmtompumpmatmamsetmrate

5.mAssessmthemclientmformanginam

-
mAnginam(Chestmpain)mcanmbemcausedmbymbothmtachycardiam(mostmcommon)mandmbradycardiam(rar
embutmcanmhappen).mAssessmentmofmanginamismappropriate



Rationale:

,1.mBetamblockermwouldmfurthermdecreasemHR

3.mValsalvammaneuver/VagalmstimulationmwouldmfurthermdecreasemHR.m(canmbemindicatedmformsinu
smTachy)

4.mChestmcompressionsmaremformcardiacmarrest



ThemnursemismplanningmcaremformamclientmwithmmoderatemAlzheimer'smdiseasem(AD).

m Whichmofmthemfollowingminterventionsmshouldmthemnursemincludeminmthemclient'smplanmofmcare?

1.mEncouragemthemclientmtomreminiscemaboutmhappymmemories.

2.mConfrontmthemclientmwhenminappropriatemormagitatedmbehaviorsmoccur.

3.mAdministermtomthemclientmthemcholinesteraseminhibitormtomreversemthemcoursemofmAD.

4.mProvidemthemclientmwithminformationmaboutmactivitymchoicesminmthemmorningmsomthemclientmcan
mmakemplansmformthemday.m-


mCORRECTmANSWERm1.mEncouragemthemclientmtomreminiscemaboutmhappymmemories.



ItsmpossiblemformADmpatientsmtomretainmlong-termmmemories



Rationale:

2.mAcknowledgemfeelingsm--
>mRedirectmismprotocolmformDementia.mDon'tmconfront;mtheymcan'tmlearn

3.mADmismirreversible

4.mInmmoderatemAD,mdementiamhasmalreadymprogressedmtomwheremptmneedsmhelpmwithmADLsmandm
planningmdailymactivities.mAskingmthemmtomplanmcanmfrustratemthemmandmcausemdistress.m

STRUCTUREDmpleasantmactivitiesmthatmconsidermthempersonsmlikesmandminterestsmaremthembest.



Themnursemismteachingmamclientmhowmtomambulatemusingmcrutches.mWhichmofmthemfollowingminfor
mationmshouldmthemnurseminclude?

1.m"Usemyourmhandsmandmarmsmtomsupportmyourmbodymweight."

2.m"Wearmslippersmwhenmambulatingmwithmthemcrutchesminmyourmhome."

3.m"Maintainmthemcrutchesm12minm(30mcm)minmfrontmofmyourmfeetmwhilemstanding."

, 4.m"Adjustmthemhandmgripsmofmthemcrutchesmsomthatmyourmelbowsmaremfullymextended."m-
mCORRECTmANSWERm1.m"Usemyourmhandsmandmarmsmtomsupportmyourmbodymweight."



True!mButmwatchmoutmifmitmisn'tm2-3mfinger-
widths,mcrutchmparalysismcanmoccur.ms/s:mparesismandmparesthesiasminmwristsmandmhands



Rationales:

2.mFallmrisk!

3.mShouldmbem6min.minmfrontmandm6min.mlateral

4.mElbowsmshouldmbembentmatm30mdegreemangle



Themnursemhasmtaughtmamclientmwithmmultiplemsclerosism(MS).

Whichmofmthemfollowingmstatementsmbymthemclientmwouldmindicatemamcorrectmunderstandingmofmth
emteaching?

1.m"ImwillmcompletemallmofmmymhouseholdmchoresminmthemmorningmwhenmImammwellmrested."

2.m"Imhavemlearnedmhowmtommassagemmymbladdermtomhelpmemptymmymbladdermcompletely."

3.m"ImwillmtakemamhotmbathminmthemeveningmtomhelpmmemrelaxmifmImhavemhadmamstressfulmdaymatmwor
k."

4.m"ImshouldmexpectmthemblurredmvisionmtomresolvemaftermImhavemreceivedmmedicationsmformseveral
mweeks."m-


mCORRECTmANSWERm4.m"ImshouldmexpectmthemblurredmvisionmtomresolvemaftermImhavemreceivedmme


dicationsmformseveralmweeks."

MSmcausesmnervemdamagemandmcanmresultminmopticmneuritism(visionmloss,mburrymvision).mInmmostmc
asesmitmresolvesmitselfminm4-
12mweeks,mbutmmedicationm(steroids)mcanmspeedmupmthemprocessmandmresolvemitmquicker



Rationale:

1.mMSmpatientsmshouldmnotmexertmthemselvesmtoommuchmatmonemtime.mSpacemoutmactivitiesmandma
llowmtimemformrest.