NCLEX PN PREVIEW DETAILED NURSING EXAM 2025-
2026 QUESTIONS AND ANSWERS A+ GUARANTEED PASS
1.The nurse is planning care for a client with moderate Alzheimer's disease (AD).
Which of the following interventions should the nurse include in the client's plan of
care?
1. Encourage the client to reminisce about happy memories.
2. Confront the client when inappropriate or agitated behaviours occur.
3. Administer to the client the cholinesterase inhibitor to reverse the course of AD.
4. Provide the client with information about activity choices in the morning so the client can
make plans for the day.
1. Encourage the client to reminisce about happy memories.
It’s possible for AD patients to retain long-term memories
Rationale:
2. Acknowledge feelings --> Redirect is protocol for Dementia. Don't confront; they can't
learn
3. AD is irreversible
4. In moderate AD, dementia has already progressed to where pt needs help with ADLs and
planning daily activities. Asking them to plan can frustrate them and cause distress.
STRUCTURED pleasant activities that consider the persons likes and interests are the best.
2. The nurse is observing a staff member caring for a client who has chickenpox.
Which of the following actions by the staff member would require the nurse to
intervene?
1. placing the client in a private room with monitored negative air pressure
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. placing a box of disposable face shields outside the client's room
, disposable face masks are not suitable for airborne precautions
Rationale:
Varicella (chickenpox) is airborne precaution. Private, negative pressure room, universal
precautions (hand sanitizer in room) and placing surgical mask on client during transport are
all correct interventions for Varicilla.
3. The nurse is caring for a client who reports feeling faint and is experiencing the
cardiac rhythm shown in the electrocardiogram (ECG) strip below.
- BRADYCARDIA (it is more than 5 spaces apart, sinus rhythm)
Which of the following actions would be appropriate for the nurse to take? Select all that
apply:
1. Administer the client's prescribed beta blocker.
2. Prepare for transcutaneous pacing.
3. Instruct the client to perform the Valsalva maneuver.
4. Begin chest compressions.
5. Assess the client for angina.
2. transcutaneous pacing
- external pacing that stimulates the ventricles to pump at a set rate
5. Assess the client for angina
- Angina (Chest pain) can be caused by both tachycardia (most common) and bradycardia
(rare but can happen). Assessment of angina is appropriate
Rationale:
1. Beta blocker would further decrease HR
3. Valsalva maneuver/Vagal stimulation would further decrease HR. (can be indicated for
sinus Tachy)
4. Chest compressions are for cardiac arrest
4. The charge nurse has received a change-of-shift report on the following clients in
labor. The charge nurse should ask a staff member to first see the client in the
1. first stage of labor who has an oral temperature of 99.7° F (37.6° C)
2. first stage of labor whose contractions are occurring every 30 seconds
2026 QUESTIONS AND ANSWERS A+ GUARANTEED PASS
1.The nurse is planning care for a client with moderate Alzheimer's disease (AD).
Which of the following interventions should the nurse include in the client's plan of
care?
1. Encourage the client to reminisce about happy memories.
2. Confront the client when inappropriate or agitated behaviours occur.
3. Administer to the client the cholinesterase inhibitor to reverse the course of AD.
4. Provide the client with information about activity choices in the morning so the client can
make plans for the day.
1. Encourage the client to reminisce about happy memories.
It’s possible for AD patients to retain long-term memories
Rationale:
2. Acknowledge feelings --> Redirect is protocol for Dementia. Don't confront; they can't
learn
3. AD is irreversible
4. In moderate AD, dementia has already progressed to where pt needs help with ADLs and
planning daily activities. Asking them to plan can frustrate them and cause distress.
STRUCTURED pleasant activities that consider the persons likes and interests are the best.
2. The nurse is observing a staff member caring for a client who has chickenpox.
Which of the following actions by the staff member would require the nurse to
intervene?
1. placing the client in a private room with monitored negative air pressure
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. placing a box of disposable face shields outside the client's room
, disposable face masks are not suitable for airborne precautions
Rationale:
Varicella (chickenpox) is airborne precaution. Private, negative pressure room, universal
precautions (hand sanitizer in room) and placing surgical mask on client during transport are
all correct interventions for Varicilla.
3. The nurse is caring for a client who reports feeling faint and is experiencing the
cardiac rhythm shown in the electrocardiogram (ECG) strip below.
- BRADYCARDIA (it is more than 5 spaces apart, sinus rhythm)
Which of the following actions would be appropriate for the nurse to take? Select all that
apply:
1. Administer the client's prescribed beta blocker.
2. Prepare for transcutaneous pacing.
3. Instruct the client to perform the Valsalva maneuver.
4. Begin chest compressions.
5. Assess the client for angina.
2. transcutaneous pacing
- external pacing that stimulates the ventricles to pump at a set rate
5. Assess the client for angina
- Angina (Chest pain) can be caused by both tachycardia (most common) and bradycardia
(rare but can happen). Assessment of angina is appropriate
Rationale:
1. Beta blocker would further decrease HR
3. Valsalva maneuver/Vagal stimulation would further decrease HR. (can be indicated for
sinus Tachy)
4. Chest compressions are for cardiac arrest
4. The charge nurse has received a change-of-shift report on the following clients in
labor. The charge nurse should ask a staff member to first see the client in the
1. first stage of labor who has an oral temperature of 99.7° F (37.6° C)
2. first stage of labor whose contractions are occurring every 30 seconds
