NCSBN NCLEX Test Bank Final Actual Exam
2025-2026
NCSBN NCLEX Test Bank Final Actual Exam
2025-2026 /PN NCLEX EXIT Newest 2025/2026
Complete All 700 Questions And Correct
Detailed Answers With Rationales (Verified
Answers) |Already Graded A+
The nurse is providing discharge teaching to the parents of a 15 month-old child diagnosed
with Kawasaki disease (mucocutaneous lymph node syndrome or infantile polyarteritis). The
child has received immunoglobulin therapy. Which instruction point would be appropriate to
include during the discussion?
A. The measles, mumps and rubella vaccine should be delayed
B. Complete recovery is expected within several days
C. High doses of aspirin will be continued for some time
D. Active range of motion exercises should be done frequently
A+ TEST BANK 1
, NCSBN NCLEX Test Bank Final Actual Exam
2025-2026
A
Discharge instructions for a child with Kawasaki disease should include the information that
immunoglobulin therapy may interfere with the body's ability to form appropriate amounts of
antibodies. Therefore, live or attenuated (weakened) immunizations should be delayed. The
MMR vaccine contains three live attenuated viruses and should be delayed until the child's
immune system recovers from this treatment.
The nurse is caring for a child who is diagnosed with coarctation of the aorta. Which finding
would the nurse expect when assessing the child?
A. Bounding pulses in the arms
B. Diminished carotid pulses
C. Strong pedal pulses
D. Normal femoral pulses
A
Coarctation of the aorta, which is a narrowing or constriction of the descending aorta, causes
increased blood flow to the upper extremities, resulting in a bounding pulse in the arms.
Cardinal signs include resting systolic hypertension, absent or diminished femoral and pedal
pulses, and a widened pulse pressure.
A client has just returned to the medical-surgical unit postop for a segmental lung resection.
After assessing the client, which is the first action the nurse should take?
A. Apply the pulse oximeter and monitor oxygen saturation
B. Administer the PRN pain medication
A+ TEST BANK 2
, NCSBN NCLEX Test Bank Final Actual Exam
2025-2026
C. Suction excessive tracheobronchial secretions
D. Assist the client to turn, deep breathe and cough
C
This type of surgery involves removing a bronchovascular segment of a lobe. It is typically
used to remove small, peripheral lung tumors. Surgical manipulation during this procedure,
along with anesthesia, can increase mucus production and lead to airway obstruction, which
is why the nurse may need to suction the client if there are excessive secretions. Since this
client just returned from surgery, it is not the time to ask the client to cough and deep
breathe. Vital signs and oxygen saturation would have been measured during the
assessment. The client would probably be on a PCA, or have a intrathecal or intrapleural
catheter for pain relief.
A nurse, who is assigned for five days to a client who has exhibited manipulative behaviors,
becomes aware of feeling reluctance to interact with the client. The nurse should take what
action next?
A. Discuss the feelings of reluctance with an objective peer or supervisor within the next 24
hours
B. Develop a behavior modification plan for the client that will promote more functional
behavior within the next week
C. Limit contacts with the client to avoid reinforcement of the manipulative behavior during
the work times
D. Talk with the client about the negative effects of manipulative behaviors on other clients
and staff within the next few days
A
The nurse who experiences stress in a therapeutic relationship can gain objectivity through
discussion with other professionals. The nurse may wish to have a peer observe the nurse-
client interactions with this client for a shift and then have a debriefing of positive and
A+ TEST BANK 3
, NCSBN NCLEX Test Bank Final Actual Exam
2025-2026
negative actions. The nurse must attempt to discover attitudes and feelings in the self that
influence the nurse-client relationship in positive and negative ways.
A nurse, during an assessment of a day-old newborn, notices that the breasts are enlarged
bilaterally with a white, thin discharge. What action should the nurse perform next?
A. Notify the health care provider within that shift
B. Record the findings while thinking that they are "normal"
C. Ask about medications taken during pregnancy
D. Obtain fluid to check for glucose by Dextrostix
B
Newborn infants of both sexes may have engorged breasts and may secrete milk during the
first few days to weeks after birth.
There is an order for a 25-year-old client, who is unresponsive after suffering a traumatic brain
injury, to be transferred from the hospital to a long-term care facility (LTC) today. To which
staff member should the charge nurse assign this client?
A. Registered nurse (RN)
B. Licensed practical nurse (LPN)
C. Nursing student in final semester before graduation
D. Unlicensed assistive person (UAP)
A
The RN is responsible for facilitating continuity of care for clients and their families during the
transfer from one health care setting to another. The transfer to a LTC facility often requires
A+ TEST BANK 4
2025-2026
NCSBN NCLEX Test Bank Final Actual Exam
2025-2026 /PN NCLEX EXIT Newest 2025/2026
Complete All 700 Questions And Correct
Detailed Answers With Rationales (Verified
Answers) |Already Graded A+
The nurse is providing discharge teaching to the parents of a 15 month-old child diagnosed
with Kawasaki disease (mucocutaneous lymph node syndrome or infantile polyarteritis). The
child has received immunoglobulin therapy. Which instruction point would be appropriate to
include during the discussion?
A. The measles, mumps and rubella vaccine should be delayed
B. Complete recovery is expected within several days
C. High doses of aspirin will be continued for some time
D. Active range of motion exercises should be done frequently
A+ TEST BANK 1
, NCSBN NCLEX Test Bank Final Actual Exam
2025-2026
A
Discharge instructions for a child with Kawasaki disease should include the information that
immunoglobulin therapy may interfere with the body's ability to form appropriate amounts of
antibodies. Therefore, live or attenuated (weakened) immunizations should be delayed. The
MMR vaccine contains three live attenuated viruses and should be delayed until the child's
immune system recovers from this treatment.
The nurse is caring for a child who is diagnosed with coarctation of the aorta. Which finding
would the nurse expect when assessing the child?
A. Bounding pulses in the arms
B. Diminished carotid pulses
C. Strong pedal pulses
D. Normal femoral pulses
A
Coarctation of the aorta, which is a narrowing or constriction of the descending aorta, causes
increased blood flow to the upper extremities, resulting in a bounding pulse in the arms.
Cardinal signs include resting systolic hypertension, absent or diminished femoral and pedal
pulses, and a widened pulse pressure.
A client has just returned to the medical-surgical unit postop for a segmental lung resection.
After assessing the client, which is the first action the nurse should take?
A. Apply the pulse oximeter and monitor oxygen saturation
B. Administer the PRN pain medication
A+ TEST BANK 2
, NCSBN NCLEX Test Bank Final Actual Exam
2025-2026
C. Suction excessive tracheobronchial secretions
D. Assist the client to turn, deep breathe and cough
C
This type of surgery involves removing a bronchovascular segment of a lobe. It is typically
used to remove small, peripheral lung tumors. Surgical manipulation during this procedure,
along with anesthesia, can increase mucus production and lead to airway obstruction, which
is why the nurse may need to suction the client if there are excessive secretions. Since this
client just returned from surgery, it is not the time to ask the client to cough and deep
breathe. Vital signs and oxygen saturation would have been measured during the
assessment. The client would probably be on a PCA, or have a intrathecal or intrapleural
catheter for pain relief.
A nurse, who is assigned for five days to a client who has exhibited manipulative behaviors,
becomes aware of feeling reluctance to interact with the client. The nurse should take what
action next?
A. Discuss the feelings of reluctance with an objective peer or supervisor within the next 24
hours
B. Develop a behavior modification plan for the client that will promote more functional
behavior within the next week
C. Limit contacts with the client to avoid reinforcement of the manipulative behavior during
the work times
D. Talk with the client about the negative effects of manipulative behaviors on other clients
and staff within the next few days
A
The nurse who experiences stress in a therapeutic relationship can gain objectivity through
discussion with other professionals. The nurse may wish to have a peer observe the nurse-
client interactions with this client for a shift and then have a debriefing of positive and
A+ TEST BANK 3
, NCSBN NCLEX Test Bank Final Actual Exam
2025-2026
negative actions. The nurse must attempt to discover attitudes and feelings in the self that
influence the nurse-client relationship in positive and negative ways.
A nurse, during an assessment of a day-old newborn, notices that the breasts are enlarged
bilaterally with a white, thin discharge. What action should the nurse perform next?
A. Notify the health care provider within that shift
B. Record the findings while thinking that they are "normal"
C. Ask about medications taken during pregnancy
D. Obtain fluid to check for glucose by Dextrostix
B
Newborn infants of both sexes may have engorged breasts and may secrete milk during the
first few days to weeks after birth.
There is an order for a 25-year-old client, who is unresponsive after suffering a traumatic brain
injury, to be transferred from the hospital to a long-term care facility (LTC) today. To which
staff member should the charge nurse assign this client?
A. Registered nurse (RN)
B. Licensed practical nurse (LPN)
C. Nursing student in final semester before graduation
D. Unlicensed assistive person (UAP)
A
The RN is responsible for facilitating continuity of care for clients and their families during the
transfer from one health care setting to another. The transfer to a LTC facility often requires
A+ TEST BANK 4
