NCLEX RN ACTUAL EXAM TEST BANK || REVIEWED
FOR BETTER PERFOMANCE || COMPLETE TEST
BANK PAPER || RATIONALES RANKED 100% PASS
|| GUARANTEED || WITH EXPLAINED RATIONALES
PRIORITY / TRIAGE & DELEGATION
Q: Which labor client should be seen first?
A: First-stage labor with contractions every 30 seconds.
Rationale: Contractions this frequent risk uterine tachysystole → fetal distress.
Q: Which task can be delegated to UAP?
A: Assisting a client with atrial fibrillation to shower.
Rationale: UAPs may assist with hygiene; nurses must assess/swallow/respiratory distress.
Q: Which client requires immediate assessment?
A: Heart failure client with productive cough and restlessness.
Rationale: Pink frothy sputum = pulmonary edema (life-threatening).
INFECTION CONTROL & ISOLATION
Q: Which action is incorrect for chickenpox (varicella)?
A: Placing disposable face shields outside the room.
Rationale: Varicella = airborne precautions (negative pressure, N95).
Q: What precautions are needed for TB?
A: Airborne; client wears surgical mask during transport.
Rationale: Prevents airborne transmission.
, Q: What precautions are required for impetigo?
A: Contact precautions (gown, gloves).
Rationale: Spread by direct contact; masks not required.
Q: Which room is required for measles (rubeola)?
A: Private room with negative air pressure.
Rationale: Measles is airborne.
CARDIAC / ECG / TRANSFUSIONS
Q: Client feels faint with bradycardia—what actions are appropriate?
A:
• Prepare for transcutaneous pacing
• Assess for angina
Rationale: Pacing supports cardiac output; bradycardia can cause ischemia.
Q: What indicates a hemolytic transfusion reaction?
A: Chills and back pain.
Actions: Stop transfusion, check VS, notify provider, return blood.
Rationale: Suggests incompatible blood.
Q: What is a contraindication to beta blockers?
A: Heart block.
Rationale: Beta blockers further suppress conduction.
NEURO / COGNITIVE DISORDERS
Q: Best intervention for moderate Alzheimer’s disease?
A: Encourage reminiscence and structured routine.
Rationale: Long-term memory preserved; structure reduces anxiety.
FOR BETTER PERFOMANCE || COMPLETE TEST
BANK PAPER || RATIONALES RANKED 100% PASS
|| GUARANTEED || WITH EXPLAINED RATIONALES
PRIORITY / TRIAGE & DELEGATION
Q: Which labor client should be seen first?
A: First-stage labor with contractions every 30 seconds.
Rationale: Contractions this frequent risk uterine tachysystole → fetal distress.
Q: Which task can be delegated to UAP?
A: Assisting a client with atrial fibrillation to shower.
Rationale: UAPs may assist with hygiene; nurses must assess/swallow/respiratory distress.
Q: Which client requires immediate assessment?
A: Heart failure client with productive cough and restlessness.
Rationale: Pink frothy sputum = pulmonary edema (life-threatening).
INFECTION CONTROL & ISOLATION
Q: Which action is incorrect for chickenpox (varicella)?
A: Placing disposable face shields outside the room.
Rationale: Varicella = airborne precautions (negative pressure, N95).
Q: What precautions are needed for TB?
A: Airborne; client wears surgical mask during transport.
Rationale: Prevents airborne transmission.
, Q: What precautions are required for impetigo?
A: Contact precautions (gown, gloves).
Rationale: Spread by direct contact; masks not required.
Q: Which room is required for measles (rubeola)?
A: Private room with negative air pressure.
Rationale: Measles is airborne.
CARDIAC / ECG / TRANSFUSIONS
Q: Client feels faint with bradycardia—what actions are appropriate?
A:
• Prepare for transcutaneous pacing
• Assess for angina
Rationale: Pacing supports cardiac output; bradycardia can cause ischemia.
Q: What indicates a hemolytic transfusion reaction?
A: Chills and back pain.
Actions: Stop transfusion, check VS, notify provider, return blood.
Rationale: Suggests incompatible blood.
Q: What is a contraindication to beta blockers?
A: Heart block.
Rationale: Beta blockers further suppress conduction.
NEURO / COGNITIVE DISORDERS
Q: Best intervention for moderate Alzheimer’s disease?
A: Encourage reminiscence and structured routine.
Rationale: Long-term memory preserved; structure reduces anxiety.
