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NCLEX RN (NEXT GENERATION FORMART) EXAM LATEST 2026-2027
ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
To ensure proper client education, the nurse should teach the
client taking SL nitroglycerin to expect which of the following
responses with administration?
A. Stinging, burning when placed under the tongue
B. Temporary blurring of vision
C. Generalized urticaria with prolonged use
D. Urinary frequency - Answer: A
Explanation:
(A) Stinging or burning when nitroglycerin is placed under
the tongue is to be expected. This effect indicates that the
medication is potent and effective for use. Failure to have
this response means that the client needs to get a new bottle
of nitroglycerin. (B, C, D) The other responses are not
expected in this situation and are not even side effects.
Nursing care for the substance abuse client experiencing alcohol
withdrawal delirium includes:
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A. Maintaining seizure precautions
B. Restricting fluid intake
C. Increasing sensory stimuli
D. Applying ankle and wrist restraints - Answer: A
Explanation:
(A) These clients are at high risk for seizures during the 1st
week after cessation of alcohol intake. (B) Fluid intake
should be increased to prevent dehydration. (C)
Environmental stimuli should be decreased to prevent
precipitation of seizures. (D) Application of restraints may
cause the client to increase his or her physical activity and
may eventually lead to exhaustion.
The day following his admission, the nurse sits down by a male
client on the sofa in the dayroom. He was admitted for depression
and thoughts of suicide. He looks at the nurse and says, "My life
is so bad no one can do anything to help me." The most helpful
initial response by the nurse would be:
A. "It concerns me that you feel so badly when you have so many
positive things in your life."
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B. "It will take a few weeks for you to feel better, so you need to
be patient."
C. "You are telling me that you are feeling hopeless at this point?"
D. "Let's play cards with some of the other clients to get your mind
off your problems for now." - Answer: C
Explanation:
(A) This response does not acknowledge the client's feelings
and may increase his feelings of guilt. (B) This response
denotes false reassurance. (C) This response acknowledges
the client's feelings and invites a response.
(D) This response changes the subject and does not allow
the client to talk about his feelings.
The usual treatment for diabetes insipidus is with IM or SC
injection of vasopressin tannate in oil. Nursing care related to the
client receiving IM vasopressin tannate would include:
A. Weigh once a week and report to the physician any weight gain
of10 lb.
B. Limit fluid intake to 500 mL/day.
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C. Store the medication in a refrigerator and allow to stand at
room temperature for 30 minutes prior to administration.
D. Hold the vial under warm water for 10-15 minutes and shake
vigorously before drawing medication into the syringe. - Answer:
D
Explanation:
(A) Weight should be obtained daily. (B) Fluid is not
restricted but is given according to urine output. (C) The
medication does not have to be stored in a refrigerator. (D)
Holding the vial under warm water for 10-15 minutes or
rolling between your hands and shaking vigorously before
drawing medication into the syringe activates the medication
in the oil solution.
Proper positioning for the child who is in Bryant's traction is:
A. Both hips flexed at a 90-degree angle with the knees extended
and the buttocks elevated off the bed
B. Both legs extended, and the hips are not flexed
C. The affected leg extended with slight hip flexion
D. Both hips and knees maintained at a 90-degree flexion angle,
and the back flat on the bed - Answer: A
NCLEX RN (NEXT GENERATION FORMART) EXAM LATEST 2026-2027
ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
To ensure proper client education, the nurse should teach the
client taking SL nitroglycerin to expect which of the following
responses with administration?
A. Stinging, burning when placed under the tongue
B. Temporary blurring of vision
C. Generalized urticaria with prolonged use
D. Urinary frequency - Answer: A
Explanation:
(A) Stinging or burning when nitroglycerin is placed under
the tongue is to be expected. This effect indicates that the
medication is potent and effective for use. Failure to have
this response means that the client needs to get a new bottle
of nitroglycerin. (B, C, D) The other responses are not
expected in this situation and are not even side effects.
Nursing care for the substance abuse client experiencing alcohol
withdrawal delirium includes:
,2|Page
A. Maintaining seizure precautions
B. Restricting fluid intake
C. Increasing sensory stimuli
D. Applying ankle and wrist restraints - Answer: A
Explanation:
(A) These clients are at high risk for seizures during the 1st
week after cessation of alcohol intake. (B) Fluid intake
should be increased to prevent dehydration. (C)
Environmental stimuli should be decreased to prevent
precipitation of seizures. (D) Application of restraints may
cause the client to increase his or her physical activity and
may eventually lead to exhaustion.
The day following his admission, the nurse sits down by a male
client on the sofa in the dayroom. He was admitted for depression
and thoughts of suicide. He looks at the nurse and says, "My life
is so bad no one can do anything to help me." The most helpful
initial response by the nurse would be:
A. "It concerns me that you feel so badly when you have so many
positive things in your life."
,3|Page
B. "It will take a few weeks for you to feel better, so you need to
be patient."
C. "You are telling me that you are feeling hopeless at this point?"
D. "Let's play cards with some of the other clients to get your mind
off your problems for now." - Answer: C
Explanation:
(A) This response does not acknowledge the client's feelings
and may increase his feelings of guilt. (B) This response
denotes false reassurance. (C) This response acknowledges
the client's feelings and invites a response.
(D) This response changes the subject and does not allow
the client to talk about his feelings.
The usual treatment for diabetes insipidus is with IM or SC
injection of vasopressin tannate in oil. Nursing care related to the
client receiving IM vasopressin tannate would include:
A. Weigh once a week and report to the physician any weight gain
of10 lb.
B. Limit fluid intake to 500 mL/day.
, 4|Page
C. Store the medication in a refrigerator and allow to stand at
room temperature for 30 minutes prior to administration.
D. Hold the vial under warm water for 10-15 minutes and shake
vigorously before drawing medication into the syringe. - Answer:
D
Explanation:
(A) Weight should be obtained daily. (B) Fluid is not
restricted but is given according to urine output. (C) The
medication does not have to be stored in a refrigerator. (D)
Holding the vial under warm water for 10-15 minutes or
rolling between your hands and shaking vigorously before
drawing medication into the syringe activates the medication
in the oil solution.
Proper positioning for the child who is in Bryant's traction is:
A. Both hips flexed at a 90-degree angle with the knees extended
and the buttocks elevated off the bed
B. Both legs extended, and the hips are not flexed
C. The affected leg extended with slight hip flexion
D. Both hips and knees maintained at a 90-degree flexion angle,
and the back flat on the bed - Answer: A
