NCLEX EXAM 2026 MUST STUDY APPLICATION A+
ASSURED
1. 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:
a. First stage of labor who has an oral temperature of 99.7oF(37.6OC)
b. First stage of labor whose contractions are occurring every 30 seconds
c. Second stage of labor who has respirations of 26
d. Second stage of labor whose contractions are lasting for 60 seconds
Answer: B - First stage of labor whose contractions are occurring every 30 seconds
2. The nurse is observing a staff member caring for a client who has chickenpox.
Which of the following cations by the staff member would require the nurse to
intervene?
a. Placing the client in a private room with monitored negative air pressure
b. Placing a box of disposable face shields outside the client’s room
c. Placing an alcohol-based hand rub in the client’s room for hand hygiene
d. Placing a surgical mask on the client during transport out of the client’s
room
Answer: B - Placing a box of disposable face shields outside the client’s room
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:
a. Administer the client’s prescribed beta blocker
b. Prepare for transcutaneous pacing
c. Instruct the client to perform the Valsalva maneuver
d. Begin chest compressions
e. Assess the client for angina
Answer: “B – Prepare for transcutaneous pacing
, E – Assess the client for angina”
4. 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?
a. Encourage the client to reminisce about happy memories
b. Confront the client when inappropriate or agitated behaviors occur
c. Administer to the client the cholinesterase inhibitor to reverse the course of
AD
d. Provide the client with information about activity choices in the morning so
the client can make plans for the day.
Answer: “A - Encourage the client to reminisce about happy memories”
5. The nurse is teaching a client how to ambulate using crutches. Which of the
following information should the nurse include?
a. “Use your hands and arms to support your body weight.”
b. “Wear slippers when ambulating with the crutches in your home”
c. “Maintain the crutches 12 in (30 cm) in front of your feet while standing”
d. “Adjust the hand grips of the crutches so that your elbows are fully
extended”
Answer: (A - “Use your hands and arms to support your body weight.”)
6. The nurse has taught a client with multiple sclerosis (MS) which of the
following statements by the client would indicate a correct understanding of the
teaching?
a. “I will complete all of my household chores in the morning when I am well
rested”
b. “I have learned how to massage my bladder to help empty my bladder
completely”
c. “I will take a hot bath in the evening to help me relax if I have had a
stressful day at work”
d. “I should expect the blurred vision to resolve after I have received
medications for several weeks”
ASSURED
1. 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:
a. First stage of labor who has an oral temperature of 99.7oF(37.6OC)
b. First stage of labor whose contractions are occurring every 30 seconds
c. Second stage of labor who has respirations of 26
d. Second stage of labor whose contractions are lasting for 60 seconds
Answer: B - First stage of labor whose contractions are occurring every 30 seconds
2. The nurse is observing a staff member caring for a client who has chickenpox.
Which of the following cations by the staff member would require the nurse to
intervene?
a. Placing the client in a private room with monitored negative air pressure
b. Placing a box of disposable face shields outside the client’s room
c. Placing an alcohol-based hand rub in the client’s room for hand hygiene
d. Placing a surgical mask on the client during transport out of the client’s
room
Answer: B - Placing a box of disposable face shields outside the client’s room
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:
a. Administer the client’s prescribed beta blocker
b. Prepare for transcutaneous pacing
c. Instruct the client to perform the Valsalva maneuver
d. Begin chest compressions
e. Assess the client for angina
Answer: “B – Prepare for transcutaneous pacing
, E – Assess the client for angina”
4. 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?
a. Encourage the client to reminisce about happy memories
b. Confront the client when inappropriate or agitated behaviors occur
c. Administer to the client the cholinesterase inhibitor to reverse the course of
AD
d. Provide the client with information about activity choices in the morning so
the client can make plans for the day.
Answer: “A - Encourage the client to reminisce about happy memories”
5. The nurse is teaching a client how to ambulate using crutches. Which of the
following information should the nurse include?
a. “Use your hands and arms to support your body weight.”
b. “Wear slippers when ambulating with the crutches in your home”
c. “Maintain the crutches 12 in (30 cm) in front of your feet while standing”
d. “Adjust the hand grips of the crutches so that your elbows are fully
extended”
Answer: (A - “Use your hands and arms to support your body weight.”)
6. The nurse has taught a client with multiple sclerosis (MS) which of the
following statements by the client would indicate a correct understanding of the
teaching?
a. “I will complete all of my household chores in the morning when I am well
rested”
b. “I have learned how to massage my bladder to help empty my bladder
completely”
c. “I will take a hot bath in the evening to help me relax if I have had a
stressful day at work”
d. “I should expect the blurred vision to resolve after I have received
medications for several weeks”
