NCSBN NCLEX TEST BANK EXAM PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE 450 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
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A Native American chief visits his newborn son and performs a traditional
ceremony that involves feathers and chanting. The nurse comments to a
colleague: "I wonder if he has any idea how ridiculous he looks - he's a grown
man!" The nurse's comment is an example of what type of attitude?
1. Prejudice
2. Ethnocentrism
3. Discrimination
4. Stereotyping - Correct Answer-1. Prejudice-
A nursing student asks the licensed practical nurse (LPN) to explain the forces that
drive health care reform. When responding to the student's question, what
information should the nurse emphasize?
1. Increased competition between health care insurers
2. Increase in health care spending that's growing faster than the economy
3. Increase in the population who have health insurance
4. Increase in spending for end-of-life treatment - Correct Answer-2
A child is admitted to the unit with the suspected diagnosis of pertussis (whooping
cough). What is the priority nursing intervention for this child?
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1. Maintain hydration and encourage fluids
2. Implement droplet precautions
3. Monitor respiratory rate and oxygen saturation
4. Anti- infective therapy - Correct Answer-2
A client has an indwelling catheter with continuous bladder irrigation after
undergoing a transurethral resection of the prostate (TURP) 12 hours ago. Which
finding at this time should be reported to the registered nurse (RN) charge nurse?
1Complaints for the feeling of pulling on the urinary catheter
2Light, pink to clear urine
3Occasional suprapubic cramping
4Minimal drainage into the urinary collection bag - Correct Answer-4Minimal
drainage into the urinary collection bag
A nurse is caring for a woman two hours after a vaginal delivery. Documentation
indicates that the membranes ruptured 36 hours prior to delivery. Which of these
nursing diagnoses should the nurse expect the charge nurse to list as a priority at
this time?
1Risk for fluid volume deficit
2Risk for excessive bleeding
3Risk for infection -
4Altered tissue perfusion - Correct Answer-3
A 14 month-old child ingests a half a bottle of baby aspirin (81 mg) tablets. Which
finding should a nurse expect to see in the child?
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1Hypothermia
2Nausea and vomiting
3Hypoventilation
4Bradycardia - Correct Answer-2
A school nurse monitors a child with a history of tonic-clonic seizures. The school
nurse should inform teachers that if the child falls to the floor and experiences a
seizure while in the classroom, which of the following would be the most
important action to take during the seizure?
1Place the hands or a folded blanket under the head of the child
2Provide privacy as much as possible to minimize frightening the other children
3Move any chairs or desks at least three feet away from the child
4Note the sequence of movements with the time lapse of the event - Correct
Answer-1Place the hands or a folded blanket under the head of the child -
A client is admitted with diagnosis of a right upper lobe infiltrate and to rule out
active tuberculosis (TB). Which type of precautions will be needed for this client?
1Droplet
2Contact
3Standard
4Airborne - Correct Answer-4
A client has had a positive reaction to purified protein derivative (PPD). Which
statement made by the client suggests the client understands the teaching by the
registered nurse (RN)?
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1"I have active tuberculosis."
2"I have been exposed to mycobacterium tuberculosis."
3"I have never been infected with mycobacterium tuberculosis."
4"I have never had tuberculosis." - Correct Answer-2
A nurse is caring for a client with pneumococcal pneumonia. Which breath sounds
would the nurse expect to disappear as the client responds to the antibiotic
treatment?
1Wheezes
2Friction rubs
3Rhonchi
4Diminished sounds - Correct Answer-3
A young adult seeks treatment in an outpatient mental health center. The client
tells a nurse, "I am a government official and spies are following me." Upon
further questioning, the client reveals that warnings must be heeded to prevent
nuclear war. What is the initial therapeutic approach that the nurse should use?
1Listen quietly without comment
2Ask for further information on the spies
3Confront the client about the delusions
4Contact security for potential safety concerns - Correct Answer-1Listen quietly
without comment -
Lactulose has been prescribed for a client with advanced liver disease. Which
finding should the nurse use to evaluate the effectiveness of this treatment?
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