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NCSBN NCLEX RN TEST BANK EXAM LATEST 2026-2027 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
NO.321 A 4-year-old boy is brought to the emergency room with
bruises on his head, face, arms, and legs. His mother states that
he fell down some steps. The nurse suspects that he may have
been physically abused. In accordance with the law, the nurse
must:
A. Tell the physician her concerns
B. Report her suspicions to the authorities
C. Talk to the child's father
D. Confront the child's mother - Answer: B
Explanation:
(A) Although the nurse probably would talk to the physician
about these concerns, the nurse is not required by law to do
so. (B) All healthcare workers are required by the Federal
Child Abuse Prevention and Treatment Act of 1974 to report
suspected and actual cases of child abuse and/or neglect.
(C) Talking to the child's father may or may not help the
child, and the nurse is not required by law to do so. (D)
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Confrontation may not be indicated; the nurse is not required
by law to confront the child's mother with these suspicions.
NO.322 An 18-month-old child has been playing in the garage.
His mother brings him to a nurse's home complaining of his
mouth being sore. His lips and mouth are soapy and white, with
small ulcerated areas beginning to form. The child begins to
vomit. His pulse is rapid and weak. The nurse suspects that the
child has:
A. Inhaled gasoline fumes
B. Ingested a caustic alkali
C. Eaten construction chalk
D. Lead poisoning - Answer: B
Explanation:
(A, C, D) These agents would not cause ulcerations on
mouthand lips. (B) Strong alkali or acids will cause burns
and ulcerationson the mucous membranes.
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NO.323 Following a gastric resection, a 70-year-old client is
admitted to the postanesthesia care unit. He was extubated prior
to leaving the suite. On arrival at the postanesthesia care unit, the
nurse should:
A. Check airway, feeling for amount of air exchange noting rate,
depth, and quality of respirations
B. Obtain pulse and blood pressure readings noting rate and
quality of pulse
C. Reassure the client that his surgery is over and that he is in the
recovery room
D. Review physician's orders, administering medications as
ordered - Answer: A
Explanation:
(A) Adequate air exchange and tissue oxygenation depend
on competent respiratory function. Checking the airway is
the nurse's priority action. (B) Obtaining the vital signs is an
important action, but it is secondary to airway management.
(C) Reorienting a client to time, place, and person after
surgery is important, but it is secondary to airway and vital
signs. (D) Airway management takes precedence over
physician's orders unless they specifically relate to airway
management.
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NO.324 A 29-year-old client is admitted for a hysterectomy. She
has repeatedly told the nurses that she is worried about having
this surgery, has not slept well lately, and is afraid that her
husband will not find her desirable after the surgery. Shortly into
the preoperative teaching, she complains of a tightness in her
chest, a feeling of suffocation, lightheadedness, and tingling in her
hands. Her respirations are rapid and deep. Assessment reveals
that the client is:
A. Having a heart attack
B. Wanting attention from the nurses
C. Suffering from complete upper airway obstruction
D. Hyperventilating - Answer: D
Explanation:
(A) Classic symptoms of a heart attack include heaviness or
squeezing pain in the chest, pain spreading to the jaw, neck,
and arm. Nausea and vomiting, sweating, and shortness of
breath may be present. The client does not exhibit these
symptoms. (B) Clients suffering from anxiety or fear prior to
surgical procedures may develop hyperventilation. This
client is not seeking attention. (C) Symptoms of complete
NCSBN NCLEX RN TEST BANK EXAM LATEST 2026-2027 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
NO.321 A 4-year-old boy is brought to the emergency room with
bruises on his head, face, arms, and legs. His mother states that
he fell down some steps. The nurse suspects that he may have
been physically abused. In accordance with the law, the nurse
must:
A. Tell the physician her concerns
B. Report her suspicions to the authorities
C. Talk to the child's father
D. Confront the child's mother - Answer: B
Explanation:
(A) Although the nurse probably would talk to the physician
about these concerns, the nurse is not required by law to do
so. (B) All healthcare workers are required by the Federal
Child Abuse Prevention and Treatment Act of 1974 to report
suspected and actual cases of child abuse and/or neglect.
(C) Talking to the child's father may or may not help the
child, and the nurse is not required by law to do so. (D)
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Confrontation may not be indicated; the nurse is not required
by law to confront the child's mother with these suspicions.
NO.322 An 18-month-old child has been playing in the garage.
His mother brings him to a nurse's home complaining of his
mouth being sore. His lips and mouth are soapy and white, with
small ulcerated areas beginning to form. The child begins to
vomit. His pulse is rapid and weak. The nurse suspects that the
child has:
A. Inhaled gasoline fumes
B. Ingested a caustic alkali
C. Eaten construction chalk
D. Lead poisoning - Answer: B
Explanation:
(A, C, D) These agents would not cause ulcerations on
mouthand lips. (B) Strong alkali or acids will cause burns
and ulcerationson the mucous membranes.
,3|Page
NO.323 Following a gastric resection, a 70-year-old client is
admitted to the postanesthesia care unit. He was extubated prior
to leaving the suite. On arrival at the postanesthesia care unit, the
nurse should:
A. Check airway, feeling for amount of air exchange noting rate,
depth, and quality of respirations
B. Obtain pulse and blood pressure readings noting rate and
quality of pulse
C. Reassure the client that his surgery is over and that he is in the
recovery room
D. Review physician's orders, administering medications as
ordered - Answer: A
Explanation:
(A) Adequate air exchange and tissue oxygenation depend
on competent respiratory function. Checking the airway is
the nurse's priority action. (B) Obtaining the vital signs is an
important action, but it is secondary to airway management.
(C) Reorienting a client to time, place, and person after
surgery is important, but it is secondary to airway and vital
signs. (D) Airway management takes precedence over
physician's orders unless they specifically relate to airway
management.
, 4|Page
NO.324 A 29-year-old client is admitted for a hysterectomy. She
has repeatedly told the nurses that she is worried about having
this surgery, has not slept well lately, and is afraid that her
husband will not find her desirable after the surgery. Shortly into
the preoperative teaching, she complains of a tightness in her
chest, a feeling of suffocation, lightheadedness, and tingling in her
hands. Her respirations are rapid and deep. Assessment reveals
that the client is:
A. Having a heart attack
B. Wanting attention from the nurses
C. Suffering from complete upper airway obstruction
D. Hyperventilating - Answer: D
Explanation:
(A) Classic symptoms of a heart attack include heaviness or
squeezing pain in the chest, pain spreading to the jaw, neck,
and arm. Nausea and vomiting, sweating, and shortness of
breath may be present. The client does not exhibit these
symptoms. (B) Clients suffering from anxiety or fear prior to
surgical procedures may develop hyperventilation. This
client is not seeking attention. (C) Symptoms of complete
