NCLEX Practice Test Questions And Correct Answers
(Verified Answers) 2026.
A client has a continuously running peripheral infusion. The physician orders an antibiotic
as a piggyback infusion four times per day. In order to administer the antibiotic, the nurse
should do which of the following? Select all that apply.
1. Avoid compatibility issues by starting an additional IV access.
2. Start a new IV access to eliminate the problem of too much volume for one site.
3. Flush the IV line before and after infusion of an incompatible drug.
4. Check to see if the antibiotic is compatible with the continuous infusion.
5. Change the flow rate to facilitate the administration of the antibiotic. -
✔✔✔ANSW✔✔..Answer: 3,4, 5
The family of a home infusion client calls the home health nurse one night to report that the
electronic infusion pump is alarming. What should the nurse anticipate as the cause of the
infusion pump alarming? Select all that apply.
1. The client's pulse and blood pressure are falling.
2. The client is experiencing a reaction to the medication.
3. The prescribed infusion is complete.
4. There is an incompatibility with the medications.
5. An occlusion has interrupted the infusion. - ✔✔✔ANSW✔✔..Answer 3, 5
The home health nurse is monitoring a client who performs self- care of a central line. The
nurse observes the client doing all of the following activities. Which activity indicates the
need for further education?
1. Flushing the central line with a 3 mL syringe
2. Cleaning the needleless injection cap with alcohol before accessing
3. Using sterile gloves to change the central line dressing 4. Wearing a mask while
changing the central line dressing - ✔✔✔ANSW✔✔..Answer 1
,The client has a tunneled Groshong catheter for intermittent medication administration.
After administering the medication, the nurse prepares to do which of the following?
1. Clamp the catheter after medication administration.
2. Flush the catheter with heparin at scheduled times.
3. Flush the catheter with saline after medication administration.
4. Initiate a Valsalva maneuver when disconnecting medication tubing. -
✔✔✔ANSW✔✔..Answer 3
The client has a percutaneous jugular central venous line that is capped and used for
intermittent infusions. After administering the medication, the best method to maintain
patency is to do which of the following?
1. Flush the line first with 3- 5 mL of normal saline, then with 1- 3 mL of heparinized normal
saline.
2. Flush the line with 3- 5 mL of normal saline.
3. Flush the line with 3- 5 mL of heparinized normal saline.
4. Flush the line first with 3- 5 mL of heparin, then with 1- 3 mL of normal saline. -
✔✔✔ANSW✔✔..Answer 1
The nurse is caring for a client with a Hickman central line. While changing the central line
dressing, the nurse notes that the injection cap ( e. g., heplock adapter) is of the slip lock
variety instead of a luer lock device. The nurse recognizes that this adapter puts the client at
risk for which complication?
1. Sepsis
2. Occlusion
3. Phlebitis
4. Air embolism - ✔✔✔ANSW✔✔..Answer 4
The client is to receive the intravenous medication vancomycin ( Vancocin). To prevent
adverse reactions from rapid infusion, by what method should the nurse plan to
administer this drug?
1. Using gravity
2. With a regulator
3. Electronic infusion pump
4. Elastomeric pump - ✔✔✔ANSW✔✔..Answer 3
,The physician is going to order a hypotonic intravenous solution for a client with cellular
dehydration. The nurse would expect which fluid to be administered?
1. 0.6% normal saline
2. 5% dextrose in normal saline
3. Lactated Ringer's solution
4. 0.45% sodium chloride - ✔✔✔ANSW✔✔..Answer 4
The nurse is caring for several clients with central venous catheters. While changing the
tubing on the central lines, the nurse would not need to instruct the client to perform
Valsalva maneuver when the client has which catheter?
1. Groshong
2. Single- lumen
3. Percutaneous
4. Accessed subcutaneous venous port - ✔✔✔ANSW✔✔..Answer 1
The client is receiving 5% dextrose in 0.45% sodium chloride. The physician has ordered
the client receive one unit of packed cells. Prior to hanging the blood, the nurse will prime
the blood tubing with which solution?
1. 5% dextrose
2. Lactated Ringer's
3. 0.6% sodium chloride
4. 5% dextrose in 0.45% sodium chloride - ✔✔✔ANSW✔✔..Answer 3
While assessing a client's intravenous ( IV) line, the nurse notes that the area is swollen,
cool, pale, and causes the client discomfort. What complication should the nurse
document?
1. Infiltration
2. Phlebitis
3. Infection
4. Air embolism - ✔✔✔ANSW✔✔..Answer 1
The client is receiving 5% dextrose and 0.45% sodium chloride intravenously and is
complaining of pain at the IV site. The nurse assesses the site and notes erythema and
edema. What is the appropriate action for the nurse to take? Select all that apply.
1. Slow the infusion to a keep- open rate.
2. Discontinue the IV and apply a warm compress to the IV site.
, 3. Apply antibiotic ointment to the IV site.
4. Gently pull back on the IV catheter to attempt repositioning.
5. Relocate the IV site and document the event. - ✔✔✔ANSW✔✔..Answer 2,5
The nurse is preparing to start a peripheral intravenous ( IV) line in a client. The client's record
indicates a latex allergy. What action should be taken by the nurse?
1. Utilize a new tourniquet for this client.
2. Use a blood pressure cuff to distend the vein.
3. Avoid putting povidone iodine on the skin.
4. Initiate a latex- free alternative therapy. - ✔✔✔ANSW✔✔..Answer 2
The nurse is inserting an intravenous ( IV) line into a cli-ent. After piercing the skin and
entering the vein, what manifestation should cause the nurse to refrain from advancing
the catheter?
1. Blood backflow into the IV catheter
2. Mild resistance with advancement
3. No reports of client discomfort
4. IV catheter was inserted bevel side up - ✔✔✔ANSW✔✔..Answer 2
The nurse is inserting a peripheral intravenous ( IV) line. Place the following steps in order to
perform this procedure correctly.
1. Apply a tourniquet above insertion site.
2. Insert catheter at 5- 15 degree angle through skin.
3. Select a vein and cleanse the skin.
4. Attach tubing primed with IV solution.
5. Gather the appropriate equipment. - ✔✔✔ANSW✔✔..Answer 5,3,1,2,4
The nurse would perform which action when washing hands as part of medical asepsis
before caring for a client in an outpatient clinic? Select all that apply.
1. Wash hands with the hands held higher than the elbows.
2. Adjust temperature of water to the hottest possible.
3. Scrub hands and nails with a scrub brush for 5 minutes. 4. Use a clean paper towel to
turn water off.
5. Rub vigorously using firm circular motions. - ✔✔✔ANSW✔✔..Answer 4,5
The nurse's forearm becomes splattered with blood while inserting an intravenous catheter.
What action should the nurse take?
(Verified Answers) 2026.
A client has a continuously running peripheral infusion. The physician orders an antibiotic
as a piggyback infusion four times per day. In order to administer the antibiotic, the nurse
should do which of the following? Select all that apply.
1. Avoid compatibility issues by starting an additional IV access.
2. Start a new IV access to eliminate the problem of too much volume for one site.
3. Flush the IV line before and after infusion of an incompatible drug.
4. Check to see if the antibiotic is compatible with the continuous infusion.
5. Change the flow rate to facilitate the administration of the antibiotic. -
✔✔✔ANSW✔✔..Answer: 3,4, 5
The family of a home infusion client calls the home health nurse one night to report that the
electronic infusion pump is alarming. What should the nurse anticipate as the cause of the
infusion pump alarming? Select all that apply.
1. The client's pulse and blood pressure are falling.
2. The client is experiencing a reaction to the medication.
3. The prescribed infusion is complete.
4. There is an incompatibility with the medications.
5. An occlusion has interrupted the infusion. - ✔✔✔ANSW✔✔..Answer 3, 5
The home health nurse is monitoring a client who performs self- care of a central line. The
nurse observes the client doing all of the following activities. Which activity indicates the
need for further education?
1. Flushing the central line with a 3 mL syringe
2. Cleaning the needleless injection cap with alcohol before accessing
3. Using sterile gloves to change the central line dressing 4. Wearing a mask while
changing the central line dressing - ✔✔✔ANSW✔✔..Answer 1
,The client has a tunneled Groshong catheter for intermittent medication administration.
After administering the medication, the nurse prepares to do which of the following?
1. Clamp the catheter after medication administration.
2. Flush the catheter with heparin at scheduled times.
3. Flush the catheter with saline after medication administration.
4. Initiate a Valsalva maneuver when disconnecting medication tubing. -
✔✔✔ANSW✔✔..Answer 3
The client has a percutaneous jugular central venous line that is capped and used for
intermittent infusions. After administering the medication, the best method to maintain
patency is to do which of the following?
1. Flush the line first with 3- 5 mL of normal saline, then with 1- 3 mL of heparinized normal
saline.
2. Flush the line with 3- 5 mL of normal saline.
3. Flush the line with 3- 5 mL of heparinized normal saline.
4. Flush the line first with 3- 5 mL of heparin, then with 1- 3 mL of normal saline. -
✔✔✔ANSW✔✔..Answer 1
The nurse is caring for a client with a Hickman central line. While changing the central line
dressing, the nurse notes that the injection cap ( e. g., heplock adapter) is of the slip lock
variety instead of a luer lock device. The nurse recognizes that this adapter puts the client at
risk for which complication?
1. Sepsis
2. Occlusion
3. Phlebitis
4. Air embolism - ✔✔✔ANSW✔✔..Answer 4
The client is to receive the intravenous medication vancomycin ( Vancocin). To prevent
adverse reactions from rapid infusion, by what method should the nurse plan to
administer this drug?
1. Using gravity
2. With a regulator
3. Electronic infusion pump
4. Elastomeric pump - ✔✔✔ANSW✔✔..Answer 3
,The physician is going to order a hypotonic intravenous solution for a client with cellular
dehydration. The nurse would expect which fluid to be administered?
1. 0.6% normal saline
2. 5% dextrose in normal saline
3. Lactated Ringer's solution
4. 0.45% sodium chloride - ✔✔✔ANSW✔✔..Answer 4
The nurse is caring for several clients with central venous catheters. While changing the
tubing on the central lines, the nurse would not need to instruct the client to perform
Valsalva maneuver when the client has which catheter?
1. Groshong
2. Single- lumen
3. Percutaneous
4. Accessed subcutaneous venous port - ✔✔✔ANSW✔✔..Answer 1
The client is receiving 5% dextrose in 0.45% sodium chloride. The physician has ordered
the client receive one unit of packed cells. Prior to hanging the blood, the nurse will prime
the blood tubing with which solution?
1. 5% dextrose
2. Lactated Ringer's
3. 0.6% sodium chloride
4. 5% dextrose in 0.45% sodium chloride - ✔✔✔ANSW✔✔..Answer 3
While assessing a client's intravenous ( IV) line, the nurse notes that the area is swollen,
cool, pale, and causes the client discomfort. What complication should the nurse
document?
1. Infiltration
2. Phlebitis
3. Infection
4. Air embolism - ✔✔✔ANSW✔✔..Answer 1
The client is receiving 5% dextrose and 0.45% sodium chloride intravenously and is
complaining of pain at the IV site. The nurse assesses the site and notes erythema and
edema. What is the appropriate action for the nurse to take? Select all that apply.
1. Slow the infusion to a keep- open rate.
2. Discontinue the IV and apply a warm compress to the IV site.
, 3. Apply antibiotic ointment to the IV site.
4. Gently pull back on the IV catheter to attempt repositioning.
5. Relocate the IV site and document the event. - ✔✔✔ANSW✔✔..Answer 2,5
The nurse is preparing to start a peripheral intravenous ( IV) line in a client. The client's record
indicates a latex allergy. What action should be taken by the nurse?
1. Utilize a new tourniquet for this client.
2. Use a blood pressure cuff to distend the vein.
3. Avoid putting povidone iodine on the skin.
4. Initiate a latex- free alternative therapy. - ✔✔✔ANSW✔✔..Answer 2
The nurse is inserting an intravenous ( IV) line into a cli-ent. After piercing the skin and
entering the vein, what manifestation should cause the nurse to refrain from advancing
the catheter?
1. Blood backflow into the IV catheter
2. Mild resistance with advancement
3. No reports of client discomfort
4. IV catheter was inserted bevel side up - ✔✔✔ANSW✔✔..Answer 2
The nurse is inserting a peripheral intravenous ( IV) line. Place the following steps in order to
perform this procedure correctly.
1. Apply a tourniquet above insertion site.
2. Insert catheter at 5- 15 degree angle through skin.
3. Select a vein and cleanse the skin.
4. Attach tubing primed with IV solution.
5. Gather the appropriate equipment. - ✔✔✔ANSW✔✔..Answer 5,3,1,2,4
The nurse would perform which action when washing hands as part of medical asepsis
before caring for a client in an outpatient clinic? Select all that apply.
1. Wash hands with the hands held higher than the elbows.
2. Adjust temperature of water to the hottest possible.
3. Scrub hands and nails with a scrub brush for 5 minutes. 4. Use a clean paper towel to
turn water off.
5. Rub vigorously using firm circular motions. - ✔✔✔ANSW✔✔..Answer 4,5
The nurse's forearm becomes splattered with blood while inserting an intravenous catheter.
What action should the nurse take?
