NCSBN NCLEX QUESTIONS AND DETIALED CORRECT
ANSWERS (BRANDNEW!!) LATEST EXAM
SECTION 1: MANAGEMENT OF CARE (Questions 1-12)
Q1. The nurse receives handoff report on four clients. Which client should the
nurse assess FIRST?
A) A client with COPD on 2 L/min oxygen with SpO2 of 92%
B) A client with type 2 diabetes requesting a bedtime snack
C) A client post-cardiac catheterization whose pedal pulse is diminished compared
to baseline
D) A client with a stage 2 pressure injury requiring a dressing change
Correct Answer: C
Rationale: A diminished pedal pulse post-cardiac catheterization may indicate
arterial occlusion or hematoma formation—a vascular emergency requiring
immediate assessment. The other clients have expected findings or non-urgent
needs .
Q2. The charge nurse is making assignments for the oncoming shift. The team
includes an RN, an LPN/LVN, and a UAP. Which client should be assigned to the
LPN/LVN?
A) A client newly admitted with chest pain and dyspnea
B) A client receiving a blood transfusion for the first time
C) A client with a stable colostomy requiring routine pouch change
D) A client requiring initial admission assessment and care plan development
Correct Answer: C
,Rationale: Stable clients with predictable outcomes and routine procedures are
appropriate for LPN/LVN assignment. New admissions, first-time blood
transfusions, and initial assessments require RN-level assessment and critical
thinking .
Q3. A nurse is caring for a client who has a valid DNR order and begins to have a
respiratory arrest. The client's family member says, "Do everything you can to
save him!" Which action should the nurse take?
A) Begin CPR while asking another nurse to contact the HCP
B) Honor the family's request and initiate resuscitation
C) Provide comfort measures and support the family
D) Ask the family if they want the DNR honored
Correct Answer: C
Rationale: A valid DNR order must be honored. The nurse's role shifts to providing
comfort, dignity, and family support. CPR is specifically not indicated, and the
family should not be asked to override the documented order .
Q4. A nurse enters a client's room and sees smoke coming from a wastebasket.
Which action should the nurse take FIRST?
A) Activate the fire alarm
B) Extinguish the fire with an extinguisher
C) Assist the client to a nearby safe area
D) Close all doors and windows
Correct Answer: C
Rationale: Following the RACE fire safety protocol (Rescue, Alarm, Contain,
Extinguish), the first priority is rescuing/removing clients from immediate danger.
Client safety always comes first .
, Q5. The nurse is communicating with a client who speaks a different language.
What is the BEST action?
A) Speak in a louder voice
B) Use a professional medical interpreter
C) Ask a family member to translate
D) Use hand gestures to communicate complex information
Correct Answer: B
Rationale: Professional medical interpreters ensure accurate, unbiased
translation. Family members may filter or misinterpret information, and complex
medical concepts cannot be reliably communicated through gestures .
Q6. The nurse is preparing to witness a client sign an informed consent. Which
action is appropriate?
A) Ensure the client understands the procedure and risks
B) Explain the procedure to the client
C) Obtain the signature on the consent form
D) Answer questions about the surgical technique
Correct Answer: A
Rationale: The nurse's role in informed consent is to witness the signature and
confirm the client appears to understand the information provided by the HCP.
The nurse does not provide detailed medical explanations .
Q7. A client requests that discharge instructions be emailed to their personal
email account. Which response by the nurse is most appropriate?
A) "I will email the instructions to you right away."
B) "I am unable to send discharge instructions via email due to the HIPAA Privacy
Act."
ANSWERS (BRANDNEW!!) LATEST EXAM
SECTION 1: MANAGEMENT OF CARE (Questions 1-12)
Q1. The nurse receives handoff report on four clients. Which client should the
nurse assess FIRST?
A) A client with COPD on 2 L/min oxygen with SpO2 of 92%
B) A client with type 2 diabetes requesting a bedtime snack
C) A client post-cardiac catheterization whose pedal pulse is diminished compared
to baseline
D) A client with a stage 2 pressure injury requiring a dressing change
Correct Answer: C
Rationale: A diminished pedal pulse post-cardiac catheterization may indicate
arterial occlusion or hematoma formation—a vascular emergency requiring
immediate assessment. The other clients have expected findings or non-urgent
needs .
Q2. The charge nurse is making assignments for the oncoming shift. The team
includes an RN, an LPN/LVN, and a UAP. Which client should be assigned to the
LPN/LVN?
A) A client newly admitted with chest pain and dyspnea
B) A client receiving a blood transfusion for the first time
C) A client with a stable colostomy requiring routine pouch change
D) A client requiring initial admission assessment and care plan development
Correct Answer: C
,Rationale: Stable clients with predictable outcomes and routine procedures are
appropriate for LPN/LVN assignment. New admissions, first-time blood
transfusions, and initial assessments require RN-level assessment and critical
thinking .
Q3. A nurse is caring for a client who has a valid DNR order and begins to have a
respiratory arrest. The client's family member says, "Do everything you can to
save him!" Which action should the nurse take?
A) Begin CPR while asking another nurse to contact the HCP
B) Honor the family's request and initiate resuscitation
C) Provide comfort measures and support the family
D) Ask the family if they want the DNR honored
Correct Answer: C
Rationale: A valid DNR order must be honored. The nurse's role shifts to providing
comfort, dignity, and family support. CPR is specifically not indicated, and the
family should not be asked to override the documented order .
Q4. A nurse enters a client's room and sees smoke coming from a wastebasket.
Which action should the nurse take FIRST?
A) Activate the fire alarm
B) Extinguish the fire with an extinguisher
C) Assist the client to a nearby safe area
D) Close all doors and windows
Correct Answer: C
Rationale: Following the RACE fire safety protocol (Rescue, Alarm, Contain,
Extinguish), the first priority is rescuing/removing clients from immediate danger.
Client safety always comes first .
, Q5. The nurse is communicating with a client who speaks a different language.
What is the BEST action?
A) Speak in a louder voice
B) Use a professional medical interpreter
C) Ask a family member to translate
D) Use hand gestures to communicate complex information
Correct Answer: B
Rationale: Professional medical interpreters ensure accurate, unbiased
translation. Family members may filter or misinterpret information, and complex
medical concepts cannot be reliably communicated through gestures .
Q6. The nurse is preparing to witness a client sign an informed consent. Which
action is appropriate?
A) Ensure the client understands the procedure and risks
B) Explain the procedure to the client
C) Obtain the signature on the consent form
D) Answer questions about the surgical technique
Correct Answer: A
Rationale: The nurse's role in informed consent is to witness the signature and
confirm the client appears to understand the information provided by the HCP.
The nurse does not provide detailed medical explanations .
Q7. A client requests that discharge instructions be emailed to their personal
email account. Which response by the nurse is most appropriate?
A) "I will email the instructions to you right away."
B) "I am unable to send discharge instructions via email due to the HIPAA Privacy
Act."
