NCLEX EXAM ACTUAL EXAM 2026 | ALL
QUESTIONS AND CORRECT ANSWERS |
GRADED A+ | VERIFIED ANSWERS
The nurse is caring for a client who has right-sided hemiplegia and is ambulating
using a walker. It would indicate a correct understanding of how to use the walker
if the client is observed
1.taking a step forward with the left leg and then advancing the right leg and the
walker
2.moving the walker forward 12 in (30 cm) then swinging both legs forward
together
3.moving the walker and the right leg forward 6 in (15 cm) and then moving the
left leg forward
4.placing the rear legs of the walker and the right leg forward and then moving
the left leg forward ---------CORRECT ANSWER-----------------3.moving the walker
and the right leg forward 6 in (15 cm) and then moving the left leg forward
The nurse is contributing to a staff education program about caring for a client
with active pulmonary tuberculosis (TB). Which of the following information
should the nurse suggest including?
1."It is mandatory to report a client's positive TB test results to the public health
department."
2."It is necessary to isolate a hospitalized client for 24 hours after initiating
antitubercular therapy."
,3."Antitubercular therapy is continued until the client provides sputum cultures
that test negative for TB."
4."Droplet precautions must be implemented as soon as the hospitalized client is
suspected of active TB." ---------CORRECT ANSWER-----------------1."It is mandatory
to report a client's positive TB test results to the public health department."
The nurse in a pediatric outpatient care facility has received telephone messages
from parents of clients who were previously seen at the facility. The nurse should
first telephone the parent of a client who has
1.acute otitis media and reports insomnia after taking prescribed amoxicillin 6
hours ago
2.a fracture of the left tibia and has placed a crayon in the cast
3.a colostomy and reports skin irritation around the stoma
4.epilepsy and has pink, frothy sputum ---------CORRECT ANSWER-----------------
4.epilepsy and has pink, frothy sputum
The nurse is caring for a client born 6 hours ago and observes the finding depicted
below. Which of the following actions should the nurse take in response to this
finding?
1.Notify the primary health care provider of the findings.
2.Continue to perform routine newborn care.
3.Administer oxygen therapy prescribed p.r.n.
,4.Prepare the client for phototherapy. ---------CORRECT ANSWER-----------------
3.Administer oxygen therapy prescribed p.r.n.
The nurse is caring for a 17-year-old client with Guillain-Barré syndrome who is
beginning to have return of sensation and motor function. The client states, "I'm
going to miss my senior dance. It's not fair." Which of the following responses
would be appropriate for the nurse to make?
1."You will be able to have your friends visit and tell you about the dance."
2."You should be happy that you are getting some movement back."
3."You will graduate from high school soon and there will be dances at the college
you plan to attend."
4."You are sad because you will miss something you have looked forward to for a
long time." ---------CORRECT ANSWER-----------------4."You are sad because you will
miss something you have looked forward to for a long time."
The nurse has received the following information about assigned clients. The
nurse should first check the client who
1.has gastroenteritis, is reporting nausea and vomited 100 mL of green liquid
2.has a long leg cast and is sitting in a chair with the casted leg elevated on a stool
3.had an appendectomy 1 day ago and has a 0.8 in (2 cm) area of
serosanguineous drainage on the incision dressing
4.had a thyroidectomy 2 days ago and has muscle spasms in the wrist when the
blood pressure is taken ---------CORRECT ANSWER-----------------4.had a
thyroidectomy 2 days ago and has muscle spasms in the wrist when the blood
pressure is taken
, The nurse is contributing to a staff development conference about client
confidentiality. Which of the following information should the nurse suggest
including? Select all that apply.
1."The client's medical record is the client's property and the client may have
access to the record at any time."
2."Unneeded computer-generated worksheets must be shredded at the end of
the shift to ensure client confidentiality."
3."Personal computer passwords may not be shared with anyone, including other
members of the client's health care team."
4."Medical information about the client may be shared with a police officer who
brought the client into the emergency department (ED)."
5."Keep your voice low when speaking with the client because direct interactions
with clients must be kept as private as possible." ---------CORRECT ANSWER----------
-------2,3,5
The nurse is collecting data from a client with a preliminary diagnosis of
abdominal aortic aneurysm. Which of the following findings would be consistent
with an abdominal aortic aneurysm?
1.urinary retention
2.back pain
3.neck vein distention
4.dysphagia ---------CORRECT ANSWER-----------------2.back pain
QUESTIONS AND CORRECT ANSWERS |
GRADED A+ | VERIFIED ANSWERS
The nurse is caring for a client who has right-sided hemiplegia and is ambulating
using a walker. It would indicate a correct understanding of how to use the walker
if the client is observed
1.taking a step forward with the left leg and then advancing the right leg and the
walker
2.moving the walker forward 12 in (30 cm) then swinging both legs forward
together
3.moving the walker and the right leg forward 6 in (15 cm) and then moving the
left leg forward
4.placing the rear legs of the walker and the right leg forward and then moving
the left leg forward ---------CORRECT ANSWER-----------------3.moving the walker
and the right leg forward 6 in (15 cm) and then moving the left leg forward
The nurse is contributing to a staff education program about caring for a client
with active pulmonary tuberculosis (TB). Which of the following information
should the nurse suggest including?
1."It is mandatory to report a client's positive TB test results to the public health
department."
2."It is necessary to isolate a hospitalized client for 24 hours after initiating
antitubercular therapy."
,3."Antitubercular therapy is continued until the client provides sputum cultures
that test negative for TB."
4."Droplet precautions must be implemented as soon as the hospitalized client is
suspected of active TB." ---------CORRECT ANSWER-----------------1."It is mandatory
to report a client's positive TB test results to the public health department."
The nurse in a pediatric outpatient care facility has received telephone messages
from parents of clients who were previously seen at the facility. The nurse should
first telephone the parent of a client who has
1.acute otitis media and reports insomnia after taking prescribed amoxicillin 6
hours ago
2.a fracture of the left tibia and has placed a crayon in the cast
3.a colostomy and reports skin irritation around the stoma
4.epilepsy and has pink, frothy sputum ---------CORRECT ANSWER-----------------
4.epilepsy and has pink, frothy sputum
The nurse is caring for a client born 6 hours ago and observes the finding depicted
below. Which of the following actions should the nurse take in response to this
finding?
1.Notify the primary health care provider of the findings.
2.Continue to perform routine newborn care.
3.Administer oxygen therapy prescribed p.r.n.
,4.Prepare the client for phototherapy. ---------CORRECT ANSWER-----------------
3.Administer oxygen therapy prescribed p.r.n.
The nurse is caring for a 17-year-old client with Guillain-Barré syndrome who is
beginning to have return of sensation and motor function. The client states, "I'm
going to miss my senior dance. It's not fair." Which of the following responses
would be appropriate for the nurse to make?
1."You will be able to have your friends visit and tell you about the dance."
2."You should be happy that you are getting some movement back."
3."You will graduate from high school soon and there will be dances at the college
you plan to attend."
4."You are sad because you will miss something you have looked forward to for a
long time." ---------CORRECT ANSWER-----------------4."You are sad because you will
miss something you have looked forward to for a long time."
The nurse has received the following information about assigned clients. The
nurse should first check the client who
1.has gastroenteritis, is reporting nausea and vomited 100 mL of green liquid
2.has a long leg cast and is sitting in a chair with the casted leg elevated on a stool
3.had an appendectomy 1 day ago and has a 0.8 in (2 cm) area of
serosanguineous drainage on the incision dressing
4.had a thyroidectomy 2 days ago and has muscle spasms in the wrist when the
blood pressure is taken ---------CORRECT ANSWER-----------------4.had a
thyroidectomy 2 days ago and has muscle spasms in the wrist when the blood
pressure is taken
, The nurse is contributing to a staff development conference about client
confidentiality. Which of the following information should the nurse suggest
including? Select all that apply.
1."The client's medical record is the client's property and the client may have
access to the record at any time."
2."Unneeded computer-generated worksheets must be shredded at the end of
the shift to ensure client confidentiality."
3."Personal computer passwords may not be shared with anyone, including other
members of the client's health care team."
4."Medical information about the client may be shared with a police officer who
brought the client into the emergency department (ED)."
5."Keep your voice low when speaking with the client because direct interactions
with clients must be kept as private as possible." ---------CORRECT ANSWER----------
-------2,3,5
The nurse is collecting data from a client with a preliminary diagnosis of
abdominal aortic aneurysm. Which of the following findings would be consistent
with an abdominal aortic aneurysm?
1.urinary retention
2.back pain
3.neck vein distention
4.dysphagia ---------CORRECT ANSWER-----------------2.back pain
