NCLEX practice exam 2026/ 65 questions and answers
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Removal of the pituitary gland is usually done by a transphenoidal approach, through
the nose. Nasal congestion further interferes with the airway.
Answers B, C, and D are not correct because they are not directly associated with the
pituitary gland
A client with cancer is admitted to the oncology unit. Stat lab values reveal Hgb 12.6,
WBC 6500, K+ 1.9, uric acid 7.0, Na+ 136 and platelets 178,000. The nurse evaluates
that the client is experiencing which of the following?
a) Hypernatremia
b) Hypokalemia
c) Myelosuppression
d) Leukosytosis - ANSWER//B - Hypokalemia
Hypokalemia is evident from the lab values listed. the other laboratory findings are
within normal limits, making A, C, and D incorrect
A 24-year-old female client is scheduled for surgery in the morning. Which of the
following is the primary responsibilty of the nurse?
a) taking the vital signs
b) obtaining the permit
c) explaining the procedure
d) checking the lab work - ANSWER//A - taking the vital signs
The primary responsibility of the nurse is to take the vital signs before any surgery. The
actions in answers B, C, and D are the responsibility of the doctor.
The nurse is working in the emergency room when a client arrives with severe burns of
the left arm, hands, face and neck. Which action should receive priority?
a) Starting an IV
b) Applying oxygen
c) Obtaining blood gasses
,d) Medicating the patient for pain - ANSWER//B- Applying oxygen
The client with burns to the neck needs airway assessment and supplemental oxygen,
so applying oxygen is the priority. The next action should be to start an IV and medicate
for pain, making answers A and C incorrect. Answer D is ordered by the doctor
The nurse is visiting a home health client with osteoporosis. The client has a new
prescription for alendronate (Fosamax). Which instruction should be given to the
patient?
a) rest in bed after taking the medication for at least 30 minutes
b) avoid rapid movements after taking the medication
c) take the medication with water only
d) allow at least one hour between taking the medication and taking other medications -
ANSWER//C - take the medication with water only
Fosamax should be taken with water only. the client should also remain upright for at
least 30 minutes after taking the medication. Answers A, B, and D are not applicable to
taking Fosamax.
The nurse is making initial rounds on a client with a C5 fracture and crutchfield tongs.
Which equipment should be kept at the bedside?
a) a pair of forceps
b) a torque wrench
c) a pair of wire cutters
d) a screwdriver - ANSWER//B- a torque wrench
A torque wrench is kept at the bedside table to tighten and loosen the screws of
crutchfield tongs. The wrench control the amount of pressure that is placed on the
screws. A pair of forceps, wire cutters, and a screwdriver would not be used.
An infant weighs 7 pounds at birth. The expected weight by one year should be:
a) 10 pounds
b) 12 pounds
c) 18 pounds
d) 21 pounds - ANSWER//D - 21 pounds
The birth weight of 7 pounds would indicate 21 pounds in 1 year, or triple his birth
weight.
A client is admitted with a Ewing's sarcoma. Which symptoms would be expected due to
this tumor's location?
a) hemiplegia
b) aphasia
, c) nausea
d) bone pain - ANSWER//D - bone pain
Sarcoma is a type of bone cancer; therefore, bone pain would be expected. Answers A,
B, and C are not specific to this type of cancer.
The nurse is caring for a client with epilepsy who is being treated with carbamazepine
(Tegretol). Which laboratory value might indicate a serious side effect of this drug?
a) uric acid of 5 mg/dL
b) hematocrit of 33%
c) WBC 2,000 per cubic millimeter
d) platelets 150,000 per cubic millimeter - ANSWER//C - 2,000 per cubic millimeter
Tegretol can suppress the none marrow and decrease the white blood cell count; thus,
a lab value of WBC 2,000 per cubic millimeter indicates side effects of the drug.
Answers A and D are within normal limits, and Answer B is a lower limit of normal.
A 6-month-old client is admitted with possible intussuception. Which question during the
nursing history is least helpful in obtaining information regarding this diagnosis?
a) "Tell me about his pain."
b) "What does his vomit look like?"
c) "Describe his usual diet."
d) "Have you noticed changes in his abdominal size?" - ANSWER//C - "Describe his
usual diet."
The least helpful questions are those describing his usual diet. A, B, and D are useful in
determining the extent of disease process.
The nurse is assisting a client with diverticulosis to select appropriate foods. Which food
should be avoided?
a) bran
b) fresh peaches
c) cucumber salad
d) yeast rolls - ANSWER//C - cucumber salad
The client with diverticulitis should avoid foods with seeds. The foods in answers A, B,
and D are allowed; in fact bran cereal and fruit will help prevent constipation
A client has rectal cancer and is scheduled for an abdominal perineal resection. What
should be the priority nursing care during the post-op period?
a) teaching how to irrigate the illeostomy
b) stopping electrolyte loss in the incisional area
graded A+ with latest question & answers
Removal of the pituitary gland is usually done by a transphenoidal approach, through
the nose. Nasal congestion further interferes with the airway.
Answers B, C, and D are not correct because they are not directly associated with the
pituitary gland
A client with cancer is admitted to the oncology unit. Stat lab values reveal Hgb 12.6,
WBC 6500, K+ 1.9, uric acid 7.0, Na+ 136 and platelets 178,000. The nurse evaluates
that the client is experiencing which of the following?
a) Hypernatremia
b) Hypokalemia
c) Myelosuppression
d) Leukosytosis - ANSWER//B - Hypokalemia
Hypokalemia is evident from the lab values listed. the other laboratory findings are
within normal limits, making A, C, and D incorrect
A 24-year-old female client is scheduled for surgery in the morning. Which of the
following is the primary responsibilty of the nurse?
a) taking the vital signs
b) obtaining the permit
c) explaining the procedure
d) checking the lab work - ANSWER//A - taking the vital signs
The primary responsibility of the nurse is to take the vital signs before any surgery. The
actions in answers B, C, and D are the responsibility of the doctor.
The nurse is working in the emergency room when a client arrives with severe burns of
the left arm, hands, face and neck. Which action should receive priority?
a) Starting an IV
b) Applying oxygen
c) Obtaining blood gasses
,d) Medicating the patient for pain - ANSWER//B- Applying oxygen
The client with burns to the neck needs airway assessment and supplemental oxygen,
so applying oxygen is the priority. The next action should be to start an IV and medicate
for pain, making answers A and C incorrect. Answer D is ordered by the doctor
The nurse is visiting a home health client with osteoporosis. The client has a new
prescription for alendronate (Fosamax). Which instruction should be given to the
patient?
a) rest in bed after taking the medication for at least 30 minutes
b) avoid rapid movements after taking the medication
c) take the medication with water only
d) allow at least one hour between taking the medication and taking other medications -
ANSWER//C - take the medication with water only
Fosamax should be taken with water only. the client should also remain upright for at
least 30 minutes after taking the medication. Answers A, B, and D are not applicable to
taking Fosamax.
The nurse is making initial rounds on a client with a C5 fracture and crutchfield tongs.
Which equipment should be kept at the bedside?
a) a pair of forceps
b) a torque wrench
c) a pair of wire cutters
d) a screwdriver - ANSWER//B- a torque wrench
A torque wrench is kept at the bedside table to tighten and loosen the screws of
crutchfield tongs. The wrench control the amount of pressure that is placed on the
screws. A pair of forceps, wire cutters, and a screwdriver would not be used.
An infant weighs 7 pounds at birth. The expected weight by one year should be:
a) 10 pounds
b) 12 pounds
c) 18 pounds
d) 21 pounds - ANSWER//D - 21 pounds
The birth weight of 7 pounds would indicate 21 pounds in 1 year, or triple his birth
weight.
A client is admitted with a Ewing's sarcoma. Which symptoms would be expected due to
this tumor's location?
a) hemiplegia
b) aphasia
, c) nausea
d) bone pain - ANSWER//D - bone pain
Sarcoma is a type of bone cancer; therefore, bone pain would be expected. Answers A,
B, and C are not specific to this type of cancer.
The nurse is caring for a client with epilepsy who is being treated with carbamazepine
(Tegretol). Which laboratory value might indicate a serious side effect of this drug?
a) uric acid of 5 mg/dL
b) hematocrit of 33%
c) WBC 2,000 per cubic millimeter
d) platelets 150,000 per cubic millimeter - ANSWER//C - 2,000 per cubic millimeter
Tegretol can suppress the none marrow and decrease the white blood cell count; thus,
a lab value of WBC 2,000 per cubic millimeter indicates side effects of the drug.
Answers A and D are within normal limits, and Answer B is a lower limit of normal.
A 6-month-old client is admitted with possible intussuception. Which question during the
nursing history is least helpful in obtaining information regarding this diagnosis?
a) "Tell me about his pain."
b) "What does his vomit look like?"
c) "Describe his usual diet."
d) "Have you noticed changes in his abdominal size?" - ANSWER//C - "Describe his
usual diet."
The least helpful questions are those describing his usual diet. A, B, and D are useful in
determining the extent of disease process.
The nurse is assisting a client with diverticulosis to select appropriate foods. Which food
should be avoided?
a) bran
b) fresh peaches
c) cucumber salad
d) yeast rolls - ANSWER//C - cucumber salad
The client with diverticulitis should avoid foods with seeds. The foods in answers A, B,
and D are allowed; in fact bran cereal and fruit will help prevent constipation
A client has rectal cancer and is scheduled for an abdominal perineal resection. What
should be the priority nursing care during the post-op period?
a) teaching how to irrigate the illeostomy
b) stopping electrolyte loss in the incisional area
