NCLEX EXAM ms ms
Exam Solution ms
NCSBN NCLEX QUESTIONS 2026 A+ GRADE ASSURED C ms ms ms ms ms ms ms
OMPLETE SOLUTIONS AND VERIFIED ANSWERS (812B ms ms ms ms ms
7)
QUESTION 1 ms
The nurse is caring for a 75 year-
ms ms ms ms ms ms ms
old client with type 2 diabetes mellitus. The client should be instructed to contact the
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
outpatient clinic immediately if which findings are present? 1An open wound on the h
ms ms ms ms ms ms ms ms ms ms ms ms ms
eel with minimal discomfort 2Occasional hiccups and sneezing 3Sustained insomnia a
ms ms ms ms ms ms ms ms ms ms
nd daytime fatigue 4Persistent dryness and itching of the perineal area
ms ms ms ms ms ms ms ms ms ms
ANSWER
1An open wound on the heel with minimal discomfort-
ms ms ms ms ms ms ms ms
QUESTION 2 ms
A nurse is taking a health history from parents of a child admitted with possible Reye
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
's syndrome. Which recent illness should the nurse recognize as being associated with
ms ms ms ms ms ms ms ms ms ms ms ms m
an increased the risk for the development of Reye's syndrome? 1. Varicella 2. Meningi
s ms ms ms ms ms ms ms ms ms ms ms ms ms
tis 3. Hepatitis 4. Rubeola
ms ms ms ms
ANSWER
1. Varicella -
ms ms
QUESTION 3 ms
A Native American chief visits his newborn son and performs a traditional ceremony t
ms ms ms ms ms ms ms ms ms ms ms ms ms
hat involves feathers and chanting. The nurse comments to a colleague: "I wonder if h
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
e has any idea how ridiculous he looks -
ms ms ms ms ms ms ms ms
he's a grown man!" The nurse's comment is an example of what type of attitude? 1. P
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
rejudice 2. Ethnocentrism 3. Discrimination 4. Stereotyping
ms ms ms ms ms ms
ANSWER
,1. Prejudice-
ms
QUESTION 4 ms
A child is admitted to the unit with the suspected diagnosis of pertussis (whooping co
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ugh). What is the priority nursing intervention for this child? 1. Maintain hydration an
ms ms ms ms ms ms ms ms ms ms ms ms ms
d encourage fluids 2. Implement droplet precautions 3. Monitor respiratory rate and o
ms ms ms ms ms ms ms ms ms ms ms ms
xygen saturation 4. Anti- infective therapy
ms ms ms ms ms
ANSWER
2
QUESTION 5 ms
A nurse is caring for a woman two hours after a vaginal delivery. Documentation indi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
cates that the membranes ruptured 36 hours prior to delivery. Which of these nursing
ms ms ms ms ms ms ms ms ms ms ms ms ms
diagnoses should the nurse expect the charge nurse to list as a priority at this time?
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
1Risk for fluid volume deficit 2Risk for excessive bleeding 3Risk for infection -
ms ms ms ms ms ms ms ms ms ms ms ms
4Altered tissue perfusion
ms ms ms
ANSWER
3
QUESTION 6 ms
A 14 month-
ms ms
old child ingests a half a bottle of baby aspirin (81 mg) tablets. Which finding should
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
a nurse expect to see in the child? 1Hypothermia 2Nausea and vomiting 3Hypoventilat
ms ms ms ms ms ms ms ms ms ms ms ms
ion 4Bradycardia
ms
ANSWER
2
QUESTION 7 ms
A client is admitted with diagnosis of a right upper lobe infiltrate and to rule out acti
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ve tuberculosis (TB). Which type of precautions will be needed for this client? 1Dropl
ms ms ms ms ms ms ms ms ms ms ms ms ms
et 2Contact 3Standard 4Airborne
ms ms ms
ANSWER
4
,QUESTION 8 ms
A client has had a positive reaction to purified protein derivative (PPD). Which statem
ms ms ms ms ms ms ms ms ms ms ms ms ms
ent made by the client suggests the client understands the teaching by the registered
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
nurse (RN)? 1"I have active tuberculosis." 2"I have been exposed to mycobacterium tu
ms ms ms ms ms ms ms ms ms ms ms ms
berculosis." 3"I have never been infected with mycobacterium tuberculosis." 4"I have
ms ms ms ms ms ms ms ms ms ms ms
never had tuberculosis."
ms ms
ANSWER
2
QUESTION 9 ms
A nurse is caring for a client with pneumococcal pneumonia. Which breath sounds wo
ms ms ms ms ms ms ms ms ms ms ms ms ms
uld the nurse expect to disappear as the client responds to the antibiotic treatment? 1
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
Wheezes 2Friction rubs 3Rhonchi 4Diminished sounds
ms ms ms ms ms
ANSWER
3
QUESTION 10 ms
Lactulose has been prescribed for a client with advanced liver disease. Which finding
ms ms ms ms ms ms ms ms ms ms ms ms ms
should the nurse use to evaluate the effectiveness of this treatment? 1Less jaundice 2I
ms ms ms ms ms ms ms ms ms ms ms ms ms
ncreased appetite 3Decreased lethargy 4Less edema
ms ms ms ms ms
ANSWER
3
QUESTION 11 ms
The nurse is assisting with the delivery of a newborn infant. What is the priority nurs
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ing intervention for a normal newborn immediately after delivery? 1Dry off infant wit
ms ms ms ms ms ms ms ms ms ms ms ms
h a warm blanket or towel 2Apply identification bracelets 3Assign the one-
ms ms ms ms ms ms ms ms ms ms ms
minute APGAR score 4Obtain vital signs
ms ms ms ms ms
ANSWER
1Dry off infant with a warm blanket or towel -
ms ms ms ms ms ms ms ms ms
QUESTION 12 ms
The nurse is reinforcing information about the side effects of fluoxetine to a client. W
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
hich group of findings should be included? 1Diarrhea, dry mouth, weight loss, reduced
ms ms ms ms ms ms ms ms ms ms ms ms
libido 2Tachycardia, blurred vision, hypotension, anorexia 3Orthostatic hypotension,
ms ms ms ms ms ms ms ms ms
, vertigo, reactions to tyramine, nausea 4Photosensitivity, seizures, edema, hyperglycem
ms ms ms ms ms ms ms ms
ia
ANSWER
1Diarrhea, dry mouth, weight loss, reduced libido
ms ms ms ms ms ms
QUESTION 13 ms
A client has a diagnosis of heart failure. Which intervention is most important for the
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
nurse to implement prior to the administration of digoxin? 1Use the pulse reading fro
ms ms ms ms ms ms ms ms ms ms ms ms ms
m the electronic blood pressure device 2Take a radial pulse, counting for a full 60 sec
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
onds 3Check for a pulse deficit at least twice with another nurse 4Assess the apical p
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ulse, counting for a full 60 seconds
ms ms ms ms ms ms
ANSWER
4Assess the apical pulse, counting for a full 60 seconds -
ms ms ms ms ms ms ms ms ms ms
QUESTION 14 ms
A parent expresses frustration and anger about the toddler constantly saying "no" and
ms ms ms ms ms ms ms ms ms ms ms ms
refusing to follow directions. The nurse should help the parent understand that this
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
behavior meets which developmental need? 1Self-
ms ms ms ms ms
esteem 2Initiative 3Independence 4Trust
ms ms ms
ANSWER
3
QUESTION 15 ms
A newborn has hyperbilirubinemia and is being treated with a biliblanket. Which inte
ms ms ms ms ms ms ms ms ms ms ms ms
rvention is indicated during this therapy? 1Discontinue breastfeeding during treatmen
ms ms ms ms ms ms ms ms ms
t 2Rotate the neonate to treat all of his/her skin 3Restrict holding the newborn durin
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
g treatment 4Provide more frequent feedings
ms ms ms ms ms
ANSWER
4Provide more frequent feedings- ms ms ms
QUESTION 16 ms
A client with paranoid delusions stares at the nurse over a period of several days. Th
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
e client suddenly walks up to the nurse and shouts, "You think you're so perfect, pure
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
and good." How should the nurse respond? 1"You seem to be in a bad mood." 2"Perfe
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ct? I don't quite understand." 3"You sound angry right now." 4"That explains why you'
ms ms ms ms ms ms ms ms ms ms ms ms ms
ve been staring at me."
ms ms ms ms
Exam Solution ms
NCSBN NCLEX QUESTIONS 2026 A+ GRADE ASSURED C ms ms ms ms ms ms ms
OMPLETE SOLUTIONS AND VERIFIED ANSWERS (812B ms ms ms ms ms
7)
QUESTION 1 ms
The nurse is caring for a 75 year-
ms ms ms ms ms ms ms
old client with type 2 diabetes mellitus. The client should be instructed to contact the
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
outpatient clinic immediately if which findings are present? 1An open wound on the h
ms ms ms ms ms ms ms ms ms ms ms ms ms
eel with minimal discomfort 2Occasional hiccups and sneezing 3Sustained insomnia a
ms ms ms ms ms ms ms ms ms ms
nd daytime fatigue 4Persistent dryness and itching of the perineal area
ms ms ms ms ms ms ms ms ms ms
ANSWER
1An open wound on the heel with minimal discomfort-
ms ms ms ms ms ms ms ms
QUESTION 2 ms
A nurse is taking a health history from parents of a child admitted with possible Reye
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
's syndrome. Which recent illness should the nurse recognize as being associated with
ms ms ms ms ms ms ms ms ms ms ms ms m
an increased the risk for the development of Reye's syndrome? 1. Varicella 2. Meningi
s ms ms ms ms ms ms ms ms ms ms ms ms ms
tis 3. Hepatitis 4. Rubeola
ms ms ms ms
ANSWER
1. Varicella -
ms ms
QUESTION 3 ms
A Native American chief visits his newborn son and performs a traditional ceremony t
ms ms ms ms ms ms ms ms ms ms ms ms ms
hat involves feathers and chanting. The nurse comments to a colleague: "I wonder if h
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
e has any idea how ridiculous he looks -
ms ms ms ms ms ms ms ms
he's a grown man!" The nurse's comment is an example of what type of attitude? 1. P
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
rejudice 2. Ethnocentrism 3. Discrimination 4. Stereotyping
ms ms ms ms ms ms
ANSWER
,1. Prejudice-
ms
QUESTION 4 ms
A child is admitted to the unit with the suspected diagnosis of pertussis (whooping co
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ugh). What is the priority nursing intervention for this child? 1. Maintain hydration an
ms ms ms ms ms ms ms ms ms ms ms ms ms
d encourage fluids 2. Implement droplet precautions 3. Monitor respiratory rate and o
ms ms ms ms ms ms ms ms ms ms ms ms
xygen saturation 4. Anti- infective therapy
ms ms ms ms ms
ANSWER
2
QUESTION 5 ms
A nurse is caring for a woman two hours after a vaginal delivery. Documentation indi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
cates that the membranes ruptured 36 hours prior to delivery. Which of these nursing
ms ms ms ms ms ms ms ms ms ms ms ms ms
diagnoses should the nurse expect the charge nurse to list as a priority at this time?
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
1Risk for fluid volume deficit 2Risk for excessive bleeding 3Risk for infection -
ms ms ms ms ms ms ms ms ms ms ms ms
4Altered tissue perfusion
ms ms ms
ANSWER
3
QUESTION 6 ms
A 14 month-
ms ms
old child ingests a half a bottle of baby aspirin (81 mg) tablets. Which finding should
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
a nurse expect to see in the child? 1Hypothermia 2Nausea and vomiting 3Hypoventilat
ms ms ms ms ms ms ms ms ms ms ms ms
ion 4Bradycardia
ms
ANSWER
2
QUESTION 7 ms
A client is admitted with diagnosis of a right upper lobe infiltrate and to rule out acti
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ve tuberculosis (TB). Which type of precautions will be needed for this client? 1Dropl
ms ms ms ms ms ms ms ms ms ms ms ms ms
et 2Contact 3Standard 4Airborne
ms ms ms
ANSWER
4
,QUESTION 8 ms
A client has had a positive reaction to purified protein derivative (PPD). Which statem
ms ms ms ms ms ms ms ms ms ms ms ms ms
ent made by the client suggests the client understands the teaching by the registered
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
nurse (RN)? 1"I have active tuberculosis." 2"I have been exposed to mycobacterium tu
ms ms ms ms ms ms ms ms ms ms ms ms
berculosis." 3"I have never been infected with mycobacterium tuberculosis." 4"I have
ms ms ms ms ms ms ms ms ms ms ms
never had tuberculosis."
ms ms
ANSWER
2
QUESTION 9 ms
A nurse is caring for a client with pneumococcal pneumonia. Which breath sounds wo
ms ms ms ms ms ms ms ms ms ms ms ms ms
uld the nurse expect to disappear as the client responds to the antibiotic treatment? 1
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
Wheezes 2Friction rubs 3Rhonchi 4Diminished sounds
ms ms ms ms ms
ANSWER
3
QUESTION 10 ms
Lactulose has been prescribed for a client with advanced liver disease. Which finding
ms ms ms ms ms ms ms ms ms ms ms ms ms
should the nurse use to evaluate the effectiveness of this treatment? 1Less jaundice 2I
ms ms ms ms ms ms ms ms ms ms ms ms ms
ncreased appetite 3Decreased lethargy 4Less edema
ms ms ms ms ms
ANSWER
3
QUESTION 11 ms
The nurse is assisting with the delivery of a newborn infant. What is the priority nurs
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ing intervention for a normal newborn immediately after delivery? 1Dry off infant wit
ms ms ms ms ms ms ms ms ms ms ms ms
h a warm blanket or towel 2Apply identification bracelets 3Assign the one-
ms ms ms ms ms ms ms ms ms ms ms
minute APGAR score 4Obtain vital signs
ms ms ms ms ms
ANSWER
1Dry off infant with a warm blanket or towel -
ms ms ms ms ms ms ms ms ms
QUESTION 12 ms
The nurse is reinforcing information about the side effects of fluoxetine to a client. W
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
hich group of findings should be included? 1Diarrhea, dry mouth, weight loss, reduced
ms ms ms ms ms ms ms ms ms ms ms ms
libido 2Tachycardia, blurred vision, hypotension, anorexia 3Orthostatic hypotension,
ms ms ms ms ms ms ms ms ms
, vertigo, reactions to tyramine, nausea 4Photosensitivity, seizures, edema, hyperglycem
ms ms ms ms ms ms ms ms
ia
ANSWER
1Diarrhea, dry mouth, weight loss, reduced libido
ms ms ms ms ms ms
QUESTION 13 ms
A client has a diagnosis of heart failure. Which intervention is most important for the
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
nurse to implement prior to the administration of digoxin? 1Use the pulse reading fro
ms ms ms ms ms ms ms ms ms ms ms ms ms
m the electronic blood pressure device 2Take a radial pulse, counting for a full 60 sec
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
onds 3Check for a pulse deficit at least twice with another nurse 4Assess the apical p
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ulse, counting for a full 60 seconds
ms ms ms ms ms ms
ANSWER
4Assess the apical pulse, counting for a full 60 seconds -
ms ms ms ms ms ms ms ms ms ms
QUESTION 14 ms
A parent expresses frustration and anger about the toddler constantly saying "no" and
ms ms ms ms ms ms ms ms ms ms ms ms
refusing to follow directions. The nurse should help the parent understand that this
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
behavior meets which developmental need? 1Self-
ms ms ms ms ms
esteem 2Initiative 3Independence 4Trust
ms ms ms
ANSWER
3
QUESTION 15 ms
A newborn has hyperbilirubinemia and is being treated with a biliblanket. Which inte
ms ms ms ms ms ms ms ms ms ms ms ms
rvention is indicated during this therapy? 1Discontinue breastfeeding during treatmen
ms ms ms ms ms ms ms ms ms
t 2Rotate the neonate to treat all of his/her skin 3Restrict holding the newborn durin
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
g treatment 4Provide more frequent feedings
ms ms ms ms ms
ANSWER
4Provide more frequent feedings- ms ms ms
QUESTION 16 ms
A client with paranoid delusions stares at the nurse over a period of several days. Th
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
e client suddenly walks up to the nurse and shouts, "You think you're so perfect, pure
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
and good." How should the nurse respond? 1"You seem to be in a bad mood." 2"Perfe
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ct? I don't quite understand." 3"You sound angry right now." 4"That explains why you'
ms ms ms ms ms ms ms ms ms ms ms ms ms
ve been staring at me."
ms ms ms ms
