NCLEX EXAM ms ms
Exam Solution ms
NCLEX RN Exam Preview 2026 A+ GRADE ASSURED CO ms ms ms ms ms ms ms ms
MPLETE SOLUTIONS AND VERIFIED ANSWERS (A7090) ms ms ms ms ms
QUESTION 1 ms
1. "Use your hands and arms to support your body weight." Rationale: 1. Is true, but
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
watch out if it isn't 2-3 finger-
ms ms ms ms ms ms
widths, because crutch paralysis can occur. S/S: Paresis & Paresthesias in wrist & han
ms ms ms ms ms ms ms ms ms ms ms ms ms
ds. 2. Is a fall risk. 3. Crutches should be 6 inches in front & 6 inches lateral. 4. Elbow
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
should be bent at a 30 degree angle.
s ms ms ms ms ms ms ms
ANSWER
The nurse is teaching a client how to ambulate using crutches. Which of the following information s
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
hould the nurse include? 1. "Use your hands and arms to support your body weight." 2. "Wear slipp
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ers when ambulating with the crutches in your home." 3. "Maintain the crutches 12inch (30cm) in fr
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ont of your feet while standing." 4. "Adjust the hand grips of the crutches so that your elbows are f
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ully extended." ms
QUESTION 2 ms
2. "Clients may develop stress ulcers and gastrointestinal bleeding." Rationale: Positiv
ms ms ms ms ms ms ms ms ms ms
e pressure ventilation increases the likelihood of developing stress ulcers and bleedin
ms ms ms ms ms ms ms ms ms ms ms
g.
ANSWER
The nurse has attended a staff education program about caring for clients who are receiving positive
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
pressure mechanical ventilation. Which of the following statements by the nurse would indicate a c
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
orrect understanding of the teaching? 1. "Clients should avoid range-
ms ms ms ms ms ms ms ms ms
of motion (ROM) exercises until weaned from ventilation." 2. "Clients may develop stress ulcers and
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
gastrointestinal bleeding." 3. "Clients will be chemically paralyzed to improve oxygenation." 4. "Client
ms ms ms ms ms ms ms ms ms ms ms ms
s will experience diuresis and polyuria."
ms ms ms ms ms
QUESTION 3 ms
3. 56-years-old, has hepatitis C (HCV) and has been afebrile for 24 hours.
ms ms ms ms ms ms ms ms ms ms ms ms
,ANSWER
The charge nurse must transfer a female client from the medical-
ms ms ms ms ms ms ms ms ms ms
surgical unit to the maternity unit to make a bed available. It would be most appropriate for the nu
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
rse to transfer the client who is 1. 28-years-old, had a right mastectomy and has a closed-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
wound drainage system. 2. 49-years-
ms ms ms ms
old, has diabetes mellitus (type 2) and has begun receiving insulin. 3. 56-years-
ms ms ms ms ms ms ms ms ms ms ms ms
old, has hepatitis C (HCV) and has been afebrile for 24 hours. 4. 70-years-
ms ms ms ms ms ms ms ms ms ms ms ms ms
old, has a fractures left tibia and had an external fixation device applied 48 hours ago.
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 4 ms
1. Heart failure who has a productive cough and is anxious. Rationale: The productive
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
cough (Pink, frothy sputum) indicates pulmonary edema. The patient's anxiety may be
ms ms ms ms ms ms ms ms ms ms ms
caused by decreased perfusion.
ms ms ms ms
ANSWER
The nurse has been made aware of the following client situations. The nurse should first assess the
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
client with 1. Heart failure who has a productive cough and is anxious. 2. Regional enteritis (Crohn's
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
Disease) who is reporting cramping abdominal pain and diarrhea. 3. Idiopathic thrombocytopenic p
ms ms ms ms ms ms ms ms ms ms ms ms ms
urpura (ITP) who has petechiae on the trunk and is reporting heavy menses. 4. Chronic obstructive
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
pulmonary disease (COPD) who has dyspnea with exertion and is using accessory muscles to breath
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
e.
QUESTION 5 ms
1. Assisting a client with atrial fibrillation to shower. Rationale: A UAP can perform/as
ms ms ms ms ms ms ms ms ms ms ms ms ms
sist with hygiene. Only nurses can assess. Transporting a client in respiratory arrest is
ms ms ms ms ms ms ms ms ms ms ms ms ms
not safe to delegate to a UAP.
ms ms ms ms ms ms ms
ANSWER
The nurse and unlicensed assistive personnel (UAP) are caring for assigned clients. Which of the foll
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
owing tasks would be appropriate for the nurse to assign to UAP? 1. Assisting a client with atrial fib
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
rillation to shower. 2. Checking the ability of a client to swallow water after a transesophageal echoc
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ardiogram (TEE). 3. Observing while a client with dysphagia begins a thickened liquid diet. 4. Trans
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
porting a client with respiratory distress to the radiology department for a chest radiograph.
ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 6 ms
3. 9-month-
ms
old client whose typical daily diet includes 10 bottles of 2% milk, 1 cup of apple juice,
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
and 3 servings of infant cereal. Answer: Cow's milk should be introduced at 12 mont
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
hs old. It doesn't provide the necessary nutrients, and the baby can develop iron defic
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
iency.
ANSWER
, The nurse has taken a nutritional history from parents of clients. It would be a priority for the nurs
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
e to follow up with the 1. 5-month-
ms ms ms ms ms ms ms
old client whose only source of nutrition is 5 formula feedings daily. 2. 7-month-
ms ms ms ms ms ms ms ms ms ms ms ms ms
old client who eats several crackers as finger food. 3. 9-month-
ms ms ms ms ms ms ms ms ms ms
old client whose typical daily diet includes 10 bottles of 2% milk, 1 cup of apple juice, and 3 servin
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
gs of infant cereal. 4. 1-year-old client whose typical food intake includes 4 breast-
ms ms ms ms ms ms ms ms ms ms ms ms ms
feedings and 3 servings of cooked vegetables, pears, or sliced cheese.
ms ms ms ms ms ms ms ms ms ms
QUESTION 7 ms
2. Sharing the client's blood alcohol level (BAL) test result with the police officer who
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
brought the client to the emergency department (ED). Rationale: PHI is permitted to b
ms ms ms ms ms ms ms ms ms ms ms ms ms
e discussed to police when PHI is needed to apprehend the perpetrator of a violent cr
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ime, suspect, or fugitive.
ms ms ms
ANSWER
The nurse is planning a staff education program about client privacy. Which one of the following sce
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
narios should the nurse include as an example of a violation of client privacy? 1. Discussing with an
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
unlicensed assistive personnel (UAP) that the UAP's assigned client will require a smaller condom ca
s ms ms ms ms ms ms ms ms ms ms ms ms ms ms
theter. 2. Sharing the client's blood alcohol level (BAL) test result with the police officer who brough
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
t the client to the emergency department (ED). 3. Responding to the call light of the client who is as
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
signed to another nurse and needs assistance in the bathroom. 4. Allowing a nursing student who h
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
as been assigned to the client to review the client's medical record.
ms ms ms ms ms ms ms ms ms ms ms
QUESTION 8 ms
4. With heart failure who has a productive cough and is restless. Rationale: A producti
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ve cough (pink, frothy sputum) is indicative of pulmonary edema which is life threate
ms ms ms ms ms ms ms ms ms ms ms ms ms
ning. Treatment would be to improve cardiac output by placing client in High-
ms ms ms ms ms ms ms ms ms ms ms ms
Fowler's, giving them O2, receiving mechanical ventilation, and medications.
ms ms ms ms ms ms ms ms
ANSWER
The nurse has become aware of the following client situations. The nurse should first assess the clie
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
nt: 1. Who had a right pneumonectomy 24 hours ago and is in the High-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
Fowler's position while lying on the right side. 2. With chronic obstructive pulmonary disease (COPD
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
) who is using pursed-
ms ms ms ms
lip breathing and reporting hemoptysis. 3. Who had a wedge resection of the left lung 24 hours ago
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
and is sitting in the High-
ms ms ms ms ms
Fowler's position. 4. With heart failure who has a productive cough and is restless.
ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 9 ms
2. The client is sleeping but is easily aroused.
ms ms ms ms ms ms ms ms
ANSWER
Exam Solution ms
NCLEX RN Exam Preview 2026 A+ GRADE ASSURED CO ms ms ms ms ms ms ms ms
MPLETE SOLUTIONS AND VERIFIED ANSWERS (A7090) ms ms ms ms ms
QUESTION 1 ms
1. "Use your hands and arms to support your body weight." Rationale: 1. Is true, but
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
watch out if it isn't 2-3 finger-
ms ms ms ms ms ms
widths, because crutch paralysis can occur. S/S: Paresis & Paresthesias in wrist & han
ms ms ms ms ms ms ms ms ms ms ms ms ms
ds. 2. Is a fall risk. 3. Crutches should be 6 inches in front & 6 inches lateral. 4. Elbow
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
should be bent at a 30 degree angle.
s ms ms ms ms ms ms ms
ANSWER
The nurse is teaching a client how to ambulate using crutches. Which of the following information s
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
hould the nurse include? 1. "Use your hands and arms to support your body weight." 2. "Wear slipp
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ers when ambulating with the crutches in your home." 3. "Maintain the crutches 12inch (30cm) in fr
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ont of your feet while standing." 4. "Adjust the hand grips of the crutches so that your elbows are f
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ully extended." ms
QUESTION 2 ms
2. "Clients may develop stress ulcers and gastrointestinal bleeding." Rationale: Positiv
ms ms ms ms ms ms ms ms ms ms
e pressure ventilation increases the likelihood of developing stress ulcers and bleedin
ms ms ms ms ms ms ms ms ms ms ms
g.
ANSWER
The nurse has attended a staff education program about caring for clients who are receiving positive
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
pressure mechanical ventilation. Which of the following statements by the nurse would indicate a c
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
orrect understanding of the teaching? 1. "Clients should avoid range-
ms ms ms ms ms ms ms ms ms
of motion (ROM) exercises until weaned from ventilation." 2. "Clients may develop stress ulcers and
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
gastrointestinal bleeding." 3. "Clients will be chemically paralyzed to improve oxygenation." 4. "Client
ms ms ms ms ms ms ms ms ms ms ms ms
s will experience diuresis and polyuria."
ms ms ms ms ms
QUESTION 3 ms
3. 56-years-old, has hepatitis C (HCV) and has been afebrile for 24 hours.
ms ms ms ms ms ms ms ms ms ms ms ms
,ANSWER
The charge nurse must transfer a female client from the medical-
ms ms ms ms ms ms ms ms ms ms
surgical unit to the maternity unit to make a bed available. It would be most appropriate for the nu
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
rse to transfer the client who is 1. 28-years-old, had a right mastectomy and has a closed-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
wound drainage system. 2. 49-years-
ms ms ms ms
old, has diabetes mellitus (type 2) and has begun receiving insulin. 3. 56-years-
ms ms ms ms ms ms ms ms ms ms ms ms
old, has hepatitis C (HCV) and has been afebrile for 24 hours. 4. 70-years-
ms ms ms ms ms ms ms ms ms ms ms ms ms
old, has a fractures left tibia and had an external fixation device applied 48 hours ago.
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 4 ms
1. Heart failure who has a productive cough and is anxious. Rationale: The productive
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
cough (Pink, frothy sputum) indicates pulmonary edema. The patient's anxiety may be
ms ms ms ms ms ms ms ms ms ms ms
caused by decreased perfusion.
ms ms ms ms
ANSWER
The nurse has been made aware of the following client situations. The nurse should first assess the
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
client with 1. Heart failure who has a productive cough and is anxious. 2. Regional enteritis (Crohn's
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
Disease) who is reporting cramping abdominal pain and diarrhea. 3. Idiopathic thrombocytopenic p
ms ms ms ms ms ms ms ms ms ms ms ms ms
urpura (ITP) who has petechiae on the trunk and is reporting heavy menses. 4. Chronic obstructive
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
pulmonary disease (COPD) who has dyspnea with exertion and is using accessory muscles to breath
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
e.
QUESTION 5 ms
1. Assisting a client with atrial fibrillation to shower. Rationale: A UAP can perform/as
ms ms ms ms ms ms ms ms ms ms ms ms ms
sist with hygiene. Only nurses can assess. Transporting a client in respiratory arrest is
ms ms ms ms ms ms ms ms ms ms ms ms ms
not safe to delegate to a UAP.
ms ms ms ms ms ms ms
ANSWER
The nurse and unlicensed assistive personnel (UAP) are caring for assigned clients. Which of the foll
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
owing tasks would be appropriate for the nurse to assign to UAP? 1. Assisting a client with atrial fib
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
rillation to shower. 2. Checking the ability of a client to swallow water after a transesophageal echoc
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ardiogram (TEE). 3. Observing while a client with dysphagia begins a thickened liquid diet. 4. Trans
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
porting a client with respiratory distress to the radiology department for a chest radiograph.
ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 6 ms
3. 9-month-
ms
old client whose typical daily diet includes 10 bottles of 2% milk, 1 cup of apple juice,
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
and 3 servings of infant cereal. Answer: Cow's milk should be introduced at 12 mont
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
hs old. It doesn't provide the necessary nutrients, and the baby can develop iron defic
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
iency.
ANSWER
, The nurse has taken a nutritional history from parents of clients. It would be a priority for the nurs
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
e to follow up with the 1. 5-month-
ms ms ms ms ms ms ms
old client whose only source of nutrition is 5 formula feedings daily. 2. 7-month-
ms ms ms ms ms ms ms ms ms ms ms ms ms
old client who eats several crackers as finger food. 3. 9-month-
ms ms ms ms ms ms ms ms ms ms
old client whose typical daily diet includes 10 bottles of 2% milk, 1 cup of apple juice, and 3 servin
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
gs of infant cereal. 4. 1-year-old client whose typical food intake includes 4 breast-
ms ms ms ms ms ms ms ms ms ms ms ms ms
feedings and 3 servings of cooked vegetables, pears, or sliced cheese.
ms ms ms ms ms ms ms ms ms ms
QUESTION 7 ms
2. Sharing the client's blood alcohol level (BAL) test result with the police officer who
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
brought the client to the emergency department (ED). Rationale: PHI is permitted to b
ms ms ms ms ms ms ms ms ms ms ms ms ms
e discussed to police when PHI is needed to apprehend the perpetrator of a violent cr
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ime, suspect, or fugitive.
ms ms ms
ANSWER
The nurse is planning a staff education program about client privacy. Which one of the following sce
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
narios should the nurse include as an example of a violation of client privacy? 1. Discussing with an
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
unlicensed assistive personnel (UAP) that the UAP's assigned client will require a smaller condom ca
s ms ms ms ms ms ms ms ms ms ms ms ms ms ms
theter. 2. Sharing the client's blood alcohol level (BAL) test result with the police officer who brough
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
t the client to the emergency department (ED). 3. Responding to the call light of the client who is as
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
signed to another nurse and needs assistance in the bathroom. 4. Allowing a nursing student who h
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
as been assigned to the client to review the client's medical record.
ms ms ms ms ms ms ms ms ms ms ms
QUESTION 8 ms
4. With heart failure who has a productive cough and is restless. Rationale: A producti
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ve cough (pink, frothy sputum) is indicative of pulmonary edema which is life threate
ms ms ms ms ms ms ms ms ms ms ms ms ms
ning. Treatment would be to improve cardiac output by placing client in High-
ms ms ms ms ms ms ms ms ms ms ms ms
Fowler's, giving them O2, receiving mechanical ventilation, and medications.
ms ms ms ms ms ms ms ms
ANSWER
The nurse has become aware of the following client situations. The nurse should first assess the clie
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
nt: 1. Who had a right pneumonectomy 24 hours ago and is in the High-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
Fowler's position while lying on the right side. 2. With chronic obstructive pulmonary disease (COPD
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
) who is using pursed-
ms ms ms ms
lip breathing and reporting hemoptysis. 3. Who had a wedge resection of the left lung 24 hours ago
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
and is sitting in the High-
ms ms ms ms ms
Fowler's position. 4. With heart failure who has a productive cough and is restless.
ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 9 ms
2. The client is sleeping but is easily aroused.
ms ms ms ms ms ms ms ms
ANSWER
