Archer NCLEX Study Bank Exam
Questions and Answers (Latest 2026)
The nurse is calculating the 12-hour intake for a client.
The client received 0.45% saline at 85 mL/hr via continuous
infusion
One eight-ounce cup of ice chips
One eight-ounce cup of coffee
One eight-ounce cup of ice cream
Three eight-ounce cups of water
One eight-ounce cup of pureed vegetables
The nurse should calculate the client's total liquid intake as
how many mL? - Correct Answers ✅Explanation:
The client received 0.45% saline at 85 mL/hr x 12 hours →
1020 mL
One eight-ounce cup of ice chips → 120 mL When
determining the total mL for a cup of ice, the nurse should
divide the volume by 1/2 since the ice melts
One eight-ounce cup of coffee → 240 mL
One eight-ounce cup of ice cream → 240 mL
Three eight-ounce cups of water → 720 mL
One eight-ounce cup of pureed vegetables → This is excluded
from the intake calculation as pureed food(s) are not a liquid
at room temperature
Total → 2340 mL
,Archer NCLEX Study Bank Exam
Questions and Answers (Latest 2026)
The nurse has several tasks that need to be completed.
Which of the following client assignments would be
appropriate to delegate to the unlicensed assistive
personnel?
A. A 65-year-old male requiring sterile dressing changes.
B. A 26-year-old female requiring a one-person assist in
ambulating to the restroom.
C. An 80-year-old male who is receiving enteral feedings
continuously through an NG tube.
D. A 23-year-old client requiring frequent urinary specimen
collections from their indwelling urinary catheter. - Correct
Answers ✅Choice B is correct. A 26-year-old female
requiring one person to assist in ambulating to the restroom
would be an appropriate assignment for unlicensed assistive
personnel (UAP). The UAP is skilled in assisting clients with
ambulation, which is within their scope of practice.
Choice A is incorrect. A 65-year-old male requiring sterile
dressing changes would not be an appropriate assignment for
unlicensed assistive personnel. Simple dressing changes are
not performed by unauthorized personnel. The UAP does not
have the requisite knowledge and experience for this task.
,Archer NCLEX Study Bank Exam
Questions and Answers (Latest 2026)
Choice C is incorrect. An 80-year-old male who is continuously
receiving enteral feedings through an NG tube would not be
an appropriate assignment for unlicensed assistive personnel.
Administering tube feedings is not performed by unlicensed
personnel.
Choice D is incorrect. UAPs may assist with clean catches, but
collecting urine specimens from the indwelling urinary
catheter is not within their scope. This requires an LPN/VN or
RN, as the specimen is not obtained from the collection bag.
It is obtained by clamping the tubing and with a sterile
syringe.
The nurse cares for a 12-year-old client one hour post-
operative following transsphenoidal hypophysectomy. After
reviewing the assessment findings, the nurse should take
which action? Select all that apply. See the exhibit.
notify the health care provider of the urine output.
request an order for intravenous (IV) fluids
document the findings
administer supplemental oxygen
continue to monitor neurological status - Correct Answers
✅Choices A, B, C, and E are correct.
A is correct. This is an excessive amount of urine output for 1
hour and is concerning for diabetes insipidus, given the
procedure the client recently underwent. Any urine output
, Archer NCLEX Study Bank Exam
Questions and Answers (Latest 2026)
greater than 300 mL is alarming, and the healthcare provider
should be notified immediately. Diabetes insipidus is a severe
complication from neurosurgery that occurs around the
pituitary. This amount of urinary output can lead to shock if
not treated promptly.
B is correct. Given the assessment, requesting an order for IV
fluids is an appropriate nursing action. The nurse should be
concerned about the possibility of DI considering the
excessive urine output, and no fluid replacement is currently
ordered for this client. This is concerning for shock, and IVF
should be initiated to rehydrate and adequately replace
losses from the urinary output.
C is correct. These findings should be accurately documented
to ensure proper follow-up and orders for this client.
E is correct. The client's neurological status should be
monitored, as mental status and behavior changes can
indicate electrolyte imbalances, such as hyponatremia.
Choice D is incorrect. No oxygen therapy is indicated for this
client at this time. The oxygen saturation is adequate on
room air.
The nurse is assessing a client with diabetic ketoacidosis
(DKA). Which of the following would be an expected finding?
Select all that apply.
Thready pulse
Jugular venous distention (JVD)
Questions and Answers (Latest 2026)
The nurse is calculating the 12-hour intake for a client.
The client received 0.45% saline at 85 mL/hr via continuous
infusion
One eight-ounce cup of ice chips
One eight-ounce cup of coffee
One eight-ounce cup of ice cream
Three eight-ounce cups of water
One eight-ounce cup of pureed vegetables
The nurse should calculate the client's total liquid intake as
how many mL? - Correct Answers ✅Explanation:
The client received 0.45% saline at 85 mL/hr x 12 hours →
1020 mL
One eight-ounce cup of ice chips → 120 mL When
determining the total mL for a cup of ice, the nurse should
divide the volume by 1/2 since the ice melts
One eight-ounce cup of coffee → 240 mL
One eight-ounce cup of ice cream → 240 mL
Three eight-ounce cups of water → 720 mL
One eight-ounce cup of pureed vegetables → This is excluded
from the intake calculation as pureed food(s) are not a liquid
at room temperature
Total → 2340 mL
,Archer NCLEX Study Bank Exam
Questions and Answers (Latest 2026)
The nurse has several tasks that need to be completed.
Which of the following client assignments would be
appropriate to delegate to the unlicensed assistive
personnel?
A. A 65-year-old male requiring sterile dressing changes.
B. A 26-year-old female requiring a one-person assist in
ambulating to the restroom.
C. An 80-year-old male who is receiving enteral feedings
continuously through an NG tube.
D. A 23-year-old client requiring frequent urinary specimen
collections from their indwelling urinary catheter. - Correct
Answers ✅Choice B is correct. A 26-year-old female
requiring one person to assist in ambulating to the restroom
would be an appropriate assignment for unlicensed assistive
personnel (UAP). The UAP is skilled in assisting clients with
ambulation, which is within their scope of practice.
Choice A is incorrect. A 65-year-old male requiring sterile
dressing changes would not be an appropriate assignment for
unlicensed assistive personnel. Simple dressing changes are
not performed by unauthorized personnel. The UAP does not
have the requisite knowledge and experience for this task.
,Archer NCLEX Study Bank Exam
Questions and Answers (Latest 2026)
Choice C is incorrect. An 80-year-old male who is continuously
receiving enteral feedings through an NG tube would not be
an appropriate assignment for unlicensed assistive personnel.
Administering tube feedings is not performed by unlicensed
personnel.
Choice D is incorrect. UAPs may assist with clean catches, but
collecting urine specimens from the indwelling urinary
catheter is not within their scope. This requires an LPN/VN or
RN, as the specimen is not obtained from the collection bag.
It is obtained by clamping the tubing and with a sterile
syringe.
The nurse cares for a 12-year-old client one hour post-
operative following transsphenoidal hypophysectomy. After
reviewing the assessment findings, the nurse should take
which action? Select all that apply. See the exhibit.
notify the health care provider of the urine output.
request an order for intravenous (IV) fluids
document the findings
administer supplemental oxygen
continue to monitor neurological status - Correct Answers
✅Choices A, B, C, and E are correct.
A is correct. This is an excessive amount of urine output for 1
hour and is concerning for diabetes insipidus, given the
procedure the client recently underwent. Any urine output
, Archer NCLEX Study Bank Exam
Questions and Answers (Latest 2026)
greater than 300 mL is alarming, and the healthcare provider
should be notified immediately. Diabetes insipidus is a severe
complication from neurosurgery that occurs around the
pituitary. This amount of urinary output can lead to shock if
not treated promptly.
B is correct. Given the assessment, requesting an order for IV
fluids is an appropriate nursing action. The nurse should be
concerned about the possibility of DI considering the
excessive urine output, and no fluid replacement is currently
ordered for this client. This is concerning for shock, and IVF
should be initiated to rehydrate and adequately replace
losses from the urinary output.
C is correct. These findings should be accurately documented
to ensure proper follow-up and orders for this client.
E is correct. The client's neurological status should be
monitored, as mental status and behavior changes can
indicate electrolyte imbalances, such as hyponatremia.
Choice D is incorrect. No oxygen therapy is indicated for this
client at this time. The oxygen saturation is adequate on
room air.
The nurse is assessing a client with diabetic ketoacidosis
(DKA). Which of the following would be an expected finding?
Select all that apply.
Thready pulse
Jugular venous distention (JVD)
