Page 1 of 68
NCLEX STUDY QUESTIONS WITH EXPLANATIONS MOST
COMPREHENSIVE 2026 QUESTIONS EXAM LATEST
VERSION SOLVED QUESTIONS & ANSWERS VERIFIED
100 %
The nurse provides care to a client at risk for hypercalcemia. Which action is
most appropriate for the nurse to take?
1. Encourage strict bed rest.
2. Limit dietary fiber.
3. Encourage oral fluids.
4. Hold prescribed zoledronate.
3) CORRECT— Dehydration contributes to and exacerbates hypercalcemia. Fluids
containing sodium should be administered, unless contraindicated, because sodium
assists with calcium excretion. About 3L of fluids per day or more are encouraged.
1) Immobility contributes to and exacerbates hypercalcemia.
2) Fiber helps prevent constipation associated with hypercalcemia.
4) Zoledronate, a bisphosphonate drug, inhibits the action of osteoclasts and
therefore reduces serum calcium levels. The medication should not be held.
The nurse provides care for a client recovering from an above the knee
amputation. Which is the best intervention for the nurse to include in this
client's plan of care?
1. Remind the client to rest the residual limb on a soft surface.
2. Elevate the residual limb on a pillow 2 hours every day.
3. Assist the client into the prone position for 30 minutes, three or four times a
day.
4. Encourage the client to sit out of bed in a chair for 2 hours several times a
day.
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The correct answer is 3 .
1) The residual limb should be on a soft surface at first, but surfaces should
gradually become more firm to prepare the limb for a prosthesis.
2) Elevating the limb on a pillow for 2 hours encourages the development of hip
contractures.
3) CORRECT — Lying prone for 30 minutes, three or four times a day, prevents the
development of hip contractures.
4) Sitting in a chair for greater than an hour encourages the development of hip
contractures.
The nurse is teaching the client about the warning signs and symptoms of
lung cancer. Which statement is appropriate for the nurse to include in the
teaching?
1. "There are hardly any signs and symptoms with lung cancer."
2. "Early symptoms of lung cancer include constant cough and bloody
sputum."
3. "Symptoms of lung cancer are vague and often present late in the disease."
4. "Wheezing on exhalation is usually considered a positive sign of lung
cancer."
1) There are symptoms associated with lung cancer that are often vague and
nonspecific.
2) Constant coughing and bloody sputum are late, not warning, symptoms of lung
cancer.
3) CORRECT — Lung cancer is often diagnosed in late stages because the
symptoms are vague and often attributed to other causes.
4) Wheezing can be due to a number of conditions and is not a positive sign for lung
cancer.
A nurse who is in Generation X, works the night shift and requests more time
off than other staff nurses. Which statement best explains a characteristic of
this generation?
1. Believes that there are enough other nurses to fill the staffing needs.
2. Prefers to work the day shift, but hesitates to ask for the schedule change.
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3. Wants to increase leisure time to balance work time.
4. Wants to be rewarded for the time spent at work.
1) Believing that there are enough nurses to fill staffing needs is not a characteristic
of this generation.
2) Individuals in this generation would likely request the schedule change.
3) CORRECT - Individuals in this generation have a tendency to want work-life
balance.
4) Wanting to be rewarded for time spent at work is a characteristic of a person in
Generation Y.
The nurse prepares teaching for a client prescribed alendronate sodium.
Which information will the nurse include in this teaching? (Select all that
apply.)
1. "Take this medication with at least 8 ounces of water."
2. "Take this medication while ingesting the first bite of food in the morning."
3. "Wait 30 minutes after eating before taking this medication."
4. "Sit upright for at least 30 minutes after taking the medication."
5. "Take this medication 30 minutes before food or other medications."
The correct answer is 1, 4, 5 .
1) CORRECT - Bisphosphonate alendronate sodium is given as treatment for
osteoporosis. The medication should be taken with at least 8 ounces of water.
2) Alendronate sodium is to be taken on an empty stomach.
3) Alendronate sodium is to be taken before any food is eaten. The best time to take
this medication is upon awaking in the morning and 30 minutes before eating
breakfast.
4) CORRECT - Alendronate sodium can cause esophageal irritation and erosion.
Because of this, the client should be instructed to sit upright for at least 30 minutes
after taking.
5) CORRECT - Alendronate sodium is to be taken on an empty stomach. Once
taken, the client should wait 30 minutes before eating so as not to interrupt the
absorption of the medication from the gastrointestinal tract
The nurse provides care for a client diagnosed with a duodenal ulcer. The
client asks how a stomach infection can cause a duodenal ulcer. Which
response by the nurse is best?
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1. "Bacteria in the duodenum deteriorate the area, causing an ulceration."
2. "The bacteria enters the lining of the intestines and changes the protective
layer."
3. "There is no explanation for how this occurs in a vast majority of people."
4. "Medication for the stomach infection causes the duodenal lining to break
down."
The correct answer is 2 .
2) CORRECT- With Helicobacter pylori (H. pylori), the bacteria penetrate the
intestinal mucosa, altering the function and consistency leading to ulcerations.
1) A duodenal ulcer is not caused by bacteria that is found in the duodenum. It is
caused by gastric bacteria.
3) An H. pylori infection causes different manifestations, such as chronic atrophic
gastritis, stomach cancer, acute gastritis, or duodenal ulcers.
4) Antibiotic therapy to treat H. pylori does not cause duodenal ulcer development.
A client receiving 50 mL/hr of continuous bladder irrigation fluid has a total
output of 500 mL over 8 hours. Which action does the nurse take?
1. Assess the catheter for kinks.
2. Notify the health care provider.
3. Manually irrigate the catheter for clots.
4. Reduce the rate of the bladder irrigation fluid.
2) CORRECT- The client received 400 mL of bladder irrigation fluid over 8 hours with
an output of 500 mL. The urine output for this time frame is 100 mL (12.5 mL/hr).
Normal urine output is at least 30 mL/hr; therefore, the nurse notifies the health care
provider.
The nurse provides care for a client diagnosed with type 2 diabetes mellitus.
The nurse anticipates that the client will be prescribed a second-generation
sulfonylurea. Which medication in the hospital formulary belongs to this class
of drugs?
1. Metformin.
2. Glipizide.
NCLEX STUDY QUESTIONS WITH EXPLANATIONS MOST
COMPREHENSIVE 2026 QUESTIONS EXAM LATEST
VERSION SOLVED QUESTIONS & ANSWERS VERIFIED
100 %
The nurse provides care to a client at risk for hypercalcemia. Which action is
most appropriate for the nurse to take?
1. Encourage strict bed rest.
2. Limit dietary fiber.
3. Encourage oral fluids.
4. Hold prescribed zoledronate.
3) CORRECT— Dehydration contributes to and exacerbates hypercalcemia. Fluids
containing sodium should be administered, unless contraindicated, because sodium
assists with calcium excretion. About 3L of fluids per day or more are encouraged.
1) Immobility contributes to and exacerbates hypercalcemia.
2) Fiber helps prevent constipation associated with hypercalcemia.
4) Zoledronate, a bisphosphonate drug, inhibits the action of osteoclasts and
therefore reduces serum calcium levels. The medication should not be held.
The nurse provides care for a client recovering from an above the knee
amputation. Which is the best intervention for the nurse to include in this
client's plan of care?
1. Remind the client to rest the residual limb on a soft surface.
2. Elevate the residual limb on a pillow 2 hours every day.
3. Assist the client into the prone position for 30 minutes, three or four times a
day.
4. Encourage the client to sit out of bed in a chair for 2 hours several times a
day.
, Page 2 of 68
The correct answer is 3 .
1) The residual limb should be on a soft surface at first, but surfaces should
gradually become more firm to prepare the limb for a prosthesis.
2) Elevating the limb on a pillow for 2 hours encourages the development of hip
contractures.
3) CORRECT — Lying prone for 30 minutes, three or four times a day, prevents the
development of hip contractures.
4) Sitting in a chair for greater than an hour encourages the development of hip
contractures.
The nurse is teaching the client about the warning signs and symptoms of
lung cancer. Which statement is appropriate for the nurse to include in the
teaching?
1. "There are hardly any signs and symptoms with lung cancer."
2. "Early symptoms of lung cancer include constant cough and bloody
sputum."
3. "Symptoms of lung cancer are vague and often present late in the disease."
4. "Wheezing on exhalation is usually considered a positive sign of lung
cancer."
1) There are symptoms associated with lung cancer that are often vague and
nonspecific.
2) Constant coughing and bloody sputum are late, not warning, symptoms of lung
cancer.
3) CORRECT — Lung cancer is often diagnosed in late stages because the
symptoms are vague and often attributed to other causes.
4) Wheezing can be due to a number of conditions and is not a positive sign for lung
cancer.
A nurse who is in Generation X, works the night shift and requests more time
off than other staff nurses. Which statement best explains a characteristic of
this generation?
1. Believes that there are enough other nurses to fill the staffing needs.
2. Prefers to work the day shift, but hesitates to ask for the schedule change.
, Page 3 of 68
3. Wants to increase leisure time to balance work time.
4. Wants to be rewarded for the time spent at work.
1) Believing that there are enough nurses to fill staffing needs is not a characteristic
of this generation.
2) Individuals in this generation would likely request the schedule change.
3) CORRECT - Individuals in this generation have a tendency to want work-life
balance.
4) Wanting to be rewarded for time spent at work is a characteristic of a person in
Generation Y.
The nurse prepares teaching for a client prescribed alendronate sodium.
Which information will the nurse include in this teaching? (Select all that
apply.)
1. "Take this medication with at least 8 ounces of water."
2. "Take this medication while ingesting the first bite of food in the morning."
3. "Wait 30 minutes after eating before taking this medication."
4. "Sit upright for at least 30 minutes after taking the medication."
5. "Take this medication 30 minutes before food or other medications."
The correct answer is 1, 4, 5 .
1) CORRECT - Bisphosphonate alendronate sodium is given as treatment for
osteoporosis. The medication should be taken with at least 8 ounces of water.
2) Alendronate sodium is to be taken on an empty stomach.
3) Alendronate sodium is to be taken before any food is eaten. The best time to take
this medication is upon awaking in the morning and 30 minutes before eating
breakfast.
4) CORRECT - Alendronate sodium can cause esophageal irritation and erosion.
Because of this, the client should be instructed to sit upright for at least 30 minutes
after taking.
5) CORRECT - Alendronate sodium is to be taken on an empty stomach. Once
taken, the client should wait 30 minutes before eating so as not to interrupt the
absorption of the medication from the gastrointestinal tract
The nurse provides care for a client diagnosed with a duodenal ulcer. The
client asks how a stomach infection can cause a duodenal ulcer. Which
response by the nurse is best?
, Page 4 of 68
1. "Bacteria in the duodenum deteriorate the area, causing an ulceration."
2. "The bacteria enters the lining of the intestines and changes the protective
layer."
3. "There is no explanation for how this occurs in a vast majority of people."
4. "Medication for the stomach infection causes the duodenal lining to break
down."
The correct answer is 2 .
2) CORRECT- With Helicobacter pylori (H. pylori), the bacteria penetrate the
intestinal mucosa, altering the function and consistency leading to ulcerations.
1) A duodenal ulcer is not caused by bacteria that is found in the duodenum. It is
caused by gastric bacteria.
3) An H. pylori infection causes different manifestations, such as chronic atrophic
gastritis, stomach cancer, acute gastritis, or duodenal ulcers.
4) Antibiotic therapy to treat H. pylori does not cause duodenal ulcer development.
A client receiving 50 mL/hr of continuous bladder irrigation fluid has a total
output of 500 mL over 8 hours. Which action does the nurse take?
1. Assess the catheter for kinks.
2. Notify the health care provider.
3. Manually irrigate the catheter for clots.
4. Reduce the rate of the bladder irrigation fluid.
2) CORRECT- The client received 400 mL of bladder irrigation fluid over 8 hours with
an output of 500 mL. The urine output for this time frame is 100 mL (12.5 mL/hr).
Normal urine output is at least 30 mL/hr; therefore, the nurse notifies the health care
provider.
The nurse provides care for a client diagnosed with type 2 diabetes mellitus.
The nurse anticipates that the client will be prescribed a second-generation
sulfonylurea. Which medication in the hospital formulary belongs to this class
of drugs?
1. Metformin.
2. Glipizide.
