NCLEX EXAM zm
Exam Solution zm
NCLEX Kaplan Live Review 2026 A+ GRADE ASSURED C
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OMPLETE SOLUTIONS AND VERIFIED ANSWERS (F9E8 zm zm zm zm zm
2)
QUESTION 1 zm
A laparotomy is scheduled for a client who is admitted to the hospital for a ruptured
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ectopic pregnancy. Preoperatively, which goal is most important for the nurse to inclu
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de in the plar of care? 1. Fluid replacement. 2. Pain relief. 3. Emotional support. 4. Re
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spiratory therapy. zm
ANSWER
1. Fluid replacement.
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QUESTION 2 zm
The nurse comes upon a multicar accident. Which client should the nurse care for firs
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t? 1. A middle-
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aged client reporting chest pain. 2. An adult client with a compound fracture of the ti
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bia. 3. An adolescent client with a broken jaw. 4. A toddler client with a bruise on the
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mforehead.
ANSWER
3. An adolescent client with a broken jaw.
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QUESTION 3 zm
The nurse provides care for a newborn who is three hours of age in the nursery. Whi
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ch findings cause the nurse to reevaluate the newborn in 15 minutes? (Select all that
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apply.) 1. Heart rate of 140 beats per minute. 2. Absent breath sounds in lower lobes
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bilaterally. 3. Negative Babinski reflex. 4. Positive stepping reflex. 5. Acrocyanosis. 6. R
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espiratory rate of 80 breaths per minute.zm zm zm zm zm zm
ANSWER
, 2. Absent breath sounds in lower lobes bilaterally. 3. Negative Babinski reflex. 6. Respiratory rate of
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80 breaths per minute.
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QUESTION 4 zm
The nurse assesses a client receiving parenteral nutrition (PN). Which assessment mo
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st concerns the nurse? 1. The client's urinary output is 150 mL per hour. 2. The client
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's oral temperature is 100.2°F (37.9°C). 3. The client's serum albumin is 3.8 g/dL (38
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g/L). 4. Crackles that clear with coughing are heard during auscultation in both lungs.
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ANSWER
1. The client's urinary output is 150 mL per hour.
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QUESTION 5 zm
An older adult client reports difficulty sleeping. Which response by the nurse is best?
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1. "How many times do you awaken during the night?" 2. "Does leg jerking ever wake
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you up at night?" 3. "Watching television or reading before bedtime will help you fall
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asleep. 4. "When you were working, how many hours of sleep did you average?"
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ANSWER
1. "How many times do you awaken during the night?"
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QUESTION 6 zm
The nurse provides care for a client receiving hydroxyethyl starch intravenously. Whic
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h is the priority action for the nurse to take? 1. Assess for bilateral pretibial edema. 2
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. Measure the hourly urine output. 3. Obtain daily weights. 4. Auscultate lung sounds.
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ANSWER
4. Auscultate lung sounds.
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QUESTION 7 zm
The nurse provides care for a client in the emergency department exhibiting this card
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iac monitor tracing: tachycardia The client's initial BP was 140/70 mmHg. The current
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BP is 100/50 mmHg. Which action does the nurse take first? 1. Begin an IV fluid bolu
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s of LR solution. 2. Place an indwelling urinary catheter. 3. Give flecainide acetate 50
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mg PO STAT. 4. Assess client's respiratory rate.
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ANSWER
1. Begin an IV fluid bolus of LR solution.
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Exam Solution zm
NCLEX Kaplan Live Review 2026 A+ GRADE ASSURED C
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OMPLETE SOLUTIONS AND VERIFIED ANSWERS (F9E8 zm zm zm zm zm
2)
QUESTION 1 zm
A laparotomy is scheduled for a client who is admitted to the hospital for a ruptured
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ectopic pregnancy. Preoperatively, which goal is most important for the nurse to inclu
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de in the plar of care? 1. Fluid replacement. 2. Pain relief. 3. Emotional support. 4. Re
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spiratory therapy. zm
ANSWER
1. Fluid replacement.
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QUESTION 2 zm
The nurse comes upon a multicar accident. Which client should the nurse care for firs
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t? 1. A middle-
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aged client reporting chest pain. 2. An adult client with a compound fracture of the ti
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bia. 3. An adolescent client with a broken jaw. 4. A toddler client with a bruise on the
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mforehead.
ANSWER
3. An adolescent client with a broken jaw.
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QUESTION 3 zm
The nurse provides care for a newborn who is three hours of age in the nursery. Whi
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ch findings cause the nurse to reevaluate the newborn in 15 minutes? (Select all that
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apply.) 1. Heart rate of 140 beats per minute. 2. Absent breath sounds in lower lobes
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bilaterally. 3. Negative Babinski reflex. 4. Positive stepping reflex. 5. Acrocyanosis. 6. R
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espiratory rate of 80 breaths per minute.zm zm zm zm zm zm
ANSWER
, 2. Absent breath sounds in lower lobes bilaterally. 3. Negative Babinski reflex. 6. Respiratory rate of
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80 breaths per minute.
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QUESTION 4 zm
The nurse assesses a client receiving parenteral nutrition (PN). Which assessment mo
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st concerns the nurse? 1. The client's urinary output is 150 mL per hour. 2. The client
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's oral temperature is 100.2°F (37.9°C). 3. The client's serum albumin is 3.8 g/dL (38
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g/L). 4. Crackles that clear with coughing are heard during auscultation in both lungs.
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ANSWER
1. The client's urinary output is 150 mL per hour.
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QUESTION 5 zm
An older adult client reports difficulty sleeping. Which response by the nurse is best?
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1. "How many times do you awaken during the night?" 2. "Does leg jerking ever wake
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you up at night?" 3. "Watching television or reading before bedtime will help you fall
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asleep. 4. "When you were working, how many hours of sleep did you average?"
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ANSWER
1. "How many times do you awaken during the night?"
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QUESTION 6 zm
The nurse provides care for a client receiving hydroxyethyl starch intravenously. Whic
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h is the priority action for the nurse to take? 1. Assess for bilateral pretibial edema. 2
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. Measure the hourly urine output. 3. Obtain daily weights. 4. Auscultate lung sounds.
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ANSWER
4. Auscultate lung sounds.
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QUESTION 7 zm
The nurse provides care for a client in the emergency department exhibiting this card
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iac monitor tracing: tachycardia The client's initial BP was 140/70 mmHg. The current
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BP is 100/50 mmHg. Which action does the nurse take first? 1. Begin an IV fluid bolu
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s of LR solution. 2. Place an indwelling urinary catheter. 3. Give flecainide acetate 50
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mg PO STAT. 4. Assess client's respiratory rate.
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ANSWER
1. Begin an IV fluid bolus of LR solution.
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