NCLEX EXAM zm
Exam Solution
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RN NCLEX Sample Test 4 Alternate Format 2026 A+ GR
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ADE ASSURED COMPLETE SOLUTIONS AND VERIFIED A
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NSWERS (29C7B) zm
QUESTION 1 zm
An adult client has a scheduled hip replacement. The clinic nurse instructs about the
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necessary devices needed at home after the procedure. The nurse determines teachin
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g is successful if the client makes which statement?
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ANSWER
-Elevate toilet seat -Use shower chair and hand held shower -Using a grabber
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QUESTION 2 zm
An adult client at 39 weeks gestation is in active labor assisted by oxytocin. Lace dece
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lerations are noted on the fetal monitor strip. What should the RN do in the next 60 s
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econds?
ANSWER
-Position on L side -↑ IV LR -Apply rebreather mask
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QUESTION 3 zm
The adult client is positive for the Hep B surface antigen. What question does the RN
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ask to help determine the source of infection?
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ANSWER
-Have you had unprotected sex with anyone who has Hep B? -
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Have you had a recent blood transfusion? -Do you share needles with anyone?
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QUESTION 4 zm
What are the "Rights of Medication Administration"?
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, ANSWER
-Correct client -Correct dose -Correct route -Correct time
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QUESTION 5 zm
The RN administers medication. While documenting the administration, the RN realize
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s an error in administration has been made. Which action must the RN take?
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ANSWER
-Evaluate the effect of the medication -Notify the HCP -Notify the client of the error -
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Complete an occurrence report
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QUESTION 6 zm
Which supplies does the RN need to prepare an IV oxytocin solution?
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ANSWER
-19G 1.5" filter needle -20G 1" needle -Alcohol swab or gauze
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QUESTION 7 zm
The RN uses which action to identify the client to ensure the correct client receives th
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e medication?
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ANSWER
-Ask the client to state the clients name -Check the name of the clients ID band -
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Compare a client photo of the client in the medical record -Scan barcodes on the clients ID bracelet
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QUESTION 8 zm
The RN teaches a community group about the detection, treatment, and modification o
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f the risks for OA. Which community client is at risk for developing OA?
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ANSWER
-Adolescent with a crushing foot injury in a car accident -
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A young adult who has worked in coal mine for 6 years -
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Adult client treated for osteomyelitis 3 years ago -An obese client
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QUESTION 9 zm
The RN determines the need to review medical asepsis with the nursery staff. Which a
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ction is included in the review?
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Exam Solution
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RN NCLEX Sample Test 4 Alternate Format 2026 A+ GR
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ADE ASSURED COMPLETE SOLUTIONS AND VERIFIED A
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NSWERS (29C7B) zm
QUESTION 1 zm
An adult client has a scheduled hip replacement. The clinic nurse instructs about the
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necessary devices needed at home after the procedure. The nurse determines teachin
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g is successful if the client makes which statement?
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ANSWER
-Elevate toilet seat -Use shower chair and hand held shower -Using a grabber
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QUESTION 2 zm
An adult client at 39 weeks gestation is in active labor assisted by oxytocin. Lace dece
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lerations are noted on the fetal monitor strip. What should the RN do in the next 60 s
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econds?
ANSWER
-Position on L side -↑ IV LR -Apply rebreather mask
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QUESTION 3 zm
The adult client is positive for the Hep B surface antigen. What question does the RN
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ask to help determine the source of infection?
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ANSWER
-Have you had unprotected sex with anyone who has Hep B? -
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Have you had a recent blood transfusion? -Do you share needles with anyone?
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QUESTION 4 zm
What are the "Rights of Medication Administration"?
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, ANSWER
-Correct client -Correct dose -Correct route -Correct time
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QUESTION 5 zm
The RN administers medication. While documenting the administration, the RN realize
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s an error in administration has been made. Which action must the RN take?
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ANSWER
-Evaluate the effect of the medication -Notify the HCP -Notify the client of the error -
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Complete an occurrence report
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QUESTION 6 zm
Which supplies does the RN need to prepare an IV oxytocin solution?
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ANSWER
-19G 1.5" filter needle -20G 1" needle -Alcohol swab or gauze
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QUESTION 7 zm
The RN uses which action to identify the client to ensure the correct client receives th
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e medication?
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ANSWER
-Ask the client to state the clients name -Check the name of the clients ID band -
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Compare a client photo of the client in the medical record -Scan barcodes on the clients ID bracelet
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QUESTION 8 zm
The RN teaches a community group about the detection, treatment, and modification o
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f the risks for OA. Which community client is at risk for developing OA?
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ANSWER
-Adolescent with a crushing foot injury in a car accident -
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A young adult who has worked in coal mine for 6 years -
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Adult client treated for osteomyelitis 3 years ago -An obese client
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QUESTION 9 zm
The RN determines the need to review medical asepsis with the nursery staff. Which a
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ction is included in the review?
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