NCLEX-RN Comprehensive Review Pharmacology,
Delegation and Priority EXAM LATEST 2026-2027
QUESTIONS AND 100% Verified ANSWERS
A. Glucose and calcium levels.
Which laboratory values are critical for the nurse to monitor for a client who is experiencing a thyrotoxic crisis?
A. Glucose and calcium levels.
B. Electrolytes and hemoglobin.
C. Renal and liver function tests.
D. Blood and urine cultures.
C. Client's breath sounds are clear to auscultation bilaterally.
The nurse is evaluating the effectiveness of the incentive spirometer implemented in the client's plan of care.
Which outcome statement best describes the effectiveness of the incentive spirometer?
A. Client exhibits a frequent productive cough.
B. Client reports using the incentive spirometer every hour while awake.
C. Client's breath sounds are clear to auscultation bilaterally.
D. Client demonstrates proper use of an incentive spirometer.
A. Leakage of cerebral spinal fluid from the incisional site.
B. Poor feeding and vomiting.
C. Abdominal distention.
The nurse is caring for a one-week-old infant who has a ventriculoperitoneal (VP) shunt that was placed 2 days
after birth. Which finding(s) indicate a postoperative complication? Select all that apply.
Reference Range:
White blood cells (WBC) [9,000 to 10,000/mm3 (9 to 10 x 10^9 /L)]
A. Leakage of cerebral spinal fluid from the incisional site.
B. Poor feeding and vomiting.
,C. Abdominal distention.
D. WBC of 10,000/mm3 (10 x 10^ 9/L).
E. Hyperactive bowel sounds.
B. Remain non-judgmental and assure the client of confidentiality.
The nurse is caring for a client with the sexually transmitted infection (STI) syphilis. The client reports having sex
with someone who had many partners. Which response should the nurse provide?
A. Emphasize that using safe sex practices removes the risk of STIs.
B. Remain non-judgmental and assure the client of confidentiality.
C. Clarify that all STIs are transmitted through sexual intercourse.
D. Inform that follow-up may end after the treatment is finished.
B. Ensure that the knot can be quickly released.
Before leaving the room of a client who is confused, the nurse observes that a half bow knot was used to attach
the client's wrist restraints to the movable portion of the client's bed frame. Which action should the nurse take
before leaving the room?
A. Tie the knot with a double turn or square knot.
B. Ensure that the knot can be quickly released.
C. Move the ties so the restraints are secured to the side rails.
D. Ensure that the restraints are snug against the client's wrists.
Her fourth child weighed 9 pounds (4.08 kg) at 41 weeks gestation
Her fasting 1-hour glucose screening level, which was done 1 week prior, is 164 mg/dL (9.1 mmol/L)
Her 3-hour oral glucose tolerance test results reveal a fasting blood sugar of 168 (9.3 mmol/L) and a two-hour
postprandial of 220 mg/dL (12.2 mmol/L)
NGN HISTORY AND PHYSICAL
The client is a 32-year-old multigravida at 28 weeks gestation, who presents to the healthcare provider's office for
a routine prenatal visit. Obstetrical history reveals she has given birth three times; once at 35 weeks (twins), once
,at 38 weeks (singleton) and once at 41 weeks (singleton). All of these children are alive and well. She had one
spontaneous abortion at 10 weeks' gestation. Her fourth child weighed 9 pounds (4.08 kg) at 41 weeks gestation.
The nurse is reviewing nurses' notes to determine if there are any variations.
Click to highlight the findings that would indicate the client has developed a complication related to pregnancy.
The client is a 32-year-old multigravida at 28 weeks gestation, who presents to the healthcare provider's office for
a routine prenatal visit. Obstetrical history reveals she has given birth three times; once at 35 weeks (twins), once
at 38 weeks (singleton) and once at 41 weeks (singleton). All of these children are alive and well. She had one
spontaneous abortion at 10 weeks' gestation. Her fourth child weighed 9 pounds (4.08 kg) at 41 weeks gestation.
Client is at 28 weeks. She has been receiving prenatal care since 8 weeks gestation. Her fasting 1-hour glucose
screening level, which was done 1 week prior, is 164 mg/dL (9.1 mmol/L). Her 3-hour oral glucose tolerance test
results reveal a fasting blood sugar of 168 (9.3 mmol/L) and a two-hour postprandial of 220 mg/dL (12.2 mmol/L).
B. 5-2-1-1-4
The nurse is reviewing nurses' notes to determine what the client's obstetric history reveals in the form of GTPAL.
Choose the most likely option for the information missing from the statement by selecting from the list of options
provided.Based on the client's obstetrical history, the client's G-T-P-A-L designation is____________.
A. 4-2-1-1-4
B. 5-2-1-1-4
C. 4-3-1-0-4
D. 5-3-1-0-4
B. "Hyperglycemia often presents as increased thirst and urination."
C. "Hyperglycemia causes an increased sensation of being hungry."
D. "Hyperglycemia causes a headache and flushed, dry skin."
NGN HISTORY AND PHYSICAL
The client is a 32-year-old multigravida at 28 weeks gestation, who presents to the healthcare provider's office for
a routine prenatal visit. Obstetrical history reveals she has given birth three times; once at 35 weeks (twins), once
at 38 weeks (singleton) and once at 41 weeks (singleton). All of these children are alive and well. She had one
spontaneous abortion at 10 weeks' gestation. Her fourth child weighed 9 pounds (4.08 kg) at 41 weeks gestation.
After the obstetrician leaves, the client appears confused and asks the nurse, "How will I know if I have high blood
sugar?"Which are the nurse's best responses? Select all that apply.
, A. "Hyperglycemia often results in weight loss."
B. "Hyperglycemia often presents as increased thirst and urination."
C. "Hyperglycemia causes an increased sensation of being hungry."
D. "Hyperglycemia causes a headache and flushed, dry skin."
E. "Hyperglycemia causes cool and clammy skin."
A. Drink between 8 to 10 cups (1.9 to 2.4 liters) of fluids daily.
C. Choose complex carbohydrates that are high in fiber content.
E. Avoid foods high in refined sugars.
NGN HISTORY AND PHYSICAL
The client is a 32-year-old multigravida at 28 weeks gestation, who presents to the healthcare provider's office for
a routine prenatal visit. Obstetrical history reveals she has given birth three times; once at 35 weeks (twins), once
at 38 weeks (singleton) and once at 41 weeks (singleton). All of these children are alive and well. She had one
spontaneous abortion at 10 weeks' gestation. Her fourth child weighed 9 pounds (4.08 kg) at 41 weeks gestation.
The client asks the diabetic nurse educator to clarify what the Registered Dietician told her about the content and
timing of her meals.Which 3 responses should the diabetic nurse educator provide?
A. Drink between 8 to 10 cups (1.9 to 2.4 liters) of fluids daily.
B. Eliminate the bedtime snack if heartburn develops after eating.
C. Choose complex carbohydrates that are high in fiber content.
D. Increase the percentage of protein in the diet if anemia develops.
E. Avoid foods high in refined sugars.
Dropdown Group 1: D. before breakfast
Dropdown Group 2: A. two hours after all meals
NGN HISTORY AND PHYSICAL
The client is a 32-year-old multigravida at 28 weeks gestation, who presents to the healthcare provider's office for
a routine prenatal visit. Obstetrical history reveals she has given birth three times; once at 35 weeks (twins), once
at 38 weeks (singleton) and once at 41 weeks (singleton). All of these children are alive and well. She had one
spontaneous abortion at 10 weeks' gestation. Her fourth child weighed 9 pounds (4.08 kg) at 41 weeks gestation.
Delegation and Priority EXAM LATEST 2026-2027
QUESTIONS AND 100% Verified ANSWERS
A. Glucose and calcium levels.
Which laboratory values are critical for the nurse to monitor for a client who is experiencing a thyrotoxic crisis?
A. Glucose and calcium levels.
B. Electrolytes and hemoglobin.
C. Renal and liver function tests.
D. Blood and urine cultures.
C. Client's breath sounds are clear to auscultation bilaterally.
The nurse is evaluating the effectiveness of the incentive spirometer implemented in the client's plan of care.
Which outcome statement best describes the effectiveness of the incentive spirometer?
A. Client exhibits a frequent productive cough.
B. Client reports using the incentive spirometer every hour while awake.
C. Client's breath sounds are clear to auscultation bilaterally.
D. Client demonstrates proper use of an incentive spirometer.
A. Leakage of cerebral spinal fluid from the incisional site.
B. Poor feeding and vomiting.
C. Abdominal distention.
The nurse is caring for a one-week-old infant who has a ventriculoperitoneal (VP) shunt that was placed 2 days
after birth. Which finding(s) indicate a postoperative complication? Select all that apply.
Reference Range:
White blood cells (WBC) [9,000 to 10,000/mm3 (9 to 10 x 10^9 /L)]
A. Leakage of cerebral spinal fluid from the incisional site.
B. Poor feeding and vomiting.
,C. Abdominal distention.
D. WBC of 10,000/mm3 (10 x 10^ 9/L).
E. Hyperactive bowel sounds.
B. Remain non-judgmental and assure the client of confidentiality.
The nurse is caring for a client with the sexually transmitted infection (STI) syphilis. The client reports having sex
with someone who had many partners. Which response should the nurse provide?
A. Emphasize that using safe sex practices removes the risk of STIs.
B. Remain non-judgmental and assure the client of confidentiality.
C. Clarify that all STIs are transmitted through sexual intercourse.
D. Inform that follow-up may end after the treatment is finished.
B. Ensure that the knot can be quickly released.
Before leaving the room of a client who is confused, the nurse observes that a half bow knot was used to attach
the client's wrist restraints to the movable portion of the client's bed frame. Which action should the nurse take
before leaving the room?
A. Tie the knot with a double turn or square knot.
B. Ensure that the knot can be quickly released.
C. Move the ties so the restraints are secured to the side rails.
D. Ensure that the restraints are snug against the client's wrists.
Her fourth child weighed 9 pounds (4.08 kg) at 41 weeks gestation
Her fasting 1-hour glucose screening level, which was done 1 week prior, is 164 mg/dL (9.1 mmol/L)
Her 3-hour oral glucose tolerance test results reveal a fasting blood sugar of 168 (9.3 mmol/L) and a two-hour
postprandial of 220 mg/dL (12.2 mmol/L)
NGN HISTORY AND PHYSICAL
The client is a 32-year-old multigravida at 28 weeks gestation, who presents to the healthcare provider's office for
a routine prenatal visit. Obstetrical history reveals she has given birth three times; once at 35 weeks (twins), once
,at 38 weeks (singleton) and once at 41 weeks (singleton). All of these children are alive and well. She had one
spontaneous abortion at 10 weeks' gestation. Her fourth child weighed 9 pounds (4.08 kg) at 41 weeks gestation.
The nurse is reviewing nurses' notes to determine if there are any variations.
Click to highlight the findings that would indicate the client has developed a complication related to pregnancy.
The client is a 32-year-old multigravida at 28 weeks gestation, who presents to the healthcare provider's office for
a routine prenatal visit. Obstetrical history reveals she has given birth three times; once at 35 weeks (twins), once
at 38 weeks (singleton) and once at 41 weeks (singleton). All of these children are alive and well. She had one
spontaneous abortion at 10 weeks' gestation. Her fourth child weighed 9 pounds (4.08 kg) at 41 weeks gestation.
Client is at 28 weeks. She has been receiving prenatal care since 8 weeks gestation. Her fasting 1-hour glucose
screening level, which was done 1 week prior, is 164 mg/dL (9.1 mmol/L). Her 3-hour oral glucose tolerance test
results reveal a fasting blood sugar of 168 (9.3 mmol/L) and a two-hour postprandial of 220 mg/dL (12.2 mmol/L).
B. 5-2-1-1-4
The nurse is reviewing nurses' notes to determine what the client's obstetric history reveals in the form of GTPAL.
Choose the most likely option for the information missing from the statement by selecting from the list of options
provided.Based on the client's obstetrical history, the client's G-T-P-A-L designation is____________.
A. 4-2-1-1-4
B. 5-2-1-1-4
C. 4-3-1-0-4
D. 5-3-1-0-4
B. "Hyperglycemia often presents as increased thirst and urination."
C. "Hyperglycemia causes an increased sensation of being hungry."
D. "Hyperglycemia causes a headache and flushed, dry skin."
NGN HISTORY AND PHYSICAL
The client is a 32-year-old multigravida at 28 weeks gestation, who presents to the healthcare provider's office for
a routine prenatal visit. Obstetrical history reveals she has given birth three times; once at 35 weeks (twins), once
at 38 weeks (singleton) and once at 41 weeks (singleton). All of these children are alive and well. She had one
spontaneous abortion at 10 weeks' gestation. Her fourth child weighed 9 pounds (4.08 kg) at 41 weeks gestation.
After the obstetrician leaves, the client appears confused and asks the nurse, "How will I know if I have high blood
sugar?"Which are the nurse's best responses? Select all that apply.
, A. "Hyperglycemia often results in weight loss."
B. "Hyperglycemia often presents as increased thirst and urination."
C. "Hyperglycemia causes an increased sensation of being hungry."
D. "Hyperglycemia causes a headache and flushed, dry skin."
E. "Hyperglycemia causes cool and clammy skin."
A. Drink between 8 to 10 cups (1.9 to 2.4 liters) of fluids daily.
C. Choose complex carbohydrates that are high in fiber content.
E. Avoid foods high in refined sugars.
NGN HISTORY AND PHYSICAL
The client is a 32-year-old multigravida at 28 weeks gestation, who presents to the healthcare provider's office for
a routine prenatal visit. Obstetrical history reveals she has given birth three times; once at 35 weeks (twins), once
at 38 weeks (singleton) and once at 41 weeks (singleton). All of these children are alive and well. She had one
spontaneous abortion at 10 weeks' gestation. Her fourth child weighed 9 pounds (4.08 kg) at 41 weeks gestation.
The client asks the diabetic nurse educator to clarify what the Registered Dietician told her about the content and
timing of her meals.Which 3 responses should the diabetic nurse educator provide?
A. Drink between 8 to 10 cups (1.9 to 2.4 liters) of fluids daily.
B. Eliminate the bedtime snack if heartburn develops after eating.
C. Choose complex carbohydrates that are high in fiber content.
D. Increase the percentage of protein in the diet if anemia develops.
E. Avoid foods high in refined sugars.
Dropdown Group 1: D. before breakfast
Dropdown Group 2: A. two hours after all meals
NGN HISTORY AND PHYSICAL
The client is a 32-year-old multigravida at 28 weeks gestation, who presents to the healthcare provider's office for
a routine prenatal visit. Obstetrical history reveals she has given birth three times; once at 35 weeks (twins), once
at 38 weeks (singleton) and once at 41 weeks (singleton). All of these children are alive and well. She had one
spontaneous abortion at 10 weeks' gestation. Her fourth child weighed 9 pounds (4.08 kg) at 41 weeks gestation.
