Miscellaneous- NCLEX Exam Questions
and correct Answers 2025/2026 A+ Graded
100% Verified
Blood should hang no longer than _______ hours. - ANS-4
How often should v/s be taken when transfusing blood products? - ANS-A baseline set of vital
signs are taken, then again 5 minutes after the initiation of the transfusion, then 15 minutes after
transfusion started and every 15 minutes for one hour, then every 30 minutes for one hour, then
hourly until infusion completes.
A client prescribed oral iron medication is reporting nausea after administration. What should
the nurse teach the client to decrease this symptom? - ANS-Iron is best absorbed on an empty
stomach, however, if nausea and vomiting occur, drink orange juice with the iron. It will help
decrease nausea and vomiting, and will enhance absorption of the iron. Don't take iron with
milk, calcium and antacids. Foods that affect absorption and should not be eaten at the same
time include: high fiber foods such as whole grains, bran, and raw vegetables. Also avoid foods
and drinks with caffeine.
The nurse is caring for a client post coronary artery bypass grafting. The nurse educates the
client that the prescribed medication indomethacin is used to manage which symptoms? -
ANS-Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID). Used to treat pain,
inflammation, and fever.
The client with ulcerative colitis calls the clinic and reports increasing abdominal pain and
increased frequency of loose stools. He asks the nurse to clarify the type of diet he is to follow.
Which diet is best for clients with ulcerative colitis? - ANS-Low fiber. This client should not have
much fiber. A low residual diet decreases irritation of the GI tract.
A client has a prescription for digoxin 0.125 mg IV push every morning. Prior to administering
digoxin, the nurse notes that the digoxin level drawn this morning was 0.9 ng/mL. Which action
would be most important for the nurse to take? - ANS-This is a normal digoxin level. The nurse
would administer the prescribed digoxin. The therapeutic serum levels of digoxin range from 0.5
to 2 ng/mL.
Which interventions are appropriate for the nurse to identify for a client admitted to the
psychiatric unit for management of anorexia nervosa?
, 1. Weigh daily
2. Allow only 20 minutes of exercise daily
3. Allow the client to bargain for privileges as long as the client eats.
4. Stay with the client during the established time for meals.
5. Maintain visual observation for 1 hour following meals. - ANS-1.,4. & 5. Correct: Weigh daily,
immediately upon rising and following morning void, using same scale if possible. The
established time for meals is usually 30 minutes. This takes the focus off of food and eating and
provides the client with attention and reinforcement. The hour following meals may be used to
discard food stashed from tray or to engage in self-induced vomiting.
A client has been taking tranylcypromine for approximately two weeks. The client is visiting the
nurse at the local mental health center for follow up and group therapy. Which client comment
indicates a lack of understanding of the medication that could result in a medical emergency?
1. I know that I must take this medication until my primary healthcare provider tells me to stop.
2. It is frustrating to have to follow dietary restrictions.
3. I am getting a cold, and I am going to take some over the counter cold medicine.
4. I am going to have broccoli salad and roasted turkey for lunch today. - ANS-3. This is an
MAOI medication. OTC cold medications could result in hypertensive crisis when combined with
the monoamine oxidase inhibitor. Warnings are placed on cold preparations and other
medicines that are not to be taken with the MAOIs.
Which signs/symptoms would lead a nurse to suspect Fifth disease in a child brought into a
pediatric clinic?
1. Erythema on the cheeks.
2. Joint pain.
3. Temperature 102°F (38.88° C).
4. Swollen knees.
5. Pruritic rash on soles of feet. - ANS-1., 2., 4., & 5. Correct. These are common
signs/symptoms of Fifth disease.
**Extra info: Fifth disease, which is especially common in kids between the ages of 5 and 15,
usually produces a distinctive red rash on the face that makes a child appear to have a "slapped
cheek." The rash then spreads to the trunk, arms, and legs. Viral illness, caused by parvovirus
B19. Fifth disease begins with a low-grade fever, headache, and mild cold-like symptoms (a
stuffy or runny nose). These symptoms pass, and the illness seems to be gone until a rash
appears a few days later.
The bright red rash usually begins on the face. Several days later, the rash spreads and red
blotches (usually lighter in color) extend down to the trunk, arms, and legs. The rash usually
spares the palms of the hands and soles of the feet. As the centers of the blotches begin to
clear, the rash takes on a lacy net-like appearance. Kids younger than 10 years old are most
likely to get the rash.
A client is diagnosed with new onset grand mal seizures. Which nursing interventions should the
nurse implement for this client?
, 1. Have an unlicensed assisitve personnel (UAP) stay with the client.
2. Pad the side rails with blankets.
3. Place the bed in low position.
4. Keep a padded tongue blade at the bedside.
5. Instruct client to call for help when ambulating. - ANS-2., 3., & 5. Correct: These
interventions will help to protect the client from injury.
The nurse is caring for a hypertensive client who has been taking a loop diuretic while
hospitalized. Upon discharge, the nurse must teach the client about the need for adequate
electrolyte intake through foods and/or dietary supplements. Since the client is taking a loop
diuretic, which foods should the nurse suggest to the client?
1. Cereals and breads
2. Avocados and milk
3. Table salt and spinach
4. Blueberries and summer squash - ANS-2. Correct: Avocados, milk, fruit juices, bananas and
cantaloupe are good sources of potassium. Loop diuretics deplete the electrolyte potassium.
1. Incorrect: Cereals and breads are good sources of B vitamins.
3. Incorrect: Table salt and spinach are good sources of sodium, but the hypertensive client
usually should limit intake of sodium.
4. Incorrect: Blueberries and summer squash both are very low in potassium.
A client's last two central venous pressure (CVP) readings were 23 cm of water. The nurse
would expect the client to manifest which associated signs and symptoms?
1. Dry oral mucus membranes
2. Tachypnea (rapid breathing)
3. Orthostatic hypotension
4. Rales in the posterior chest
5. Jugular vein distention
6. Weight gain - ANS-Lab value for CVP: 2-6mmHg, 5-10cmH2O
2., 4., 5. & 6. Correct: The CVP is high, indicating fluid volume excess. These signs and
symptoms indicate fluid volume excess.
1. Incorrect: The CVP is high and correlates with fluid volume excess. This sign indicates fluid
volume deficit.
3. Incorrect: The CVP is high and correlates with fluid volume excess. This sign indicates fluid
volume deficit.
Case managers use clinical pathways in the process of evaluating and coordinating client care
with the multidisciplinary team. What is a clinical pathway?
and correct Answers 2025/2026 A+ Graded
100% Verified
Blood should hang no longer than _______ hours. - ANS-4
How often should v/s be taken when transfusing blood products? - ANS-A baseline set of vital
signs are taken, then again 5 minutes after the initiation of the transfusion, then 15 minutes after
transfusion started and every 15 minutes for one hour, then every 30 minutes for one hour, then
hourly until infusion completes.
A client prescribed oral iron medication is reporting nausea after administration. What should
the nurse teach the client to decrease this symptom? - ANS-Iron is best absorbed on an empty
stomach, however, if nausea and vomiting occur, drink orange juice with the iron. It will help
decrease nausea and vomiting, and will enhance absorption of the iron. Don't take iron with
milk, calcium and antacids. Foods that affect absorption and should not be eaten at the same
time include: high fiber foods such as whole grains, bran, and raw vegetables. Also avoid foods
and drinks with caffeine.
The nurse is caring for a client post coronary artery bypass grafting. The nurse educates the
client that the prescribed medication indomethacin is used to manage which symptoms? -
ANS-Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID). Used to treat pain,
inflammation, and fever.
The client with ulcerative colitis calls the clinic and reports increasing abdominal pain and
increased frequency of loose stools. He asks the nurse to clarify the type of diet he is to follow.
Which diet is best for clients with ulcerative colitis? - ANS-Low fiber. This client should not have
much fiber. A low residual diet decreases irritation of the GI tract.
A client has a prescription for digoxin 0.125 mg IV push every morning. Prior to administering
digoxin, the nurse notes that the digoxin level drawn this morning was 0.9 ng/mL. Which action
would be most important for the nurse to take? - ANS-This is a normal digoxin level. The nurse
would administer the prescribed digoxin. The therapeutic serum levels of digoxin range from 0.5
to 2 ng/mL.
Which interventions are appropriate for the nurse to identify for a client admitted to the
psychiatric unit for management of anorexia nervosa?
, 1. Weigh daily
2. Allow only 20 minutes of exercise daily
3. Allow the client to bargain for privileges as long as the client eats.
4. Stay with the client during the established time for meals.
5. Maintain visual observation for 1 hour following meals. - ANS-1.,4. & 5. Correct: Weigh daily,
immediately upon rising and following morning void, using same scale if possible. The
established time for meals is usually 30 minutes. This takes the focus off of food and eating and
provides the client with attention and reinforcement. The hour following meals may be used to
discard food stashed from tray or to engage in self-induced vomiting.
A client has been taking tranylcypromine for approximately two weeks. The client is visiting the
nurse at the local mental health center for follow up and group therapy. Which client comment
indicates a lack of understanding of the medication that could result in a medical emergency?
1. I know that I must take this medication until my primary healthcare provider tells me to stop.
2. It is frustrating to have to follow dietary restrictions.
3. I am getting a cold, and I am going to take some over the counter cold medicine.
4. I am going to have broccoli salad and roasted turkey for lunch today. - ANS-3. This is an
MAOI medication. OTC cold medications could result in hypertensive crisis when combined with
the monoamine oxidase inhibitor. Warnings are placed on cold preparations and other
medicines that are not to be taken with the MAOIs.
Which signs/symptoms would lead a nurse to suspect Fifth disease in a child brought into a
pediatric clinic?
1. Erythema on the cheeks.
2. Joint pain.
3. Temperature 102°F (38.88° C).
4. Swollen knees.
5. Pruritic rash on soles of feet. - ANS-1., 2., 4., & 5. Correct. These are common
signs/symptoms of Fifth disease.
**Extra info: Fifth disease, which is especially common in kids between the ages of 5 and 15,
usually produces a distinctive red rash on the face that makes a child appear to have a "slapped
cheek." The rash then spreads to the trunk, arms, and legs. Viral illness, caused by parvovirus
B19. Fifth disease begins with a low-grade fever, headache, and mild cold-like symptoms (a
stuffy or runny nose). These symptoms pass, and the illness seems to be gone until a rash
appears a few days later.
The bright red rash usually begins on the face. Several days later, the rash spreads and red
blotches (usually lighter in color) extend down to the trunk, arms, and legs. The rash usually
spares the palms of the hands and soles of the feet. As the centers of the blotches begin to
clear, the rash takes on a lacy net-like appearance. Kids younger than 10 years old are most
likely to get the rash.
A client is diagnosed with new onset grand mal seizures. Which nursing interventions should the
nurse implement for this client?
, 1. Have an unlicensed assisitve personnel (UAP) stay with the client.
2. Pad the side rails with blankets.
3. Place the bed in low position.
4. Keep a padded tongue blade at the bedside.
5. Instruct client to call for help when ambulating. - ANS-2., 3., & 5. Correct: These
interventions will help to protect the client from injury.
The nurse is caring for a hypertensive client who has been taking a loop diuretic while
hospitalized. Upon discharge, the nurse must teach the client about the need for adequate
electrolyte intake through foods and/or dietary supplements. Since the client is taking a loop
diuretic, which foods should the nurse suggest to the client?
1. Cereals and breads
2. Avocados and milk
3. Table salt and spinach
4. Blueberries and summer squash - ANS-2. Correct: Avocados, milk, fruit juices, bananas and
cantaloupe are good sources of potassium. Loop diuretics deplete the electrolyte potassium.
1. Incorrect: Cereals and breads are good sources of B vitamins.
3. Incorrect: Table salt and spinach are good sources of sodium, but the hypertensive client
usually should limit intake of sodium.
4. Incorrect: Blueberries and summer squash both are very low in potassium.
A client's last two central venous pressure (CVP) readings were 23 cm of water. The nurse
would expect the client to manifest which associated signs and symptoms?
1. Dry oral mucus membranes
2. Tachypnea (rapid breathing)
3. Orthostatic hypotension
4. Rales in the posterior chest
5. Jugular vein distention
6. Weight gain - ANS-Lab value for CVP: 2-6mmHg, 5-10cmH2O
2., 4., 5. & 6. Correct: The CVP is high, indicating fluid volume excess. These signs and
symptoms indicate fluid volume excess.
1. Incorrect: The CVP is high and correlates with fluid volume excess. This sign indicates fluid
volume deficit.
3. Incorrect: The CVP is high and correlates with fluid volume excess. This sign indicates fluid
volume deficit.
Case managers use clinical pathways in the process of evaluating and coordinating client care
with the multidisciplinary team. What is a clinical pathway?
