1
NCLEX RN PREVIEW EXAM NEWEST VERSION -2025/2026-
100+ QUESTIONS AND VERIFIED ANSWERS 100% CORRECT
GUARANTEED SUCCESS
shown in the electrocardiogram (ECG) strip below.
Which of the following actions would be appropriate for the nurse to take? Select
all that apply.
1. Administer the client's prescribed beta blocker.
2. Prepare for transcutaneous pacing.
3. Instruct the client to perform the Valsalva maneuver.
4. Begin chest compressions.
5. Assess the client for angina.
1. Encourage the client to reminisce about happy memories.
Rationale:
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1. Is correct because it is possible for AD patients to retain long-term memories.
2. Redirect is protocol for dementia. Don't confront, they can't learn.
3. AD is irreversible.
4. In the moderate AD, dementia has already progressed to where the patient
needs help with ADL's & planning daily activities. Asking them to plan can
frustrate them & cause distress. Structured, pleasant activities that consider the
person's likes & interests are the best.
The nurse is planning care for a client with moderate Alzheimer's Disease (AD).
Which of the following actions by the staff member would require the nurse to
intervene?
1. Placing the client in a private room with monitored negative air pressure.
2. Placing a box of disposable face shields outside the client's room.
3. Placing an alcohol-based hand rub in the client's room for hand hygiene.
4. Placing a surgical mask on the client during transport out of the client's room.
2. Placing a box of disposable face shields outside the client's room.
Rationale:
Varicella AKA chicken pox is an airborne precaution. Private, negative pressure
room, universal precautions (hand sanitizer in room) and placing a surgical mask
on client during transport are all correct interventions for varicella.
The nurse is caring for a client who reports feeling faint and is experiencing the
cardiac rhythm
Which of the following interventions should the nurse include in the client's plan
of care?
1. Encourage the client to reminisce about happy memories.
2. Confront the client when inappropriate or agitated behaviors occur.
, 3
3. Administer to the client the cholinesterase inhibitor to reverse the course of AD.
4. Provide the client with information about activity choices in the morning so the
client can make plans for the day.
1. "Use your hands and arms to support your body weight."
Rationale:
1. Is true, but watch out if it isn't 2-3 finger-widths, because crutch paralysis can
occur. S/S: Paresis & Paresthesias in wrist & hands.
2. Is a fall risk.
3. Crutches should be 6 inches in front & 6 inches lateral.
4. Elbow should be bent at a 30 degree angle.
The nurse is teaching a client how to ambulate using crutches.
Which of the following information should the nurse include?
1. "Use your hands and arms to support your body weight."
2. "Wear slippers when ambulating with the crutches in your home."
3. "Maintain the crutches 12inch (30cm) in front of your feet while standing."
4. "Adjust the hand grips of the crutches so that your elbows are fully extended."
4. "I should expect the blurred vision to resolve after I have received medications
for several weeks."
Rationale:
MS causes nerve damage & can result in optic neuritis (Vision loss, blurry vision).
In most cases it resolves itself in 4-12 weeks, but medications (steroids can speed
up the process & resolve it quicker.
, 4
1. MS patients should not exert themselves too much at one time. Space out
activities & allow time for rest.
2. Urinary retention is primarily treated by medication (bethanochol), and
exercises can aid with it but are not the primary treatment.
3. Hot temperatures are bad for MS and can worsen symptoms. Your nerves are
already messed up and extra heat can stress the body into overdrive.
The nurse has taught a client with multiple sclerosis (MS).
Which of the following statements by the client would indicate a correct
understanding of the teaching?
1. "I will complete all of my household chores in the morning when I am well
rested."
2. "I have learned how to massage my bladder to help empty my bladder
completely."
3. "I will take a hot bath in the evening to help me relax if I have had a stressful
day at work."
4. "I should expect the blurred vision to resolve after I have received medications
for several weeks."
Highlight:
"Loss of appetite"
"Abdominal pain rated 7/10 on the Numerical Rating Scale for 1 week."
"Client states, "The abdominal pain started after my 7-year-old child accidentally
kicked me in the stomach."
"Vital signs: T 103.4 F (39.7 C), P 92, RR 22, BP 130/86, pulse oximetry reading
98% on room air.
Rationale:
NCLEX RN PREVIEW EXAM NEWEST VERSION -2025/2026-
100+ QUESTIONS AND VERIFIED ANSWERS 100% CORRECT
GUARANTEED SUCCESS
shown in the electrocardiogram (ECG) strip below.
Which of the following actions would be appropriate for the nurse to take? Select
all that apply.
1. Administer the client's prescribed beta blocker.
2. Prepare for transcutaneous pacing.
3. Instruct the client to perform the Valsalva maneuver.
4. Begin chest compressions.
5. Assess the client for angina.
1. Encourage the client to reminisce about happy memories.
Rationale:
, 2
1. Is correct because it is possible for AD patients to retain long-term memories.
2. Redirect is protocol for dementia. Don't confront, they can't learn.
3. AD is irreversible.
4. In the moderate AD, dementia has already progressed to where the patient
needs help with ADL's & planning daily activities. Asking them to plan can
frustrate them & cause distress. Structured, pleasant activities that consider the
person's likes & interests are the best.
The nurse is planning care for a client with moderate Alzheimer's Disease (AD).
Which of the following actions by the staff member would require the nurse to
intervene?
1. Placing the client in a private room with monitored negative air pressure.
2. Placing a box of disposable face shields outside the client's room.
3. Placing an alcohol-based hand rub in the client's room for hand hygiene.
4. Placing a surgical mask on the client during transport out of the client's room.
2. Placing a box of disposable face shields outside the client's room.
Rationale:
Varicella AKA chicken pox is an airborne precaution. Private, negative pressure
room, universal precautions (hand sanitizer in room) and placing a surgical mask
on client during transport are all correct interventions for varicella.
The nurse is caring for a client who reports feeling faint and is experiencing the
cardiac rhythm
Which of the following interventions should the nurse include in the client's plan
of care?
1. Encourage the client to reminisce about happy memories.
2. Confront the client when inappropriate or agitated behaviors occur.
, 3
3. Administer to the client the cholinesterase inhibitor to reverse the course of AD.
4. Provide the client with information about activity choices in the morning so the
client can make plans for the day.
1. "Use your hands and arms to support your body weight."
Rationale:
1. Is true, but watch out if it isn't 2-3 finger-widths, because crutch paralysis can
occur. S/S: Paresis & Paresthesias in wrist & hands.
2. Is a fall risk.
3. Crutches should be 6 inches in front & 6 inches lateral.
4. Elbow should be bent at a 30 degree angle.
The nurse is teaching a client how to ambulate using crutches.
Which of the following information should the nurse include?
1. "Use your hands and arms to support your body weight."
2. "Wear slippers when ambulating with the crutches in your home."
3. "Maintain the crutches 12inch (30cm) in front of your feet while standing."
4. "Adjust the hand grips of the crutches so that your elbows are fully extended."
4. "I should expect the blurred vision to resolve after I have received medications
for several weeks."
Rationale:
MS causes nerve damage & can result in optic neuritis (Vision loss, blurry vision).
In most cases it resolves itself in 4-12 weeks, but medications (steroids can speed
up the process & resolve it quicker.
, 4
1. MS patients should not exert themselves too much at one time. Space out
activities & allow time for rest.
2. Urinary retention is primarily treated by medication (bethanochol), and
exercises can aid with it but are not the primary treatment.
3. Hot temperatures are bad for MS and can worsen symptoms. Your nerves are
already messed up and extra heat can stress the body into overdrive.
The nurse has taught a client with multiple sclerosis (MS).
Which of the following statements by the client would indicate a correct
understanding of the teaching?
1. "I will complete all of my household chores in the morning when I am well
rested."
2. "I have learned how to massage my bladder to help empty my bladder
completely."
3. "I will take a hot bath in the evening to help me relax if I have had a stressful
day at work."
4. "I should expect the blurred vision to resolve after I have received medications
for several weeks."
Highlight:
"Loss of appetite"
"Abdominal pain rated 7/10 on the Numerical Rating Scale for 1 week."
"Client states, "The abdominal pain started after my 7-year-old child accidentally
kicked me in the stomach."
"Vital signs: T 103.4 F (39.7 C), P 92, RR 22, BP 130/86, pulse oximetry reading
98% on room air.
Rationale:
