2026] neurological assessment, infection
control, nutrition, nursing models, pediatric
teaching, psychiatric nursing, renal diet,
and endocrine disorders Questions & 100%
Correct Answers - [Grade A]
The nurse is caring for a client who is unable to void. The plan of care establishes an
objective for the client to ingest at least 1000 ml of fluid between 7:00 am and 3:30 pm.
Which client response should the nurse document that indicates a successful
outcome?
a. Demonstrates adequate fluid intake and output.
b. Voids at least 1000 ml between 7am and 3 pm.
c. Verbalizes abdominal comfort without pressure.
d. Drinks 240 ml of fluid five times during the shift. - correct answer D
The nurse obtains a heart rate of 92 and a blood pressure of 110/76 prior to
administering a scheduled dose of verapamil (Calan) for a client with atrial flutter.
Which action should the nurse implement?
a. Administer the dose as prescribed.
b. Withhold the drug and notify the healthcare provider.
c. Give intravenous (IV) calcium gluconate.
d. Recheck the vital signs in 30 minutes and then administer the dose. - correct
answer A
A client with cancer has a history of alcohol abuse and is taking acetaminophen
(Tylenol) for pain. Which organ function is most important for the nurse to monitor?
a. Liver.
b. Kidney.
c. Sensory.
d. Cardiorespiratory. - correct answer A
A client with chronic osteomyelitis is scheduled for surgery to treat the infection which
has not responded to three months of intravenous antibiotic therapy. The client asks
the nurse why surgery is necessary. Which is the best response for the nurse to
provide?
, NCLEX-RN [Latest Update 2025 /
2026] neurological assessment, infection
control, nutrition, nursing models, pediatric
teaching, psychiatric nursing, renal diet,
and endocrine disorders Questions & 100%
Correct Answers - [Grade A]
a. The dead bone needs to be removed to provide a blood supply for new bone growth.
b. The infection is caused by a mutated bacteria that is resistant to most antibiotics.
c. If the infected dead bone is not removed, it will make a path to the skin and drain
pus.
d. The infection has walled off into an area of infected bone creating a barrier to
antibiotics. - correct answer D
Two hours after the vaginal delivery of a 7-pound, 3-ounce infant, a client's fundus is 3
cm above the umbilicus, boggy, and located to the right of midline. Which action should
the nurse take first?
a. Massage the uterine fundus.
b. Palpate above the symphysis for the bladder.
c. Perform bi-manual massage.
d. Inspect the perineum for excessive bleeding. - correct answer B
After one month of short-term corticosteroid therapy, a client with an acute
exacerbation of rheumatoid arthritis returns to the clinic for a follow-up visit. Which
laboratory finding should the nurse review for a therapeutic response?
a. Fasting serum glucose.
b. Serum liver function test.
c. Serum electrolyte levels.
d. Erythrocyte sedimentation rate. - correct answer D
The nurse is conducting a drug education class for junior high school students. Which
statement, provided by one of the student participants, best describes the primary
characteristic of addiction?
a. "Addicts who use illegal drugs are trying to escape reality."
b. "Addiction causes people to steal and lie."
, NCLEX-RN [Latest Update 2025 /
2026] neurological assessment, infection
control, nutrition, nursing models, pediatric
teaching, psychiatric nursing, renal diet,
and endocrine disorders Questions & 100%
Correct Answers - [Grade A]
c. "Those who are unhappy with themselves are more likely to become addicts."
d. "Wanting the drug is all that matters to an addict." - correct answer D
A client assigned to a female practical nurse (PN) needs total morning care and sterile
wound packing with a wet-to-dry dressing. The PN tells the nurse that she has never
performed a wound packing. Which intervention should the charge nurse implement?
a. Perform the wound care and have the PN provide the client's morning care.
b. Advise the PN to review the procedure in the procedure manual and then complete
the wound care.
c. Note the PN's learning need to perform a wound packing and contact nursing
education to schedule a time for instruction.
d. Demonstrate the wound care procedure to the PN while the PN assists. - correct
answer D
Which finding should the nurse identify as an early clinical manifestation of neonatal
encephalopathy related to hyperbilirubinemia?
a. Mental retardation.
b. Rigid extension of all extremities.
c. Lethargy or irritability.
d. Increased or unstable temperature. - correct answer C
Two unlicensed assistive personnel (UAP) are arguing on the unit about who deserves
to take a break first. What is the most important basic guideline that the nurse should
follow in resolving the conflict?
a. Deal with issues and not personalities.
b. Require the UAPs to reach a compromise.
c. Weigh the consequences of each possible solution.
d. Encourage the two to view the humor of the conflict. - correct answer A
, NCLEX-RN [Latest Update 2025 /
2026] neurological assessment, infection
control, nutrition, nursing models, pediatric
teaching, psychiatric nursing, renal diet,
and endocrine disorders Questions & 100%
Correct Answers - [Grade A]
A child with bacterial conjunctivitis receives a prescription for erythromycin eye drops.
Which information is most important for the nurse to include in the teaching plan?
a. Apply warm compresses to reduce swelling.
b. Wear sunglasses to protect eyes from sunlight.
c. Take acetaminophen (Tylenol) for any eye discomfort.
d. Avoid sharing towels and washcloths with siblings. - correct answer D
The nurse is preparing to administer a high volume saline enema to a client. Which
information is most important for the nurse to obtain prior to administering the
enema?
a. History of inflammatory bowel disorders.
b. Reason for administering the enema.
c. Feelings about having an enema.
d. Allergies to medications. - correct answer A
The nurse is teaching an adolescent girl with scoliosis about a Milwaukee brace which
her healthcare provider has prescribed. Which instruction would be accurate?
a. Remove the brace one hour each day for bathing only.
b. Remove the brace twice daily for back range of motion exercises.
c. Wear the brace against the bare skin.
d. Wear the brace in order to cure the spinal curvature. - correct answer A
The clinic nurse identifies an elevation in the results of the triple marker screening
test for a client who is in the first trimester of pregnancy. Which action should the
nurse prepare the client for?
a. Repeating the triple marker test.
b. Preparing for other diagnostic testing.
c. Counseling about possible fetal defects.
d. Securing permission for pregnancy termination. - correct answer B