NCLEX PREVIEW EXAM PREP
NCLEX PREVIEW EXAM PREP LATEST 2025/2026 ACTUAL
EXAM TEST BANK COMPLETE 150 QUESTIONS AND
CORRECT ANSWERS WITH DETAILED RATIONALES GRADED
A+ GUARANTEED PASS- ACE YOUR EXAM
The nurse has attended a staff education program about caring for clients who are
receiving positive pressure mechanical ventilation. Which of the following
statements by the nurse would indicate a correct understanding of the teaching?
1. "Clients should avoid range-of-motion (ROM) exercises until weaned from
ventilation."
2. "Clients may develop stress ulcers and gastrointestinal bleeding."
3. "Clients will be chemically paralyzed to improve oxygenation."
4. "Clients will experience diuresis and polyuria." - Correct Answer-2. "Clients may
develop stress ulcers and gastrointestinal bleeding."
Rationale: Postive Pressure Ventilation may cause stress ulcers and GI bleeding
because
The charge nurse must transfer a female client from the medical-surgical unit to
the maternity unit to make a bed available. It would be most appropriate for the
nurse to transfer the client who is
1. 28 years old, had a right mastectomy and has a closed-wound drainage system
2. 49 years old, has diabetes mellitus (type 2) and has begun receiving insulin
3. 56 years old, has hepatitis C (HCV) and has been afebrile for 24 hours
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, NCLEX PREVIEW EXAM PREP
4. 70 years old, has a fractured left tibia and had an external fixation device
applied 48 hours ago - Correct Answer-3. 56 years old, has hepatitis C (HCV) and
has been afebrile for 24 hours
The nurse has been made aware of the following client situations. The nurse
should first assess the client with:
1. heart failure who has a productive cough and is anxious
2. regional enteritis (Crohn's disease) who is reporting cramping abdominal pain
and diarrhea
3. idiopathic thrombocytopenic purpura (ITP) who has petechiae on the trunk and
is reporting heavy menses
4. chronic obstructive pulmonary disease (COPD) who has dyspnea with exertion
and is using accessory muscles to breathe - Correct Answer-1. heart failure who
has a productive cough and is anxious
Productive cough (pink frothy sputum) indicates pulmonary edema, anxiety might
be caused by decreased perfusion
The nurse and unlicensed assistive personnel (UAP) are caring for assigned clients.
Which of the following tasks would be appropriate for the nurse to assign to UAP?
1. assisting a client with atrial fibrillation to shower
2. checking the ability of a client to swallow water after a transesophageal
echocardiogram (TEE)
3. observing while a client with dysphagia begins a thickened liquid diet
4. transporting a client with respiratory distress to the radiology department for a
chest radiograph - Correct Answer-1. assisting a client with atrial fibrillation to
shower
UAP can perform hygiene
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Rationale:
Only nurses can assess. Transporting a client in respiratory arrest is not safe to
delegate to a UAP
The nurse has taken a nutritional history from parents of clients. It would be a
priority for the nurse to follow up with the
1. 5-month-old client whose only source of nutrition is 5 formula feedings daily
2. 7-month-old client who eats several crackers as finger food
3. 9-month-old client whose typical daily diet includes 10 bottles of 2% milk, 1 cup
of apple juice, and 3 servings of infant cereal
4. 1-year-old client whose typical food intake includes 4 breast-feedings and 3
servings of cooked vegetables, pears, or sliced cheese - Correct Answer-3. 9-
month-old client whose typical daily diet includes 10 bottles of 2% milk, 1 cup of
apple juice, and 3 servings of infant cereal
Rationale: Cows milk should be introduced at 12 months old. It doesn't provide the
necessary nutrients and baby can develop iron deficiency
The nurse is planning a staff education program about client privacy. Which of the
following scenarios should the nurse include as an example of a violation of client
privacy?
1. discussing with an unlicensed assistive personnel (UAP) that the UAP's assigned
client will require a smaller condom catheter
2. sharing the client's blood alcohol level (BAL) test result with the police officer
who brought the client to the emergency department (ED)
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3. responding to the call light of the client who is assigned to another nurse and
needs assistance in the bathroom
4. allowing a nursing student who has been assigned to the client to review the
client's medical record - Correct Answer-2. sharing the client's blood alcohol level
(BAL) test result with the police officer who brought the client to the emergency
department (ED)
Rationale: PHI is permitted to be disclosed to police when PHI is needed to
apprehend the perpetrator of a violent crime, suspect, or fugitive.
The charge nurse has received a change-of-shift report on the following clients in
labor. The charge nurse should ask a staff member to first see the client in the
1. first stage of labor who has an oral temperature of 99.7° F (37.6° C)
2. first stage of labor whose contractions are occurring every 30 seconds
3. second stage of labor who has respirations of 26
4. second stage of labor whose contractions are lasting for 60 seconds - Correct
Answer-2. first stage of labor whose contractions are occurring every 30 seconds
Contractions should be no longer than 90 secs and no closer than 2 mins (120
secs)
90 secs is the duration, 2 mins is the frequency.
Rationale:
1. Elevated temp is normal during labor
3. Increased resps are normal during labor "pant-pant-blow" "hee-hee-hoo"
breathing pattern
4. Contractions shouldn't be longer than 90 secs, 60 secs is okay and normal
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NCLEX PREVIEW EXAM PREP LATEST 2025/2026 ACTUAL
EXAM TEST BANK COMPLETE 150 QUESTIONS AND
CORRECT ANSWERS WITH DETAILED RATIONALES GRADED
A+ GUARANTEED PASS- ACE YOUR EXAM
The nurse has attended a staff education program about caring for clients who are
receiving positive pressure mechanical ventilation. Which of the following
statements by the nurse would indicate a correct understanding of the teaching?
1. "Clients should avoid range-of-motion (ROM) exercises until weaned from
ventilation."
2. "Clients may develop stress ulcers and gastrointestinal bleeding."
3. "Clients will be chemically paralyzed to improve oxygenation."
4. "Clients will experience diuresis and polyuria." - Correct Answer-2. "Clients may
develop stress ulcers and gastrointestinal bleeding."
Rationale: Postive Pressure Ventilation may cause stress ulcers and GI bleeding
because
The charge nurse must transfer a female client from the medical-surgical unit to
the maternity unit to make a bed available. It would be most appropriate for the
nurse to transfer the client who is
1. 28 years old, had a right mastectomy and has a closed-wound drainage system
2. 49 years old, has diabetes mellitus (type 2) and has begun receiving insulin
3. 56 years old, has hepatitis C (HCV) and has been afebrile for 24 hours
1|Page
, NCLEX PREVIEW EXAM PREP
4. 70 years old, has a fractured left tibia and had an external fixation device
applied 48 hours ago - Correct Answer-3. 56 years old, has hepatitis C (HCV) and
has been afebrile for 24 hours
The nurse has been made aware of the following client situations. The nurse
should first assess the client with:
1. heart failure who has a productive cough and is anxious
2. regional enteritis (Crohn's disease) who is reporting cramping abdominal pain
and diarrhea
3. idiopathic thrombocytopenic purpura (ITP) who has petechiae on the trunk and
is reporting heavy menses
4. chronic obstructive pulmonary disease (COPD) who has dyspnea with exertion
and is using accessory muscles to breathe - Correct Answer-1. heart failure who
has a productive cough and is anxious
Productive cough (pink frothy sputum) indicates pulmonary edema, anxiety might
be caused by decreased perfusion
The nurse and unlicensed assistive personnel (UAP) are caring for assigned clients.
Which of the following tasks would be appropriate for the nurse to assign to UAP?
1. assisting a client with atrial fibrillation to shower
2. checking the ability of a client to swallow water after a transesophageal
echocardiogram (TEE)
3. observing while a client with dysphagia begins a thickened liquid diet
4. transporting a client with respiratory distress to the radiology department for a
chest radiograph - Correct Answer-1. assisting a client with atrial fibrillation to
shower
UAP can perform hygiene
2|Page
, NCLEX PREVIEW EXAM PREP
Rationale:
Only nurses can assess. Transporting a client in respiratory arrest is not safe to
delegate to a UAP
The nurse has taken a nutritional history from parents of clients. It would be a
priority for the nurse to follow up with the
1. 5-month-old client whose only source of nutrition is 5 formula feedings daily
2. 7-month-old client who eats several crackers as finger food
3. 9-month-old client whose typical daily diet includes 10 bottles of 2% milk, 1 cup
of apple juice, and 3 servings of infant cereal
4. 1-year-old client whose typical food intake includes 4 breast-feedings and 3
servings of cooked vegetables, pears, or sliced cheese - Correct Answer-3. 9-
month-old client whose typical daily diet includes 10 bottles of 2% milk, 1 cup of
apple juice, and 3 servings of infant cereal
Rationale: Cows milk should be introduced at 12 months old. It doesn't provide the
necessary nutrients and baby can develop iron deficiency
The nurse is planning a staff education program about client privacy. Which of the
following scenarios should the nurse include as an example of a violation of client
privacy?
1. discussing with an unlicensed assistive personnel (UAP) that the UAP's assigned
client will require a smaller condom catheter
2. sharing the client's blood alcohol level (BAL) test result with the police officer
who brought the client to the emergency department (ED)
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, NCLEX PREVIEW EXAM PREP
3. responding to the call light of the client who is assigned to another nurse and
needs assistance in the bathroom
4. allowing a nursing student who has been assigned to the client to review the
client's medical record - Correct Answer-2. sharing the client's blood alcohol level
(BAL) test result with the police officer who brought the client to the emergency
department (ED)
Rationale: PHI is permitted to be disclosed to police when PHI is needed to
apprehend the perpetrator of a violent crime, suspect, or fugitive.
The charge nurse has received a change-of-shift report on the following clients in
labor. The charge nurse should ask a staff member to first see the client in the
1. first stage of labor who has an oral temperature of 99.7° F (37.6° C)
2. first stage of labor whose contractions are occurring every 30 seconds
3. second stage of labor who has respirations of 26
4. second stage of labor whose contractions are lasting for 60 seconds - Correct
Answer-2. first stage of labor whose contractions are occurring every 30 seconds
Contractions should be no longer than 90 secs and no closer than 2 mins (120
secs)
90 secs is the duration, 2 mins is the frequency.
Rationale:
1. Elevated temp is normal during labor
3. Increased resps are normal during labor "pant-pant-blow" "hee-hee-hoo"
breathing pattern
4. Contractions shouldn't be longer than 90 secs, 60 secs is okay and normal
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