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NCSBN NCLEX Practice Questions and Answers 2024 – Comprehensive Exam Review Study Guide

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This document covers NCSBN-style NCLEX practice questions and answers for 2024, designed to support structured nursing exam preparation. It focuses on key NCLEX content areas such as safe and effective care environment, health promotion, physiological integrity, and psychosocial integrity. The material is organized to reflect NCLEX test formats and helps reinforce clinical judgment and decision-making skills through practice questions and explanations. It serves as a comprehensive review resource for nursing students preparing for licensure exams.

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NCSBN QUESTIONS AND
VERIFIED ANSWERS GRADED A+
2026
A LPN complains to the charge nurse that an unlicensed assistive person (UAP)
consistently leaves the work area untidy and does not restock supplies. What is the best
initial response by the charge nurse?

1Write down potential solutions to the problems today by shift's end

2Add this concern to the agenda of the next unit meeting

3Assure the staff nurse that the complaint will be investigated

4Explore for further identification about the nature of the problem - answer-4 Explore for
further identification about the nature of the problem



The nurse assists with the reinforcement of information about breast self-examination
to a group of college students. A female student asks when to perform the monthly
exam. The appropriate reply by the nurse should include which statement?

1"Ovulation, or midcycle is the best time to detect changes."

2"Do the exam at the same time every month."

3"Right after the period, when your breasts are less tender."

4"The first of every month, because it will be easiest to remember." - answer-3



The nurse is caring for a 75 year-old client with type 2 diabetes mellitus. The client
should be instructed to contact the outpatient clinic immediately if which findings are
present?

1An open wound on the heel with minimal discomfort

2Occasional hiccups and sneezing

3Sustained insomnia and daytime fatigue

4Persistent dryness and itching of the perineal area - answer-1An open wound on the
heel with minimal discomfort-

,A pregnant woman has been advised to alter her diet during pregnancy by increasing the
intake of protein and vitamin C to meet the needs of the growing fetus. Which diet
choice would best meet the woman's needs?

1. 1 cup of macaroni, three-fourths cup of peas, glass whole milk, medium pear

2. Scrambled egg, hash browned potatoes, one-half glass of buttermilk, large nectarine

3. 3 oz. chicken, one-half cup of corn, lettuce salad, small banana

4. Beef, one-half cup of lima beans, glass of skim milk, three-fourths cup of strawberries
- answer-4. Beef, one-half cup of lima beans, glass of skim milk, three-fourths cup of
strawberries -



A nurse is taking a health history from parents of a child admitted with possible Reye's
syndrome. Which recent illness should the nurse recognize as being associated with an
increased the risk for the development of Reye's syndrome?

1. Varicella

2. Meningitis

3. Hepatitis

4. Rubeola - answer-1. Varicella -



A Native American chief visits his newborn son and performs a traditional ceremony
that involves feathers and chanting. The nurse comments to a colleague: "I wonder if he
has any idea how ridiculous he looks - he's a grown man!" The nurse's comment is an
example of what type of attitude?

1. Prejudice

2. Ethnocentrism

3. Discrimination

4. Stereotyping - answer-1. Prejudice-



A nursing student asks the licensed practical nurse (LPN) to explain the forces that drive
health care reform. When responding to the student's question, what information
should the nurse emphasize?

1. Increased competition between health care insurers

,2. Increase in health care spending that's growing faster than the economy

3. Increase in the population who have health insurance

4. Increase in spending for end-of-life treatment - answer-2



A child is admitted to the unit with the suspected diagnosis of pertussis (whooping
cough). What is the priority nursing intervention for this child?

1. Maintain hydration and encourage fluids

2. Implement droplet precautions

3. Monitor respiratory rate and oxygen saturation

4. Anti- infective therapy - answer-2



A client has an indwelling catheter with continuous bladder irrigation after undergoing a
transurethral resection of the prostate (TURP) 12 hours ago. Which finding at this time
should be reported to the registered nurse (RN) charge nurse?

1Complaints for the feeling of pulling on the urinary catheter

2Light, pink to clear urine

3Occasional suprapubic cramping

4Minimal drainage into the urinary collection bag - answer-4Minimal drainage into the
urinary collection bag



A nurse is caring for a woman two hours after a vaginal delivery. Documentation
indicates that the membranes ruptured 36 hours prior to delivery. Which of these
nursing diagnoses should the nurse expect the charge nurse to list as a priority at this
time?

1Risk for fluid volume deficit

2Risk for excessive bleeding

3Risk for infection -

4Altered tissue perfusion - answer-3

, A 14 month-old child ingests a half a bottle of baby aspirin (81 mg) tablets. Which
finding should a nurse expect to see in the child?

1Hypothermia

2Nausea and vomiting

3Hypoventilation

4Bradycardia - answer-2



A school nurse monitors a child with a history of tonic-clonic seizures. The school nurse
should inform teachers that if the child falls to the floor and experiences a seizure while
in the classroom, which of the following would be the most important action to take
during the seizure?

1Place the hands or a folded blanket under the head of the child

2Provide privacy as much as possible to minimize frightening the other children

3Move any chairs or desks at least three feet away from the child

4Note the sequence of movements with the time lapse of the event - answer-1Place the
hands or a folded blanket under the head of the child -



A client is admitted with diagnosis of a right upper lobe infiltrate and to rule out active
tuberculosis (TB). Which type of precautions will be needed for this client?

1Droplet

2Contact

3Standard

4Airborne - answer-4



A client has had a positive reaction to purified protein derivative (PPD). Which
statement made by the client suggests the client understands the teaching by the
registered nurse (RN)?

1"I have active tuberculosis."

2"I have been exposed to mycobacterium tuberculosis."

3"I have never been infected with mycobacterium tuberculosis."

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