Page 1 of 110
NCSBN NCLEX QUESTIONS AS AT 28-APRIL-2026 EXAM
QUESTIONS LATEST VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
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
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
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."
, Page 2 of 110
3"I have never been infected with mycobacterium tuberculosis."
4"I have never had tuberculosis."
2
A nurse is caring for a client with pneumococcal pneumonia. Which breath
sounds would the nurse expect to disappear as the client responds to the
antibiotic treatment?
1Wheezes
2Friction rubs
3Rhonchi
4Diminished sounds
3
A young adult seeks treatment in an outpatient mental health center. The client
tells a nurse, "I am a government official and spies are following me." Upon
further questioning, the client reveals that warnings must be heeded to
prevent nuclear war. What is the initial therapeutic approach that the nurse
should use?
1Listen quietly without comment
2Ask for further information on the spies
3Confront the client about the delusions
4Contact security for potential safety concerns
1Listen quietly without comment -
Lactulose has been prescribed for a client with advanced liver disease. Which
finding should the nurse use to evaluate the effectiveness of this treatment?
1Less jaundice
2Increased appetite
3Decreased lethargy
4Less edema
3
The LPN is unsure about an assignment by the charge nurse to hang an
intravenous (IV) infusion that contains potassium. What resource should the
LPN check first to determine if LPNs can administer IV medications?
1Employer policy and procedures manuals
2Nursing faculty from a local nursing program
, Page 3 of 110
3The nurse practice act of the state in which the practice takes place
4American Nurses Association (ANA) professional standards
3
The nurse is assisting with the delivery of a newborn infant. What is the
priority nursing intervention for a normal newborn immediately after delivery?
1Dry off infant with a warm blanket or towel
2Apply identification bracelets
3Assign the one-minute APGAR score
4Obtain vital signs
1Dry off infant with a warm blanket or towel -
The registered nurse is teaching a childbirth education class about
postpartum depression. Which statement, made by a class member, indicates
that more teaching is needed?
1"I will make an effort to talk with someone about my feelings if I start to feel
overwhelmed."
2"It's common for women with postpartum depression to have delusions about
the infant."
3"Women with postpartum depression have feelings of guilt and
worthlessness."
4"I may experience postpartum depression up to a year after delivery."
2
The nurse is reinforcing information about the side effects of fluoxetine to a
client. Which group of findings should be included?
1Diarrhea, dry mouth, weight loss, reduced libido
2Tachycardia, blurred vision, hypotension, anorexia
3Orthostatic hypotension, vertigo, reactions to tyramine, nausea
4Photosensitivity, seizures, edema, hyperglycemia
1Diarrhea, dry mouth, weight loss, reduced libido
A client has a diagnosis of heart failure. Which intervention is most important
for the nurse to implement prior to the administration of digoxin?
1Use the pulse reading from the electronic blood pressure device
2Take a radial pulse, counting for a full 60 seconds
3Check for a pulse deficit at least twice with another nurse
4Assess the apical pulse, counting for a full 60 seconds
, Page 4 of 110
4Assess the apical pulse, counting for a full 60 seconds -
A client diagnosed with bipolar disorder refuses to take the prescribed
medication. Which is the most therapeutic response by a nurse to the client's
refusal of the medication?
1"You need to take your medicine. This is how you get better."
2"What is it about the medicine that you don't like?"
3"I can see that you are uncomfortable right now; let's talk about it tomorrow."
4"If you refuse your medicine, tell me how do you think you will get better?"
2
A parent expresses frustration and anger about the toddler constantly saying
"no" and refusing to follow directions. The nurse should help the parent
understand that this behavior meets which developmental need?
1Self-esteem
2Initiative
3Independence
4Trust
3
The LPN is assisting the RN to provide care for a client diagnosed with a
traumatic brain injury. Using the Glasgow Coma Scale, when the client does
not obey verbal commands to move, which technique will the RN use to
evaluate motor function?
1Squeeze the trapezius muscle firmly
2Lift the client's arm and observe for pronation and drift
3Apply finger tip pressure for 10 seconds
4Rub the sternum with the knuckles
1Squeeze the trapezius muscle firmly -
A newborn has hyperbilirubinemia and is being treated with a biliblanket.
Which intervention is indicated during this therapy?
1Discontinue breastfeeding during treatment
2Rotate the neonate to treat all of his/her skin
3Restrict holding the newborn during treatment
4Provide more frequent feedings
4Provide more frequent feedings-
NCSBN NCLEX QUESTIONS AS AT 28-APRIL-2026 EXAM
QUESTIONS LATEST VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
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
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
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."
, Page 2 of 110
3"I have never been infected with mycobacterium tuberculosis."
4"I have never had tuberculosis."
2
A nurse is caring for a client with pneumococcal pneumonia. Which breath
sounds would the nurse expect to disappear as the client responds to the
antibiotic treatment?
1Wheezes
2Friction rubs
3Rhonchi
4Diminished sounds
3
A young adult seeks treatment in an outpatient mental health center. The client
tells a nurse, "I am a government official and spies are following me." Upon
further questioning, the client reveals that warnings must be heeded to
prevent nuclear war. What is the initial therapeutic approach that the nurse
should use?
1Listen quietly without comment
2Ask for further information on the spies
3Confront the client about the delusions
4Contact security for potential safety concerns
1Listen quietly without comment -
Lactulose has been prescribed for a client with advanced liver disease. Which
finding should the nurse use to evaluate the effectiveness of this treatment?
1Less jaundice
2Increased appetite
3Decreased lethargy
4Less edema
3
The LPN is unsure about an assignment by the charge nurse to hang an
intravenous (IV) infusion that contains potassium. What resource should the
LPN check first to determine if LPNs can administer IV medications?
1Employer policy and procedures manuals
2Nursing faculty from a local nursing program
, Page 3 of 110
3The nurse practice act of the state in which the practice takes place
4American Nurses Association (ANA) professional standards
3
The nurse is assisting with the delivery of a newborn infant. What is the
priority nursing intervention for a normal newborn immediately after delivery?
1Dry off infant with a warm blanket or towel
2Apply identification bracelets
3Assign the one-minute APGAR score
4Obtain vital signs
1Dry off infant with a warm blanket or towel -
The registered nurse is teaching a childbirth education class about
postpartum depression. Which statement, made by a class member, indicates
that more teaching is needed?
1"I will make an effort to talk with someone about my feelings if I start to feel
overwhelmed."
2"It's common for women with postpartum depression to have delusions about
the infant."
3"Women with postpartum depression have feelings of guilt and
worthlessness."
4"I may experience postpartum depression up to a year after delivery."
2
The nurse is reinforcing information about the side effects of fluoxetine to a
client. Which group of findings should be included?
1Diarrhea, dry mouth, weight loss, reduced libido
2Tachycardia, blurred vision, hypotension, anorexia
3Orthostatic hypotension, vertigo, reactions to tyramine, nausea
4Photosensitivity, seizures, edema, hyperglycemia
1Diarrhea, dry mouth, weight loss, reduced libido
A client has a diagnosis of heart failure. Which intervention is most important
for the nurse to implement prior to the administration of digoxin?
1Use the pulse reading from the electronic blood pressure device
2Take a radial pulse, counting for a full 60 seconds
3Check for a pulse deficit at least twice with another nurse
4Assess the apical pulse, counting for a full 60 seconds
, Page 4 of 110
4Assess the apical pulse, counting for a full 60 seconds -
A client diagnosed with bipolar disorder refuses to take the prescribed
medication. Which is the most therapeutic response by a nurse to the client's
refusal of the medication?
1"You need to take your medicine. This is how you get better."
2"What is it about the medicine that you don't like?"
3"I can see that you are uncomfortable right now; let's talk about it tomorrow."
4"If you refuse your medicine, tell me how do you think you will get better?"
2
A parent expresses frustration and anger about the toddler constantly saying
"no" and refusing to follow directions. The nurse should help the parent
understand that this behavior meets which developmental need?
1Self-esteem
2Initiative
3Independence
4Trust
3
The LPN is assisting the RN to provide care for a client diagnosed with a
traumatic brain injury. Using the Glasgow Coma Scale, when the client does
not obey verbal commands to move, which technique will the RN use to
evaluate motor function?
1Squeeze the trapezius muscle firmly
2Lift the client's arm and observe for pronation and drift
3Apply finger tip pressure for 10 seconds
4Rub the sternum with the knuckles
1Squeeze the trapezius muscle firmly -
A newborn has hyperbilirubinemia and is being treated with a biliblanket.
Which intervention is indicated during this therapy?
1Discontinue breastfeeding during treatment
2Rotate the neonate to treat all of his/her skin
3Restrict holding the newborn during treatment
4Provide more frequent feedings
4Provide more frequent feedings-
