NCLEX-PN 2026 FINAL TEST PAPER
QUESTIONS AND ANSWERS GRADED A
PLUS
◉ The nurse is assisting the RN with discharge instructions for a
client with an implantable defibrillator. What discharge instruction
is essential?
A. "You cannot eat food prepared in a microwave."
B. "You should avoid moving the should on the side of the pacemaker
site for 6 weeks."
C. "You should use your cellphone on your right side."
D. "You will not be able to fly on a commercial airliner with the
defibrillator in place."
Answer: C. "You should use your cellphone on your right side."
why?
The client with an internal defibrilliator should learn to use any
battery operated machinery on the opposite side. He should also
take his pulse rate and report dizziness or fainting.
,◉ A client in the cardiac step-down unit requires suctioning for
excess mucous secretions. The nurse should be most careful to
monitor the client for which dysrhythmia during this procedure?
A. Bradycardia
B. Tachycardia
C. Premature ventricular beats
D. Heart block
Answer: A. Bradycardia
why?
Suctioning can cause a vagal response and bradycardia.
◉ The nurse is caring for a client scheduled for a surgical repair of a
sacular abdominal aortic aneurysm. Which assessment is most
crucial during the preoperative period?
A. Assessment of the client's level of anxiety.
B. Evaluation of the client's exercise tolerance
C. Identification of peripheral pulses.
D. Assessment of bowel sounds and activity.
Answer: C. Identification of peripheral pulses
,why?
The assessment that is most crucial to the client is identification of
peripheral pulses because aorta is clammed during surgery. This
decreases blood circulation to the kidneys and lower extremities.
The nurse must also assess for the return of circulation to the lower
extremities.
◉ A client with suspected renal disease is to undergo a renal biopsy.
The nurse plans to include which statement in the teaching session?
A. "You will be sitting for the examination procedure."
B. "Portions of the procedure will cause pain or discomfort."
C. "You will be given some medication to anesthetize the area."
D. "you will not be able to drink fluids for 24 hours before the study."
Answer: B. "Portions of the procedure will cause pain or discomfort."
why?
Portions of the exam are painful especially when the sample is being
withdrawn so this should be included in the session with the client.
, ◉ The nurse is performing an assessment on a client with possible
pernicious anemia. Which data would support this diagnosis?
A. A weight loss of 10 pounds in 2 weeks.
B. Complaints of numbness and tingling in the extremities.
C. A red, beefy tongue.
D. A hemoglobin level of 12.0 gm/dL
Answer: C. A red, beefy tongue
why?
A red, beefy tongue is characteristic of a client with pernicious
anemia.
◉ A client arrives in the emergency room with a possible fractured
femur. The nurse should anticipate an order for:
A. Trendelenburg position
B. Ice to the entire extremity
C. Bucks traction
D. An abduction pillow
Answer: C. Bucks traction
QUESTIONS AND ANSWERS GRADED A
PLUS
◉ The nurse is assisting the RN with discharge instructions for a
client with an implantable defibrillator. What discharge instruction
is essential?
A. "You cannot eat food prepared in a microwave."
B. "You should avoid moving the should on the side of the pacemaker
site for 6 weeks."
C. "You should use your cellphone on your right side."
D. "You will not be able to fly on a commercial airliner with the
defibrillator in place."
Answer: C. "You should use your cellphone on your right side."
why?
The client with an internal defibrilliator should learn to use any
battery operated machinery on the opposite side. He should also
take his pulse rate and report dizziness or fainting.
,◉ A client in the cardiac step-down unit requires suctioning for
excess mucous secretions. The nurse should be most careful to
monitor the client for which dysrhythmia during this procedure?
A. Bradycardia
B. Tachycardia
C. Premature ventricular beats
D. Heart block
Answer: A. Bradycardia
why?
Suctioning can cause a vagal response and bradycardia.
◉ The nurse is caring for a client scheduled for a surgical repair of a
sacular abdominal aortic aneurysm. Which assessment is most
crucial during the preoperative period?
A. Assessment of the client's level of anxiety.
B. Evaluation of the client's exercise tolerance
C. Identification of peripheral pulses.
D. Assessment of bowel sounds and activity.
Answer: C. Identification of peripheral pulses
,why?
The assessment that is most crucial to the client is identification of
peripheral pulses because aorta is clammed during surgery. This
decreases blood circulation to the kidneys and lower extremities.
The nurse must also assess for the return of circulation to the lower
extremities.
◉ A client with suspected renal disease is to undergo a renal biopsy.
The nurse plans to include which statement in the teaching session?
A. "You will be sitting for the examination procedure."
B. "Portions of the procedure will cause pain or discomfort."
C. "You will be given some medication to anesthetize the area."
D. "you will not be able to drink fluids for 24 hours before the study."
Answer: B. "Portions of the procedure will cause pain or discomfort."
why?
Portions of the exam are painful especially when the sample is being
withdrawn so this should be included in the session with the client.
, ◉ The nurse is performing an assessment on a client with possible
pernicious anemia. Which data would support this diagnosis?
A. A weight loss of 10 pounds in 2 weeks.
B. Complaints of numbness and tingling in the extremities.
C. A red, beefy tongue.
D. A hemoglobin level of 12.0 gm/dL
Answer: C. A red, beefy tongue
why?
A red, beefy tongue is characteristic of a client with pernicious
anemia.
◉ A client arrives in the emergency room with a possible fractured
femur. The nurse should anticipate an order for:
A. Trendelenburg position
B. Ice to the entire extremity
C. Bucks traction
D. An abduction pillow
Answer: C. Bucks traction
