Key details for this exam, checked against the published exam outline
Each question shows the correct answer and an explanation of why it is right
A male client has been hospitalized with congestive heart failure. Medical management of heart failure focuses on improving myocardial contractility. This can be achieved by administering:
(A) Digoxin is a cardiac glycoside given to clients in heart failure to improve their myocardial contractility. (B) Furosemide is a loop diuretic given to clients in heart failure to promote diuresis. (C) O2is given to clients in heart failure to increase oxygenation and to prevent or treat hypoxemia. (D) Nitroglycerin is a nitrate given to clients in heart failure to increase their cardiac output by decreasing the peripheral resistance that the left ventricle must pump against.
A client diagnosed with bipolar disorder continues to be hyperactive and to lose weight. Which of the following nutritional interventions would be most therapeutic for him at this time?
(A) The manic client is unable to sit still long enough to eat an adequate meal. Small, frequent feedings with finger foods allow him to eat during periods of activity. (B) This type of therapy should be implemented when other methods have been exhausted. (C) The manic client should not be in control of his treatment plan. This type of client may forget to eat. (D) The manic client is unable to sit down to eat full meals.
A 2-year-old child will undergo a cardiac catheterization tomorrow to evaluate his ventricular septal defect. Based on his developmental stage, the nurse:
(A) A toddler is not capable of conceptualizing about the inside of his body and is concerned about body intactness; therefore, diagrams would not be useful. Also, the previous evening is too far from the procedure for the toddler to remember the instructions. (B) A simple explanation the morning of the procedure is the best developmental strategy to use, because it focuses on the toddler's need for parental support, body intactness, and short attention span. (C) A relationship between the nurse and the child needs to develop. Also, misinformation may be given to the child if the parents explain the procedure to the child. (D) The parents are the child's support system and need to be there to strengthen the child.
When assessing fetal heart rate status during labor, the monitor displays late decelerations with tachycardia and decreasing variability. What action should the nurse take?
(A) This is not a normal occurrence. Late decelerations need prompt intervention for immediate infant recovery. (B) To increase O2 perfusion to the unborn infant, the mother should be placed on her left side. (C) IV fluids should be increased, not decreased. (D) Immediate action is warranted, such as reporting findings, turning mother on left side, administering O2, discontinuing oxytocin (Pitocin), assessing maternal blood pressure and the labor process, preparing for immediate cesarean delivery, and explaining plan of action to client.
Discharge teaching was effective if the parents of a child with atopic dermatitis could state the importance of:
(A) Maintaining a low-humidified environment. (B) Avoiding furry, soft stuffed animals for play, which may increase symptoms of allergy. (C) Avoiding showering, which irritates the dermatitis, and encouraging bathing 4 times a day in colloid bath for temporary relief. (D) Wrapping hands in soft cotton gloves to prevent skin damage during scratching.
860 questions covering all exam domains, starting from $20
Exam domains verified against: Official NCLEX NCLEX-RN exam guide, last checked September 2026.
Assess clients for allergies and environmental safety hazards. Apply infection prevention principles including hand hygiene, aseptic technique, isolation precautions, and use of protective equipment. Properly identify clients, handle biohazardous materials, and report unsafe practice by healthcare personnel.
Provide care and education across the lifespan from newborn through older adults. Assess clients' readiness to learn and ability to manage care at home. Educate clients about preventative care, health maintenance, and management of high-risk health behaviors.
Assess clients for abuse, substance abuse, and potential for violence. Support clients through life changes, grief, loss, and acute and chronic mental health issues. Incorporate cultural practices and beliefs into care planning, and use therapeutic communication techniques.
Manage client pain, nutrition, bowel and bladder elimination, and skin integrity. Perform irrigations, dressing changes, and positioning to promote circulation and comfort. Assess activities of daily living and provide non-pharmacological comfort measures.
Prepare and administer medications using the rights of medication administration and perform accurate calculations. Review contraindications and potential interactions before administration. Handle high-risk and controlled substances according to regulatory guidelines and educate clients about medications.
Sample question from this domain above: Q3
Manage care for clients with acute and chronic conditions including fluid and electrolyte imbalances, hemodynamic alterations, and oxygenation issues. Perform postoperative and emergency care procedures. Assist with invasive procedures and manage devices like ventilators, chest tubes, and dialysis equipment.
Common questions about the exam itself
