NCLEX-RN PDF Dumps Real 2026 Recently Updated Questions [Q450-Q466]

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NCLEX-RN PDF Dumps Real 2026 Recently Updated Questions

Released NCLEX NCLEX-RN Updated Questions PDF

NCLEX NCLEX-RN Exam Syllabus Topics:

Section Weight Objectives
Safe and Effective Care Environment 26–38% – Management of Care

  • 1. Ethical Practice
    • 2. Advocacy
      • 3. Case Management
        • 4. Continuity of Care
          • 5. Client Rights
            • 6. Legal Responsibilities
              • 7. Delegation and Prioritization
                • 8. Quality Improvement

                  – Safety and Infection Control

                  • 1. Hazardous Materials Handling
                    • 2. Use of Restraints and Safety Devices
                      • 3. Accident Prevention
                        • 4. Error Prevention
                          • 5. Infection Control
                            • 6. Standard Precautions
                              Psychosocial Integrity 6–12% – Coping Mechanisms
                              – Mental Health Concepts
                              – Chemical Dependency and Substance Use Disorders
                              – Family Dynamics
                              – Therapeutic Communication
                              – Behavioral Interventions
                              – End-of-Life Support
                              – Grief and Loss
                              Physiological Integrity 43–67% – Basic Care and Comfort

                              • 1. Nutrition and Oral Hydration
                                • 2. Assistive Devices
                                  • 3. Non-pharmacological Comfort Interventions
                                    • 4. Elimination
                                      • 5. Mobility and Immobility
                                        • 6. Personal Hygiene

                                          – Physiological Adaptation

                                          • 1. Medical Emergencies
                                            • 2. Illness Management
                                              • 3. Hemodynamics
                                                • 4. Pathophysiology
                                                  • 5. Respiratory Care
                                                    • 6. Fluid and Electrolyte Imbalances

                                                      – Pharmacological and Parenteral Therapies

                                                      • 1. Medication Administration
                                                        • 2. Adverse Effects and Contraindications
                                                          • 3. IV Therapy and Blood Products
                                                            • 4. Pharmacological Pain Management
                                                              • 5. Dosage Calculation

                                                                – Reduction of Risk Potential

                                                                • 1. Vital Signs
                                                                  • 2. Therapeutic Procedures
                                                                    • 3. Potential for Complications
                                                                      • 4. Diagnostic Tests
                                                                        • 5. Laboratory Values
                                                                          Health Promotion and Maintenance 6–12% – Aging Process
                                                                          – Self-Care
                                                                          – Health Promotion Programs
                                                                          – Disease Prevention and Health Screening
                                                                          – Physical Assessment Techniques
                                                                          – Developmental Stages and Transitions
                                                                          – Antepartum, Intrapartum, Postpartum and Newborn Care

                                                                           

                                                                          NEW QUESTION 450
                                                                          At 32 weeks’ gestation, a client is scheduled for a fetal activity test (nonstress test). She calls the clinic and asks the RN, “How do I prepare for the test I am scheduled for?” The RN will most likely inform her of the following instructions to help prepare her for the test:

                                                                           
                                                                           
                                                                           
                                                                           

                                                                          NEW QUESTION 451
                                                                          The client has been in active labor for the last 12 hours. During the last 3 hours, labor has been augmented with oxytocin because of hypoactive uterine contractions. Her physician assesses her cervix as 95% effaced, 8 cm dilated, and the fetus is at 0 station. Her oral temperature is 100.2F at this time. The physician orders that she be prepared for a cesarean delivery. In preparing the client for the cesarean delivery, which one of the following physician’s orders should the RN question?

                                                                           
                                                                           
                                                                           
                                                                           

                                                                          NEW QUESTION 452
                                                                          A 26-year-old female client presents at 10 weeks’ gestation. She currently is a G3 1-0-1-1. Her mother and grandmother have heart disease. Her grandmother also has insulin-dependent diabetes. The client’s previous delivery was a term female infant weighing 9 lb 13 oz. The client is 5 ft 6 inches tall and her current weight is
                                                                          130 lb. Based on her history, she is at risk for developing diabetes in pregnancy. Which of the following factors places her at risk for gestational diabetes?

                                                                           
                                                                           
                                                                           
                                                                           

                                                                          NEW QUESTION 453
                                                                          Which of the following blood values would require further nursing action in a newborn who is 4 hours old?

                                                                           
                                                                           
                                                                           
                                                                           

                                                                          NEW QUESTION 454
                                                                          A 14-year-old teenager is demonstrating behavior indicative of an obsessive-compulsive disorder. She is obsessed with her appearance. She will not leave her room until her hair, clothes, and makeup are perfect. She always dresses immaculately. Recently, she expressed disgust over her appearance after she gained 5 lb. After observing a marked weight loss over a 2-week period, her mother suspects that she is experiencing bulimia. She eats everything on her plate, then runs to the bathroom. In interviewing the teenager, she discusses in great detail all of the events leading to her bulimia, but not her feelings. What defense mechanism is she using?

                                                                           
                                                                           
                                                                           
                                                                           

                                                                          NEW QUESTION 455
                                                                          The nurse is in the hallway and one of the visitors faints. The nurse should:

                                                                           
                                                                           
                                                                           
                                                                           

                                                                          NEW QUESTION 456
                                                                          In admitting a client to the psychiatric unit, the nurse must explain the rules and regulations of the unit. A client with antisocial personality disorder makes the following remark, “Forget all those rules. I always get along well with the nurses.” Which nursing response to him would be most effective?

                                                                           
                                                                           
                                                                           
                                                                           

                                                                          NEW QUESTION 457
                                                                          A 68-year-old woman is admitted to the hospital with chronic obstructive pulmonary disease (COPD). She is started on an aminophylline infusion. Three days later she is breathing easier. A serum theophylline level is drawn. Which of the following values represents a therapeutic level?

                                                                           
                                                                           
                                                                           
                                                                           

                                                                          NEW QUESTION 458
                                                                          A 45-year-old client diagnosed with major depression is scheduled for electroconvulsive therapy (ECT) in the morning. Which of the following medications are routinely administered either before or during ECT?

                                                                           
                                                                           
                                                                           
                                                                           

                                                                          NEW QUESTION 459
                                                                          The nurse has been caring for a 16-year-old female who recently experienced date rape. After having had crisis intervention and been hospitalized for 2 weeks, the nurse knows that the client is effectively coping with the rape when she tells the nurse:

                                                                           
                                                                           
                                                                           
                                                                           

                                                                          NEW QUESTION 460
                                                                          A 45-year-old client diagnosed with major depression is scheduled for electroconvulsive therapy (ECT) in the morning. Which of the following medications are routinely administered either before or during ECT?

                                                                           
                                                                           
                                                                           
                                                                           

                                                                          NEW QUESTION 461
                                                                          On assessment, the nurse learns that a chronic paranoid schizophrenic has been taking “the blue pill” (haloperidol) in the morning and evening, and “the white pill” (benztropine) right before bedtime. The nurse might suggest to the client that she try:

                                                                           
                                                                           
                                                                           
                                                                           

                                                                          NEW QUESTION 462
                                                                          The nurse should facilitate bonding during the postpartum period. What should the nurse expect to observe in the taking-hold phase?

                                                                           
                                                                           
                                                                           
                                                                           

                                                                          NEW QUESTION 463
                                                                          The client has been in active labor for the last 12 hours. During the last 3 hours, labor has been augmented with oxytocin because of hypoactive uterine contractions. Her physician assesses her cervix as
                                                                          95% effaced, 8 cm dilated, and the fetus is at 0 station. Her oral temperature is 100.2F at this time. The physician orders that she be prepared for a cesarean delivery. In preparing the client for the cesarean delivery, which one of the following physician’s orders should the RN question?

                                                                           
                                                                           
                                                                           
                                                                           

                                                                          NEW QUESTION 464
                                                                          A 19-month-old child is admitted to the hospital for surgical repair of patent ductus arteriosus. The child is being given digoxin. Prior to administering the medication, the nurse should:

                                                                           
                                                                           
                                                                           
                                                                           

                                                                          NEW QUESTION 465
                                                                          The priority nursing goal when working with an autistic child is:

                                                                           
                                                                           
                                                                           
                                                                           

                                                                          NEW QUESTION 466
                                                                          A 52-year-old client who underwent an exploratory laparotomy for a bowel obstruction begins to complain of hunger on the third postoperative day. His nasogastric (NG) tube was removed this morning, and he has an IV of D5W with 0.45% normal saline running at 125 mL/hr. He asks when he can get rid of his IV and start eating. The nurse recognizes that he will be able to begin taking oral fluids and nourishment when:

                                                                           
                                                                           
                                                                           
                                                                           

                                                                          NCLEX-RN Dumps and Practice Test (865 Exam Questions): https://www.dumpleader.com/NCLEX-RN_exam.html

                                                                                   

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