Page 1 of 527
NCSBN NCLEX RN EXAM STUDY GUIDE
LATEST UPDATE 2026-2027 QUESTIONS
AND DETAILED SOLUTIONS
The charge nurse in the ED receives a call from the ambulance crew stating that there has
been a two car accident with multiple casualties. What action would the nurse take first,
before the victims arrive in the ED?
A. Set up multiple 1000 mL NaCl IV solutions with tubing and notify the blood bank
B. Notify the nursing supervisor and request additional staff
C. Activate the disaster plan
D. Prepare the trauma room and select supplies
B
The nurse manager is discussing the goals of total quality management (TQM) with the health
care team. Which statement correctly identifies a key element of TQM?
A. Top administrators are responsible for establishing plans for problem management
B. All employees participate in systematically working toward common goals
C. It's a reactionary approach used to investigate the root cause of a problem
D. It is an incident management technique that focuses on employee retention
B
The charge nurse is making assignment for the health care team. Which of these tasks can be
safely delegated to the LPN?
A. Assess the function of a newly created ileostomy
B. Provide stoma care for a client with a well-functioning ostomy
C. Care for a recent complicated double barrel colostomy
D. Teach the initial ostomy care to a client and family members
B
The nurse observes a student nurse inserting an indwelling urinary catheter for a female
client. After the student inserts the catheter, no urine appears and the student begins to
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remove the catheter.
What should the nurse do at this time?
A. State strongly, "Stop, Tell me why there's no urine in the tubing."
B. Ask the student in a calm voice: "Did you do something wrong?"
C. Walk up and whisper in the student's ear: "Stop. Leave the catheter in place. I'll get a new
sterile catheter."
D. In a speaking tone of voice, explain: "The tubing is probably in the vagina."
C
This catheter can be left in place and used as a landmark indicating where not to insert the new,
sterile catheter.
The nurse is caring for a client whose pain is not well controlled. Which statement about pain
management is a priority ethical consideration that can help guide the nurse?
A. Clients have the right to have their pain relieved
B. The client's self report of pain is the most important consideration
C. Cultural sensitivity is fundamental to pain management
D. Nurses should not prejudge a client's pain using their own values
B
A RN from the float pool is assigned to the critical care unit on the evening shift.
Which of these clients should be assigned to this nurse?
A. Tracheostomy of 24 hours with the client showing some respiratory distress
B. Report of unstable angina with continuous telemetry monitoring
C. Dopamine IV drip with vital signs monitored every 5 minutes
D. Pacemaker insertion on the day shift
D
A nurse has unintentionally given an incorrect dose of medication to their client. No harm was
done to the client. What is the next action, if any, required by the nurse?
A. The nurse is not required to report the mistake because the client was not harmed
B. The nurse is not responsible for the mistake because they have not been provided current
education by their employer
C. The nurse will immediately be suspended and their license will be revoked
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D. The nurse will report the incident to their nurse manager and follow their organizational
procedures for reporting
D
The 83 year old client, who lives in a retirement community, is admitted to the hospital. The
daughter reports the client no longer calls her every day, has not been participating in
previously enjoyed activities, such as weekly card games, and has allowed the garden to
become overgrown with weeds.
The nurse should assign this client to a room with which of the following clients?
A. An elderly person who was admitted 3 hours ago with a diagnosis of cyclothymia
B. A young adult who was admitted 24 hours ago for treatment following detoxification
C. An adolescent who was admitted the day before with a diagnosis of disruptive mood
dysregulation
D. A middle aged person who has been on the unit for 72 hours with a diagnosis of persistent
depressive disorder
D
To get access to over 400 Questions Test Bank with correct answers email
. you can follow the
link(https://www.instagram.com/p/C_ScTsrOozx/?igsh=YTZoc2kyZGV4bmE3) on instagram
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A Bosnian Muslim woman who doesn't speak English seeks care at a community care clinic.
Through physical gestures, the woman indicates that she has pain originating in either the
pelvic or genital region. Assuming several people are available to interpret, who would be the
most appropriate choice?
A. A female interpreter who doesn't know the client
B. A female neighbor of the client who is also from Bosnia
C. The client's adult daughter
D. A Bosnian male, who is a certified medical interpreter
A
A nurse receives an illegible hand-written medication order. Which statement to the HCP
reflects appropriate assertive communication?
A. "Would you please clarify what you have written so I am sure I am reading it correctly?"
B. "I am have difficulty reading your handwriting. It would save me time if you would be more
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careful."
C. "Please print in the future so I do not have to spend extra time attempting to read your
writing."
D. "I cannot give this medication as it is written. I have no idea of what you mean."
A
The RN has just accepted a position as a public health nurse. Which question might be there
most relevant as the nurse begins employment?
A. "Which nursing assistants can I refer clients to?"
B. "Which clients should I see as I begin my day?"
C. "Which physicians will I be more closely collaborating with?"
D. "Which groups are at the greatest risk for problems?"
D
A newly graduated new, who has recently completed orientation, voices concern about her
assignment: "I have never taken care of anyone with a lumbar drain before."
Which action would be most appropriate for the charge nurse?
A. Provide an immediate one on one, personal in service about the drain
B. Change the assignment; reassign the client with the lumbar drain to a different nurse
C. Assign the graduated staff nurse to be transferred to another floor for the shift
D. Check with the nurse and the client often during the shift
B
The client is two days postop following a hip replacement and is not transferring well from
bed to chair. The nurse checks and then confirms that the client isn't progressing on any part
of the mobility training program.
What action is the nurse's priority?
A. Discuss the problem with the client's surgeon
B. Instruct physical therapy to increase treatment to 4 times a day
C. Contact the family to discuss preoperative mobility problems
D. Inform the case manager of the variance in the critical pathway
D
A client is being prepped for a surgical procedure and the nurse is reviewing the informed
consent with the client. The client asks, "Is there any other way to take care of this without
have surgery?" The nurse has a duty to first:
A. Reassure the client that the surgery is the best treatment option
NCSBN NCLEX RN EXAM STUDY GUIDE
LATEST UPDATE 2026-2027 QUESTIONS
AND DETAILED SOLUTIONS
The charge nurse in the ED receives a call from the ambulance crew stating that there has
been a two car accident with multiple casualties. What action would the nurse take first,
before the victims arrive in the ED?
A. Set up multiple 1000 mL NaCl IV solutions with tubing and notify the blood bank
B. Notify the nursing supervisor and request additional staff
C. Activate the disaster plan
D. Prepare the trauma room and select supplies
B
The nurse manager is discussing the goals of total quality management (TQM) with the health
care team. Which statement correctly identifies a key element of TQM?
A. Top administrators are responsible for establishing plans for problem management
B. All employees participate in systematically working toward common goals
C. It's a reactionary approach used to investigate the root cause of a problem
D. It is an incident management technique that focuses on employee retention
B
The charge nurse is making assignment for the health care team. Which of these tasks can be
safely delegated to the LPN?
A. Assess the function of a newly created ileostomy
B. Provide stoma care for a client with a well-functioning ostomy
C. Care for a recent complicated double barrel colostomy
D. Teach the initial ostomy care to a client and family members
B
The nurse observes a student nurse inserting an indwelling urinary catheter for a female
client. After the student inserts the catheter, no urine appears and the student begins to
, Page 2 of 527
remove the catheter.
What should the nurse do at this time?
A. State strongly, "Stop, Tell me why there's no urine in the tubing."
B. Ask the student in a calm voice: "Did you do something wrong?"
C. Walk up and whisper in the student's ear: "Stop. Leave the catheter in place. I'll get a new
sterile catheter."
D. In a speaking tone of voice, explain: "The tubing is probably in the vagina."
C
This catheter can be left in place and used as a landmark indicating where not to insert the new,
sterile catheter.
The nurse is caring for a client whose pain is not well controlled. Which statement about pain
management is a priority ethical consideration that can help guide the nurse?
A. Clients have the right to have their pain relieved
B. The client's self report of pain is the most important consideration
C. Cultural sensitivity is fundamental to pain management
D. Nurses should not prejudge a client's pain using their own values
B
A RN from the float pool is assigned to the critical care unit on the evening shift.
Which of these clients should be assigned to this nurse?
A. Tracheostomy of 24 hours with the client showing some respiratory distress
B. Report of unstable angina with continuous telemetry monitoring
C. Dopamine IV drip with vital signs monitored every 5 minutes
D. Pacemaker insertion on the day shift
D
A nurse has unintentionally given an incorrect dose of medication to their client. No harm was
done to the client. What is the next action, if any, required by the nurse?
A. The nurse is not required to report the mistake because the client was not harmed
B. The nurse is not responsible for the mistake because they have not been provided current
education by their employer
C. The nurse will immediately be suspended and their license will be revoked
, Page 3 of 527
D. The nurse will report the incident to their nurse manager and follow their organizational
procedures for reporting
D
The 83 year old client, who lives in a retirement community, is admitted to the hospital. The
daughter reports the client no longer calls her every day, has not been participating in
previously enjoyed activities, such as weekly card games, and has allowed the garden to
become overgrown with weeds.
The nurse should assign this client to a room with which of the following clients?
A. An elderly person who was admitted 3 hours ago with a diagnosis of cyclothymia
B. A young adult who was admitted 24 hours ago for treatment following detoxification
C. An adolescent who was admitted the day before with a diagnosis of disruptive mood
dysregulation
D. A middle aged person who has been on the unit for 72 hours with a diagnosis of persistent
depressive disorder
D
To get access to over 400 Questions Test Bank with correct answers email
. you can follow the
link(https://www.instagram.com/p/C_ScTsrOozx/?igsh=YTZoc2kyZGV4bmE3) on instagram
follow, like, share and comment. Remember if you reach us through instagram you will get
30% discount.Note our prediction Exams contains 97% of the questions you will find in your
exam, which makes as give you 100% assurance you will pass in your Exam.
A Bosnian Muslim woman who doesn't speak English seeks care at a community care clinic.
Through physical gestures, the woman indicates that she has pain originating in either the
pelvic or genital region. Assuming several people are available to interpret, who would be the
most appropriate choice?
A. A female interpreter who doesn't know the client
B. A female neighbor of the client who is also from Bosnia
C. The client's adult daughter
D. A Bosnian male, who is a certified medical interpreter
A
A nurse receives an illegible hand-written medication order. Which statement to the HCP
reflects appropriate assertive communication?
A. "Would you please clarify what you have written so I am sure I am reading it correctly?"
B. "I am have difficulty reading your handwriting. It would save me time if you would be more
, Page 4 of 527
careful."
C. "Please print in the future so I do not have to spend extra time attempting to read your
writing."
D. "I cannot give this medication as it is written. I have no idea of what you mean."
A
The RN has just accepted a position as a public health nurse. Which question might be there
most relevant as the nurse begins employment?
A. "Which nursing assistants can I refer clients to?"
B. "Which clients should I see as I begin my day?"
C. "Which physicians will I be more closely collaborating with?"
D. "Which groups are at the greatest risk for problems?"
D
A newly graduated new, who has recently completed orientation, voices concern about her
assignment: "I have never taken care of anyone with a lumbar drain before."
Which action would be most appropriate for the charge nurse?
A. Provide an immediate one on one, personal in service about the drain
B. Change the assignment; reassign the client with the lumbar drain to a different nurse
C. Assign the graduated staff nurse to be transferred to another floor for the shift
D. Check with the nurse and the client often during the shift
B
The client is two days postop following a hip replacement and is not transferring well from
bed to chair. The nurse checks and then confirms that the client isn't progressing on any part
of the mobility training program.
What action is the nurse's priority?
A. Discuss the problem with the client's surgeon
B. Instruct physical therapy to increase treatment to 4 times a day
C. Contact the family to discuss preoperative mobility problems
D. Inform the case manager of the variance in the critical pathway
D
A client is being prepped for a surgical procedure and the nurse is reviewing the informed
consent with the client. The client asks, "Is there any other way to take care of this without
have surgery?" The nurse has a duty to first:
A. Reassure the client that the surgery is the best treatment option
