"NCLEX-RN 2026 Comprehensive Review: 862 Practice Questions with Detailed Rationales"

NCLEX –RN qR




qR QUESTIONS AND ANSWERS qR qR




PAPER 2026
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QUESTION 1 qR




Which classification of drugs is contraindicated for the client with hypertrophic
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qR cardiomyopathy?



A. Positive qRinotropes

B. Vasodilators

C. Diuretics

D. Antidysrhythmics




Answer: A qR




qR Explanation:

Positive inotropic agents should not be administered owing to their action of
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qR increasing myocardial contractility. Increased ventricular contractility would increase
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outflow tract obstruction in the client with hypertrophic cardiomyopathy.
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(A) Vasodilators are not typically prescribed but are not contraindicated.
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qR (C)Diuretics are used with caution to avoid causing hypovolemi
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, A. (D) Antidysrhythmics are typically needed to treat both atrial and
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ventricular dysrhythmias.
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QUESTIONqR2

Signs and symptoms of an allergy attack include which of the following?
qR qR qR qR qR qR qR qR qR qR qR




A. qRWheezingqRon qRinspiration

B. qRIncreased qRrespiratoryqRrate

C. qR CircumoralqRcyanosis

D. qRProlonged qRexpiration




Answer: D Explanation:(A) Wheezing occurs during expiration when air
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qR movement is impaired because of constricted edematousbronchial lumin
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A. (B) Respirations are difficult, but the rate is frequently normal. (C) The
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qR circumoral area is usually pale.Cyanosis is not an early sign of hypoxi
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A. (D) Expiration is prolonged because the alveoli are greatly distended and air
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trapping occurs.
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QUESTION 3 qR




A client confides to the nurse that he tasted poison in his evening meal. This
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qR would be an example of what typeof hallucination?
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, A. qRAuditory

B. qRGustatory

C. qROlfactory

D. qRVisceral




Answer: B qR Qr



Explanation:(A) Auditory hallucinations involve sensory perceptions of
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hearing. (B) Gustatory hallucinations involve sensory perceptions of taste. (C)
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Olfactory hallucinations involve sensory perceptions of smell. (D) Visceral
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hallucinations involve sensory perceptions of sensation.
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QUESTION 4 qR




Which of the following findings would be abnormal in a postpartal woman?
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A. qRChills qRshortlyqRafter qRdelivery

B. qRPulse qRrate qRof qR60 qRbpm qRin qRmorningqRon qRfirst qRpostdelivery qRday

C. qRUrinary qRoutput qRof qR3000 qRmL qRon qRthe qRsecond qRday qRafter qRdelivery

D. qRAn qRoral qRtemperature qRof qR101F qR(38.3C) qRon qRthe qRthird qRday qRafter qRdelivery




Answer: D Explanation:(A) Frequently the mother experiences a shaking chill
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, qR immediately after delivery, which is related to a nervous response or to
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qR vasomotor changes. If not followed by a fever, it is clinically innocuous. (B)
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The pulse rate during
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the immediate postpartal period may be low but presents no cause for alarm.
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qR The body attempts to adapt to the decreased pressures intra-abdominally as
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qR well as from the reduction of blood flow to the vascular bed. (C)Urinary
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qR output increases during the early postpartal period (12–24 hours) owing to
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qR diuresis. The kidneys must eliminate an estimated 2000–3000 mL of
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qR extracellular fluid associated with a normal pregnancy.
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(D) A temperature of 100.4F (38C) may occur after delivery as a result of exertion
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qR and dehydration of labor. However,any temperature greater than 100.4F needs
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qR further investigation to identify any infectious process.
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QUESTION 5 qR




A six-month-old infant has been admitted to the emergency room with febrile seizures.
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