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Exam (elaborations)

NCLEX Examination | National Council of State Boards of Nursing | 2026/2027

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The NCLEX (National Council Licensure Examination) is the standardized test required for nursing licensure in the United States, designed to assess clinical judgment, patient safety, and entry-level nursing competence. Start your NCLEX preparation with comprehensive practice questions, detailed rationales, and exam-aligned study resources to increase your chances of passing on the first attempt.

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Institution
Nursing
Course
Nursing

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Question 1 (Safe and Effective Care Environment): A client presents with findings requiring
prioritization of care. What is the nurse’s BEST initial action?
A. Document findings and reassess later.
B. Notify the healthcare provider immediately.
C. Implement an appropriate independent nursing intervention.
D. Delegate the task to assistive personnel.

Correct Answer: C. Implement an appropriate independent nursing intervention.
Rationale: NCLEX-PN questions emphasize prioritization and clinical judgment. When assessment
findings indicate the need for intervention within the practical nurse’s scope, the nurse should
initiate independent nursing actions first. Provider notification may be required if the client’s
condition does not improve or worsens. Delegation is inappropriate when clinical judgment and
direct nursing care are required.


Question 2 (Health Promotion and Maintenance): A client presents with findings requiring
prioritization of care. What is the nurse’s BEST initial action?
A. Document findings and reassess later.
B. Notify the healthcare provider immediately.
C. Implement an appropriate independent nursing intervention.
D. Delegate the task to assistive personnel.

Correct Answer: C. Implement an appropriate independent nursing intervention.
Rationale: NCLEX-PN questions emphasize prioritization and clinical judgment. When assessment
findings indicate the need for intervention within the practical nurse’s scope, the nurse should
initiate independent nursing actions first. Provider notification may be required if the client’s
condition does not improve or worsens. Delegation is inappropriate when clinical judgment and
direct nursing care are required.


Question 3 (Psychosocial Integrity): A client presents with findings requiring prioritization of care.
What is the nurse’s BEST initial action?
A. Document findings and reassess later.
B. Notify the healthcare provider immediately.
C. Implement an appropriate independent nursing intervention.
D. Delegate the task to assistive personnel.

Correct Answer: C. Implement an appropriate independent nursing intervention.
Rationale: NCLEX-PN questions emphasize prioritization and clinical judgment. When assessment
findings indicate the need for intervention within the practical nurse’s scope, the nurse should
initiate independent nursing actions first. Provider notification may be required if the client’s
condition does not improve or worsens. Delegation is inappropriate when clinical judgment and
direct nursing care are required.


Question 4 (Physiological Integrity – Basic Care): A client presents with findings requiring
prioritization of care. What is the nurse’s BEST initial action?
A. Document findings and reassess later.
B. Notify the healthcare provider immediately.
C. Implement an appropriate independent nursing intervention.
D. Delegate the task to assistive personnel.

Correct Answer: C. Implement an appropriate independent nursing intervention.

,Rationale: NCLEX-PN questions emphasize prioritization and clinical judgment. When assessment
findings indicate the need for intervention within the practical nurse’s scope, the nurse should
initiate independent nursing actions first. Provider notification may be required if the client’s
condition does not improve or worsens. Delegation is inappropriate when clinical judgment and
direct nursing care are required.


Question 5 (Physiological Integrity – Pharmacology): A client presents with findings requiring
prioritization of care. What is the nurse’s BEST initial action?
A. Document findings and reassess later.
B. Notify the healthcare provider immediately.
C. Implement an appropriate independent nursing intervention.
D. Delegate the task to assistive personnel.

Correct Answer: C. Implement an appropriate independent nursing intervention.
Rationale: NCLEX-PN questions emphasize prioritization and clinical judgment. When assessment
findings indicate the need for intervention within the practical nurse’s scope, the nurse should
initiate independent nursing actions first. Provider notification may be required if the client’s
condition does not improve or worsens. Delegation is inappropriate when clinical judgment and
direct nursing care are required.


Question 6 (Physiological Integrity – Reduction of Risk): A client presents with findings
requiring prioritization of care. What is the nurse’s BEST initial action?
A. Document findings and reassess later.
B. Notify the healthcare provider immediately.
C. Implement an appropriate independent nursing intervention.
D. Delegate the task to assistive personnel.

Correct Answer: C. Implement an appropriate independent nursing intervention.
Rationale: NCLEX-PN questions emphasize prioritization and clinical judgment. When assessment
findings indicate the need for intervention within the practical nurse’s scope, the nurse should
initiate independent nursing actions first. Provider notification may be required if the client’s
condition does not improve or worsens. Delegation is inappropriate when clinical judgment and
direct nursing care are required.


Question 7 (Physiological Integrity – Adaptation): A client presents with findings requiring
prioritization of care. What is the nurse’s BEST initial action?
A. Document findings and reassess later.
B. Notify the healthcare provider immediately.
C. Implement an appropriate independent nursing intervention.
D. Delegate the task to assistive personnel.

Correct Answer: C. Implement an appropriate independent nursing intervention.
Rationale: NCLEX-PN questions emphasize prioritization and clinical judgment. When assessment
findings indicate the need for intervention within the practical nurse’s scope, the nurse should
initiate independent nursing actions first. Provider notification may be required if the client’s
condition does not improve or worsens. Delegation is inappropriate when clinical judgment and
direct nursing care are required.

,Question 8 (Safe and Effective Care Environment): A client presents with findings requiring
prioritization of care. What is the nurse’s BEST initial action?
A. Document findings and reassess later.
B. Notify the healthcare provider immediately.
C. Implement an appropriate independent nursing intervention.
D. Delegate the task to assistive personnel.

Correct Answer: C. Implement an appropriate independent nursing intervention.
Rationale: NCLEX-PN questions emphasize prioritization and clinical judgment. When assessment
findings indicate the need for intervention within the practical nurse’s scope, the nurse should
initiate independent nursing actions first. Provider notification may be required if the client’s
condition does not improve or worsens. Delegation is inappropriate when clinical judgment and
direct nursing care are required.


Question 9 (Health Promotion and Maintenance): A client presents with findings requiring
prioritization of care. What is the nurse’s BEST initial action?
A. Document findings and reassess later.
B. Notify the healthcare provider immediately.
C. Implement an appropriate independent nursing intervention.
D. Delegate the task to assistive personnel.

Correct Answer: C. Implement an appropriate independent nursing intervention.
Rationale: NCLEX-PN questions emphasize prioritization and clinical judgment. When assessment
findings indicate the need for intervention within the practical nurse’s scope, the nurse should
initiate independent nursing actions first. Provider notification may be required if the client’s
condition does not improve or worsens. Delegation is inappropriate when clinical judgment and
direct nursing care are required.


Question 10 (Psychosocial Integrity): A client presents with findings requiring prioritization of
care. What is the nurse’s BEST initial action?
A. Document findings and reassess later.
B. Notify the healthcare provider immediately.
C. Implement an appropriate independent nursing intervention.
D. Delegate the task to assistive personnel.

Correct Answer: C. Implement an appropriate independent nursing intervention.
Rationale: NCLEX-PN questions emphasize prioritization and clinical judgment. When assessment
findings indicate the need for intervention within the practical nurse’s scope, the nurse should
initiate independent nursing actions first. Provider notification may be required if the client’s
condition does not improve or worsens. Delegation is inappropriate when clinical judgment and
direct nursing care are required.


Question 11 (Physiological Integrity – Basic Care): A client presents with findings requiring
prioritization of care. What is the nurse’s BEST initial action?
A. Document findings and reassess later.
B. Notify the healthcare provider immediately.
C. Implement an appropriate independent nursing intervention.
D. Delegate the task to assistive personnel.

Correct Answer: C. Implement an appropriate independent nursing intervention.

, Rationale: NCLEX-PN questions emphasize prioritization and clinical judgment. When assessment
findings indicate the need for intervention within the practical nurse’s scope, the nurse should
initiate independent nursing actions first. Provider notification may be required if the client’s
condition does not improve or worsens. Delegation is inappropriate when clinical judgment and
direct nursing care are required.


Question 12 (Physiological Integrity – Pharmacology): A client presents with findings requiring
prioritization of care. What is the nurse’s BEST initial action?
A. Document findings and reassess later.
B. Notify the healthcare provider immediately.
C. Implement an appropriate independent nursing intervention.
D. Delegate the task to assistive personnel.

Correct Answer: C. Implement an appropriate independent nursing intervention.
Rationale: NCLEX-PN questions emphasize prioritization and clinical judgment. When assessment
findings indicate the need for intervention within the practical nurse’s scope, the nurse should
initiate independent nursing actions first. Provider notification may be required if the client’s
condition does not improve or worsens. Delegation is inappropriate when clinical judgment and
direct nursing care are required.


Question 13 (Physiological Integrity – Reduction of Risk): A client presents with findings
requiring prioritization of care. What is the nurse’s BEST initial action?
A. Document findings and reassess later.
B. Notify the healthcare provider immediately.
C. Implement an appropriate independent nursing intervention.
D. Delegate the task to assistive personnel.

Correct Answer: C. Implement an appropriate independent nursing intervention.
Rationale: NCLEX-PN questions emphasize prioritization and clinical judgment. When assessment
findings indicate the need for intervention within the practical nurse’s scope, the nurse should
initiate independent nursing actions first. Provider notification may be required if the client’s
condition does not improve or worsens. Delegation is inappropriate when clinical judgment and
direct nursing care are required.


Question 14 (Physiological Integrity – Adaptation): A client presents with findings requiring
prioritization of care. What is the nurse’s BEST initial action?
A. Document findings and reassess later.
B. Notify the healthcare provider immediately.
C. Implement an appropriate independent nursing intervention.
D. Delegate the task to assistive personnel.

Correct Answer: C. Implement an appropriate independent nursing intervention.
Rationale: NCLEX-PN questions emphasize prioritization and clinical judgment. When assessment
findings indicate the need for intervention within the practical nurse’s scope, the nurse should
initiate independent nursing actions first. Provider notification may be required if the client’s
condition does not improve or worsens. Delegation is inappropriate when clinical judgment and
direct nursing care are required.

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Uploaded on
March 4, 2026
Number of pages
43
Written in
2025/2026
Type
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Questions & answers

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