2026 NCLEX RN Test 1 PREP
2026 NCLEX RN TEST 1 PREP LATEST 2025/2026 ACTUAL EXAM TEST
BANK COMPLETE 300 QUESTIONS AND CORRECT ANSWERS GRADED
A+ GUARANTEED PASS- ACE YOUR EXAM
The charge nurse is making assignments for the day. After accepting the
assignment to care for a client with leukemia, the nurse tells the charge nurse that
her child has chickenpox. Which initial action should the charge nurse take?
a Change the nurse's assignment to another client.
b Explain to the nurse that there is no risk to the client.
c Ask the nurse if the chickenpox have crusted.
d Ask the nurse if she has ever had the chickenpox.
d Ask the nurse if she has ever had the chickenpox.
Which statement is true regarding therapy with Levemir (insulin detemir)?
a The onset is 1-2 hours.
b It may be mixed with regular insulin.
c It peaks in 2-3 hours.
d The duration is 24 hours.
d The duration is 24 hours.
Which client should be assigned to the nursing assistant?
a The 18-year-old with a fracture to two cervical vertebrae
b The infant with meningitis with a temperature of 101°F
c The elderly client with a thyroidectomy four days ago
d The client with a thoracotomy two days ago
c The elderly client with a thyroidectomy four days ago
The physician has ordered the Schilling test for a patient with suspected
pernicious anemia. What other vitamin level is often assessed at the same time as
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, 2026 NCLEX RN Test 1 PREP
the B12 level?
a Folic acid
b Pyridoxine
c Ascorbic acid
d Thiamine
a Folic acid
The client is admitted to the emergency room with shortness of breath, anxiety,
and tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate
of 130 beats per minute. The doctor orders quinidine sulfate. While he is receiving
quinidine, the nurse should monitor his ECG for:
a Peaked P wave
b Elevated ST segment
c Inverted T wave
d Prolonged QT interval
d Prolonged QT interval
Quinidine can cause widened Q-T intervals and heart block.
A 25-year-old client arrives in the emergency room with a possible fracture of the
right femur. The nurse should anticipate an order for:
a Bryant's traction
b Ice to the entire extremity
c Buck's traction
d An abduction pillow
c Buck's traction
Which statement should be included in the teaching session of a client scheduled
for a renal biopsy?
a "You will be placed in a sitting position for the biopsy."
b "You may experience a feeling of pressure or discomfort during aspiration of the
biopsy."
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, 2026 NCLEX RN Test 1 PREP
c "You will be asleep during the procedure."
d "You will not be able to drink fluids for 24 hours following the study."
b "You may experience a feeling of pressure or discomfort during aspiration of the
biopsy."
The client is admitted with chronic obstructive pulmonary disease. Blood gases
reveal pH 7.36, CO2 45, O2 84, bicarb 28. The nurse would assess the client to be
in:
a Uncompensated acidosis
b Compensated alkalosis
c Compensated metabolic acidosis
d Uncompensated metabolic acidosis
c Compensated metabolic acidosis
Before administering intravenous chemotherapy to the patient being treated, the
nurse should:
a Administer a bolus of IV fluid.
b Administer pain medication.
c Administer an antiemetic.
d Allow the patient a chance to eat.
c Administer an antiemetic.
Which one of the following statements is correct when measuring the client for
crutches?
a A distance of five fingerbreadths should exist between the top of the crutch and
the axilla.
b The nurse should measure three inches between the top of the crutch and the
axilla.
c The client's elbows should be flexed at a 10°angle.
d The crutches should be extended 8 to 10 inches from the side of the foot.
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, 2026 NCLEX RN Test 1 PREP
b The nurse should measure three inches between the top of the crutch and the
axilla.
A patient of Greek descent has been prescribed Bactrim (sulfamethoxazole-
trimethoprim) for treatment of a urinary tract infection. Before beginning the
medication, the patient should be assessed for which of the following disorders?
a G6PD deficiency
b β-thalassemia
c Sickle cell anemia
d Von Willebrand disease
a G6PD deficiency
The physician has ordered Coumadin (sodium warfarin) for a client with
thrombophlebitis. The order should be entered to administer the medication at:
a 0900
b 1200
c 1700
d 2100
c 1700
Which medication is often used to treat the client with N.gonorrhea?
a Sitavig (acyclovir)
b Vibramycin (doxycycline)
c Retrovir (zidovudine)
d Aldara (imiquimod)
b Vibramycin (doxycycline)
The nurse is caring for a client with cerebral palsy. The nurse should provide
frequent rest periods because:
4|Page
2026 NCLEX RN TEST 1 PREP LATEST 2025/2026 ACTUAL EXAM TEST
BANK COMPLETE 300 QUESTIONS AND CORRECT ANSWERS GRADED
A+ GUARANTEED PASS- ACE YOUR EXAM
The charge nurse is making assignments for the day. After accepting the
assignment to care for a client with leukemia, the nurse tells the charge nurse that
her child has chickenpox. Which initial action should the charge nurse take?
a Change the nurse's assignment to another client.
b Explain to the nurse that there is no risk to the client.
c Ask the nurse if the chickenpox have crusted.
d Ask the nurse if she has ever had the chickenpox.
d Ask the nurse if she has ever had the chickenpox.
Which statement is true regarding therapy with Levemir (insulin detemir)?
a The onset is 1-2 hours.
b It may be mixed with regular insulin.
c It peaks in 2-3 hours.
d The duration is 24 hours.
d The duration is 24 hours.
Which client should be assigned to the nursing assistant?
a The 18-year-old with a fracture to two cervical vertebrae
b The infant with meningitis with a temperature of 101°F
c The elderly client with a thyroidectomy four days ago
d The client with a thoracotomy two days ago
c The elderly client with a thyroidectomy four days ago
The physician has ordered the Schilling test for a patient with suspected
pernicious anemia. What other vitamin level is often assessed at the same time as
1|Page
, 2026 NCLEX RN Test 1 PREP
the B12 level?
a Folic acid
b Pyridoxine
c Ascorbic acid
d Thiamine
a Folic acid
The client is admitted to the emergency room with shortness of breath, anxiety,
and tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate
of 130 beats per minute. The doctor orders quinidine sulfate. While he is receiving
quinidine, the nurse should monitor his ECG for:
a Peaked P wave
b Elevated ST segment
c Inverted T wave
d Prolonged QT interval
d Prolonged QT interval
Quinidine can cause widened Q-T intervals and heart block.
A 25-year-old client arrives in the emergency room with a possible fracture of the
right femur. The nurse should anticipate an order for:
a Bryant's traction
b Ice to the entire extremity
c Buck's traction
d An abduction pillow
c Buck's traction
Which statement should be included in the teaching session of a client scheduled
for a renal biopsy?
a "You will be placed in a sitting position for the biopsy."
b "You may experience a feeling of pressure or discomfort during aspiration of the
biopsy."
2|Page
, 2026 NCLEX RN Test 1 PREP
c "You will be asleep during the procedure."
d "You will not be able to drink fluids for 24 hours following the study."
b "You may experience a feeling of pressure or discomfort during aspiration of the
biopsy."
The client is admitted with chronic obstructive pulmonary disease. Blood gases
reveal pH 7.36, CO2 45, O2 84, bicarb 28. The nurse would assess the client to be
in:
a Uncompensated acidosis
b Compensated alkalosis
c Compensated metabolic acidosis
d Uncompensated metabolic acidosis
c Compensated metabolic acidosis
Before administering intravenous chemotherapy to the patient being treated, the
nurse should:
a Administer a bolus of IV fluid.
b Administer pain medication.
c Administer an antiemetic.
d Allow the patient a chance to eat.
c Administer an antiemetic.
Which one of the following statements is correct when measuring the client for
crutches?
a A distance of five fingerbreadths should exist between the top of the crutch and
the axilla.
b The nurse should measure three inches between the top of the crutch and the
axilla.
c The client's elbows should be flexed at a 10°angle.
d The crutches should be extended 8 to 10 inches from the side of the foot.
3|Page
, 2026 NCLEX RN Test 1 PREP
b The nurse should measure three inches between the top of the crutch and the
axilla.
A patient of Greek descent has been prescribed Bactrim (sulfamethoxazole-
trimethoprim) for treatment of a urinary tract infection. Before beginning the
medication, the patient should be assessed for which of the following disorders?
a G6PD deficiency
b β-thalassemia
c Sickle cell anemia
d Von Willebrand disease
a G6PD deficiency
The physician has ordered Coumadin (sodium warfarin) for a client with
thrombophlebitis. The order should be entered to administer the medication at:
a 0900
b 1200
c 1700
d 2100
c 1700
Which medication is often used to treat the client with N.gonorrhea?
a Sitavig (acyclovir)
b Vibramycin (doxycycline)
c Retrovir (zidovudine)
d Aldara (imiquimod)
b Vibramycin (doxycycline)
The nurse is caring for a client with cerebral palsy. The nurse should provide
frequent rest periods because:
4|Page
