1
NCLEX-RN PRACTICE COMPREHENSIVE EXAM LATEST
EDITION 2026-27 JUST RELEASED VERSION SIMILAR
TO SCREENSHOT EXAM
1. Question
Category: Management of Care
Which action(s) should you delegate to the experienced nursing assistant when
caring for a patient with a thrombotic stroke with residual left-sided
weakness? Select all that apply.
• A. Assist the patient to reposition every 2 hours.
• B. Reapply pneumatic compression boots.
• C. Remind the patient to perform active ROM.
• D. Check extremities for redness and edema.
Correct Answer: A, B, & C.
The experienced nursing assistant would know how to reposition the patient and
how to reapply compression boots and would remind the patient to perform
activities he has been taught to perform.
Option D: Assessing for redness and swelling (signs of deep venous
thrombosis {DVT}) requires additional education and is still
appropriate to the professional nurse.
,2
2. Question
Category: Management of Care
The patient who had a stroke needs to be fed. What instruction should you give
to the nursing assistant who will feed the patient?
• A. Position the patient sitting up in bed before you feed her.
• B. Check the patient’s gag and swallowing reflexes.
• C. Feed the patient quickly because there are three more waiting.
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• D. Suction the patient’s secretions between bites of food.
Correct Answer: A. Position the patient sitting up in bed before you feed
her.
Positioning the patient in a sitting position decreases the risk of aspiration.
Option B: The nursing assistant is not trained to assess gag or
swallowing reflexes.
Option C: The patient should not be rushed during feeding.
Option D: A patient who needs to be suctioned between bites of
food is not handling secretions and is at risk for aspiration. This
patient should be assessed further before feeding.
3. Question
Category: Physiological Adaptation
You have just admitted a patient with bacterial meningitis to the medical-surgical
unit. The patient complains of a severe headache with photophobia and has a
temperature of 102.60 F orally. Which collaborative intervention must be
accomplished first?
• A. Administer codeine 15 mg orally for the patient’s headache.
• B. Infuse ceftriaxone (Rocephin) 2000 mg IV to treat the infection.
• C. Give acetaminophen (Tylenol) 650 mg orally to reduce the fever.
• D. Give furosemide (Lasix) 40 mg IV to decrease intracranial pressure.
Correct Answer: B. Infuse ceftriaxone (Rocephin) 2000 mg IV to treat the
infection.
Untreated bacterial meningitis has a mortality rate approaching 100%, so rapid
antibiotic treatment is essential.
Option A: Pain medications may be given after treating the infection
that is most probably causing it.
Option C: Acetaminophen should be given to decrease the fever
after administering the antibiotics first.
Option D: Furosemide will help reduce CNS stimulation and
irritation and should be implemented as soon as possible.
4. Question
Category: Management of Care
NCLEX-RN PRACTICE COMPREHENSIVE EXAM LATEST
EDITION 2026-27 JUST RELEASED VERSION SIMILAR
TO SCREENSHOT EXAM
1. Question
Category: Management of Care
Which action(s) should you delegate to the experienced nursing assistant when
caring for a patient with a thrombotic stroke with residual left-sided
weakness? Select all that apply.
• A. Assist the patient to reposition every 2 hours.
• B. Reapply pneumatic compression boots.
• C. Remind the patient to perform active ROM.
• D. Check extremities for redness and edema.
Correct Answer: A, B, & C.
The experienced nursing assistant would know how to reposition the patient and
how to reapply compression boots and would remind the patient to perform
activities he has been taught to perform.
Option D: Assessing for redness and swelling (signs of deep venous
thrombosis {DVT}) requires additional education and is still
appropriate to the professional nurse.
,2
2. Question
Category: Management of Care
The patient who had a stroke needs to be fed. What instruction should you give
to the nursing assistant who will feed the patient?
• A. Position the patient sitting up in bed before you feed her.
• B. Check the patient’s gag and swallowing reflexes.
• C. Feed the patient quickly because there are three more waiting.
, 3
• D. Suction the patient’s secretions between bites of food.
Correct Answer: A. Position the patient sitting up in bed before you feed
her.
Positioning the patient in a sitting position decreases the risk of aspiration.
Option B: The nursing assistant is not trained to assess gag or
swallowing reflexes.
Option C: The patient should not be rushed during feeding.
Option D: A patient who needs to be suctioned between bites of
food is not handling secretions and is at risk for aspiration. This
patient should be assessed further before feeding.
3. Question
Category: Physiological Adaptation
You have just admitted a patient with bacterial meningitis to the medical-surgical
unit. The patient complains of a severe headache with photophobia and has a
temperature of 102.60 F orally. Which collaborative intervention must be
accomplished first?
• A. Administer codeine 15 mg orally for the patient’s headache.
• B. Infuse ceftriaxone (Rocephin) 2000 mg IV to treat the infection.
• C. Give acetaminophen (Tylenol) 650 mg orally to reduce the fever.
• D. Give furosemide (Lasix) 40 mg IV to decrease intracranial pressure.
Correct Answer: B. Infuse ceftriaxone (Rocephin) 2000 mg IV to treat the
infection.
Untreated bacterial meningitis has a mortality rate approaching 100%, so rapid
antibiotic treatment is essential.
Option A: Pain medications may be given after treating the infection
that is most probably causing it.
Option C: Acetaminophen should be given to decrease the fever
after administering the antibiotics first.
Option D: Furosemide will help reduce CNS stimulation and
irritation and should be implemented as soon as possible.
4. Question
Category: Management of Care
