Comprehensive NCLEX-RN MCQ(S)
2025/2026 UPDATED EXAM WITH 100%
CORRECT ANSWERS
1.Health Promotion and Maintenance
2.Management of Care
3.Pharmacological and Parenteral Therapies
4.Physiological Adaptation
5.Reduction of Risk Potential
1. The nurse is managing care for several clients
in the outpatient clinic. Among the following
clients who called, which one should the nurse
prioritize in responding to first?
A. A client with hepatitis A who states, “My arms
and legs are itching.”
, B. A client with a cast on the right leg who
states, “I have a funny feeling in my right leg.”
C. A client with osteomyelitis of the spine who
states, “I am so nauseous that I can’t eat.”
D. A client with rheumatoid arthritis who states,
“I am having trouble sleeping.”
Correct Answer: E. A client with a cast on the
right leg who states, “I have a funny feeling in
my right leg.”
It may indicate neurovascular compromise,
requiring immediate assessment.
• Option A: Bilirubin levels in hepatitis A
may increase, and itching is a common
symptom.
• Option C: A client feeling nauseous may
require consultation but is not a priority.
, • Option D: Clients with rheumatoid
arthritis may feel pain in the affected
areas at night. They may need a
prescription for painkillers but it is not
urgent.
2. A nurse on the surgical floor is prioritizing care
for clients after receiving the report from the
previous shift. Which of the following patients
should the nurse assess first?
A. A 35-year-old patient admitted three hours
ago for a gunshot wound, with a 1.5 cm area of
dark drainage noted on the dressing.
B. A 43-year-old patient who underwent a
mastectomy two days ago, with 23 ml of
serosanguinous fluid in the Jackson-Pratt drain.
C. A 59-year-old patient with a history of a
collapsed lung from an accident, with no
, drainage noted in the chest tube in the past eight
hours.
E. A 54-year-old patient with a total knee
replacement two days ago, with moderate
swelling at the surgical site.
E. A 47-year-old patient who had a laparoscopic
cholecystectomy yesterday, complaining of mild
pain at the incision site.
F. A 62-year-old patient who had an abdominal-
perineal resection three days ago, now reporting
chills.
Correct Answer: F. A 62-year-old patient who
had an abdominal-perineal resection three
days ago, now reporting chills.
The client is at risk for peritonitis; should be
assessed for further symptoms and infection.
2025/2026 UPDATED EXAM WITH 100%
CORRECT ANSWERS
1.Health Promotion and Maintenance
2.Management of Care
3.Pharmacological and Parenteral Therapies
4.Physiological Adaptation
5.Reduction of Risk Potential
1. The nurse is managing care for several clients
in the outpatient clinic. Among the following
clients who called, which one should the nurse
prioritize in responding to first?
A. A client with hepatitis A who states, “My arms
and legs are itching.”
, B. A client with a cast on the right leg who
states, “I have a funny feeling in my right leg.”
C. A client with osteomyelitis of the spine who
states, “I am so nauseous that I can’t eat.”
D. A client with rheumatoid arthritis who states,
“I am having trouble sleeping.”
Correct Answer: E. A client with a cast on the
right leg who states, “I have a funny feeling in
my right leg.”
It may indicate neurovascular compromise,
requiring immediate assessment.
• Option A: Bilirubin levels in hepatitis A
may increase, and itching is a common
symptom.
• Option C: A client feeling nauseous may
require consultation but is not a priority.
, • Option D: Clients with rheumatoid
arthritis may feel pain in the affected
areas at night. They may need a
prescription for painkillers but it is not
urgent.
2. A nurse on the surgical floor is prioritizing care
for clients after receiving the report from the
previous shift. Which of the following patients
should the nurse assess first?
A. A 35-year-old patient admitted three hours
ago for a gunshot wound, with a 1.5 cm area of
dark drainage noted on the dressing.
B. A 43-year-old patient who underwent a
mastectomy two days ago, with 23 ml of
serosanguinous fluid in the Jackson-Pratt drain.
C. A 59-year-old patient with a history of a
collapsed lung from an accident, with no
, drainage noted in the chest tube in the past eight
hours.
E. A 54-year-old patient with a total knee
replacement two days ago, with moderate
swelling at the surgical site.
E. A 47-year-old patient who had a laparoscopic
cholecystectomy yesterday, complaining of mild
pain at the incision site.
F. A 62-year-old patient who had an abdominal-
perineal resection three days ago, now reporting
chills.
Correct Answer: F. A 62-year-old patient who
had an abdominal-perineal resection three
days ago, now reporting chills.
The client is at risk for peritonitis; should be
assessed for further symptoms and infection.
