Actual NCLEX-RN 2026 Exam with NGN
Latest 2026 Version Real Screenshot
Questions and 100% Verified Answers to
Pass NCLEX-RN First Attempt
Guaranteed
**Question 1**
A nurse is assessing a client who is 1 day post-operative following
abdominal surgery. The client reports sudden sharp chest pain and
shortness of breath. The nurse notes a heart rate of 118 bpm and an
oxygen saturation of 88% on room air. What is the nurse's priority
action?
A. Administer morphine sulfate for pain
B. Apply supplemental oxygen
C. Reassure the client and encourage deep breathing
D. Notify the healthcare provider immediately
**Answer: B. Apply supplemental oxygen**
**Rationale:** This client is showing signs of a possible pulmonary
embolism (PE). The priority is to correct the hypoxemia by applying
oxygen . The ABCs (Airway, Breathing, Circulation) framework dictates
that breathing and oxygenation are the immediate priority. While
,notifying the provider and administering pain medication are
important, they come after stabilizing the client's oxygenation.
---
**Question 2**
A nurse is preparing to delegate tasks to an assistive personnel (AP) on
a medical-surgical unit. Which of the following tasks is appropriate for
the nurse to delegate to the AP?
A. Administering a tube feeding to a client with a gastrostomy tube
B. Assessing the pain level of a client 2 hours post-operative
C. Measuring the urinary output from a client's indwelling catheter
D. Teaching a client how to use an incentive spirometer
**Answer: C. Measuring the urinary output from a client's indwelling
catheter**
**Rationale:** Delegation is a key component of Management of Care .
APs can perform tasks that do not require nursing judgment, such as
measuring and recording output. Administering tube feedings,
assessing pain, and teaching require licensed nursing knowledge and
assessment skills and cannot be delegated to an AP.
---
,**Question 3**
A nurse is caring for a client with heart failure who has been prescribed
furosemide. Which of the following assessment findings would indicate
that the medication is having the desired therapeutic effect?
A. Blood pressure 90/60 mm Hg
B. Jugular vein distention is decreased
C. Potassium level of 3.2 mEq/L
D. Urinary output of 20 mL/hour
**Answer: B. Jugular vein distention is decreased**
**Rationale:** Furosemide is a loop diuretic used to reduce fluid
overload in heart failure. A decrease in jugular vein distention (JVD)
indicates a reduction in fluid volume and venous pressure, which is the
desired therapeutic effect . Hypotension (90/60) and hypokalemia (3.2)
are potential adverse effects, not therapeutic ones. Oliguria (20 mL/hr)
is a sign of inadequate perfusion or renal function.
---
**Question 4**
A nurse is providing discharge teaching to a client with a new
prescription for warfarin. Which of the following statements by the
client indicates a need for further teaching?
, A. "I will use an electric razor instead of a razor blade."
B. "I will avoid eating large amounts of spinach and kale."
C. "I will take ibuprofen if I get a headache."
D. "I will get my blood tested regularly as prescribed."
**Answer: C. "I will take ibuprofen if I get a headache."**
**Rationale:** Warfarin is an anticoagulant that increases the risk of
bleeding. Ibuprofen is an NSAID that also increases bleeding risk and
can cause gastrointestinal bleeding. The combination is dangerous.
Clients should be advised to use acetaminophen for pain. The other
statements are correct: using an electric razor prevents cuts, avoiding
vitamin K-rich foods (spinach, kale) maintains therapeutic INR levels,
and regular blood testing is essential.
---
**Question 5**
A nurse is assessing a client with type 1 diabetes mellitus who is
somnolent and diaphoretic. The nurse notes a blood glucose level of 45
mg/dL. Which of the following is the priority nursing intervention?
A. Administer 15g of fast-acting carbohydrate
B. Administer glucagon intramuscularly
C. Recheck blood glucose in 15 minutes
Latest 2026 Version Real Screenshot
Questions and 100% Verified Answers to
Pass NCLEX-RN First Attempt
Guaranteed
**Question 1**
A nurse is assessing a client who is 1 day post-operative following
abdominal surgery. The client reports sudden sharp chest pain and
shortness of breath. The nurse notes a heart rate of 118 bpm and an
oxygen saturation of 88% on room air. What is the nurse's priority
action?
A. Administer morphine sulfate for pain
B. Apply supplemental oxygen
C. Reassure the client and encourage deep breathing
D. Notify the healthcare provider immediately
**Answer: B. Apply supplemental oxygen**
**Rationale:** This client is showing signs of a possible pulmonary
embolism (PE). The priority is to correct the hypoxemia by applying
oxygen . The ABCs (Airway, Breathing, Circulation) framework dictates
that breathing and oxygenation are the immediate priority. While
,notifying the provider and administering pain medication are
important, they come after stabilizing the client's oxygenation.
---
**Question 2**
A nurse is preparing to delegate tasks to an assistive personnel (AP) on
a medical-surgical unit. Which of the following tasks is appropriate for
the nurse to delegate to the AP?
A. Administering a tube feeding to a client with a gastrostomy tube
B. Assessing the pain level of a client 2 hours post-operative
C. Measuring the urinary output from a client's indwelling catheter
D. Teaching a client how to use an incentive spirometer
**Answer: C. Measuring the urinary output from a client's indwelling
catheter**
**Rationale:** Delegation is a key component of Management of Care .
APs can perform tasks that do not require nursing judgment, such as
measuring and recording output. Administering tube feedings,
assessing pain, and teaching require licensed nursing knowledge and
assessment skills and cannot be delegated to an AP.
---
,**Question 3**
A nurse is caring for a client with heart failure who has been prescribed
furosemide. Which of the following assessment findings would indicate
that the medication is having the desired therapeutic effect?
A. Blood pressure 90/60 mm Hg
B. Jugular vein distention is decreased
C. Potassium level of 3.2 mEq/L
D. Urinary output of 20 mL/hour
**Answer: B. Jugular vein distention is decreased**
**Rationale:** Furosemide is a loop diuretic used to reduce fluid
overload in heart failure. A decrease in jugular vein distention (JVD)
indicates a reduction in fluid volume and venous pressure, which is the
desired therapeutic effect . Hypotension (90/60) and hypokalemia (3.2)
are potential adverse effects, not therapeutic ones. Oliguria (20 mL/hr)
is a sign of inadequate perfusion or renal function.
---
**Question 4**
A nurse is providing discharge teaching to a client with a new
prescription for warfarin. Which of the following statements by the
client indicates a need for further teaching?
, A. "I will use an electric razor instead of a razor blade."
B. "I will avoid eating large amounts of spinach and kale."
C. "I will take ibuprofen if I get a headache."
D. "I will get my blood tested regularly as prescribed."
**Answer: C. "I will take ibuprofen if I get a headache."**
**Rationale:** Warfarin is an anticoagulant that increases the risk of
bleeding. Ibuprofen is an NSAID that also increases bleeding risk and
can cause gastrointestinal bleeding. The combination is dangerous.
Clients should be advised to use acetaminophen for pain. The other
statements are correct: using an electric razor prevents cuts, avoiding
vitamin K-rich foods (spinach, kale) maintains therapeutic INR levels,
and regular blood testing is essential.
---
**Question 5**
A nurse is assessing a client with type 1 diabetes mellitus who is
somnolent and diaphoretic. The nurse notes a blood glucose level of 45
mg/dL. Which of the following is the priority nursing intervention?
A. Administer 15g of fast-acting carbohydrate
B. Administer glucagon intramuscularly
C. Recheck blood glucose in 15 minutes
