2026 NCLEX RN test 3 PREP
2026 NCLEX RN TEST 3 PREP NEWEST 2026/2027 ACTUAL
EXAM COMPLETE 150 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH DETAILED RATIONALES
|ALREADY GRADED A+||BRAND NEW VERSION!!
A nurse says to their nurse manager, "I need the day off, and you didn't give it to
me!" The manager replies, "I wasn't aware you needed the day off, and it isn't
possible since staffing is inadequate." How could the nurse best modify the
communication for a more positive interaction?
a. "I placed a request to have 8th of August off for a doctor's appointment, but I'm
scheduled to work."
b. "Could I make an appointment to discuss my schedule with you? I requested
the 8th of August off for a doctor's appointment."
c. "I will need to call in on the 8th of August because I have a doctor's
appointment."
d. "Since you didn't give me the 8th of August off, will I need to find someone to
work for me?"
b. Effective communication involves sending clear, nonthreatening, and respectful
information to the receiver. The nurse identifies the subject of the meeting and
determines a mutually agreed upon time.
During a nursing staff meeting to discuss delayed documentation, the nurses
unanimously agree that they will ensure all vital signs are reported and charted
within 15 minutes following assessments. This decision is consistent with which
characteristics of effective communication? Select all that apply.
a. Group decision making
b. Group leadership
c. Group power
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, 2026 NCLEX RN test 3 PREP
d. Group identity
e. Group patterns of interaction
f. Group cohesiveness
a, d, e, f. Solving problems involves group decision making; ascertaining the task is
important and agreeing to complete the task on time is characteristic of group
identity. Group patterns of interaction involve honest communication and
member support; cohesiveness occurs when members generally trust each other,
have a high commitment to the group, and a high degree of cooperation. Group
leadership occurs when groups use effective styles of leadership to meet goals;
with group power, sources of power are recognized and appropriately used to
accomplish group outcomes.
A nurse notices a patient is walking to the bathroom with a stooped gait, facial
grimacing, and grunting sounds. Based on these nonverbal cues, what action will
the nurse take next?
a. Assess for pain and the need for analgesia.
b. Ask the patient if they feel anxious.
c. Offer to sit with the patient and listen to their feelings.
d. Suggest the patient increase their fluid intake to prevent constipation.
a. A patient who presents with nonverbal communication of a stooped gait, facial
grimacing, and grunting sounds is most likely communicating pain. The nurse
should clarify this nonverbal behavior.
A nursing student is preparing to administer morning care to a patient. What
question by the student is most important to ask?
a. "Would you prefer a bath or a shower?"
b. "May I help you with a bed bath now or later this morning?"
c. "I will be giving you your bath. Do you use soap or shower gel?"
d. "I prefer a shower in the evening. When would you like your bath?"
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, 2026 NCLEX RN test 3 PREP
b. The nurse should ask permission to assist the patient with a bath. This allows
for patient preferences and consent for care that involves entering the patient's
personal space.
A nurse enters a patient's room and finds them vomiting bright red blood. After
taking vital signs, the nurse communicates the event to the health care provider
using the SBAR format. Which information will the nurse include in the "A"
portion of the SBAR communication?
Exhibit: Electronic health record (EHR)
Past medical history
Vital Signs
Peptic ulcer
T 98.8°F, P 111, RR 20, BP 98/50
Bleeding disorder
Pulse oximetry 96%
a. Admitted with peptic ulcer and bleeding disorder
b. Found vomiting in bathroom
c. Anti-ulcer medication recommendation
d. Vital signs, oxygen saturation, bright red emesis
d. The SBAR method is used to improve hand-off communication. SBAR, which
stands for Situation, Background, Assessment, and Recommendations, provides a
clear, structured, and easy to use framework. Vital signs, oxygen saturation, and
the presence of emesis and its color are assessments.
The nurse preceptor and a new graduate nurse on the surgical unit are performing
preoperative assessments on a group of patients. What statement by the graduate
nurse requires the preceptor to intervene?
a. "I am sure everything will be fine; you have nothing to worry about."
b. "When you return from surgery, you'll need to cough and deep breathe."
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, 2026 NCLEX RN test 3 PREP
c. "Many people on this unit have had that procedure with good success."
d. "You seem fearful, can I answer any questions about the procedure?"
a. Telling a patient that everything will be fine is a cliché. This statement gives false
assurance and may give the patient the impression that the nurse is dismissive of
a patient's concerns or condition.
A patient states, "I have been experiencing complications of diabetes." What
question will the nurse use to elicit additional information?
a. "Do you take two injections of insulin to prevent complications?"
b. "Are you using diet and exercise to help regulate your blood sugar?"
c. "Have you been experiencing the complications of neuropathy?"
d. "Can you tell me about the complications you've experienced?"
d. Requesting information regarding the patient's specific complications of
diabetes will guide the nurse to further questioning and related assessments.
During an interaction with a patient diagnosed with epilepsy, a nurse notes that
the patient is silent after hearing the plan of care. How does the nurse best
respond? Select all that apply.
a. Fill the silence with lighter conversation directed at the patient.
b. Use the time to perform the care that is needed uninterrupted.
c. Discuss the silence with the patient to ascertain its meaning.
d. Allow the patient time to think and explore inner thoughts.
e. Determine if the patient's culture requires pauses between conversation.
f. Arrange for a counselor to help the patient cope with emotional issues.
c, d, e. Appropriate use of silence allows the patient to initiate or to continue
speaking; the nurse can reflect on what has been shared while observing the
patient without having to concentrate simultaneously on conversation. In due
time, the nurse might discuss the meaning of silence with the patient. The nurse
considers whether the patient's culture may require longer pauses between
4|Page
2026 NCLEX RN TEST 3 PREP NEWEST 2026/2027 ACTUAL
EXAM COMPLETE 150 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH DETAILED RATIONALES
|ALREADY GRADED A+||BRAND NEW VERSION!!
A nurse says to their nurse manager, "I need the day off, and you didn't give it to
me!" The manager replies, "I wasn't aware you needed the day off, and it isn't
possible since staffing is inadequate." How could the nurse best modify the
communication for a more positive interaction?
a. "I placed a request to have 8th of August off for a doctor's appointment, but I'm
scheduled to work."
b. "Could I make an appointment to discuss my schedule with you? I requested
the 8th of August off for a doctor's appointment."
c. "I will need to call in on the 8th of August because I have a doctor's
appointment."
d. "Since you didn't give me the 8th of August off, will I need to find someone to
work for me?"
b. Effective communication involves sending clear, nonthreatening, and respectful
information to the receiver. The nurse identifies the subject of the meeting and
determines a mutually agreed upon time.
During a nursing staff meeting to discuss delayed documentation, the nurses
unanimously agree that they will ensure all vital signs are reported and charted
within 15 minutes following assessments. This decision is consistent with which
characteristics of effective communication? Select all that apply.
a. Group decision making
b. Group leadership
c. Group power
1|Page
, 2026 NCLEX RN test 3 PREP
d. Group identity
e. Group patterns of interaction
f. Group cohesiveness
a, d, e, f. Solving problems involves group decision making; ascertaining the task is
important and agreeing to complete the task on time is characteristic of group
identity. Group patterns of interaction involve honest communication and
member support; cohesiveness occurs when members generally trust each other,
have a high commitment to the group, and a high degree of cooperation. Group
leadership occurs when groups use effective styles of leadership to meet goals;
with group power, sources of power are recognized and appropriately used to
accomplish group outcomes.
A nurse notices a patient is walking to the bathroom with a stooped gait, facial
grimacing, and grunting sounds. Based on these nonverbal cues, what action will
the nurse take next?
a. Assess for pain and the need for analgesia.
b. Ask the patient if they feel anxious.
c. Offer to sit with the patient and listen to their feelings.
d. Suggest the patient increase their fluid intake to prevent constipation.
a. A patient who presents with nonverbal communication of a stooped gait, facial
grimacing, and grunting sounds is most likely communicating pain. The nurse
should clarify this nonverbal behavior.
A nursing student is preparing to administer morning care to a patient. What
question by the student is most important to ask?
a. "Would you prefer a bath or a shower?"
b. "May I help you with a bed bath now or later this morning?"
c. "I will be giving you your bath. Do you use soap or shower gel?"
d. "I prefer a shower in the evening. When would you like your bath?"
2|Page
, 2026 NCLEX RN test 3 PREP
b. The nurse should ask permission to assist the patient with a bath. This allows
for patient preferences and consent for care that involves entering the patient's
personal space.
A nurse enters a patient's room and finds them vomiting bright red blood. After
taking vital signs, the nurse communicates the event to the health care provider
using the SBAR format. Which information will the nurse include in the "A"
portion of the SBAR communication?
Exhibit: Electronic health record (EHR)
Past medical history
Vital Signs
Peptic ulcer
T 98.8°F, P 111, RR 20, BP 98/50
Bleeding disorder
Pulse oximetry 96%
a. Admitted with peptic ulcer and bleeding disorder
b. Found vomiting in bathroom
c. Anti-ulcer medication recommendation
d. Vital signs, oxygen saturation, bright red emesis
d. The SBAR method is used to improve hand-off communication. SBAR, which
stands for Situation, Background, Assessment, and Recommendations, provides a
clear, structured, and easy to use framework. Vital signs, oxygen saturation, and
the presence of emesis and its color are assessments.
The nurse preceptor and a new graduate nurse on the surgical unit are performing
preoperative assessments on a group of patients. What statement by the graduate
nurse requires the preceptor to intervene?
a. "I am sure everything will be fine; you have nothing to worry about."
b. "When you return from surgery, you'll need to cough and deep breathe."
3|Page
, 2026 NCLEX RN test 3 PREP
c. "Many people on this unit have had that procedure with good success."
d. "You seem fearful, can I answer any questions about the procedure?"
a. Telling a patient that everything will be fine is a cliché. This statement gives false
assurance and may give the patient the impression that the nurse is dismissive of
a patient's concerns or condition.
A patient states, "I have been experiencing complications of diabetes." What
question will the nurse use to elicit additional information?
a. "Do you take two injections of insulin to prevent complications?"
b. "Are you using diet and exercise to help regulate your blood sugar?"
c. "Have you been experiencing the complications of neuropathy?"
d. "Can you tell me about the complications you've experienced?"
d. Requesting information regarding the patient's specific complications of
diabetes will guide the nurse to further questioning and related assessments.
During an interaction with a patient diagnosed with epilepsy, a nurse notes that
the patient is silent after hearing the plan of care. How does the nurse best
respond? Select all that apply.
a. Fill the silence with lighter conversation directed at the patient.
b. Use the time to perform the care that is needed uninterrupted.
c. Discuss the silence with the patient to ascertain its meaning.
d. Allow the patient time to think and explore inner thoughts.
e. Determine if the patient's culture requires pauses between conversation.
f. Arrange for a counselor to help the patient cope with emotional issues.
c, d, e. Appropriate use of silence allows the patient to initiate or to continue
speaking; the nurse can reflect on what has been shared while observing the
patient without having to concentrate simultaneously on conversation. In due
time, the nurse might discuss the meaning of silence with the patient. The nurse
considers whether the patient's culture may require longer pauses between
4|Page
