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NCLEX Exam 500+ Questions & Answers (2026) – Pharmacology, Med-Surg, Pediatrics, Mental Health, Nursing Priorities (NCLEX-RN)

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This document contains a comprehensive collection of over 500 NCLEX-style multiple-choice questions with fully explained answers designed to prepare students for the NCLEX-RN licensing exam. It covers a wide range of nursing topics including pharmacology, medical-surgical nursing, pediatrics, maternity care, mental health, and critical nursing priorities such as safety, delegation, and clinical decision-making. The material is organized in a structured question-and-answer format that closely mirrors real NCLEX exam standards. As seen on pages 1–5, the document emphasizes clinical reasoning and prioritization, including scenarios on delegation (LPN vs UAP roles), infection control precautions (airborne, droplet), and therapeutic communication techniques. It also includes essential patient care concepts such as postpartum complications, diabetes management, respiratory conditions, and medication administration safety. In addition, the document provides in-depth coverage of pharmacology, including medications like digoxin, warfarin, lithium, fluoxetine, and nitroglycerin, along with their side effects, contraindications, and nursing implications. Pediatric and maternity sections address developmental milestones, newborn care, immunizations, and pregnancy-related interventions. Mental health topics include therapeutic communication, depression, delusions, and crisis intervention strategies. Advanced sections focus on critical thinking and prioritization—key components of NCLEX success—such as identifying life-threatening conditions (e.g., respiratory distress, hemorrhage), interpreting clinical findings, and applying nursing process principles (assessment, diagnosis, planning, implementation, evaluation). The document also integrates ethical and legal considerations, including patient rights, informed consent, and scope of practice. This resource is ideal for nursing students enrolled in BSN, ADN, LPN/LVN programs, as well as internationally educated nurses preparing for NCLEX-RN or NCLEX-PN exams. It is especially beneficial for final-year students, repeat test-takers, and those seeking intensive exam preparation across multiple nursing specialties. The content aligns closely with standard NCLEX preparation textbooks such as Saunders Comprehensive Review for the NCLEX-RN Examination by Silvestri and Lippincott Q&A Review for NCLEX-RN, making it a highly effective supplementary study guide for mastering exam strategies and achieving licensure success. Keywords: nclex exam questions, nclex rn practice test, nursing exam preparation, pharmacology nursing questions, medical surgical nursing test, pediatric nursing questions, maternity nursing exam, mental health nursing test, nclex prioritization questions, delegation nursing exam, nursing case scenarios, clinical decision making nursing

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NCSBN NCLEX ACTUAL EXAM
QUESTIONS WITH COMPLETE
SOLUTION GUIDE) (MULTIPLE
CHOICES) (A+ GRADED 100%
VERIFIED) LATEST VERSION
2026

A LPN complains to the charge nurse that an unlicensed assistive person

(UAP) consistently leaves the work area untidy and does not restock

supplies. What is the best initial response by the charge nurse?

1Write down potential solutions to the problems today by shift's end

,2Add this concern to the agenda of the next unit meeting

3Assure the staff nurse that the complaint will be investigated

4Explore for further identification about the nature of the problem - 🧠

ANSWER ✔✔4 Explore for further identification about the nature of the

problem

The nurse assists with the reinforcement of information about breast self-

examination to a group of college students. A female student asks when to

perform the monthly exam. The appropriate reply by the nurse should

include which statement?

1"Ovulation, or midcycle is the best time to detect changes."

2"Do the exam at the same time every month."

3"Right after the period, when your breasts are less tender."

4"The first of every month, because it will be easiest to remember." - 🧠

ANSWER ✔✔3


The nurse is caring for a 75 year-old client with type 2 diabetes mellitus.

The client should be instructed to contact the outpatient clinic immediately if

which findings are present?

,1An open wound on the heel with minimal discomfort

2Occasional hiccups and sneezing

3Sustained insomnia and daytime fatigue


4Persistent dryness and itching of the perineal area - 🧠 ANSWER ✔✔1An

open wound on the heel with minimal discomfort-

A pregnant woman has been advised to alter her diet during pregnancy by

increasing the intake of protein and vitamin C to meet the needs of the

growing fetus. Which diet choice would best meet the woman's needs?

1. 1 cup of macaroni, three-fourths cup of peas, glass whole milk, medium

pear

2. Scrambled egg, hash browned potatoes, one-half glass of buttermilk,

large nectarine

3. 3 oz. chicken, one-half cup of corn, lettuce salad, small banana

4. Beef, one-half cup of lima beans, glass of skim milk, three-fourths cup of

strawberries - 🧠 ANSWER ✔✔4. Beef, one-half cup of lima beans, glass of

skim milk, three-fourths cup of strawberries -




COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED

, A nurse is taking a health history from parents of a child admitted with

possible Reye's syndrome. Which recent illness should the nurse recognize

as being associated with an increased the risk for the development of

Reye's syndrome?

1. Varicella

2. Meningitis

3. Hepatitis


4. Rubeola - 🧠 ANSWER ✔✔1. Varicella -


A Native American chief visits his newborn son and performs a traditional

ceremony that involves feathers and chanting. The nurse comments to a

colleague: "I wonder if he has any idea how ridiculous he looks - he's a

grown man!" The nurse's comment is an example of what type of attitude?

1. Prejudice

2. Ethnocentrism

3. Discrimination


4. Stereotyping - 🧠 ANSWER ✔✔1. Prejudice-

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