NCLEX-RN Practice Test 2026
Edition
Basic Care and Comfort
1 A patient is to get an MRI of the abdomen. Which of the following
instructions should the nurse give the patient?
a. Do not wear metal objects during the MRI, including jewelry.
b. Do not take oral medications up to 12 hours after the MRI.
c. Do not urinate prior to the MRI.
d. Do not eat solid foods 12 hours prior to the MRI.
2 In which of the following ways can the nurse promote the sense of taste for
an older adult?
a. Mix foods together on the dinner tray
b. Avoid cologne, air fresheners, or room deodorizers
c. Encourage the client to chew food thoroughly
d. Discourage the use of salt or seasonings with prepared food
3 Which of the following advisements should a patient suffering from GERG
receive?
a. To eat high-protein, low-fat foods
b. To stay upright two to three hours after a meal
c. Limit the intake of acid-stimulating food and drink
d. All of the above
Management of Care
4 A portion of a building collapses after an earthquake, sending multiple
patients to the nearest emergency room. Which of the following patients
should be first priority?
a. A 20-year-old male with a head laceration and substantial bleeding.
b. A 42-year-old female with dyspnea, oxygen saturation of 88%, and a pulse
of 120bpm.
c. A 50-year-old male with partial amputation of the right foot, with pulse
present
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d. A 12-year-old female complaining of pain and has a large bruise on her left
shoulder and neck.
5 At the beginning of the shift, a nurse receives a report for her daily
assignment. Which of the following situations should the nurse give first
priority?
a. A diabetic client with a blood glucose level of 195 mg/dL
b. A family member of an elderly client who has questions
c. A client with COPD with an oxygen saturation of 84%
d. A client who requires assistance to use the bathroom
6 Mr. W has orders for a physical therapy consult. The nurse contacts the
appropriate department but 12 hours later, no one has come to see the
client. Which is the most appropriate action of the nurse?
a. Call the supervisor and file a complaint against the physical therapy
department
b. Contact the physician to notify him that the orders were not carried out
c. Assess the client's activity level by assisting with ambulation using a gait
belt
d. Contact the physical therapy department again and repeat the order
7 The "B" in the SBAR acronym stands for:
a. Background
b. Basic
c. Beginning
d. Break
8 A doctor visits a patient in the morning prior to a scheduled
cholecystectomy to get consent for the procedure. He hands the nurse the
consent form prior to leaving the unit. When the nurse steps into the room,
the patient has multiple questions regarding the surgery, indicating that
everything about the procedure was not disclosed. Which is the appropriate
response by the nurse?
a. "You have already signed the consent form, so we need to proceed with
the surgery."
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b. "I will answer any questions that you have about the procedure and the
risks/benefits."
c. "I will call the medical director and let him know the physician did not
explain your procedure."
d. "I will call the doctor and have him return to explain everything and
answer your questions."
9 A patient is suffering from heart failure. Which of the following would be
recommended by a nurse as part of the patient's health care plan?
a. Discouraging a diet of fruit and vegetables
b. Checking for swelling of the lower limbs
c. Encourage the daily intake of fluids
d. Encouraging vigorous exercise
10 The spouse of a patient in a long term treatment facility asks a nurse for
information about the patient's treatment plan. The nurse should respond as
follows?
a. Ask the patient for the information.
b. I cannot give you information on any patient.
c. The doctor will speak to you about the treatment plan.
d. Can you give me the patient's Social Security Number?
11 While preparing for discharge, a patient makes the statement to the
nurse, "I'm not sure I will be able to take care of myself at home." Who is the
most appropriate team member to report this statement?
a. Doctor
b. Physical Therapist
c. Case Manager
d. Director of Nursing
12 A nurse is changing the dressing for a post-op Bilateral Knee Amputation
patient. The nurse notes the patient refuses to look at the limb while the
dressing is being changed but asks the nurse about their personal life
instead. Which nursing care plan should the nurse implement for the patient
related to this action?
a. Disturbed Body Image
b. Altered Sleep Pattern
c. Impaired Memory
d. Impaired Social Interaction
13 Which of the following symptoms would support a diagnosis of Crohn's
disease?
a. Fatigue and headache