Page 1 of 137
NCLEX STUDY EXAM QUESTIONS WITH EXPLANATIONS
MOST COMPREHENSIVE 2026 QUESTIONS EXAM LATEST
VERSION SOLVED QUESTIONS & ANSWERS VERIFIED
100 %
Your patient has just had a PICC (peripherally inserted central catheter)
inserted. Which of the following statements indicates that your patient
requires further teaching?
a. "I will not lift more than 10 pounds with my affected arm."
b. "I will inspect my catheter site daily for signs of redness, leaking, or
swelling."
c. "I will ensure that no one takes a blood pressure reading in my affected
arm."
d. "If my catheter breaks, I will apply tape and call my physician/nurse within
24 hours."
d. "If my catheter breaks, I will apply tape and call my physician/nurse within 24
hours."
What preparation is required on the part of the female patient prior to having a
Pap test (Pap smear)?
a. fleet enema
b. shaving
c. no preparation is necessary
d. douching
c. no preparation is necessary
Your patient has diarrhea from an infectious cause and has been prescribed
antibiotics. He asks you what he should be eating until the diarrhea had
resolved. Choose the best response.
a. "caffeine will decrease bouts of diarrhea due to its dehydrating effects"
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b. "eating spicy foods will kill the bacteria causing diarrhea"
c. "eat bland foods such as toast, apples, rice, and bananas"
d. "eating a high fiber diet will decrease diarrhea"
c. "eat bland foods such as toast, apples, rice, and bananas"
What are the phases of shock in correct sequential order?
a. the initial stage, the compensatory stage, the progressive stage, and the
final or refractory stage
b. the initial stage, the progressive stage, the compensatory stage, and the
final or refractory stage
c. the initial stage, the refractory stage, the compensatory stage, and the
progressive stage
d. the primary stage, the compensatory stage, the progressive stage, and the
final or refractory stage
a. the initial stage, the compensatory stage, the progressive stage, and the final or
refractory stage
A nurse is assessing a newborn infant to a mother who is addicted to drugs.
Which of the following assessment findings would the nurse expect to note
during the assessment of this infant?
a. sleepiness
b. incessant crying
c. lethargy
d. cuddling when held
b. incessant crying
Which of the following types of tracheostomy tubes allows the patient to speak
when it is capped?
a. fenestrated tube
b. double lumen tube
c. cuffed tube
d. single lumen tube
a. fenestrated tube
Your pregnant client has a high level of alpha fetoprotein. What does this high
level suggest?
a) congenital nephrosis
b) placenta prebia
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c) uterine atony
d) all of the above
congenital nephrosis
The most common complication of hemodialysis is:
a) hypertension
b) hypotension
c) nausea and vomiting
d) general weakness
Hypotension
You are working in the ED when you are notified that the ambulance is
bringing in a woman who has taken an overdose of Tylenol. You should
anticipate administering which of the following drugs?
a) Narcan
b) N-acetylcysteine
c) Epinephrine
d) 1 L bolus to dilute the effects of Tylenol in the blood stream
N-acetylcysteine
A nurse assists in the vaginal delivery of a newborn infant. After the delivery,
the nurse observes the umbilical cord lengthen and a spurt of blood from the
vagina. The nurse documents these observations as signs of what?
a) placenta prebia
b) abruptio placenta
c) placental separation
Placental separation
You are admitting a new patient onto the unit. The patient tells you that he is
allergic to penicillin. In addition to the name of the medication, what is MOST
IMPORTANT for the nurse to know about the patient's allergy?
a) the type and severity of reaction experienced
b) any other allergies to medications
c)any history of treatment for this reaction
a) the type and severity of reaction experienced
Insensible loss of water from the body occurs mainly in the:
Lungs and skin
, Page 4 of 137
The LPN is caring for a patient who is unconscious. The LPN provides oral
care to the unconscious patient:
a) every four hours
b) daily
c)every two hours
d) once a shift
Every two hours
A nurse is caring for a patient with meningitis and implements which
transmission-based precautions for the client?
a) standard precautions
b) isolation precautions
c) private room or cohort client
d) no precautions are needed, meningitis is not a communicable disease
c) private room or cohort client
Your patient, who is recovering from heart surgery, suddenly becomes
unresponsive. You determine that the patient is apneic and pulseless and
begin CPR, calling for help as you do so. The cardiac monitor shows a wide,
regular and rapid rhythm. You know that this rhythm is probably:
a) Ventricular fibrillation (V-Fib)
b) Sinus bradycardia
c) Normal rhythm the patient is recovering
d) Ventricular tachycardia
d) Ventricular tachycardia
A patient comes into the emergency room after being stung by a wasp. The
patient is known to be allergic to wasps. You administer oxygen and
epinephrine, obtain vital signs, initiate an IV and administer IV fluids. The
patient is hypotensive. How should you position this patient?
a) in the supine position laying flat in bed
b) in the fowler's position making it easier for the patient to breathe
c) in a lateral recovery positon in case the patient were to start feeling
nauseous
d) in the recumbent position with the legs elevated
d) in the recumbent position with the legs elevated
NCLEX STUDY EXAM QUESTIONS WITH EXPLANATIONS
MOST COMPREHENSIVE 2026 QUESTIONS EXAM LATEST
VERSION SOLVED QUESTIONS & ANSWERS VERIFIED
100 %
Your patient has just had a PICC (peripherally inserted central catheter)
inserted. Which of the following statements indicates that your patient
requires further teaching?
a. "I will not lift more than 10 pounds with my affected arm."
b. "I will inspect my catheter site daily for signs of redness, leaking, or
swelling."
c. "I will ensure that no one takes a blood pressure reading in my affected
arm."
d. "If my catheter breaks, I will apply tape and call my physician/nurse within
24 hours."
d. "If my catheter breaks, I will apply tape and call my physician/nurse within 24
hours."
What preparation is required on the part of the female patient prior to having a
Pap test (Pap smear)?
a. fleet enema
b. shaving
c. no preparation is necessary
d. douching
c. no preparation is necessary
Your patient has diarrhea from an infectious cause and has been prescribed
antibiotics. He asks you what he should be eating until the diarrhea had
resolved. Choose the best response.
a. "caffeine will decrease bouts of diarrhea due to its dehydrating effects"
, Page 2 of 137
b. "eating spicy foods will kill the bacteria causing diarrhea"
c. "eat bland foods such as toast, apples, rice, and bananas"
d. "eating a high fiber diet will decrease diarrhea"
c. "eat bland foods such as toast, apples, rice, and bananas"
What are the phases of shock in correct sequential order?
a. the initial stage, the compensatory stage, the progressive stage, and the
final or refractory stage
b. the initial stage, the progressive stage, the compensatory stage, and the
final or refractory stage
c. the initial stage, the refractory stage, the compensatory stage, and the
progressive stage
d. the primary stage, the compensatory stage, the progressive stage, and the
final or refractory stage
a. the initial stage, the compensatory stage, the progressive stage, and the final or
refractory stage
A nurse is assessing a newborn infant to a mother who is addicted to drugs.
Which of the following assessment findings would the nurse expect to note
during the assessment of this infant?
a. sleepiness
b. incessant crying
c. lethargy
d. cuddling when held
b. incessant crying
Which of the following types of tracheostomy tubes allows the patient to speak
when it is capped?
a. fenestrated tube
b. double lumen tube
c. cuffed tube
d. single lumen tube
a. fenestrated tube
Your pregnant client has a high level of alpha fetoprotein. What does this high
level suggest?
a) congenital nephrosis
b) placenta prebia
, Page 3 of 137
c) uterine atony
d) all of the above
congenital nephrosis
The most common complication of hemodialysis is:
a) hypertension
b) hypotension
c) nausea and vomiting
d) general weakness
Hypotension
You are working in the ED when you are notified that the ambulance is
bringing in a woman who has taken an overdose of Tylenol. You should
anticipate administering which of the following drugs?
a) Narcan
b) N-acetylcysteine
c) Epinephrine
d) 1 L bolus to dilute the effects of Tylenol in the blood stream
N-acetylcysteine
A nurse assists in the vaginal delivery of a newborn infant. After the delivery,
the nurse observes the umbilical cord lengthen and a spurt of blood from the
vagina. The nurse documents these observations as signs of what?
a) placenta prebia
b) abruptio placenta
c) placental separation
Placental separation
You are admitting a new patient onto the unit. The patient tells you that he is
allergic to penicillin. In addition to the name of the medication, what is MOST
IMPORTANT for the nurse to know about the patient's allergy?
a) the type and severity of reaction experienced
b) any other allergies to medications
c)any history of treatment for this reaction
a) the type and severity of reaction experienced
Insensible loss of water from the body occurs mainly in the:
Lungs and skin
, Page 4 of 137
The LPN is caring for a patient who is unconscious. The LPN provides oral
care to the unconscious patient:
a) every four hours
b) daily
c)every two hours
d) once a shift
Every two hours
A nurse is caring for a patient with meningitis and implements which
transmission-based precautions for the client?
a) standard precautions
b) isolation precautions
c) private room or cohort client
d) no precautions are needed, meningitis is not a communicable disease
c) private room or cohort client
Your patient, who is recovering from heart surgery, suddenly becomes
unresponsive. You determine that the patient is apneic and pulseless and
begin CPR, calling for help as you do so. The cardiac monitor shows a wide,
regular and rapid rhythm. You know that this rhythm is probably:
a) Ventricular fibrillation (V-Fib)
b) Sinus bradycardia
c) Normal rhythm the patient is recovering
d) Ventricular tachycardia
d) Ventricular tachycardia
A patient comes into the emergency room after being stung by a wasp. The
patient is known to be allergic to wasps. You administer oxygen and
epinephrine, obtain vital signs, initiate an IV and administer IV fluids. The
patient is hypotensive. How should you position this patient?
a) in the supine position laying flat in bed
b) in the fowler's position making it easier for the patient to breathe
c) in a lateral recovery positon in case the patient were to start feeling
nauseous
d) in the recumbent position with the legs elevated
d) in the recumbent position with the legs elevated
