Page 1 of 53
2026 RN NCLEX QUESTIONS EXAM 2026-2027 ALL
QUESTIONS WITH ANSWERS EXAM 2026 LATEST EDITION
SOLVED QUESTIONS & ANSWERS VERIFIED
1. An older adult who has had multiple strokes is refusing artificial nutrition
and hydration against medical advice and in opposition to their daughter. The
patient's nurse advocates for the patient, stating which party is the most
appropriate decision maker?
Electronic Health Record (EHR), Consultations Tab Psychiatric Consult:
Patient is competent, understands the consequences of her actions, no
depression noted. Patient persists in refusing treatment. Suggest ethics
consultation.
a. Patient
b. Patient's daughter
c. Health care provider
Ethics consult team
a. Because this patient is competent, they have the right to refuse treatment felt to
be disproportionately burdensome, even if this hastens their death. Neither her
daughter nor her doctor has authority to assume decision-making responsibilities
unless appointed as surrogates. The ethics consult team is not a decision-making
body; they can make recommendations but have no prescription authority.
A nurse enters a patient's room and examines the patient's intravenous (IV)
fluids and cardiac monitor. When asked, "who are you?", which response by
the nurse is most appropriate?
a. "I'm just the IV therapist checking your IV."
b. "I've been transferred to this division and will be caring for you."
c. "I'm sorry, my name is John Smith and I am your nurse."
d. "I am John Smith, your nurse, and I'll be caring for you until 11 PM."
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d. The nurse should identify themselves, ensure the patient knows what will be
happening, and the duration of their relationship.
A public health nurse is leaving the home of a young mother who has an infant
with special needs. The neighbor states, "How is she doing, since the baby's
father is no help?" What is the nurse's best response?
a. "New mothers need support."
b. "The lack of a father is difficult."
c. "How are you today?"
d. "It is a very sad situation."
a. The nurse must maintain confidentiality when providing care. The statement "New
mothers need support" is a general statement that all new parents need help. The
statement is not judgmental of the family's roles. "How are you today?" is dismissive
of the neighbor's question.
A toddler with vomiting, diarrhea, and dehydration is being seen at an acute
care center. During the admission interview, what question will the nurse ask
the parents to elicit the most useful information?
a. "Watching your child vomiting and in discomfort must have been scary."
b. "This started yesterday, correct?"
c. "Has this child has had anything to drink?"
d. Could you tell me the color and approximate amount of the vomiting?
d. Using a clarifying question or comment allows the nurse to gain an understanding
of the parents' observations, avoiding misunderstandings that could lead to an
inappropriate nursing diagnosis. A reflective question technique involves repeating
what the person has said or describes the person's feelings. Assertive questions are
direct, demonstrating the ability to stand up for self or others, using open and honest
communication. Open-ended questions encourage free verbalization and expression
of what the parents believe to be true.
A nurse enters the room of a patient with cancer. The patient is crying and
states, "I feel so alone." How will the nurse best communicate a therapeutic
response?
a. The nurse stands at the patient's bedside and states, "I understand how you
feel. My mother said the same thing when she was ill."
b. The nurse places a hand on the patient's arm and states, "You feel so
alone."
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c. The nurse stands in the patient's room and asks, "Why do you feel so
alone? Your wife has been here every day."
d. The nurse holds the patient's hand and asks, "Tell me what feeling so alone
is like for you?"
d. The use of touch conveys acceptance, and the implementation of an open-ended
question allows the patient time to verbalize freely.
A primary nurse is preparing a discharge plan for a patient who has been
hospitalized following a double mastectomy. Which statement is most
appropriate for the nurse to use in the termination phase of the therapeutic
relationship?
a. "Let's review the progress you've made in meeting your goals."
b. "I'd like to review your medication schedule with you."
c. "I need to document today's teaching session in the electronic health
record."
d. "Should we include your family in today's session?"
a. The termination phase occurs when the conclusion of the initial agreement is
acknowledged. Discharge planning correlates with the termination phase of a
therapeutic relationship and the progress toward the patient's goals are reviewed.
A nursing student is nervous and concerned about working at a clinical
facility. Which action would best decrease anxiety and help ensure successful
delivery of patient care?
a. Determining the established goals of the institution
b. Ensuring that verbal and nonverbal communication is congruent
c. Engaging in self-talk to plan the day and decrease fear
d. Speaking with fellow colleagues about how they feel
c. By engaging in positive self-talk, or intrapersonal communication, the nursing
student can plan the day, decrease fear and anxiety, and enhance clinical
performance.
The charge nurse overhears an AP yelling loudly to a patient who is hard of
hearing, while transferring them from the bed to a chair. Upon entering the
room, which response by the charge nurse is most appropriate?
a. "Please speak more quietly so you don't disturb the other patients."
b. "Let me help you with your transfer technique."
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c. "When you are finished, be sure to apologize for shouting."
d. "When your patient is safe and comfortable, meet me at the desk."
d. The charge nurse should direct the AP to see to the patient's safety, then address
any concerns privately. The nurse then can discuss appropriate use of therapeutic
communication.
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
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
2026 RN NCLEX QUESTIONS EXAM 2026-2027 ALL
QUESTIONS WITH ANSWERS EXAM 2026 LATEST EDITION
SOLVED QUESTIONS & ANSWERS VERIFIED
1. An older adult who has had multiple strokes is refusing artificial nutrition
and hydration against medical advice and in opposition to their daughter. The
patient's nurse advocates for the patient, stating which party is the most
appropriate decision maker?
Electronic Health Record (EHR), Consultations Tab Psychiatric Consult:
Patient is competent, understands the consequences of her actions, no
depression noted. Patient persists in refusing treatment. Suggest ethics
consultation.
a. Patient
b. Patient's daughter
c. Health care provider
Ethics consult team
a. Because this patient is competent, they have the right to refuse treatment felt to
be disproportionately burdensome, even if this hastens their death. Neither her
daughter nor her doctor has authority to assume decision-making responsibilities
unless appointed as surrogates. The ethics consult team is not a decision-making
body; they can make recommendations but have no prescription authority.
A nurse enters a patient's room and examines the patient's intravenous (IV)
fluids and cardiac monitor. When asked, "who are you?", which response by
the nurse is most appropriate?
a. "I'm just the IV therapist checking your IV."
b. "I've been transferred to this division and will be caring for you."
c. "I'm sorry, my name is John Smith and I am your nurse."
d. "I am John Smith, your nurse, and I'll be caring for you until 11 PM."
, Page 2 of 53
d. The nurse should identify themselves, ensure the patient knows what will be
happening, and the duration of their relationship.
A public health nurse is leaving the home of a young mother who has an infant
with special needs. The neighbor states, "How is she doing, since the baby's
father is no help?" What is the nurse's best response?
a. "New mothers need support."
b. "The lack of a father is difficult."
c. "How are you today?"
d. "It is a very sad situation."
a. The nurse must maintain confidentiality when providing care. The statement "New
mothers need support" is a general statement that all new parents need help. The
statement is not judgmental of the family's roles. "How are you today?" is dismissive
of the neighbor's question.
A toddler with vomiting, diarrhea, and dehydration is being seen at an acute
care center. During the admission interview, what question will the nurse ask
the parents to elicit the most useful information?
a. "Watching your child vomiting and in discomfort must have been scary."
b. "This started yesterday, correct?"
c. "Has this child has had anything to drink?"
d. Could you tell me the color and approximate amount of the vomiting?
d. Using a clarifying question or comment allows the nurse to gain an understanding
of the parents' observations, avoiding misunderstandings that could lead to an
inappropriate nursing diagnosis. A reflective question technique involves repeating
what the person has said or describes the person's feelings. Assertive questions are
direct, demonstrating the ability to stand up for self or others, using open and honest
communication. Open-ended questions encourage free verbalization and expression
of what the parents believe to be true.
A nurse enters the room of a patient with cancer. The patient is crying and
states, "I feel so alone." How will the nurse best communicate a therapeutic
response?
a. The nurse stands at the patient's bedside and states, "I understand how you
feel. My mother said the same thing when she was ill."
b. The nurse places a hand on the patient's arm and states, "You feel so
alone."
, Page 3 of 53
c. The nurse stands in the patient's room and asks, "Why do you feel so
alone? Your wife has been here every day."
d. The nurse holds the patient's hand and asks, "Tell me what feeling so alone
is like for you?"
d. The use of touch conveys acceptance, and the implementation of an open-ended
question allows the patient time to verbalize freely.
A primary nurse is preparing a discharge plan for a patient who has been
hospitalized following a double mastectomy. Which statement is most
appropriate for the nurse to use in the termination phase of the therapeutic
relationship?
a. "Let's review the progress you've made in meeting your goals."
b. "I'd like to review your medication schedule with you."
c. "I need to document today's teaching session in the electronic health
record."
d. "Should we include your family in today's session?"
a. The termination phase occurs when the conclusion of the initial agreement is
acknowledged. Discharge planning correlates with the termination phase of a
therapeutic relationship and the progress toward the patient's goals are reviewed.
A nursing student is nervous and concerned about working at a clinical
facility. Which action would best decrease anxiety and help ensure successful
delivery of patient care?
a. Determining the established goals of the institution
b. Ensuring that verbal and nonverbal communication is congruent
c. Engaging in self-talk to plan the day and decrease fear
d. Speaking with fellow colleagues about how they feel
c. By engaging in positive self-talk, or intrapersonal communication, the nursing
student can plan the day, decrease fear and anxiety, and enhance clinical
performance.
The charge nurse overhears an AP yelling loudly to a patient who is hard of
hearing, while transferring them from the bed to a chair. Upon entering the
room, which response by the charge nurse is most appropriate?
a. "Please speak more quietly so you don't disturb the other patients."
b. "Let me help you with your transfer technique."
, Page 4 of 53
c. "When you are finished, be sure to apologize for shouting."
d. "When your patient is safe and comfortable, meet me at the desk."
d. The charge nurse should direct the AP to see to the patient's safety, then address
any concerns privately. The nurse then can discuss appropriate use of therapeutic
communication.
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
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
