NCSBN NCLEX RN Exam for 2026
1.
The 83 year old client, who lives in a retirement community, is admitted to the hospital. The daughter
reports the client no longer calls her every day, has not been participating in previously enjoyed
activities, such as weekly card games, and has allowed the garden to become overgrown with weeds.
The nurse should assign this client to a room with which of the following clients?
A. An elderly person who was admitted 3 hours ago with a diagnosis of cyclothymia
B. A young adult who was admitted 24 hours ago for treatment following detoxification
C. An adolescent who was admitted the day before with a diagnosis of disruptive mood dysregulation
D. A middle aged person who has been on the unit for 72 hours with a diagnosis of persistent
depressive disorder
Answer-D
2. A Bosnian Muslim woman who doesn't speak English seeks care at a community care clinic.
Through physical gestures, the woman indicates that she has pain originating in either the pelvic or
genital region. Assuming several people are available to interpret, who would be the most
appropriate choice?
A. A female interpreter who doesn't know the client
B. A female neighbor of the client who is also from Bosnia
C. The client's adult daughter
D. A Bosnian male, who is a certified medical interpreter
Answer-A
3. The charge nurse in the ED receives a call from the ambulance crew stating that there has been a
two car accident with multiple casualties. What action would the nurse take first, before the victims
arrive in the ED?
A. Set up multiple 1000 mL NaCl IV solutions with tubing and notify the blood bank
B. Notify the nursing supervisor and request additional staff
C. Activate the disaster plan
D. Prepare the trauma room and select supplies
Answer-B
The nurse manager is discussing the goals of total quality management (TQM) with the health care
team. Which statement correctly identifies a key element of TQM?
A. Top administrators are responsible for establishing plans for problem management
B. All employees participate in systematically working toward common goals
C. It's a reactionary approach used to investigate the root cause of a problem
D. It is an incident management technique that focuses on employee retention
B
, 4. The charge nurse is making assignment for the health care team. Which of these tasks can be
safely delegated to the LPN?
A. Assess the function of a newly created ileostomy
B. Provide stoma care for a client with a well-functioning ostomy
C. Care for a recent complicated double barrel colostomy
D. Teach the initial ostomy care to a client and family members
Answer-B
5. The nurse observes a student nurse inserting an indwelling urinary catheter for a female client.
After the student inserts the catheter, no urine appears and the student begins to remove the
catheter.
What should the nurse do at this time?
A. State strongly, "Stop, Tell me why there's no urine in the tubing."
B. Ask the student in a calm voice: "Did you do something wrong?"
C. Walk up and whisper in the student's ear: "Stop. Leave the catheter in place. I'll get a new sterile
catheter."
D. In a speaking tone of voice, explain: "The tubing is probably in the vagina."
Answer-C
6. This catheter can be left in place and used as a landmark indicating where not to insert the new,
sterile catheter.
The nurse is caring for a client whose pain is not well controlled. Which statement about pain
management is a priority ethical consideration that can help guide the nurse?
A. Clients have the right to have their pain relieved
B. The client's self report of pain is the most important consideration
C. Cultural sensitivity is fundamental to pain management
D. Nurses should not prejudge a client's pain using their own values
Answer-B
7. A RN from the float pool is assigned to the critical care unit on the evening shift.
Which of these clients should be assigned to this nurse?
A. Tracheostomy of 24 hours with the client showing some respiratory distress
B. Report of unstable angina with continuous telemetry monitoring
C. Dopamine IV drip with vital signs monitored every 5 minutes
D. Pacemaker insertion on the day shift
Answer-D
8. A nurse receives an illegible hand-written medication order. Which statement to the HCP reflects
appropriate assertive communication?
A. "Would you please clarify what you have written so I am sure I am reading it correctly?"
B. "I am have difficulty reading your handwriting. It would save me time if you would be more
1.
The 83 year old client, who lives in a retirement community, is admitted to the hospital. The daughter
reports the client no longer calls her every day, has not been participating in previously enjoyed
activities, such as weekly card games, and has allowed the garden to become overgrown with weeds.
The nurse should assign this client to a room with which of the following clients?
A. An elderly person who was admitted 3 hours ago with a diagnosis of cyclothymia
B. A young adult who was admitted 24 hours ago for treatment following detoxification
C. An adolescent who was admitted the day before with a diagnosis of disruptive mood dysregulation
D. A middle aged person who has been on the unit for 72 hours with a diagnosis of persistent
depressive disorder
Answer-D
2. A Bosnian Muslim woman who doesn't speak English seeks care at a community care clinic.
Through physical gestures, the woman indicates that she has pain originating in either the pelvic or
genital region. Assuming several people are available to interpret, who would be the most
appropriate choice?
A. A female interpreter who doesn't know the client
B. A female neighbor of the client who is also from Bosnia
C. The client's adult daughter
D. A Bosnian male, who is a certified medical interpreter
Answer-A
3. The charge nurse in the ED receives a call from the ambulance crew stating that there has been a
two car accident with multiple casualties. What action would the nurse take first, before the victims
arrive in the ED?
A. Set up multiple 1000 mL NaCl IV solutions with tubing and notify the blood bank
B. Notify the nursing supervisor and request additional staff
C. Activate the disaster plan
D. Prepare the trauma room and select supplies
Answer-B
The nurse manager is discussing the goals of total quality management (TQM) with the health care
team. Which statement correctly identifies a key element of TQM?
A. Top administrators are responsible for establishing plans for problem management
B. All employees participate in systematically working toward common goals
C. It's a reactionary approach used to investigate the root cause of a problem
D. It is an incident management technique that focuses on employee retention
B
, 4. The charge nurse is making assignment for the health care team. Which of these tasks can be
safely delegated to the LPN?
A. Assess the function of a newly created ileostomy
B. Provide stoma care for a client with a well-functioning ostomy
C. Care for a recent complicated double barrel colostomy
D. Teach the initial ostomy care to a client and family members
Answer-B
5. The nurse observes a student nurse inserting an indwelling urinary catheter for a female client.
After the student inserts the catheter, no urine appears and the student begins to remove the
catheter.
What should the nurse do at this time?
A. State strongly, "Stop, Tell me why there's no urine in the tubing."
B. Ask the student in a calm voice: "Did you do something wrong?"
C. Walk up and whisper in the student's ear: "Stop. Leave the catheter in place. I'll get a new sterile
catheter."
D. In a speaking tone of voice, explain: "The tubing is probably in the vagina."
Answer-C
6. This catheter can be left in place and used as a landmark indicating where not to insert the new,
sterile catheter.
The nurse is caring for a client whose pain is not well controlled. Which statement about pain
management is a priority ethical consideration that can help guide the nurse?
A. Clients have the right to have their pain relieved
B. The client's self report of pain is the most important consideration
C. Cultural sensitivity is fundamental to pain management
D. Nurses should not prejudge a client's pain using their own values
Answer-B
7. A RN from the float pool is assigned to the critical care unit on the evening shift.
Which of these clients should be assigned to this nurse?
A. Tracheostomy of 24 hours with the client showing some respiratory distress
B. Report of unstable angina with continuous telemetry monitoring
C. Dopamine IV drip with vital signs monitored every 5 minutes
D. Pacemaker insertion on the day shift
Answer-D
8. A nurse receives an illegible hand-written medication order. Which statement to the HCP reflects
appropriate assertive communication?
A. "Would you please clarify what you have written so I am sure I am reading it correctly?"
B. "I am have difficulty reading your handwriting. It would save me time if you would be more
