1|Page
**NCLEX QUESTION TRAINER EXPLANATIONS
– TEST 7** 2026 EDITION. **150+ NCLEX-STYLE
QUESTIONS **CORRECT ANSWERS AND
DETAILED RATIONALES**
## Table of Contents
| Section | Clinical Focus | Questions |
|---------|---------------|-----------|
| 1 | Safe & Effective Care Environment | 20 |
| 2 | Health Promotion & Maintenance | 20 |
| 3 | Psychosocial Integrity | 15 |
| 4 | Physiological Integrity – Cardiovascular | 20 |
| 5 | Physiological Integrity – Respiratory | 15 |
| 6 | Physiological Integrity – GI/Nutrition | 15 |
| 7 | Physiological Integrity – Renal/Urinary | 10 |
| 8 | Physiological Integrity – Endocrine | 15 |
| 9 | Physiological Integrity – Neuro/Sensory | 10 |
| 10 | Physiological Integrity – Musculoskeletal | 10 |
| 11 | Physiological Integrity – Immune/Infectious | 10 |
| 12 | Physiological Integrity – Pharmacology/IV | 10 |
| **Total** | | **170** |
,2|Page
## Section 1: Safe & Effective Care Environment
**1. A nurse is preparing to transfer a client from the bed to a stretcher.
Which action by the nurse demonstrates proper body mechanics?**
A) Twisting the spine while lifting
B) Keeping feet close together for stability
C) Bending at the waist to reach the client
D) Positioning the stretcher alongside the bed with brakes locked
**Answer:** D – Locking brakes and positioning the stretcher close
prevents gaps and falls. Twisting and bending at the waist increase injury
risk.
**2. A nurse is caring for a client with a nasogastric (NG) tube. Which
finding indicates proper tube placement before initiating feeding?**
A) Client reports mild throat discomfort
B) Aspirated gastric contents have a pH of 5
C) The external tube marking remains at the nares
D) Tube is taped securely to the gown
**Answer:** C – The external marking at the nares indicates no
displacement. Gastric pH should be ≤4 for proper placement. Throat
discomfort is common but not a placement indicator.
,3|Page
**3. A nurse is planning care for a client with a new diagnosis of
tuberculosis. Which type of isolation precautions should the nurse
implement?**
A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Standard precautions only
**Answer:** C – TB requires airborne precautions (negative pressure
room, N95 respirator). Droplet is for influenza/meningitis; contact for
MRSA/C.diff.
**4. A nurse receives a verbal order from a provider. Which action is
most appropriate?**
A) Read back the order to the provider
B) Ask another nurse to co-sign the order
C) Implement the order immediately
D) Refuse to accept the verbal order
**Answer:** A – Read-back verification prevents errors. Verbal orders
should be limited to emergencies and signed by the provider within 24
hours.
, 4|Page
**5. A nurse is delegating tasks to an unlicensed assistive personnel
(UAP). Which task is appropriate for the UAP to perform?**
A) Assess a client’s skin turgor
B) Teach a client about insulin administration
C) Measure a client’s intake and output
D) Interpret a client’s cardiac rhythm strip
**Answer:** C – Measuring I&O is within UAP scope. Assessment,
teaching, and interpretation require licensed nursing judgment.
**6. A client is being discharged with a new prescription for warfarin.
Which instruction should the nurse prioritize?**
A) "Take ibuprofen for mild pain"
B) "Report any dark, tarry stools to your provider"
C) "Increase intake of leafy green vegetables"
D) "Monitor your blood glucose daily"
**Answer:** B – Dark/tarry stools indicate GI bleeding. NSAIDs
increase bleeding risk; green vegetables contain vitamin K and reduce
warfarin effect.
**7. A nurse discovers a small fire in a client’s trash can. What action
should the nurse take first?**
A) Activate the fire alarm
**NCLEX QUESTION TRAINER EXPLANATIONS
– TEST 7** 2026 EDITION. **150+ NCLEX-STYLE
QUESTIONS **CORRECT ANSWERS AND
DETAILED RATIONALES**
## Table of Contents
| Section | Clinical Focus | Questions |
|---------|---------------|-----------|
| 1 | Safe & Effective Care Environment | 20 |
| 2 | Health Promotion & Maintenance | 20 |
| 3 | Psychosocial Integrity | 15 |
| 4 | Physiological Integrity – Cardiovascular | 20 |
| 5 | Physiological Integrity – Respiratory | 15 |
| 6 | Physiological Integrity – GI/Nutrition | 15 |
| 7 | Physiological Integrity – Renal/Urinary | 10 |
| 8 | Physiological Integrity – Endocrine | 15 |
| 9 | Physiological Integrity – Neuro/Sensory | 10 |
| 10 | Physiological Integrity – Musculoskeletal | 10 |
| 11 | Physiological Integrity – Immune/Infectious | 10 |
| 12 | Physiological Integrity – Pharmacology/IV | 10 |
| **Total** | | **170** |
,2|Page
## Section 1: Safe & Effective Care Environment
**1. A nurse is preparing to transfer a client from the bed to a stretcher.
Which action by the nurse demonstrates proper body mechanics?**
A) Twisting the spine while lifting
B) Keeping feet close together for stability
C) Bending at the waist to reach the client
D) Positioning the stretcher alongside the bed with brakes locked
**Answer:** D – Locking brakes and positioning the stretcher close
prevents gaps and falls. Twisting and bending at the waist increase injury
risk.
**2. A nurse is caring for a client with a nasogastric (NG) tube. Which
finding indicates proper tube placement before initiating feeding?**
A) Client reports mild throat discomfort
B) Aspirated gastric contents have a pH of 5
C) The external tube marking remains at the nares
D) Tube is taped securely to the gown
**Answer:** C – The external marking at the nares indicates no
displacement. Gastric pH should be ≤4 for proper placement. Throat
discomfort is common but not a placement indicator.
,3|Page
**3. A nurse is planning care for a client with a new diagnosis of
tuberculosis. Which type of isolation precautions should the nurse
implement?**
A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Standard precautions only
**Answer:** C – TB requires airborne precautions (negative pressure
room, N95 respirator). Droplet is for influenza/meningitis; contact for
MRSA/C.diff.
**4. A nurse receives a verbal order from a provider. Which action is
most appropriate?**
A) Read back the order to the provider
B) Ask another nurse to co-sign the order
C) Implement the order immediately
D) Refuse to accept the verbal order
**Answer:** A – Read-back verification prevents errors. Verbal orders
should be limited to emergencies and signed by the provider within 24
hours.
, 4|Page
**5. A nurse is delegating tasks to an unlicensed assistive personnel
(UAP). Which task is appropriate for the UAP to perform?**
A) Assess a client’s skin turgor
B) Teach a client about insulin administration
C) Measure a client’s intake and output
D) Interpret a client’s cardiac rhythm strip
**Answer:** C – Measuring I&O is within UAP scope. Assessment,
teaching, and interpretation require licensed nursing judgment.
**6. A client is being discharged with a new prescription for warfarin.
Which instruction should the nurse prioritize?**
A) "Take ibuprofen for mild pain"
B) "Report any dark, tarry stools to your provider"
C) "Increase intake of leafy green vegetables"
D) "Monitor your blood glucose daily"
**Answer:** B – Dark/tarry stools indicate GI bleeding. NSAIDs
increase bleeding risk; green vegetables contain vitamin K and reduce
warfarin effect.
**7. A nurse discovers a small fire in a client’s trash can. What action
should the nurse take first?**
A) Activate the fire alarm
