Assessment Exam 2026/2027 | 115 NCLEX-
Style Questions with Rationales | Clinical
Judgment Model (NCJMM)
Description:
Master nursing fundamentals and health assessment with 115 exam-style questions for
2026/2027. Includes clinical judgment model, cardiovascular, respiratory, neurovascular,
and prioritization. Complete answer rationales. Pass your NCLEX and course exams.
Download the full exam paper now and boost your score.
, NCLEX Nursing Exam 2026: 115 Questions & Answers
SECTION A: NURSING FUNDAMENTALS (Questions 1-10)
Question 1
Which of the following represents the correct sequence of the nursing process?
A. Assessment, Planning, Analysis, Implementation, Evaluation
B. Assessment, Analysis, Planning, Implementation, Evaluation
C. Analysis, Assessment, Planning, Implementation, Evaluation
D. Assessment, Analysis, Implementation, Planning, Evaluation
Answer: B
Explanation: The nursing process follows a logical sequence: Assessment (gathering data),
Analysis (interpreting data to identify problems), Planning (developing goals and
interventions), Implementation (carrying out interventions), and Evaluation (assessing
effectiveness). This order ensures systematic clinical reasoning.
Question 2
A nurse is caring for a patient who expresses fear about an upcoming surgical procedure.
According to the four aims of nursing, this situation primarily addresses which goal?
A. Promote health overall
B. Prevent illness
C. Treat human response to health or illness
D. Advocate for the individual, family, community, and populations
Answer: C
Explanation: Treating human response to health or illness encompasses addressing
psychological and emotional responses such as fear, anxiety, and coping mechanisms related
to health conditions or treatments.
,Question 3
During which phase of the nursing process does the nurse ask, "Did the intervention help the
patient achieve the desired outcome?"
A. Analysis
B. Planning
C. Implementation
D. Evaluation
Answer: D
Explanation: Evaluation is the ongoing process of determining whether interventions were
effective, whether goals were achieved, and what modifications are needed in the plan of
care.
Question 4
A novice nurse uses the clinical judgment model to guide decision-making. What is the
primary purpose of this framework?
A. To replace the nursing process with a more advanced system
B. To provide structured decision-making guidance for new practitioners
C. To eliminate the need for preceptor supervision
D. To prioritize documentation requirements
Answer: B
Explanation: The clinical judgment model provides novice nurses with a structured
decision-making framework that includes recognizing cues, analyzing cues, prioritizing
hypotheses, generating solutions, taking action, and evaluating outcomes, thereby supporting
safe and effective practice.
Question 5
The nurse recognizes that a patient's labored breathing and use of accessory muscles
represent which step of the clinical judgment model?
A. Prioritize hypotheses
B. Generate solutions
, C. Recognize cues
D. Evaluate outcomes
Answer: C
Explanation: Recognizing cues involves gathering and identifying relevant signs and
symptoms from assessment data, such as abnormal breathing patterns, vital signs, and
physical examination findings.
Question 6
After reviewing assessment findings, the nurse determines that the patient is at risk for falls.
This clinical judgment occurs during which step?
A. Recognize cues
B. Analyze cues
C. Take action
D. Evaluate outcomes
Answer: B
Explanation: Analyzing cues involves interpreting assessment data to identify actual and
potential problems, determining what the findings mean for the specific patient, and
recognizing patterns that indicate risk or concern.
Question 7
A nurse determines that a patient's oxygen saturation of 89% requires immediate intervention.
The thinking process "Where do I start?" corresponds to which nursing process phase?
A. Assessment
B. Analysis
C. Planning
D. Evaluation
Answer: C
Explanation: Planning involves prioritizing care decisions, establishing goals, and
determining which interventions require immediate attention based on patient needs and
urgency.