Pass your NCLEX-RN on the first try with this highly targeted 2026 practice exam. Featuring 34
meticulously crafted questions and verified answers, this pack is designed to build critical
clinical judgment skills and align with the latest Client Needs test categories.
Why Choose This Practice Exam?
• Up-to-Date for 2026: Fully aligned with the latest 2026 NCLEX-RN Test Plan, including
new guidelines on unbiased care and safety protocols.
• 34 High-Yield Questions: Focus your study time on the most frequently tested core
competencies rather than memorization.
• Verified Explanations: Every question comes with a verified rationale so you understand
exactly why the correct answer is right and why the distractors are wrong.
What’s Covered in This Set?
The exam spans the four major Client Needs categories tested by the NCSBN:
1. Safe and Effective Care Environment: Management of care and infection prevention.
2. Health Promotion and Maintenance: Age-specific care, wellness, and early detection.
3. Psychosocial Integrity: Therapeutic communication, coping mechanisms, and mental
health.
4. Physiological Integrity: Pharmacological therapies, physiological adaptation, and risk
reduction.
Who Is This For?
• Final Semester Nursing Students: Great for brushing up on test-taking strategies before
the real exam.
• Repeat Test-Takers: Perfect for targeting weaknesses and identifying knowledge gaps.
• Graduate Nurses: Ideal for keeping your clinical reasoning sharp on a daily basis.
1
, Quiz_________________?
A client asks why a diagnostic test has been ordered and the nurse replies, "I'm unsure but
will find out for you." When the nurse later returns and provides an explanation, the nurse
is acting under which principle?
1. Nonmaleficence
2. Veracity
3. Beneficence
4. Fidelity -
ANSWER✅
Answer: 4
Rationale: Fidelity means being faithful to agreements and promises. This nurse is acting on
the client's behalf to obtain needed information and report it back to the client.
Nonmaleficence is the duty to do no harm. Veracity refers to telling the truth for example,
not lying to a client about a serious prognosis. Beneficence means doing good, such as by
implementing actions (e.g. keeping a salt shaker out of sight) that benefit a client (heart
condition requiring sodium-restricted diet).
Cognitive Level: Understanding
Client Need: Management of Care
Integrated Process: Nursing Process: Implementation
Content Area: Fundamentals
Strategy: Use the process of elimination. The correct answer is the one that matches the
description in the stem; that is, the nurse made a promise to a client and kept it, which
constitutes fidelity.
Quiz_________________?
A client is experiencing respiratory distress. Respirations are 32 breaths/min and shallow.
The client is positioned in an orthopneic position, with a heart rate of 118/min and a blood
pressure of 90/40 mmHg. The client is pale and confused. Which task should the nurse
delegate to the charge nurse?
2
, 1. Head-to-toe assessment
2. Placement of a second IV site
3. Application of oxygen
4. Overhead page the respiratory therapist (RT) -
ANSWER✅
Answer:
Rationale:
Cognitive Level:
Client Need:
Integrated Process:
Content Area:
Strategy:
Quiz_________________?
A client is referred to a surgeon by the general practitioner. After meeting the surgeon, the
client decides to find a different surgeon to continue treatment. The nurse supports the
client's action, utilizing which ethical principle?
1. Beneficence
2. Veracity
3. Autonomy
4. Privacy -
ANSWER✅
Answer: 3
Rationale: Autonomy is the right of individuals to take action for themselves. Beneficence is
an ethical principle to do good and applies when the nurse has a city to help others by doing
what is best for them. Veracity refers to truthfulness. Privacy is the nondisclosure of
information by the health care team.
3
meticulously crafted questions and verified answers, this pack is designed to build critical
clinical judgment skills and align with the latest Client Needs test categories.
Why Choose This Practice Exam?
• Up-to-Date for 2026: Fully aligned with the latest 2026 NCLEX-RN Test Plan, including
new guidelines on unbiased care and safety protocols.
• 34 High-Yield Questions: Focus your study time on the most frequently tested core
competencies rather than memorization.
• Verified Explanations: Every question comes with a verified rationale so you understand
exactly why the correct answer is right and why the distractors are wrong.
What’s Covered in This Set?
The exam spans the four major Client Needs categories tested by the NCSBN:
1. Safe and Effective Care Environment: Management of care and infection prevention.
2. Health Promotion and Maintenance: Age-specific care, wellness, and early detection.
3. Psychosocial Integrity: Therapeutic communication, coping mechanisms, and mental
health.
4. Physiological Integrity: Pharmacological therapies, physiological adaptation, and risk
reduction.
Who Is This For?
• Final Semester Nursing Students: Great for brushing up on test-taking strategies before
the real exam.
• Repeat Test-Takers: Perfect for targeting weaknesses and identifying knowledge gaps.
• Graduate Nurses: Ideal for keeping your clinical reasoning sharp on a daily basis.
1
, Quiz_________________?
A client asks why a diagnostic test has been ordered and the nurse replies, "I'm unsure but
will find out for you." When the nurse later returns and provides an explanation, the nurse
is acting under which principle?
1. Nonmaleficence
2. Veracity
3. Beneficence
4. Fidelity -
ANSWER✅
Answer: 4
Rationale: Fidelity means being faithful to agreements and promises. This nurse is acting on
the client's behalf to obtain needed information and report it back to the client.
Nonmaleficence is the duty to do no harm. Veracity refers to telling the truth for example,
not lying to a client about a serious prognosis. Beneficence means doing good, such as by
implementing actions (e.g. keeping a salt shaker out of sight) that benefit a client (heart
condition requiring sodium-restricted diet).
Cognitive Level: Understanding
Client Need: Management of Care
Integrated Process: Nursing Process: Implementation
Content Area: Fundamentals
Strategy: Use the process of elimination. The correct answer is the one that matches the
description in the stem; that is, the nurse made a promise to a client and kept it, which
constitutes fidelity.
Quiz_________________?
A client is experiencing respiratory distress. Respirations are 32 breaths/min and shallow.
The client is positioned in an orthopneic position, with a heart rate of 118/min and a blood
pressure of 90/40 mmHg. The client is pale and confused. Which task should the nurse
delegate to the charge nurse?
2
, 1. Head-to-toe assessment
2. Placement of a second IV site
3. Application of oxygen
4. Overhead page the respiratory therapist (RT) -
ANSWER✅
Answer:
Rationale:
Cognitive Level:
Client Need:
Integrated Process:
Content Area:
Strategy:
Quiz_________________?
A client is referred to a surgeon by the general practitioner. After meeting the surgeon, the
client decides to find a different surgeon to continue treatment. The nurse supports the
client's action, utilizing which ethical principle?
1. Beneficence
2. Veracity
3. Autonomy
4. Privacy -
ANSWER✅
Answer: 3
Rationale: Autonomy is the right of individuals to take action for themselves. Beneficence is
an ethical principle to do good and applies when the nurse has a city to help others by doing
what is best for them. Veracity refers to truthfulness. Privacy is the nondisclosure of
information by the health care team.
3
