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NCLEX-RN Ultimate Test Bank 2025–2026 | 300+ A+ Real
Exam Questions with Rationales | Pass Guaranteed
Question 1
A nurse is caring for a client who is post-operative following abdominal surgery.
The client reports pain of 7 out of 10 and is grimacing during movement. The
provider has ordered morphine IV every 4 hours as needed for pain. It has been 3.5
hours since the last dose. What should the nurse do first?
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A. Educate the client about non-pharmacological pain techniques
B. Document the pain level in the chart
C. Administer the morphine as ordered
D. Contact the healthcare provider for a new pain medication
Correct Answer: C. Administer the morphine as ordered
Rationale: Since the pain is severe and the prescribed interval has passed, the
nurse should prioritize pain management and administer the morphine.
Documentation and education are important but secondary in this acute situation.
Question 2
A nurse is preparing to insert a Foley catheter into a female client. Which of the
following actions demonstrates proper aseptic technique?
A. Cleansing the perineal area with tap water
B. Maintaining sterile gloves while handling the catheter
C. Applying clean gloves before catheter insertion
D. Using the dominant hand to clean the urinary meatus
Correct Answer: B. Maintaining sterile gloves while handling the catheter
Rationale: Maintaining sterility is critical to prevent urinary tract infections. The
nurse must use sterile gloves during insertion to avoid introducing pathogens.
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Question 3
A client is being discharged with new prescriptions and requires teaching about
digoxin. Which of the following should the nurse emphasize?
A. Take the medication on a full stomach
B. It is safe to take if you miss two doses
C. Check your pulse before each dose
D. Increase potassium intake only when symptoms occur
Correct Answer: C. Check your pulse before each dose
Rationale: Digoxin affects heart rate; patients should check their pulse and
withhold the medication if the heart rate is below 60 bpm, then notify the provider.
Question 4
A nurse receives an order to administer 2 units of packed red blood cells to a client
with a hemoglobin of 6.8 g/dL. What is the nurse’s priority action before initiating
the transfusion?
A. Notify the provider the IV site is old
B. Check the client's identification with another nurse
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C. Verify the blood product with another licensed professional
D. Warm the blood product before administration
Correct Answer: C. Verify the blood product with another licensed professional
Rationale: To prevent transfusion reactions, two licensed staff must verify the
blood product, including name, ID number, blood type, and expiration.
Question 5
While caring for a patient on contact precautions for MRSA, which PPE should the
nurse wear before entering the room?
A. Gloves only
B. Gown and gloves
C. Gown, gloves, and face shield
D. Gloves and N95 respirator
Correct Answer: B. Gown and gloves
Rationale: Contact precautions for MRSA require gown and gloves to prevent
contamination. A mask or shield is only needed if splashing is likely.
NCLEX-RN Ultimate Test Bank 2025–2026 | 300+ A+ Real
Exam Questions with Rationales | Pass Guaranteed
Question 1
A nurse is caring for a client who is post-operative following abdominal surgery.
The client reports pain of 7 out of 10 and is grimacing during movement. The
provider has ordered morphine IV every 4 hours as needed for pain. It has been 3.5
hours since the last dose. What should the nurse do first?
, 2
A. Educate the client about non-pharmacological pain techniques
B. Document the pain level in the chart
C. Administer the morphine as ordered
D. Contact the healthcare provider for a new pain medication
Correct Answer: C. Administer the morphine as ordered
Rationale: Since the pain is severe and the prescribed interval has passed, the
nurse should prioritize pain management and administer the morphine.
Documentation and education are important but secondary in this acute situation.
Question 2
A nurse is preparing to insert a Foley catheter into a female client. Which of the
following actions demonstrates proper aseptic technique?
A. Cleansing the perineal area with tap water
B. Maintaining sterile gloves while handling the catheter
C. Applying clean gloves before catheter insertion
D. Using the dominant hand to clean the urinary meatus
Correct Answer: B. Maintaining sterile gloves while handling the catheter
Rationale: Maintaining sterility is critical to prevent urinary tract infections. The
nurse must use sterile gloves during insertion to avoid introducing pathogens.
, 3
Question 3
A client is being discharged with new prescriptions and requires teaching about
digoxin. Which of the following should the nurse emphasize?
A. Take the medication on a full stomach
B. It is safe to take if you miss two doses
C. Check your pulse before each dose
D. Increase potassium intake only when symptoms occur
Correct Answer: C. Check your pulse before each dose
Rationale: Digoxin affects heart rate; patients should check their pulse and
withhold the medication if the heart rate is below 60 bpm, then notify the provider.
Question 4
A nurse receives an order to administer 2 units of packed red blood cells to a client
with a hemoglobin of 6.8 g/dL. What is the nurse’s priority action before initiating
the transfusion?
A. Notify the provider the IV site is old
B. Check the client's identification with another nurse
, 4
C. Verify the blood product with another licensed professional
D. Warm the blood product before administration
Correct Answer: C. Verify the blood product with another licensed professional
Rationale: To prevent transfusion reactions, two licensed staff must verify the
blood product, including name, ID number, blood type, and expiration.
Question 5
While caring for a patient on contact precautions for MRSA, which PPE should the
nurse wear before entering the room?
A. Gloves only
B. Gown and gloves
C. Gown, gloves, and face shield
D. Gloves and N95 respirator
Correct Answer: B. Gown and gloves
Rationale: Contact precautions for MRSA require gown and gloves to prevent
contamination. A mask or shield is only needed if splashing is likely.
