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NCLEX-RN 2025-2026 | 150+ PRACTICE QUESTIONS
WITH CORRECT ANSWERS AND RATIONALES
(LATEST VERSION) VERIFIED AND 100% CORRECT,
ALREADY GRADED A+
1. A nurse is caring for a client with pneumonia. Which finding indicates
hypoxemia?
A. Pink, warm skin
B. Restlessness and irritability
C. Bradycardia
D. Decreased respiratory rate
Answer: B. Restlessness and irritability
Rationale: Early signs of hypoxemia include anxiety, restlessness, irritability, and
confusion.
2. A nurse is teaching a client taking warfarin. Which statement indicates
understanding?
A. “I will increase my intake of spinach.”
B. “I will use an electric razor.”
C. “I will take aspirin for headaches.”
D. “I do not need regular blood tests.”
Answer: B. “I will use an electric razor.”
Rationale: Clients on anticoagulants should avoid bleeding risks.
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3. A nurse is providing discharge teaching to a client with a new colostomy.
Which action shows understanding?
A. Changing the pouch once a week
B. Cutting the skin barrier opening slightly larger than the stoma
C. Cleaning the stoma with hydrogen peroxide
D. Limiting fluid intake
Answer: B. Cutting the skin barrier opening slightly larger than the stoma
Rationale: Prevents irritation and ensures a proper fit.
4. A nurse is caring for a client with heart failure. Which dietary instruction is
appropriate?
A. Increase sodium intake
B. Limit fluid intake to 2 liters/day
C. Eat high-fat foods for energy
D. Avoid fresh fruits and vegetables
Answer: B. Limit fluid intake to 2 liters/day
Rationale: Fluid restriction helps prevent fluid overload.
5. A nurse is caring for a client with COPD. Which oxygen delivery device is
best?
A. Non-rebreather mask at 12 L/min
B. Venturi mask at 2–4 L/min
C. Nasal cannula at 8 L/min
D. Simple mask at 10 L/min
Answer: B. Venturi mask at 2–4 L/min
Rationale: Provides precise oxygen concentration and avoids suppressing
respiratory drive.
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6. A nurse is preparing to administer digoxin. Which finding requires holding
the dose?
A. Heart rate 58/min
B. Blood pressure 130/80 mmHg
C. Potassium 4.0 mEq/L
D. Respiratory rate 20/min
Answer: A. Heart rate 58/min
Rationale: Hold digoxin if HR < 60/min in adults.
7. A nurse is providing care for a client receiving chemotherapy. Which lab
value requires intervention?
A. WBC 2,000/mm³
B. Hemoglobin 14 g/dL
C. Platelets 250,000/mm³
D. Hematocrit 42%
Answer: A. WBC 2,000/mm³
Rationale: Indicates neutropenia → risk for infection.
8. A nurse is assessing a client after thyroidectomy. Which finding is priority?
A. Hoarseness when speaking
B. Difficulty swallowing saliva
C. Pain at incision site
D. Serosanguinous drainage
Answer: B. Difficulty swallowing saliva
Rationale: May indicate airway obstruction.
9. A nurse is caring for a client with a chest tube. Which finding requires
intervention?
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A. Continuous bubbling in the water seal chamber
B. Tidaling with respirations
C. Drainage of 50 mL/hr
D. Tube secured with tape
Answer: A. Continuous bubbling in the water seal chamber
Rationale: Indicates air leak.
10. A nurse is teaching a client with type 1 diabetes about hypoglycemia.
Which symptom should be reported immediately?
A. Increased thirst
B. Shakiness and sweating
C. Increased urination
D. Fruity breath odor
Answer: B. Shakiness and sweating
Rationale: Early hypoglycemia signs must be treated quickly.
11. A nurse is caring for a client after a stroke with dysphagia. Which action is
safest?
A. Offer thin liquids
B. Place food on the unaffected side of the mouth
C. Tilt head back while swallowing
D. Give large bites of food
Answer: B. Place food on the unaffected side of the mouth
Rationale: Prevents aspiration.
12. A nurse is caring for a client with myasthenia gravis. Which medication
should the nurse expect?
A. Atropine
B. Pyridostigmine
NCLEX-RN 2025-2026 | 150+ PRACTICE QUESTIONS
WITH CORRECT ANSWERS AND RATIONALES
(LATEST VERSION) VERIFIED AND 100% CORRECT,
ALREADY GRADED A+
1. A nurse is caring for a client with pneumonia. Which finding indicates
hypoxemia?
A. Pink, warm skin
B. Restlessness and irritability
C. Bradycardia
D. Decreased respiratory rate
Answer: B. Restlessness and irritability
Rationale: Early signs of hypoxemia include anxiety, restlessness, irritability, and
confusion.
2. A nurse is teaching a client taking warfarin. Which statement indicates
understanding?
A. “I will increase my intake of spinach.”
B. “I will use an electric razor.”
C. “I will take aspirin for headaches.”
D. “I do not need regular blood tests.”
Answer: B. “I will use an electric razor.”
Rationale: Clients on anticoagulants should avoid bleeding risks.
,2|Page
3. A nurse is providing discharge teaching to a client with a new colostomy.
Which action shows understanding?
A. Changing the pouch once a week
B. Cutting the skin barrier opening slightly larger than the stoma
C. Cleaning the stoma with hydrogen peroxide
D. Limiting fluid intake
Answer: B. Cutting the skin barrier opening slightly larger than the stoma
Rationale: Prevents irritation and ensures a proper fit.
4. A nurse is caring for a client with heart failure. Which dietary instruction is
appropriate?
A. Increase sodium intake
B. Limit fluid intake to 2 liters/day
C. Eat high-fat foods for energy
D. Avoid fresh fruits and vegetables
Answer: B. Limit fluid intake to 2 liters/day
Rationale: Fluid restriction helps prevent fluid overload.
5. A nurse is caring for a client with COPD. Which oxygen delivery device is
best?
A. Non-rebreather mask at 12 L/min
B. Venturi mask at 2–4 L/min
C. Nasal cannula at 8 L/min
D. Simple mask at 10 L/min
Answer: B. Venturi mask at 2–4 L/min
Rationale: Provides precise oxygen concentration and avoids suppressing
respiratory drive.
,3|Page
6. A nurse is preparing to administer digoxin. Which finding requires holding
the dose?
A. Heart rate 58/min
B. Blood pressure 130/80 mmHg
C. Potassium 4.0 mEq/L
D. Respiratory rate 20/min
Answer: A. Heart rate 58/min
Rationale: Hold digoxin if HR < 60/min in adults.
7. A nurse is providing care for a client receiving chemotherapy. Which lab
value requires intervention?
A. WBC 2,000/mm³
B. Hemoglobin 14 g/dL
C. Platelets 250,000/mm³
D. Hematocrit 42%
Answer: A. WBC 2,000/mm³
Rationale: Indicates neutropenia → risk for infection.
8. A nurse is assessing a client after thyroidectomy. Which finding is priority?
A. Hoarseness when speaking
B. Difficulty swallowing saliva
C. Pain at incision site
D. Serosanguinous drainage
Answer: B. Difficulty swallowing saliva
Rationale: May indicate airway obstruction.
9. A nurse is caring for a client with a chest tube. Which finding requires
intervention?
, 4|Page
A. Continuous bubbling in the water seal chamber
B. Tidaling with respirations
C. Drainage of 50 mL/hr
D. Tube secured with tape
Answer: A. Continuous bubbling in the water seal chamber
Rationale: Indicates air leak.
10. A nurse is teaching a client with type 1 diabetes about hypoglycemia.
Which symptom should be reported immediately?
A. Increased thirst
B. Shakiness and sweating
C. Increased urination
D. Fruity breath odor
Answer: B. Shakiness and sweating
Rationale: Early hypoglycemia signs must be treated quickly.
11. A nurse is caring for a client after a stroke with dysphagia. Which action is
safest?
A. Offer thin liquids
B. Place food on the unaffected side of the mouth
C. Tilt head back while swallowing
D. Give large bites of food
Answer: B. Place food on the unaffected side of the mouth
Rationale: Prevents aspiration.
12. A nurse is caring for a client with myasthenia gravis. Which medication
should the nurse expect?
A. Atropine
B. Pyridostigmine
