NCLEX-RN – PRACTICE QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
CORE DOMAINS
- Management of Care
- Safety and Infection Control
- Health Promotion and Maintenance
- Psychosocial Integrity
- Basic Care and Comfort
- Pharmacological and Parenteral Therapies
- Reduction of Risk Potential
- Physiological Adaptation
INTRODUCTION
The purpose of this comprehensive assessment is to evaluate the clinical judgment
and entry-level nursing competence required for safe practice. This exam assesses a
wide range of essential skills and knowledge, including pharmacological
interventions, physiological adaptation, and the management of patient care. The
structure utilizes multiple-choice and complex scenario-based questions to mirror the
,adaptive nature of professional licensure examinations. There is a heavy emphasis
on real-world application, prioritizing patient safety, and sound clinical decision-
making. Candidates are expected to apply critical thinking to diverse healthcare
situations, ensuring they possess the necessary expertise to provide high-quality care
across various clinical settings.
SECTION ONE: QUESTIONS 1–100
1. A nurse is caring for a client who is 24 hours postoperative following a total hip
arthroplasty. Which of the following actions should the nurse take to prevent
deep vein thrombosis (DVT)?
A. Place a pillow under the client’s knees
B. Massage the client's calves daily
🟢 C. Apply sequential compression devices
D. Maintain the client on strict bed rest
🔴 RATIONALE: Sequential compression devices promote venous return and
prevent blood stasis, significantly reducing the risk of DVT in postoperative clients.
2. A nurse is assessing a client with a history of heart failure who presents with
dyspnea and crackles in the bilateral lung bases. Which of the following
, medications should the nurse anticipate administering?
🟢 A. Furosemide
B. Atenolol
C. Lisinopril
D. Digoxin
🔴 RATIONALE: Furosemide is a loop diuretic used to rapidly remove excess fluid
volume in clients experiencing pulmonary edema related to heart failure.
3. A nurse is providing discharge teaching to a client who has a new prescription
for warfarin. Which of the following statements by the client indicates an
understanding of the teaching?
A. I will increase my intake of dark green leafy vegetables
🟢 B. I will use a soft-bristled toothbrush for oral care
C. I will take aspirin if I develop a headache
D. I will skip a dose if I notice small bruises
🔴 RATIONALE: Warfarin increases the risk of bleeding; using a soft-bristled
toothbrush helps prevent gingival bleeding and trauma.
, 4. A nurse is preparing to administer a blood transfusion to a client. Which of the
following actions is the priority?
A. Ensure the client has a 22-gauge intravenous catheter
B. Check the expiration date on the blood bag
🟢 C. Verify the client’s identity with another RN
D. Obtain a set of baseline vital signs
🔴 RATIONALE: Verifying the client's identity and matching it with the blood product
using two licensed providers is the most critical step to prevent a fatal hemolytic
reaction.
5. A client with type 1 diabetes mellitus is found unconscious and diaphoretic.
Which of the following actions should the nurse take first?
A. Check the client’s blood glucose level
🟢 B. Administer glucagon intramuscularly
C. Provide 4 ounces of orange juice
D. Call the rapid response team
🔴 RATIONALE: In an emergency where a diabetic client is unconscious and
hypoglycemia is suspected, administering glucagon is the fastest way to increase
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
CORE DOMAINS
- Management of Care
- Safety and Infection Control
- Health Promotion and Maintenance
- Psychosocial Integrity
- Basic Care and Comfort
- Pharmacological and Parenteral Therapies
- Reduction of Risk Potential
- Physiological Adaptation
INTRODUCTION
The purpose of this comprehensive assessment is to evaluate the clinical judgment
and entry-level nursing competence required for safe practice. This exam assesses a
wide range of essential skills and knowledge, including pharmacological
interventions, physiological adaptation, and the management of patient care. The
structure utilizes multiple-choice and complex scenario-based questions to mirror the
,adaptive nature of professional licensure examinations. There is a heavy emphasis
on real-world application, prioritizing patient safety, and sound clinical decision-
making. Candidates are expected to apply critical thinking to diverse healthcare
situations, ensuring they possess the necessary expertise to provide high-quality care
across various clinical settings.
SECTION ONE: QUESTIONS 1–100
1. A nurse is caring for a client who is 24 hours postoperative following a total hip
arthroplasty. Which of the following actions should the nurse take to prevent
deep vein thrombosis (DVT)?
A. Place a pillow under the client’s knees
B. Massage the client's calves daily
🟢 C. Apply sequential compression devices
D. Maintain the client on strict bed rest
🔴 RATIONALE: Sequential compression devices promote venous return and
prevent blood stasis, significantly reducing the risk of DVT in postoperative clients.
2. A nurse is assessing a client with a history of heart failure who presents with
dyspnea and crackles in the bilateral lung bases. Which of the following
, medications should the nurse anticipate administering?
🟢 A. Furosemide
B. Atenolol
C. Lisinopril
D. Digoxin
🔴 RATIONALE: Furosemide is a loop diuretic used to rapidly remove excess fluid
volume in clients experiencing pulmonary edema related to heart failure.
3. A nurse is providing discharge teaching to a client who has a new prescription
for warfarin. Which of the following statements by the client indicates an
understanding of the teaching?
A. I will increase my intake of dark green leafy vegetables
🟢 B. I will use a soft-bristled toothbrush for oral care
C. I will take aspirin if I develop a headache
D. I will skip a dose if I notice small bruises
🔴 RATIONALE: Warfarin increases the risk of bleeding; using a soft-bristled
toothbrush helps prevent gingival bleeding and trauma.
, 4. A nurse is preparing to administer a blood transfusion to a client. Which of the
following actions is the priority?
A. Ensure the client has a 22-gauge intravenous catheter
B. Check the expiration date on the blood bag
🟢 C. Verify the client’s identity with another RN
D. Obtain a set of baseline vital signs
🔴 RATIONALE: Verifying the client's identity and matching it with the blood product
using two licensed providers is the most critical step to prevent a fatal hemolytic
reaction.
5. A client with type 1 diabetes mellitus is found unconscious and diaphoretic.
Which of the following actions should the nurse take first?
A. Check the client’s blood glucose level
🟢 B. Administer glucagon intramuscularly
C. Provide 4 ounces of orange juice
D. Call the rapid response team
🔴 RATIONALE: In an emergency where a diabetic client is unconscious and
hypoglycemia is suspected, administering glucagon is the fastest way to increase
