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Exam (elaborations)

NCLEX-PN Practice Questions 2026 – Comprehensive Nursing Review and Exam Preparation Material

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This document contains an extensive collection of NCLEX-PN–style practice questions with clearly underlined correct answers and concise rationales. The questions cover a broad range of practical nursing topics, including medical-surgical nursing, pharmacology, pediatrics, maternity, mental health, leadership, delegation, and emergency care, making it a thorough review resource for exam preparation. The material is well suited for PN students preparing for the NCLEX-PN exam or for reinforcing clinical reasoning and prioritization skills commonly tested on licensure exams.

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Institution
NCLEX-PN
Module
NCLEX-PN

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Uploaded on
January 17, 2026
Number of pages
69
Written in
2025/2026
Type
Exam (elaborations)
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Questions & answers

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NCLEX-PN PRACTICE
QUESTIONS 2026



Instructions
All answers are underlined.
Questions



A 24-year-old female client is scheduled for surgery in
the morning. Which of the following is the primary
responsibility of the nurse?


A. taking the vital signs
B. obtaining the permit
C. explaining the procedure
D. Checking the lab work <answer>A. taking the vital
signs

,Rationale
the primary responsibility of the nurse is to take the vital
signs before any surgery.
answers B, C and D are the responsibility of the doctor.


A 25-year-old male is brought to the ER with a piece of
metal in his eye. Which action by the nurse is correct?


A. Use a magnet to remove the object
B. Rinse the eye thoroughly with saline
C. Cover both eyes with paper cups
D. Patch the affected eye only <answer>C. Cover both
eyes with paper cups
Rationale
Covering both eyes prevents consensual movement of the
affected eye.


A 6-month-old client is admitted with possible
intussusception. Which question during the nursing
history is least helpful in obtaining information
regarding this diagnosis?

,A. "tell me about the pain"
B. "what does his vomit look like?"
C." Describe his usual diet."
D. " have you noticed changes in his abdominal size?"
<answer>C." Describe his usual diet."
Rationale
The least-helpful questions are those describing his usual
diet. A, B, and D are useful in determining the extent of
disease process and thus, are incorrect


A 70-year-old man who is recovering from a stroke
exhibits signs of unilateral neglect. Which behavior is
suggested of unilateral neglect?


A. The client is observed by shaving only one side of
his face
B. The client is unable to distinguish between two
tactile stimuli presented simultaneously
C. The client is unable to complete a range a vision
without turning his head side to side
D. The client is unable to carry out cognitive and
motor activity at the same time <answer>A. The client is
observed by shaving only one side of his face

, Rationale
The client with unilateral neglect will neglect one side of
the body


A client arrives in the emergency room with a possible
fractured femur. The nurse should anticipate an order
for:


A. Trendelenburg position
B. Ice to the entire extremity
C. Bucks traction
D. An abduction pillow <answer>C. Bucks traction
Rationale
The client with a fractured femur will be placed in Bucks
traction to realign the leg and decrease spasms and pain.


A client has been receiving cyanocobalamin (B12)
injections for the past 6 weeks. Which lab finding
indicates that the medication is having the desired
effect?


A. Neutrophil count of 60%
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