Page 1 of 210
NCSBN NCLEX RN PRACTICE EXAM LATEST
UPDATE 2026-2027 QUESTIONS AND
DETAILED SOLUTIONS
Question: A 28-year-old is transferred to the emergency department (ED) via ambulance with a
traumatic head injury. The client is awake and reports having a headache and some amnesia.
What are the priority nursing interventions for this client? (Select all that apply.) - CORRECT
ANSWER✔✔Correct Response
Assess vital signs and neurological function
Assess the airway
Prepare for CT imaging of the head
Assess the wound for presence of drainage or bruising on the head
Question: A client exhibits many delusional thoughts. As the nurse assists the client to prepare
for breakfast, the client comments, "Don't waste good food on me. I'm dying from this disease I
have." Which response by the nurse would be the best?
1"None of the laboratory reports show that you have any physical disease."
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2"Try to eat a little bit. Breakfast is the most important meal of the day."
3"I know you believe that you have an incurable disease."
4"What has your primary health care provider told you?" - CORRECT ANSWER✔✔3
Question: The family member tells an admitting nurse that the client values the practice of
Chinese medicine. The nurse must understand that for this family and client a priority goal
should take which focus?
1Achieve harmony
2Respect life in old age
3Maintain energy balance
4Restore yin and yang - CORRECT ANSWER✔✔4
Question: The nurse is reinforcing dietary instructions to the parents of a child diagnosed with
cystic fibrosis. The nurse will emphasize which of the following characteristics of this diet?
1A gluten-free diet, avoiding foods that contain wheat, rye and barley
2Balanced, high calorie diet with extra fat, salt, protein and calcium
3Foods low in sodium, potassium and phosphorus
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4Carbohydrate counting, selecting foods from the bread/starch, fruit, or milk group - CORRECT
ANSWER✔✔2
Question: The nurse works in a psychiatric inpatient setting. What information should the
nurse be aware of as one of the most frequent reasons for suicide in adolescents?
1Progressive failure to adapt to peer pressure
2Reunion wish or a fantasy of some sort
3Feelings of anger or hostility toward others
4Feelings of alienation or isolation from peers - CORRECT ANSWER✔✔4
Question: When a client returns from surgery after an open reduction with cast application for
a femur fracture, a small blood stain is noted on the cast by the nurse. Four hours later, the
nurse observes that the stain has doubled in size. What is the initial action for the nurse to take
at this time?
1Ask the family members to call you when they notice the spot getting larger
2Record the findings in the nurse's notes
3Outline the spot with a pen and note the time and date on the cast
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4Report the finding to the registered nurse (RN) charge nurse - CORRECT ANSWER✔✔3
Question: The nurse is discussing an illness with a 10 year-old child. What should the nurse
keep in mind about this child's ability to understand the information at this stage of
development?
1Makes simple association of ideas
2Bases conclusions on abstract thinking
I3nterprets events from own perspective
4Thinks logically to organize facts - CORRECT ANSWER✔✔4
Question: The nurse calls for help after finding an unresponsive adult client in a hospital room.
What action should the nurse take next for the client who has no pulse and is not breathing?
1Open the airway and deliver two breaths followed by 30 compressions
2Provide continuous chest compressions until someone comes with the crash cart
3Provide a cycle of 30 compressions followed by two breaths
4Provide 15 compressions and then pause while someone delivers one "breath" using an ambu
bag - CORRECT ANSWER✔✔3
NCSBN NCLEX RN PRACTICE EXAM LATEST
UPDATE 2026-2027 QUESTIONS AND
DETAILED SOLUTIONS
Question: A 28-year-old is transferred to the emergency department (ED) via ambulance with a
traumatic head injury. The client is awake and reports having a headache and some amnesia.
What are the priority nursing interventions for this client? (Select all that apply.) - CORRECT
ANSWER✔✔Correct Response
Assess vital signs and neurological function
Assess the airway
Prepare for CT imaging of the head
Assess the wound for presence of drainage or bruising on the head
Question: A client exhibits many delusional thoughts. As the nurse assists the client to prepare
for breakfast, the client comments, "Don't waste good food on me. I'm dying from this disease I
have." Which response by the nurse would be the best?
1"None of the laboratory reports show that you have any physical disease."
, Page 2 of 210
2"Try to eat a little bit. Breakfast is the most important meal of the day."
3"I know you believe that you have an incurable disease."
4"What has your primary health care provider told you?" - CORRECT ANSWER✔✔3
Question: The family member tells an admitting nurse that the client values the practice of
Chinese medicine. The nurse must understand that for this family and client a priority goal
should take which focus?
1Achieve harmony
2Respect life in old age
3Maintain energy balance
4Restore yin and yang - CORRECT ANSWER✔✔4
Question: The nurse is reinforcing dietary instructions to the parents of a child diagnosed with
cystic fibrosis. The nurse will emphasize which of the following characteristics of this diet?
1A gluten-free diet, avoiding foods that contain wheat, rye and barley
2Balanced, high calorie diet with extra fat, salt, protein and calcium
3Foods low in sodium, potassium and phosphorus
, Page 3 of 210
4Carbohydrate counting, selecting foods from the bread/starch, fruit, or milk group - CORRECT
ANSWER✔✔2
Question: The nurse works in a psychiatric inpatient setting. What information should the
nurse be aware of as one of the most frequent reasons for suicide in adolescents?
1Progressive failure to adapt to peer pressure
2Reunion wish or a fantasy of some sort
3Feelings of anger or hostility toward others
4Feelings of alienation or isolation from peers - CORRECT ANSWER✔✔4
Question: When a client returns from surgery after an open reduction with cast application for
a femur fracture, a small blood stain is noted on the cast by the nurse. Four hours later, the
nurse observes that the stain has doubled in size. What is the initial action for the nurse to take
at this time?
1Ask the family members to call you when they notice the spot getting larger
2Record the findings in the nurse's notes
3Outline the spot with a pen and note the time and date on the cast
, Page 4 of 210
4Report the finding to the registered nurse (RN) charge nurse - CORRECT ANSWER✔✔3
Question: The nurse is discussing an illness with a 10 year-old child. What should the nurse
keep in mind about this child's ability to understand the information at this stage of
development?
1Makes simple association of ideas
2Bases conclusions on abstract thinking
I3nterprets events from own perspective
4Thinks logically to organize facts - CORRECT ANSWER✔✔4
Question: The nurse calls for help after finding an unresponsive adult client in a hospital room.
What action should the nurse take next for the client who has no pulse and is not breathing?
1Open the airway and deliver two breaths followed by 30 compressions
2Provide continuous chest compressions until someone comes with the crash cart
3Provide a cycle of 30 compressions followed by two breaths
4Provide 15 compressions and then pause while someone delivers one "breath" using an ambu
bag - CORRECT ANSWER✔✔3
