NCLEX Exam Preview 2026/2027
Next Generation NCLEX Overview, Sample
Questions & Exam Format Guide
Comprehensive NCLEX Preparation
Course: Nursing
Date: February 2026
“Premium NCLEX Next-Gen Practice Material |
All Chapters Latest 2026/2027 Edition | Verified
Questions & Rationales”
2/24/2026, 1:50:26 PM
,The charge nurse has received a change-of-shift report on the 2. first stage of labor whose contractions are occurring every 30 seconds
following clients in labor. The charge nurse should ask a staff Contractions should be no longer than 90 secs and no closer than 2 mins (120 secs)
member to first see the client in the 90 secs is the duration, 2 mins is the frequency.
1. first stage of labor who has an oral temperature of 99.7° F
(37.6° C) Rationale:
2. first stage of labor whose contractions are occurring every 30 1. Elevated temp is normal during labor
seconds 3. Increased resps are normal during labor "pant-pant-blow" "hee-hee-hoo" breathing pattern
3. second stage of labor who has respirations of 26 4. Contractions shouldn't be longer than 90 secs, 60 secs is okay and normal
4. second stage of labor whose contractions are lasting for 60 Second stage: 2-3 mins apart, 60-90 secs long, 10 cm dilated, strong pain
seconds
The nurse is observing a staff member caring for a client who 2. placing a box of disposable face shields outside the client's room
has chickenpox. disposable face masks are not suitable for airborne precautions
Which of the following actions by the staff member would
require the nurse to intervene? Rationale:
1. placing the client in a private room with monitored negative Varicella (chickenpox) is airborne precaution. Private, negative pressure room, universal
air pressure precautions (hand sanitizer in room) and placing surgical mask on client during transport are
2. placing a box of disposable face shields outside the client's all correct interventions for Varicilla.
room
3. placing an alcohol-based hand rub in the client's room for
hand hygiene
4. placing a surgical mask on the client during transport out of
the client's room
The nurse is caring for a client who reports feeling faint and is 2. transcutaneous pacing
experiencing the cardiac rhythm shown in the electrocardiogram - external pacing that stimulates the ventricles to pump at a set rate
(ECG) strip below. 5. Assess the client for angina
- BRADYCARDIA (it is more than 5 spaces apart, sinus rhythm) - Angina (Chest pain) can be caused by both tachycardia (most common) and bradycardia
Which of the following actions would be appropriate for the (rare but can happen). Assessment of angina is appropriate
nurse to take? Select all that apply:
1. Administer the client's prescribed beta blocker. Rationale:
2. Prepare for transcutaneous pacing. 1. Beta blocker would further decrease HR
3. Instruct the client to perform the Valsalva maneuver. 3. Valsalva maneuver/Vagal stimulation would further decrease HR. (can be indicated for
4. Begin chest compressions. sinus Tachy)
5. Assess the client for angina. 4. Chest compressions are for cardiac arrest
The nurse is planning care for a client with moderate Alzheimer's 1. Encourage the client to reminisce about happy memories.
disease (AD). Its possible for AD patients to retain long-term memories
Which of the following interventions should the nurse include in
the client's plan of care? Rationale:
1. Encourage the client to reminisce about happy memories. 2. Acknowledge feelings --> Redirect is protocol for Dementia. Don't confront; they can't
2. Confront the client when inappropriate or agitated behaviors learn
occur. 3. AD is irreversible
3. Administer to the client the cholinesterase inhibitor to reverse 4. In moderate AD, dementia has already progressed to where pt needs help with ADLs and
the course of AD. planning daily activities. Asking them to plan can frustrate them and cause distress.
4. Provide the client with information about activity choices in STRUCTURED pleasant activities that consider the persons likes and interests are the best.
the morning so the client can make plans for the day.
The nurse is teaching a client how to ambulate using crutches. 1. "Use your hands and arms to support your body weight."
Which of the following information should the nurse include? True! But watch out if it isn't 2-3 finger-widths, crutch paralysis can occur. s/s: paresis and
1. "Use your hands and arms to support your body weight." paresthesias in wrists and hands
2. "Wear slippers when ambulating with the crutches in your
home." Rationales:
3. "Maintain the crutches 12 in (30 cm) in front of your feet 2. Fall risk!
while standing." 3. Should be 6 in. in front and 6 in. lateral
4. "Adjust the hand grips of the crutches so that your elbows are 4. Elbows should be bent at 30 degree angle
fully extended."
The nurse has taught a client with multiple sclerosis (MS). 4. "I should expect the blurred vision to resolve after I have received medications for several
Which of the following statements by the client would indicate a weeks."
correct understanding of the teaching? MS causes nerve damage and can result in optic neuritis (vision loss, burry vision). In most
1. "I will complete all of my household chores in the morning cases it resolves itself in 4-12 weeks, but medication (steroids) can speed up the process and
when I am well rested." resolve it quicker
2. "I have learned how to massage my bladder to help empty my
bladder completely." Rationale:
3. "I will take a hot bath in the evening to help me relax if I have 1. MS patients should not exert themselves too much at one time. Space out activities and
had a stressful day at work." allow time for rest.
4. "I should expect the blurred vision to resolve after I have 2. Urinary retention is primarily treated by medication (bethanochol), and exercises can aid
received medications for several weeks." with it but are not the primary treatment
3. Hot temperatures are bad for MS and can worsen symptoms. Your nerves are already
fcked up and extra heat can stress your body into overdrive
2/24/2026, 1:50:26 PM
, The nurse has attended a staff education program about caring 2. "Clients may develop stress ulcers and gastrointestinal bleeding."
for clients who are receiving positive pressure mechanical Rationale: Postive Pressure Ventilation may cause stress ulcers and GI bleeding because
ventilation. Which of the following statements by the nurse
would indicate a correct understanding of the teaching?
1. "Clients should avoid range-of-motion (ROM) exercises until
weaned from ventilation."
2. "Clients may develop stress ulcers and gastrointestinal
bleeding."
3. "Clients will be chemically paralyzed to improve
oxygenation."
4. "Clients will experience diuresis and polyuria."
The charge nurse must transfer a female client from the medical- 3. 56 years old, has hepatitis C (HCV) and has been afebrile for 24 hours
surgical unit to the maternity unit to make a bed available. It
would be most appropriate for the nurse to transfer the client
who is
1. 28 years old, had a right mastectomy and has a closed-wound
drainage system
2. 49 years old, has diabetes mellitus (type 2) and has begun
receiving insulin
3. 56 years old, has hepatitis C (HCV) and has been afebrile for
24 hours
4. 70 years old, has a fractured left tibia and had an external
fixation device applied 48 hours ago
The nurse has been made aware of the following client 1. heart failure who has a productive cough and is anxious
situations. The nurse should first assess the client with: Productive cough (pink frothy sputum) indicates pulmonary edema, anxiety might be caused
1. heart failure who has a productive cough and is anxious by decreased perfusion
2. regional enteritis (Crohn's disease) who is reporting cramping
abdominal pain and diarrhea
3. idiopathic thrombocytopenic purpura (ITP) who has petechiae
on the trunk and is reporting heavy menses
4. chronic obstructive pulmonary disease (COPD) who has
dyspnea with exertion and is using accessory muscles to breathe
The nurse and unlicensed assistive personnel (UAP) are caring 1. assisting a client with atrial fibrillation to shower
for assigned clients. Which of the following tasks would be UAP can perform hygiene
appropriate for the nurse to assign to UAP?
1. assisting a client with atrial fibrillation to shower Rationale:
2. checking the ability of a client to swallow water after a Only nurses can assess. Transporting a client in respiratory arrest is not safe to delegate to a
transesophageal echocardiogram (TEE) UAP
3. observing while a client with dysphagia begins a thickened
liquid diet
4. transporting a client with respiratory distress to the radiology
department for a chest radiograph
The nurse has taken a nutritional history from parents of clients. 3. 9-month-old client whose typical daily diet includes 10 bottles of 2% milk, 1 cup of apple
It would be a priority for the nurse to follow up with the juice, and 3 servings of infant cereal
1. 5-month-old client whose only source of nutrition is 5 formula
feedings daily Rationale: Cows milk should be introduced at 12 months old. It doesn't provide the
2. 7-month-old client who eats several crackers as finger food necessary nutrients and baby can develop iron deficiency
3. 9-month-old client whose typical daily diet includes 10 bottles
of 2% milk, 1 cup of apple juice, and 3 servings of infant cereal
4. 1-year-old client whose typical food intake includes 4 breast-
feedings and 3 servings of cooked vegetables, pears, or sliced
cheese
The nurse is planning a staff education program about client 2. sharing the client's blood alcohol level (BAL) test result with the police officer who
privacy. Which of the following scenarios should the nurse brought the client to the emergency department (ED)
include as an example of a violation of client privacy?
1. discussing with an unlicensed assistive personnel (UAP) that Rationale: PHI is permitted to be disclosed to police when PHI is needed to apprehend the
the UAP's assigned client will require a smaller condom catheter perpetrator of a violent crime, suspect, or fugitive.
2. sharing the client's blood alcohol level (BAL) test result with
the police officer who brought the client to the emergency
department (ED)
3. responding to the call light of the client who is assigned to
another nurse and needs assistance in the bathroom
4. allowing a nursing student who has been assigned to the client
to review the client's medical record
2/24/2026, 1:50:26 PM
Next Generation NCLEX Overview, Sample
Questions & Exam Format Guide
Comprehensive NCLEX Preparation
Course: Nursing
Date: February 2026
“Premium NCLEX Next-Gen Practice Material |
All Chapters Latest 2026/2027 Edition | Verified
Questions & Rationales”
2/24/2026, 1:50:26 PM
,The charge nurse has received a change-of-shift report on the 2. first stage of labor whose contractions are occurring every 30 seconds
following clients in labor. The charge nurse should ask a staff Contractions should be no longer than 90 secs and no closer than 2 mins (120 secs)
member to first see the client in the 90 secs is the duration, 2 mins is the frequency.
1. first stage of labor who has an oral temperature of 99.7° F
(37.6° C) Rationale:
2. first stage of labor whose contractions are occurring every 30 1. Elevated temp is normal during labor
seconds 3. Increased resps are normal during labor "pant-pant-blow" "hee-hee-hoo" breathing pattern
3. second stage of labor who has respirations of 26 4. Contractions shouldn't be longer than 90 secs, 60 secs is okay and normal
4. second stage of labor whose contractions are lasting for 60 Second stage: 2-3 mins apart, 60-90 secs long, 10 cm dilated, strong pain
seconds
The nurse is observing a staff member caring for a client who 2. placing a box of disposable face shields outside the client's room
has chickenpox. disposable face masks are not suitable for airborne precautions
Which of the following actions by the staff member would
require the nurse to intervene? Rationale:
1. placing the client in a private room with monitored negative Varicella (chickenpox) is airborne precaution. Private, negative pressure room, universal
air pressure precautions (hand sanitizer in room) and placing surgical mask on client during transport are
2. placing a box of disposable face shields outside the client's all correct interventions for Varicilla.
room
3. placing an alcohol-based hand rub in the client's room for
hand hygiene
4. placing a surgical mask on the client during transport out of
the client's room
The nurse is caring for a client who reports feeling faint and is 2. transcutaneous pacing
experiencing the cardiac rhythm shown in the electrocardiogram - external pacing that stimulates the ventricles to pump at a set rate
(ECG) strip below. 5. Assess the client for angina
- BRADYCARDIA (it is more than 5 spaces apart, sinus rhythm) - Angina (Chest pain) can be caused by both tachycardia (most common) and bradycardia
Which of the following actions would be appropriate for the (rare but can happen). Assessment of angina is appropriate
nurse to take? Select all that apply:
1. Administer the client's prescribed beta blocker. Rationale:
2. Prepare for transcutaneous pacing. 1. Beta blocker would further decrease HR
3. Instruct the client to perform the Valsalva maneuver. 3. Valsalva maneuver/Vagal stimulation would further decrease HR. (can be indicated for
4. Begin chest compressions. sinus Tachy)
5. Assess the client for angina. 4. Chest compressions are for cardiac arrest
The nurse is planning care for a client with moderate Alzheimer's 1. Encourage the client to reminisce about happy memories.
disease (AD). Its possible for AD patients to retain long-term memories
Which of the following interventions should the nurse include in
the client's plan of care? Rationale:
1. Encourage the client to reminisce about happy memories. 2. Acknowledge feelings --> Redirect is protocol for Dementia. Don't confront; they can't
2. Confront the client when inappropriate or agitated behaviors learn
occur. 3. AD is irreversible
3. Administer to the client the cholinesterase inhibitor to reverse 4. In moderate AD, dementia has already progressed to where pt needs help with ADLs and
the course of AD. planning daily activities. Asking them to plan can frustrate them and cause distress.
4. Provide the client with information about activity choices in STRUCTURED pleasant activities that consider the persons likes and interests are the best.
the morning so the client can make plans for the day.
The nurse is teaching a client how to ambulate using crutches. 1. "Use your hands and arms to support your body weight."
Which of the following information should the nurse include? True! But watch out if it isn't 2-3 finger-widths, crutch paralysis can occur. s/s: paresis and
1. "Use your hands and arms to support your body weight." paresthesias in wrists and hands
2. "Wear slippers when ambulating with the crutches in your
home." Rationales:
3. "Maintain the crutches 12 in (30 cm) in front of your feet 2. Fall risk!
while standing." 3. Should be 6 in. in front and 6 in. lateral
4. "Adjust the hand grips of the crutches so that your elbows are 4. Elbows should be bent at 30 degree angle
fully extended."
The nurse has taught a client with multiple sclerosis (MS). 4. "I should expect the blurred vision to resolve after I have received medications for several
Which of the following statements by the client would indicate a weeks."
correct understanding of the teaching? MS causes nerve damage and can result in optic neuritis (vision loss, burry vision). In most
1. "I will complete all of my household chores in the morning cases it resolves itself in 4-12 weeks, but medication (steroids) can speed up the process and
when I am well rested." resolve it quicker
2. "I have learned how to massage my bladder to help empty my
bladder completely." Rationale:
3. "I will take a hot bath in the evening to help me relax if I have 1. MS patients should not exert themselves too much at one time. Space out activities and
had a stressful day at work." allow time for rest.
4. "I should expect the blurred vision to resolve after I have 2. Urinary retention is primarily treated by medication (bethanochol), and exercises can aid
received medications for several weeks." with it but are not the primary treatment
3. Hot temperatures are bad for MS and can worsen symptoms. Your nerves are already
fcked up and extra heat can stress your body into overdrive
2/24/2026, 1:50:26 PM
, The nurse has attended a staff education program about caring 2. "Clients may develop stress ulcers and gastrointestinal bleeding."
for clients who are receiving positive pressure mechanical Rationale: Postive Pressure Ventilation may cause stress ulcers and GI bleeding because
ventilation. Which of the following statements by the nurse
would indicate a correct understanding of the teaching?
1. "Clients should avoid range-of-motion (ROM) exercises until
weaned from ventilation."
2. "Clients may develop stress ulcers and gastrointestinal
bleeding."
3. "Clients will be chemically paralyzed to improve
oxygenation."
4. "Clients will experience diuresis and polyuria."
The charge nurse must transfer a female client from the medical- 3. 56 years old, has hepatitis C (HCV) and has been afebrile for 24 hours
surgical unit to the maternity unit to make a bed available. It
would be most appropriate for the nurse to transfer the client
who is
1. 28 years old, had a right mastectomy and has a closed-wound
drainage system
2. 49 years old, has diabetes mellitus (type 2) and has begun
receiving insulin
3. 56 years old, has hepatitis C (HCV) and has been afebrile for
24 hours
4. 70 years old, has a fractured left tibia and had an external
fixation device applied 48 hours ago
The nurse has been made aware of the following client 1. heart failure who has a productive cough and is anxious
situations. The nurse should first assess the client with: Productive cough (pink frothy sputum) indicates pulmonary edema, anxiety might be caused
1. heart failure who has a productive cough and is anxious by decreased perfusion
2. regional enteritis (Crohn's disease) who is reporting cramping
abdominal pain and diarrhea
3. idiopathic thrombocytopenic purpura (ITP) who has petechiae
on the trunk and is reporting heavy menses
4. chronic obstructive pulmonary disease (COPD) who has
dyspnea with exertion and is using accessory muscles to breathe
The nurse and unlicensed assistive personnel (UAP) are caring 1. assisting a client with atrial fibrillation to shower
for assigned clients. Which of the following tasks would be UAP can perform hygiene
appropriate for the nurse to assign to UAP?
1. assisting a client with atrial fibrillation to shower Rationale:
2. checking the ability of a client to swallow water after a Only nurses can assess. Transporting a client in respiratory arrest is not safe to delegate to a
transesophageal echocardiogram (TEE) UAP
3. observing while a client with dysphagia begins a thickened
liquid diet
4. transporting a client with respiratory distress to the radiology
department for a chest radiograph
The nurse has taken a nutritional history from parents of clients. 3. 9-month-old client whose typical daily diet includes 10 bottles of 2% milk, 1 cup of apple
It would be a priority for the nurse to follow up with the juice, and 3 servings of infant cereal
1. 5-month-old client whose only source of nutrition is 5 formula
feedings daily Rationale: Cows milk should be introduced at 12 months old. It doesn't provide the
2. 7-month-old client who eats several crackers as finger food necessary nutrients and baby can develop iron deficiency
3. 9-month-old client whose typical daily diet includes 10 bottles
of 2% milk, 1 cup of apple juice, and 3 servings of infant cereal
4. 1-year-old client whose typical food intake includes 4 breast-
feedings and 3 servings of cooked vegetables, pears, or sliced
cheese
The nurse is planning a staff education program about client 2. sharing the client's blood alcohol level (BAL) test result with the police officer who
privacy. Which of the following scenarios should the nurse brought the client to the emergency department (ED)
include as an example of a violation of client privacy?
1. discussing with an unlicensed assistive personnel (UAP) that Rationale: PHI is permitted to be disclosed to police when PHI is needed to apprehend the
the UAP's assigned client will require a smaller condom catheter perpetrator of a violent crime, suspect, or fugitive.
2. sharing the client's blood alcohol level (BAL) test result with
the police officer who brought the client to the emergency
department (ED)
3. responding to the call light of the client who is assigned to
another nurse and needs assistance in the bathroom
4. allowing a nursing student who has been assigned to the client
to review the client's medical record
2/24/2026, 1:50:26 PM
