NCLEX Practice Questions 2026 |
Complete Question Bank with
Answers & Detailed Rationales
1. A nurse is providing care for a patient who had a transurethral
resection of his prostate this morning. The patient is receiving
continuous bladder irrigation, and the urinary catheter is now
occluded. The nurse is planning to contact the patient's health
care provider and communicate using the SBAR (Situation-
Background-Assessment-Recommendation) format. Which
statement is a component of communication using SBAR?
A) What do you think could be causing this occlusion
B) I think that we should manually irrigate his catheter.
C) What do you know about this patient and his history?
D) Could you please provide some direction for his care? -
answer-B) "I think that we should manually irrigate his
catheter."
,2. Proposing a recommendation is a component of the "R"
component of SBAR communication. Asking the health care
provider for possible contributing factors to the problem or for
general direction may be appropriate in some circumstances, but
these are not explicit components of SBAR. The nurse should
briefly identify the patient and his circumstances, not ask an
open-ended question regarding the health care provider's
familiarity.
3. Telehealth devices are commonly used to provide which types of
patient care (select all that apply.)?
A) Evaluation of weight loss
B) Medication administration
C) Video assessment of wounds
D) Monitoring peak flow meter results
E) Real-time blood pressure - answer-A, C, D, E
4. In which patient care delivery model does the nurse plan and
coordinate the aspects of patient care with other disciplines
, focusing on continuity of care and interprofessional collaboration
even if the nurse is absent?
A) Team nursing model
B) Primary nursing model
C) Total patient care
D) Case management nursing model - answer-C) Primary
nursing model
5. The primary nursing model includes planning the patient's care
and coordinating and communicating all aspects of care with
other disciplines and those providing care in the nurse's absence.
The focus is on continuity of care and interprofessional
collaboration. Team nursing uses the RN as the team leader to
organize and manage the care for a group of patients with other
ancillary workers. The RN has authority and accountability for the
quality of care delivered by the team only during the work period.
In a total patient care model, the nurse is accountable for the
complete care of the patient during the assigned shift. Case
management is not a model of care delivery but a collaborative
process that involves assessing, planning, facilitating, and
advocating for health services with a variety of resources to
promote cost-effective outcomes.
, 6. A nurse is monitoring all of the patients in an outpatient
procedure area for complications of administering IV fluids. What
type of nursing function is being demonstrated by the nurse?
A) Dependent
B) Independent
C) Autonomous
D) Collaborative - answer-D) Collaborative
7. A collaborative nursing function is demonstrated when the nurse
monitors patients for complications of acute illness, administers
IV fluids and medications per health care provider's orders, and
implements nursing interventions such as providing emotional
support or teaching about specific procedures. Nursing functions
may be dependent, collaborative, or independent. The nurse
functions dependently when carrying out medical orders.
Physician-initiated nursing functions may include administering
medications, performing or assisting with certain medical
treatments, and assisting with diagnostic tests and procedures.
Independent nursing functions include interventions such as
promotion and optimization of health, prevention of illness, and
patient advocacy.
Complete Question Bank with
Answers & Detailed Rationales
1. A nurse is providing care for a patient who had a transurethral
resection of his prostate this morning. The patient is receiving
continuous bladder irrigation, and the urinary catheter is now
occluded. The nurse is planning to contact the patient's health
care provider and communicate using the SBAR (Situation-
Background-Assessment-Recommendation) format. Which
statement is a component of communication using SBAR?
A) What do you think could be causing this occlusion
B) I think that we should manually irrigate his catheter.
C) What do you know about this patient and his history?
D) Could you please provide some direction for his care? -
answer-B) "I think that we should manually irrigate his
catheter."
,2. Proposing a recommendation is a component of the "R"
component of SBAR communication. Asking the health care
provider for possible contributing factors to the problem or for
general direction may be appropriate in some circumstances, but
these are not explicit components of SBAR. The nurse should
briefly identify the patient and his circumstances, not ask an
open-ended question regarding the health care provider's
familiarity.
3. Telehealth devices are commonly used to provide which types of
patient care (select all that apply.)?
A) Evaluation of weight loss
B) Medication administration
C) Video assessment of wounds
D) Monitoring peak flow meter results
E) Real-time blood pressure - answer-A, C, D, E
4. In which patient care delivery model does the nurse plan and
coordinate the aspects of patient care with other disciplines
, focusing on continuity of care and interprofessional collaboration
even if the nurse is absent?
A) Team nursing model
B) Primary nursing model
C) Total patient care
D) Case management nursing model - answer-C) Primary
nursing model
5. The primary nursing model includes planning the patient's care
and coordinating and communicating all aspects of care with
other disciplines and those providing care in the nurse's absence.
The focus is on continuity of care and interprofessional
collaboration. Team nursing uses the RN as the team leader to
organize and manage the care for a group of patients with other
ancillary workers. The RN has authority and accountability for the
quality of care delivered by the team only during the work period.
In a total patient care model, the nurse is accountable for the
complete care of the patient during the assigned shift. Case
management is not a model of care delivery but a collaborative
process that involves assessing, planning, facilitating, and
advocating for health services with a variety of resources to
promote cost-effective outcomes.
, 6. A nurse is monitoring all of the patients in an outpatient
procedure area for complications of administering IV fluids. What
type of nursing function is being demonstrated by the nurse?
A) Dependent
B) Independent
C) Autonomous
D) Collaborative - answer-D) Collaborative
7. A collaborative nursing function is demonstrated when the nurse
monitors patients for complications of acute illness, administers
IV fluids and medications per health care provider's orders, and
implements nursing interventions such as providing emotional
support or teaching about specific procedures. Nursing functions
may be dependent, collaborative, or independent. The nurse
functions dependently when carrying out medical orders.
Physician-initiated nursing functions may include administering
medications, performing or assisting with certain medical
treatments, and assisting with diagnostic tests and procedures.
Independent nursing functions include interventions such as
promotion and optimization of health, prevention of illness, and
patient advocacy.
