NCLEX Practice Questions 2026 |
Comprehensive Practice Questions
with Answers & Detailed Rationales
A nurse is caring for a client who has a depressed skull fracture of the
bone that makes up the larger part of the upper and side wall of the
cranium. This fracture is located on which of the following bones?
a. sphenoid
b. occipital
c. parietal
d. frontal - answer-Parietal
-sphenoid forms part of face
-occipital is the back of the skull
-frontal is the front of the skull
What is the primary dietary alteration for a client who has heart
failure? - answer-Sodium Restriction
ex: turkey sandwich with whole-wheat bread
,A nurse is caring for a clinet who has multiple sclerosis and is receiving
interferon beta-1a. The nurse should identify that which of the
following client statements indicates a potential adverse effect of the
medication?
a. my body aches all over
b. i have abdominal cramping
c. my hair seems to be thinning
d. it hurts when i urinate - answer-My body aches all over
-adverse effects of interferon beta-1a include flu-like symptoms
A nurse is teaching a client with cystic fibrosis about daily chest
physiotherapy. Which of the following is the purpose of these
treatments?
a. to encourage deep breaths
b. to mobilize secretions in the airways
c. to dilate the bronchioles
d. to stimulate the cough reflex - answer-To mobilize secretions in the
airways
- the purpose is to loosen and promote the drainage of secretions from
the lungs
,A nurse is performing a nonstress test (NST) on a client who is at 41
weeks of gestation. The client asks what the purpse of the test is/
Which of the following responses should the nurse provide?
a. this test will determine if you are likely to deliver within the next
week
b. this test will help determine if your baby is healthy
c. this test can see how you baby responds when you have contractions
d. this test will determine if you're baby's lungs are mature - answer-
This test will help determine if your baby is healthy
- This NST is used as a prenatal fetal assessment, it tracks fetal heart
rate patterns expected with fetal movement and can help identify fetal
distress
A nurse cares for a client receiving chemotherapy. The latest blood
work shows:
platelet count 18,000/mm3
WBC count of 5,000/mm3
Which intervention does the nurse implement?
a. respiratory transmission precautions
b. contact transmission precautions
, c. bleeding precautions
d. neutropenic precautions - answer-Bleeding precautions
-normal platelet count is 150,000-400,000/mm3
bleeding precautions should be implemented with a platelet count less
than
A nurse is teaching a female client who has pyelonephritis about the
disorder. Which of the following pieces of information should the nurse
include to help the client prevent a recurrence?
a. douche after vaginal intercourse
b. wipe from front to back after defecation
c. avoid foods that are high in phosphate
d. add yogurt to your diet regularly - answer-Wipe from front to back
after defecation
-pyelonephritis (renal infection)
-phosphate can help kidney stones
-yogurt helps with genital tract infections
A nurse is accepting a transfer from the postanesthesia care unit
(PACU) of a client who has had a subtotal thyroidectomy. Which of the
Comprehensive Practice Questions
with Answers & Detailed Rationales
A nurse is caring for a client who has a depressed skull fracture of the
bone that makes up the larger part of the upper and side wall of the
cranium. This fracture is located on which of the following bones?
a. sphenoid
b. occipital
c. parietal
d. frontal - answer-Parietal
-sphenoid forms part of face
-occipital is the back of the skull
-frontal is the front of the skull
What is the primary dietary alteration for a client who has heart
failure? - answer-Sodium Restriction
ex: turkey sandwich with whole-wheat bread
,A nurse is caring for a clinet who has multiple sclerosis and is receiving
interferon beta-1a. The nurse should identify that which of the
following client statements indicates a potential adverse effect of the
medication?
a. my body aches all over
b. i have abdominal cramping
c. my hair seems to be thinning
d. it hurts when i urinate - answer-My body aches all over
-adverse effects of interferon beta-1a include flu-like symptoms
A nurse is teaching a client with cystic fibrosis about daily chest
physiotherapy. Which of the following is the purpose of these
treatments?
a. to encourage deep breaths
b. to mobilize secretions in the airways
c. to dilate the bronchioles
d. to stimulate the cough reflex - answer-To mobilize secretions in the
airways
- the purpose is to loosen and promote the drainage of secretions from
the lungs
,A nurse is performing a nonstress test (NST) on a client who is at 41
weeks of gestation. The client asks what the purpse of the test is/
Which of the following responses should the nurse provide?
a. this test will determine if you are likely to deliver within the next
week
b. this test will help determine if your baby is healthy
c. this test can see how you baby responds when you have contractions
d. this test will determine if you're baby's lungs are mature - answer-
This test will help determine if your baby is healthy
- This NST is used as a prenatal fetal assessment, it tracks fetal heart
rate patterns expected with fetal movement and can help identify fetal
distress
A nurse cares for a client receiving chemotherapy. The latest blood
work shows:
platelet count 18,000/mm3
WBC count of 5,000/mm3
Which intervention does the nurse implement?
a. respiratory transmission precautions
b. contact transmission precautions
, c. bleeding precautions
d. neutropenic precautions - answer-Bleeding precautions
-normal platelet count is 150,000-400,000/mm3
bleeding precautions should be implemented with a platelet count less
than
A nurse is teaching a female client who has pyelonephritis about the
disorder. Which of the following pieces of information should the nurse
include to help the client prevent a recurrence?
a. douche after vaginal intercourse
b. wipe from front to back after defecation
c. avoid foods that are high in phosphate
d. add yogurt to your diet regularly - answer-Wipe from front to back
after defecation
-pyelonephritis (renal infection)
-phosphate can help kidney stones
-yogurt helps with genital tract infections
A nurse is accepting a transfer from the postanesthesia care unit
(PACU) of a client who has had a subtotal thyroidectomy. Which of the
