RHODE ISLAND NCLEX RN PRACTICE QUESTIONS WITH RATIONALES 2026 – EXAM
PRACTICE QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
CORE DOMAINS
Pharmacology and Medication Administration
Medical-Surgical Nursing
Maternal and Newborn Nursing
Pediatric Nursing
Mental Health and Psychiatric Nursing
Nursing Ethics and Legal Issues
Infection Control and Safety
Health Assessment and Clinical Decision Making
Leadership and Prioritization
Emergency and Critical Care Nursing
,INTRODUCTION
This comprehensive NCLEX RN practice exam is designed to evaluate essential nursing
knowledge, clinical judgment, and decision-making skills required for entry-level registered
nurses. The questions reflect real-world clinical scenarios that test the ability to prioritize
care, apply nursing interventions, and ensure patient safety across diverse healthcare
settings. Each item is multiple-choice and scenario-based, focusing on evidence-based
practice, pharmacology, ethical considerations, and patient-centered care. The exam
emphasizes critical thinking and the application of nursing concepts in dynamic clinical
environments, preparing candidates for success on the NCLEX RN licensure examination and
professional nursing practice.
════════════════════════════════════
SECTION ONE: QUESTIONS 1–50
════════════════════════════════════
Question 1
A nurse is caring for a client with chest pain. Which action should be performed first?
,A. Administer nitroglycerin
B. Obtain a 12-lead ECG
C. Assess vital signs
D. Apply oxygen
🟢 Correct Answer: D. Apply oxygen
🔴 Explanation: Oxygen improves myocardial oxygenation and reduces ischemia; it is the
priority intervention in acute chest pain.
Question 2
A client is prescribed warfarin. Which lab value should the nurse monitor?
A. aPTT
B. INR
C. Platelet count
D. Hemoglobin
🟢 Correct Answer: B. INR
🔴 Explanation: INR measures therapeutic effectiveness of warfarin therapy.
, Question 3
A postoperative client reports sudden shortness of breath. What is the nurse’s priority
action?
A. Encourage deep breathing
B. Elevate head of bed
C. Notify physician
D. Administer pain medication
🟢 Correct Answer: B. Elevate head of bed
🔴 Explanation: Upright positioning improves lung expansion and oxygenation
immediately.
Question 4
Which symptom is most indicative of hypoglycemia?
A. Fruity breath
B. Polyuria
C. Diaphoresis
D. Bradycardia
🟢 Correct Answer: C. Diaphoresis
PRACTICE QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
CORE DOMAINS
Pharmacology and Medication Administration
Medical-Surgical Nursing
Maternal and Newborn Nursing
Pediatric Nursing
Mental Health and Psychiatric Nursing
Nursing Ethics and Legal Issues
Infection Control and Safety
Health Assessment and Clinical Decision Making
Leadership and Prioritization
Emergency and Critical Care Nursing
,INTRODUCTION
This comprehensive NCLEX RN practice exam is designed to evaluate essential nursing
knowledge, clinical judgment, and decision-making skills required for entry-level registered
nurses. The questions reflect real-world clinical scenarios that test the ability to prioritize
care, apply nursing interventions, and ensure patient safety across diverse healthcare
settings. Each item is multiple-choice and scenario-based, focusing on evidence-based
practice, pharmacology, ethical considerations, and patient-centered care. The exam
emphasizes critical thinking and the application of nursing concepts in dynamic clinical
environments, preparing candidates for success on the NCLEX RN licensure examination and
professional nursing practice.
════════════════════════════════════
SECTION ONE: QUESTIONS 1–50
════════════════════════════════════
Question 1
A nurse is caring for a client with chest pain. Which action should be performed first?
,A. Administer nitroglycerin
B. Obtain a 12-lead ECG
C. Assess vital signs
D. Apply oxygen
🟢 Correct Answer: D. Apply oxygen
🔴 Explanation: Oxygen improves myocardial oxygenation and reduces ischemia; it is the
priority intervention in acute chest pain.
Question 2
A client is prescribed warfarin. Which lab value should the nurse monitor?
A. aPTT
B. INR
C. Platelet count
D. Hemoglobin
🟢 Correct Answer: B. INR
🔴 Explanation: INR measures therapeutic effectiveness of warfarin therapy.
, Question 3
A postoperative client reports sudden shortness of breath. What is the nurse’s priority
action?
A. Encourage deep breathing
B. Elevate head of bed
C. Notify physician
D. Administer pain medication
🟢 Correct Answer: B. Elevate head of bed
🔴 Explanation: Upright positioning improves lung expansion and oxygenation
immediately.
Question 4
Which symptom is most indicative of hypoglycemia?
A. Fruity breath
B. Polyuria
C. Diaphoresis
D. Bradycardia
🟢 Correct Answer: C. Diaphoresis
