NCLEX EXIT EXAM LATEST 2026 ACTUAL EXAM TEST
BANK| COMPLETE 350 REAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS WITH
RATIONALES) ALREADY GRADED A+ (MOST RECENT!!)
1. A charge nurse is assigning client care. Which client should
be assigned to a floating RN from the postpartum unit?
A. A client with diabetic ketoacidosis requiring IV insulin
B. A client with chronic kidney disease needing peritoneal dialysis
C. A client with pneumonia requiring IV antibiotics every 6 hours
D. A client with acute alcohol withdrawal needing frequent
CIWA-Ar assessments
Correct Answer: C. A client with pneumonia requiring IV
antibiotics every 6 hours
Rationale: The floating RN from postpartum is competent in basic
IV therapy and monitoring stable medical conditions. Pneumonia
with scheduled antibiotics is within her scope. Options A (DKA), B
(dialysis), and D (CIWA-Ar) require specialized skills not
possessed by a postpartum nurse, making client assignment
unsafe .
1
,2. A nurse discovers a small fire in a client’s trash can. What
is the priority action?
A. Pull the fire alarm (RACE: Rescue, Alarm, Contain, Extinguish)
B. Remove the client from the room (Rescue)
C. Use the nearest fire extinguisher
D. Close the client’s door (Contain)
Correct Answer: B. Remove the client from the room (Rescue)
Rationale: According to the RACE protocol, Rescue is the first
step. Removing the client from immediate danger is the priority.
After rescue, the nurse should Alarm (pull alarm), Contain (close
doors), and Extinguish (use extinguisher if appropriate)—in that
order .
3. Which client can safely share a room with a client
diagnosed with Clostridioides difficile?
A. A client with methicillin-resistant Staphylococcus aureus (MRSA)
pneumonia
B. A client with an infected pressure injury requiring contact
precautions
C. A client with neutropenia (absolute neutrophil count <500)
D. A client with community-acquired pneumonia on standard
precautions
2
,Correct Answer: D. A client with community-acquired
pneumonia on standard precautions
Rationale: C. diff requires contact precautions. Clients on
standard precautions have no active infections requiring isolation
and can be cohorted with other clients whose organisms do not
require additional precautions, provided appropriate hand
hygiene and room cleaning occur. Neutropenic clients require
protective isolation (avoidance of infected clients) .
4. A client with a history of falls is found wandering at night
with unsteady gait. Which intervention should the nurse
implement first?
A. Apply a bed alarm system
B. Reorient the client to the room
C. Administer a prescribed sedative
D. Place the client in a room near the nurses’ station
Correct Answer: B. Reorient the client to the room
Rationale: The first step is to reorient the client to decrease
confusion and the risk of wandering. After reorientation, adding
a bed alarm and moving the client closer to the nurses’ station
are appropriate safety measures. Sedatives are not first-line
and may increase fall risk .
3
, 5. A nurse is preparing to delegate tasks to an unlicensed
assistive personnel (UAP). Which task is appropriate to
delegate?
A. Assess the client’s respiratory status after a breathing
treatment
B. Teach the client how to use an incentive spirometer
C. Obtain a clean-catch midstream urine specimen
D. Evaluate the effectiveness of a pain medication
Correct Answer: C. Obtain a clean-catch midstream urine
specimen
Rationale: Obtaining a clean-catch urine specimen is a standard,
non-invasive task within UAP scope of practice if they have been
trained. Assessment, teaching, and evaluation (options A, B, D)
are nursing responsibilities that cannot be delegated .
6. A nurse receives a verbal order for “morphine 2 to 6 mg IV
push.” What is the nurse’s best action?
A. Clarify the order with the prescriber before administration
B. Administer 2 mg and titrate up to 6 mg based on pain level
C. Administer 4 mg as the midpoint dose
D. Document the order as written and administer 6 mg for all
pain
4
BANK| COMPLETE 350 REAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS WITH
RATIONALES) ALREADY GRADED A+ (MOST RECENT!!)
1. A charge nurse is assigning client care. Which client should
be assigned to a floating RN from the postpartum unit?
A. A client with diabetic ketoacidosis requiring IV insulin
B. A client with chronic kidney disease needing peritoneal dialysis
C. A client with pneumonia requiring IV antibiotics every 6 hours
D. A client with acute alcohol withdrawal needing frequent
CIWA-Ar assessments
Correct Answer: C. A client with pneumonia requiring IV
antibiotics every 6 hours
Rationale: The floating RN from postpartum is competent in basic
IV therapy and monitoring stable medical conditions. Pneumonia
with scheduled antibiotics is within her scope. Options A (DKA), B
(dialysis), and D (CIWA-Ar) require specialized skills not
possessed by a postpartum nurse, making client assignment
unsafe .
1
,2. A nurse discovers a small fire in a client’s trash can. What
is the priority action?
A. Pull the fire alarm (RACE: Rescue, Alarm, Contain, Extinguish)
B. Remove the client from the room (Rescue)
C. Use the nearest fire extinguisher
D. Close the client’s door (Contain)
Correct Answer: B. Remove the client from the room (Rescue)
Rationale: According to the RACE protocol, Rescue is the first
step. Removing the client from immediate danger is the priority.
After rescue, the nurse should Alarm (pull alarm), Contain (close
doors), and Extinguish (use extinguisher if appropriate)—in that
order .
3. Which client can safely share a room with a client
diagnosed with Clostridioides difficile?
A. A client with methicillin-resistant Staphylococcus aureus (MRSA)
pneumonia
B. A client with an infected pressure injury requiring contact
precautions
C. A client with neutropenia (absolute neutrophil count <500)
D. A client with community-acquired pneumonia on standard
precautions
2
,Correct Answer: D. A client with community-acquired
pneumonia on standard precautions
Rationale: C. diff requires contact precautions. Clients on
standard precautions have no active infections requiring isolation
and can be cohorted with other clients whose organisms do not
require additional precautions, provided appropriate hand
hygiene and room cleaning occur. Neutropenic clients require
protective isolation (avoidance of infected clients) .
4. A client with a history of falls is found wandering at night
with unsteady gait. Which intervention should the nurse
implement first?
A. Apply a bed alarm system
B. Reorient the client to the room
C. Administer a prescribed sedative
D. Place the client in a room near the nurses’ station
Correct Answer: B. Reorient the client to the room
Rationale: The first step is to reorient the client to decrease
confusion and the risk of wandering. After reorientation, adding
a bed alarm and moving the client closer to the nurses’ station
are appropriate safety measures. Sedatives are not first-line
and may increase fall risk .
3
, 5. A nurse is preparing to delegate tasks to an unlicensed
assistive personnel (UAP). Which task is appropriate to
delegate?
A. Assess the client’s respiratory status after a breathing
treatment
B. Teach the client how to use an incentive spirometer
C. Obtain a clean-catch midstream urine specimen
D. Evaluate the effectiveness of a pain medication
Correct Answer: C. Obtain a clean-catch midstream urine
specimen
Rationale: Obtaining a clean-catch urine specimen is a standard,
non-invasive task within UAP scope of practice if they have been
trained. Assessment, teaching, and evaluation (options A, B, D)
are nursing responsibilities that cannot be delegated .
6. A nurse receives a verbal order for “morphine 2 to 6 mg IV
push.” What is the nurse’s best action?
A. Clarify the order with the prescriber before administration
B. Administer 2 mg and titrate up to 6 mg based on pain level
C. Administer 4 mg as the midpoint dose
D. Document the order as written and administer 6 mg for all
pain
4
