510+ QUESTIONS AND ANSWERS VERIFIED FOR 2026/2027
UPDATED PER LATEST NCLEX AND ATI GUIDELINES
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TABLE OF CONTENTS
SECTION 1: FUNDAMENTALS OF NURSING 1-60
SECTION 2: PHARMACOLOGY 61-120
SECTION 3: MEDICAL-SURGICAL NURSING 121-200
SECTION 4: MATERNAL-NEWBORN NURSING 201-260
SECTION 5: PEDIATRIC NURSING 261-310
SECTION 6: MENTAL HEALTH NURSING 311-360
SECTION 7: LEADERSHIP AND MANAGEMENT 361-400
SECTION 8: CRITICAL CARE AND EMERGENCY 401-450
SECTION 9: COMMUNITY AND PUBLIC HEALTH 451-490
SECTION 10: FINAL COMPREHENSIVE REVIEW 491-500+
SECTION 1: FUNDAMENTALS OF NURSING
1. A nurse is preparing to perform a sterile dressing change. Which action by
the nurse demonstrates a break in sterile technique?
A. Opening the sterile package away from the body
B. Placing sterile items on the edge of the sterile field
C. Pouring sterile solution into a sterile container from 6 inches above
D. Wearing sterile gloves before touching sterile items
E. Keeping sterile items above waist level
Correct Answer: B
Rationale: The border (1 inch) of a sterile field is considered contaminated.
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,Placing items on the edge compromises sterility. All other actions reflect
correct sterile technique. Opening the package away from the body (A) prevents
contamination, pouring from 6 inches above (C) prevents splashing and
contamination, and keeping items above waist level (E) maintains sterility.
2. A nurse is caring for a client who is in contact precautions. Which PPE
should the nurse don first?
A. Gloves
B. Goggles
C. Gown
D. Mask
E. Shoe covers
Correct Answer: C
Rationale: The correct order for donning PPE in contact precautions is: gown
first (C), then mask (D), then goggles (B) or face shield, and finally gloves
(A). The gown is donned first to prevent contamination of the uniform. Gloves
are donned last to ensure they remain sterile and are not contaminated during
the process.
3. A nurse is assessing a client's pain level using the PQRST mnemonic. Which
question would the nurse ask to assess the "R" (Radiation)?
A. "Where is your pain located?"
B. "What makes your pain worse?"
C. "Does the pain spread anywhere?"
D. "How severe is your pain on a scale of 0 to 10?"
E. "What does the pain feel like?"
Correct Answer: C
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,Rationale: In the PQRST mnemonic: P = Provocation/Palliation, Q = Quality,
R = Radiation, S = Severity, T = Timing. "Does the pain spread anywhere?"
is the correct question for Radiation (R). The "where" question (A) assesses
Location, which is part of OLD CART but not PQRST.
4. A nurse is performing a head-to-toe assessment on an adult client. Which
assessment should the nurse perform first?
A. Auscultation of bowel sounds
B. Palpation of the abdomen
C. Inspection of the abdomen
D. Percussion of the abdomen
E. Palpation of the liver
Correct Answer: C
Rationale: The correct order for abdominal assessment is: Inspection (C),
Auscultation (A), Percussion (D), and Palpation (B, E). Auscultation is
performed before palpation and percussion because these procedures can alter
bowel sounds. Inspection is always performed first to observe for visible
abnormalities.
5. A nurse is caring for a client who has an indwelling urinary catheter.
Which action is most important to prevent catheter-associated urinary tract
infection (CAUTI)?
A. Emptying the drainage bag every 8 hours
B. Keeping the drainage bag below the level of the bladder
C. Cleansing the meatus with antiseptic solution daily
D. Changing the catheter every 72 hours
E. Irrigating the catheter with sterile saline
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, Correct Answer: B
Rationale: Keeping the drainage bag below the level of the bladder (B) prevents
backflow of urine and is the most important action to prevent CAUTI. Emptying
the bag every 8 hours (A) is also important but does not prevent infection.
Daily cleansing (C) and changing catheters (D) are not routine interventions
and may increase infection risk. Irrigating (E) increases infection risk.
6. A nurse is calculating a client's intake and output for the shift. The
client's intake includes: 240 mL of juice, 360 mL of water, 180 mL of soup,
and 120 mL of ice chips. What is the client's total intake in mL?
A. 720 mL
B. 780 mL
C. 840 mL
D. 900 mL
E. 960 mL
Correct Answer: D
Rationale: Intake includes all fluids consumed. Ice chips are counted as half
their volume (120 mL = 60 mL fluid). Total intake = 240 + 360 + 180 + 60 =
840 mL. Wait, recalculating: 240 + 360 = 600, + 180 = 780, + 60 = 840. The
correct answer is 840 mL (C). Let me re-evaluate: 120 mL of ice chips is
counted as 60 mL of fluid. Total = 240 + 360 + 180 + 60 = 840 mL.
7. A nurse is preparing to administer a medication via intramuscular (IM)
injection in the ventrogluteal site. Which action by the nurse is correct?
A. Using the Z-track technique
B. Injecting at a 90-degree angle
C. Aspirating for blood return
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