RN COMPREHENSIVE ONLINE PRACTICE EXAM
F QUESTION SET WITH DETAILED
EXPLANATIONS AND NCLEX-STYLE
QUESTIONS 2026
◉ A nurse is preparing to administer a long-acting insulin to a client
who has diabetes mellitus. Which of the following actions should the
nurse plan to take first?
a. Teach the client reportable adverse reactions from the medication.
b. Check the insulin dose with another licensed nurse.
c. Administer the insulin at a 90 deg angle.
d. Clean the insertion site.
Answer: b. Check the insulin dose with another licensed nurse.
The greatest risk to the client is injury due to a medication error.
Therefore, the priority action is for the nurse to validate the correct
dose of insulin with another licensed nurse prior to administration.
Insulin is a high-alert medication and incorrect dosages can be fatal
for the client.
,◉ A nurse is caring for an older adult client in the PACU following
general anesthesia. Which of the following findings should the nurse
report to the provider?
a. Urine output 120 mL in 4 hr.
b. Systolic blood pressure 12 mm Hg lower than the preoperative
level.
c. Audible stridor.
d. Normal sinus rhythm with an occasional premature ventricular
contraction
Answer: c. Audible stridor.
Audible stridor, or a high-pitched sound heard in the client's airway
indicates edema, laryngeal spasm, secretions, or some type of airway
obstruction that could become life-threatening. The nurse should
report this finding to the provider.
◉ A charge nurse is planning an education session for staff nurses
about working with parents whose terminally ill children are
candidates for donating their organs. Which of the following
information should the nurse plan to include?
a. Choosing to donate organs can delay the timing of the child's
funeral.
,b. The family can have the child in an open casket without fearing
that the organ donation might disfigure the child's body.
c. The family should understand that an autopsy is mandatory prior
to organ donation.
d. The nurse should introduce the option of organ donation to the
parent's when first discussing the child's impending death.
Answer: b. The family can have the child in an open casket without
fearing that the organ donation might disfigure the child's body.
Removal of organs does not damage or violate the child's body in a
way that would prevent an open casket funeral.
◉ A nurse manager is planning to make changes to the current
scheduling system on the unit. To facilitate the staff's acceptance of
this change, which of the following actions should the nurse
manager take first?
a. Provide information about scheduling issues to the staff.
b. Ask staff members to participate in a trial of the new scheduling
system.
c. Encourage staff to offer alternate scheduling solutions.
d. Develop goals to implement the new scheduling system.
Answer: a. Provide information about scheduling issues to the staff.
, The first stage of the change process is the unfreezing stage, when
the nurse should inform the staff about the current staffing issues.
This can increase their understanding of why changes are necessary.
◉ A nurse is assessing a client who is receiving a blood transfusion.
Which of the following findings should indicate to the nurse that the
client is having a hemolytic transfusion reaction.
a. Bradycardia.
b. Low back pain.
c. Hypertension.
d. Distended jugular veins.
Answer: b. Low Back pain
Hemolytic (lysis of blood cells)
- Fever
- Chills
- Hemoglobinuria
- Feeling of impending doom (chest pain)
- Low back pain
◉ A nurse is assessing a client who has macular degeneration.
Which of the following findings should the nurse expect?
F QUESTION SET WITH DETAILED
EXPLANATIONS AND NCLEX-STYLE
QUESTIONS 2026
◉ A nurse is preparing to administer a long-acting insulin to a client
who has diabetes mellitus. Which of the following actions should the
nurse plan to take first?
a. Teach the client reportable adverse reactions from the medication.
b. Check the insulin dose with another licensed nurse.
c. Administer the insulin at a 90 deg angle.
d. Clean the insertion site.
Answer: b. Check the insulin dose with another licensed nurse.
The greatest risk to the client is injury due to a medication error.
Therefore, the priority action is for the nurse to validate the correct
dose of insulin with another licensed nurse prior to administration.
Insulin is a high-alert medication and incorrect dosages can be fatal
for the client.
,◉ A nurse is caring for an older adult client in the PACU following
general anesthesia. Which of the following findings should the nurse
report to the provider?
a. Urine output 120 mL in 4 hr.
b. Systolic blood pressure 12 mm Hg lower than the preoperative
level.
c. Audible stridor.
d. Normal sinus rhythm with an occasional premature ventricular
contraction
Answer: c. Audible stridor.
Audible stridor, or a high-pitched sound heard in the client's airway
indicates edema, laryngeal spasm, secretions, or some type of airway
obstruction that could become life-threatening. The nurse should
report this finding to the provider.
◉ A charge nurse is planning an education session for staff nurses
about working with parents whose terminally ill children are
candidates for donating their organs. Which of the following
information should the nurse plan to include?
a. Choosing to donate organs can delay the timing of the child's
funeral.
,b. The family can have the child in an open casket without fearing
that the organ donation might disfigure the child's body.
c. The family should understand that an autopsy is mandatory prior
to organ donation.
d. The nurse should introduce the option of organ donation to the
parent's when first discussing the child's impending death.
Answer: b. The family can have the child in an open casket without
fearing that the organ donation might disfigure the child's body.
Removal of organs does not damage or violate the child's body in a
way that would prevent an open casket funeral.
◉ A nurse manager is planning to make changes to the current
scheduling system on the unit. To facilitate the staff's acceptance of
this change, which of the following actions should the nurse
manager take first?
a. Provide information about scheduling issues to the staff.
b. Ask staff members to participate in a trial of the new scheduling
system.
c. Encourage staff to offer alternate scheduling solutions.
d. Develop goals to implement the new scheduling system.
Answer: a. Provide information about scheduling issues to the staff.
, The first stage of the change process is the unfreezing stage, when
the nurse should inform the staff about the current staffing issues.
This can increase their understanding of why changes are necessary.
◉ A nurse is assessing a client who is receiving a blood transfusion.
Which of the following findings should indicate to the nurse that the
client is having a hemolytic transfusion reaction.
a. Bradycardia.
b. Low back pain.
c. Hypertension.
d. Distended jugular veins.
Answer: b. Low Back pain
Hemolytic (lysis of blood cells)
- Fever
- Chills
- Hemoglobinuria
- Feeling of impending doom (chest pain)
- Low back pain
◉ A nurse is assessing a client who has macular degeneration.
Which of the following findings should the nurse expect?
