1
RN Comprehensive Predictor 2026 Exit Examination: Ultimate 250-
Question Practice Bank with Verified Answers and Detailed
Rationales Aligned with Next Generation NCLEX (NGN) Standards
and 2026 NCLEX-RN Test Plan Updates
SECTION 1: FUNDAMENTALS OF NURSING AND SAFE PRACTICE (Questions 1–30)
1. A nurse is preparing to administer a medication to a client. The medication
administration record (MAR) indicates the medication is due at 0900. The nurse
notes that the client is currently in the radiology department. Which of the
following actions should the nurse take?
A) Administer the medication when the client returns
B) Document the medication as "held" and notify the provider
C) Call the radiology department and ask if the client can receive the medication
D) Withhold the medication and administer it at the next scheduled time
Correct Answer: C
Rationale: The nurse should call the radiology department to determine if the
medication can be administered before or after the procedure. Administering
medications on time is a priority, but safety must be considered. Documenting as
"held" without attempting to administer is inappropriate.
, 2
2. A nurse is caring for a client with a Clostridium difficile infection. Which of the
following infection control precautions should the nurse implement?
A) Standard precautions only
B) Contact precautions
C) Droplet precautions
D) Airborne precautions
Correct Answer: B
Rationale: Clostridium difficile requires contact precautions because it is
transmitted via the fecal-oral route and through contact with contaminated
surfaces. Contact precautions include the use of gloves and gowns, and hand
hygiene with soap and water (alcohol-based hand sanitizers are not effective
against C. difficile spores).
3. A charge nurse is observing a newly licensed nurse perform a sterile dressing
change. Which of the following actions by the newly licensed nurse indicates a
need for remediation?
, 3
A) Opening the sterile package away from the body
B) Placing the sterile field at waist level
C) Pouring sterile solution onto the sterile field from a height of 4 inches
D) Reaching over the sterile field to obtain additional supplies
Correct Answer: D
Rationale: Reaching over the sterile field contaminates it. The sterile field should
be kept at waist level or above, and the nurse should not reach across it. The
other options are correct sterile technique practices.
4. A nurse is providing teaching to a client who has a new prescription for a
metered-dose inhaler (MDI). Which of the following instructions should the
nurse include?
A) "Shake the inhaler vigorously for 3 to 5 seconds before each use."
B) "Inhale deeply and hold your breath for 10 seconds after each puff."
C) "Rinse your mouth with water after each use."
D) "Use the inhaler with a spacer device to improve medication delivery."
Correct Answer: B
, 4
Rationale: The client should inhale deeply and hold their breath for 10 seconds to
allow the medication to deposit in the lungs. Spacers improve delivery, and
mouth rinsing is important for corticosteroid inhalers to prevent oral thrush.
5. A nurse is caring for a client who has a nasogastric (NG) tube attached to
continuous suction. Which of the following findings indicates the NG tube is
functioning properly?
A) The client reports a feeling of fullness
B) The drainage is bright red
C) The drainage is greenish-yellow
D) The client has abdominal distention
Correct Answer: C
Rationale: Greenish-yellow drainage indicates gastric contents are being properly
removed. Bright red drainage indicates active bleeding, and abdominal distention
or fullness may indicate tube obstruction or malfunction.
RN Comprehensive Predictor 2026 Exit Examination: Ultimate 250-
Question Practice Bank with Verified Answers and Detailed
Rationales Aligned with Next Generation NCLEX (NGN) Standards
and 2026 NCLEX-RN Test Plan Updates
SECTION 1: FUNDAMENTALS OF NURSING AND SAFE PRACTICE (Questions 1–30)
1. A nurse is preparing to administer a medication to a client. The medication
administration record (MAR) indicates the medication is due at 0900. The nurse
notes that the client is currently in the radiology department. Which of the
following actions should the nurse take?
A) Administer the medication when the client returns
B) Document the medication as "held" and notify the provider
C) Call the radiology department and ask if the client can receive the medication
D) Withhold the medication and administer it at the next scheduled time
Correct Answer: C
Rationale: The nurse should call the radiology department to determine if the
medication can be administered before or after the procedure. Administering
medications on time is a priority, but safety must be considered. Documenting as
"held" without attempting to administer is inappropriate.
, 2
2. A nurse is caring for a client with a Clostridium difficile infection. Which of the
following infection control precautions should the nurse implement?
A) Standard precautions only
B) Contact precautions
C) Droplet precautions
D) Airborne precautions
Correct Answer: B
Rationale: Clostridium difficile requires contact precautions because it is
transmitted via the fecal-oral route and through contact with contaminated
surfaces. Contact precautions include the use of gloves and gowns, and hand
hygiene with soap and water (alcohol-based hand sanitizers are not effective
against C. difficile spores).
3. A charge nurse is observing a newly licensed nurse perform a sterile dressing
change. Which of the following actions by the newly licensed nurse indicates a
need for remediation?
, 3
A) Opening the sterile package away from the body
B) Placing the sterile field at waist level
C) Pouring sterile solution onto the sterile field from a height of 4 inches
D) Reaching over the sterile field to obtain additional supplies
Correct Answer: D
Rationale: Reaching over the sterile field contaminates it. The sterile field should
be kept at waist level or above, and the nurse should not reach across it. The
other options are correct sterile technique practices.
4. A nurse is providing teaching to a client who has a new prescription for a
metered-dose inhaler (MDI). Which of the following instructions should the
nurse include?
A) "Shake the inhaler vigorously for 3 to 5 seconds before each use."
B) "Inhale deeply and hold your breath for 10 seconds after each puff."
C) "Rinse your mouth with water after each use."
D) "Use the inhaler with a spacer device to improve medication delivery."
Correct Answer: B
, 4
Rationale: The client should inhale deeply and hold their breath for 10 seconds to
allow the medication to deposit in the lungs. Spacers improve delivery, and
mouth rinsing is important for corticosteroid inhalers to prevent oral thrush.
5. A nurse is caring for a client who has a nasogastric (NG) tube attached to
continuous suction. Which of the following findings indicates the NG tube is
functioning properly?
A) The client reports a feeling of fullness
B) The drainage is bright red
C) The drainage is greenish-yellow
D) The client has abdominal distention
Correct Answer: C
Rationale: Greenish-yellow drainage indicates gastric contents are being properly
removed. Bright red drainage indicates active bleeding, and abdominal distention
or fullness may indicate tube obstruction or malfunction.
