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NCSBN NCLEX PRACTICE EXAM 2026/2027 |
COMPREHENSIVE NURSING ASSESSMENT | 75
VERIFIED Q&A | DETAILED RATIONALES | NGN-
ALIGNED | PASS GUARANTEED – A+ GRADED
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT – MANAGEMENT OF CARE – Questions 1–12
Q1: Management of Care – Prioritization
A nurse is caring for four clients. Which client should the nurse assess first?
A. Client with a blood pressure of 148/90 mmHg
B. Client with new-onset slurred speech
C. Client requesting a pain pill
D. Client with a temperature of 100.1°F
Correct Answer: B
Rationale: New-onset slurred speech suggests a possible stroke and requires immediate neurological
assessment. ABCs and acute neurological changes take priority. [100% CORRECT]
Q2: Management of Care – Delegation
Which task is appropriate for the RN to delegate to an LPN?
A. Administering IV push furosemide
B. Performing an initial admission assessment
C. Inserting a urinary catheter for a stable client
D. Developing the initial care plan
Correct Answer: C
Rationale: LPNs can insert urinary catheters for stable clients. IV push medications, initial
assessments, and care plan development are RN responsibilities. [100% CORRECT]
Q3: Management of Care – Ethical Principles
A nurse respects a client’s decision to stop chemotherapy. Which ethical principle is being applied?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Correct Answer: A
Rationale: Autonomy is the client’s right to make informed decisions about their own care, including
refusing treatment. [100% CORRECT]
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Q4: Management of Care – Advance Directives
A client with a valid living will specifies no heroic measures. The client’s heart stops. What should the
nurse do?
A. Begin CPR
B. Withhold CPR and follow the living will
C. Call a code
D. Ask the family
Correct Answer: B
Rationale: A living will is an advance directive that specifies the client’s wishes. The nurse must
follow it and withhold CPR. [100% CORRECT]
Q5: Management of Care – Informed Consent
A client asks the nurse, “What are the risks of this surgery?” What is the nurse’s best response?
A. Explain the risks in detail
B. Tell the client the provider will explain risks
C. Provide a pamphlet
D. Tell the client not to worry
Correct Answer: B
Rationale: The provider performing the procedure is responsible for explaining risks, benefits, and
alternatives. The nurse can witness consent but should not explain risks. [100% CORRECT]
Q6: Management of Care – Incident Reporting
A nurse administers the wrong medication but the client is not harmed. What should the nurse do?
A. Complete an incident report
B. Document in the chart only
C. Tell the client
D. Notify the family
Correct Answer: A
Rationale: An incident report should be completed for any medication error, even if no harm
occurred, for quality improvement. [100% CORRECT]
Q7: Management of Care – Handoff Communication
Which information is most important to include in an SBAR handoff?
A. Client’s room number
B. Current assessment and recommendations
C. Client’s insurance
D. Admission date
Correct Answer: B
Rationale: SBAR includes Situation, Background, Assessment, and Recommendation. Assessment
and recommendations are critical for safe handoff. [100% CORRECT]
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Q8: Management of Care – Confidentiality
A nurse discusses a client’s diagnosis in the cafeteria. This violates:
A. HIPAA
B. OSHA
C. ADA
D. EMTALA
Correct Answer: A
Rationale: HIPAA protects the privacy and security of protected health information. Discussing client
information in public violates HIPAA. [100% CORRECT]
Q9: Management of Care – Supervision
A UAP reports that a client’s blood pressure is 80/50 mmHg. What should the RN do first?
A. Recheck the blood pressure personally
B. Ask the UAP to recheck it
C. Notify the provider
D. Document the finding
Correct Answer: A
Rationale: The RN should personally reassess an abnormal finding reported by UAP before notifying
the provider. [100% CORRECT]
Q10: Management of Care – Quality Improvement
A nurse notices an increase in falls on the unit. What is the best initial action?
A. Review incident reports and identify trends
B. Restrain all clients
C. Ignore the issue
D. Blame the night shift
Correct Answer: A
Rationale: Quality improvement begins with data collection and trend analysis to identify causes and
solutions. [100% CORRECT]
Q11: Management of Care – Advocacy
A client cannot afford prescribed medications. What is the nurse’s best action?
A. Contact social work or case management
B. Tell the client to skip doses
C. Ignore the issue
D. Tell the client to buy them anyway
Correct Answer: A
Rationale: The nurse advocates for the client by involving social work or case management to
explore financial assistance and resources. [100% CORRECT]
NCSBN NCLEX PRACTICE EXAM 2026/2027 |
COMPREHENSIVE NURSING ASSESSMENT | 75
VERIFIED Q&A | DETAILED RATIONALES | NGN-
ALIGNED | PASS GUARANTEED – A+ GRADED
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT – MANAGEMENT OF CARE – Questions 1–12
Q1: Management of Care – Prioritization
A nurse is caring for four clients. Which client should the nurse assess first?
A. Client with a blood pressure of 148/90 mmHg
B. Client with new-onset slurred speech
C. Client requesting a pain pill
D. Client with a temperature of 100.1°F
Correct Answer: B
Rationale: New-onset slurred speech suggests a possible stroke and requires immediate neurological
assessment. ABCs and acute neurological changes take priority. [100% CORRECT]
Q2: Management of Care – Delegation
Which task is appropriate for the RN to delegate to an LPN?
A. Administering IV push furosemide
B. Performing an initial admission assessment
C. Inserting a urinary catheter for a stable client
D. Developing the initial care plan
Correct Answer: C
Rationale: LPNs can insert urinary catheters for stable clients. IV push medications, initial
assessments, and care plan development are RN responsibilities. [100% CORRECT]
Q3: Management of Care – Ethical Principles
A nurse respects a client’s decision to stop chemotherapy. Which ethical principle is being applied?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Correct Answer: A
Rationale: Autonomy is the client’s right to make informed decisions about their own care, including
refusing treatment. [100% CORRECT]
,2
Q4: Management of Care – Advance Directives
A client with a valid living will specifies no heroic measures. The client’s heart stops. What should the
nurse do?
A. Begin CPR
B. Withhold CPR and follow the living will
C. Call a code
D. Ask the family
Correct Answer: B
Rationale: A living will is an advance directive that specifies the client’s wishes. The nurse must
follow it and withhold CPR. [100% CORRECT]
Q5: Management of Care – Informed Consent
A client asks the nurse, “What are the risks of this surgery?” What is the nurse’s best response?
A. Explain the risks in detail
B. Tell the client the provider will explain risks
C. Provide a pamphlet
D. Tell the client not to worry
Correct Answer: B
Rationale: The provider performing the procedure is responsible for explaining risks, benefits, and
alternatives. The nurse can witness consent but should not explain risks. [100% CORRECT]
Q6: Management of Care – Incident Reporting
A nurse administers the wrong medication but the client is not harmed. What should the nurse do?
A. Complete an incident report
B. Document in the chart only
C. Tell the client
D. Notify the family
Correct Answer: A
Rationale: An incident report should be completed for any medication error, even if no harm
occurred, for quality improvement. [100% CORRECT]
Q7: Management of Care – Handoff Communication
Which information is most important to include in an SBAR handoff?
A. Client’s room number
B. Current assessment and recommendations
C. Client’s insurance
D. Admission date
Correct Answer: B
Rationale: SBAR includes Situation, Background, Assessment, and Recommendation. Assessment
and recommendations are critical for safe handoff. [100% CORRECT]
, 3
Q8: Management of Care – Confidentiality
A nurse discusses a client’s diagnosis in the cafeteria. This violates:
A. HIPAA
B. OSHA
C. ADA
D. EMTALA
Correct Answer: A
Rationale: HIPAA protects the privacy and security of protected health information. Discussing client
information in public violates HIPAA. [100% CORRECT]
Q9: Management of Care – Supervision
A UAP reports that a client’s blood pressure is 80/50 mmHg. What should the RN do first?
A. Recheck the blood pressure personally
B. Ask the UAP to recheck it
C. Notify the provider
D. Document the finding
Correct Answer: A
Rationale: The RN should personally reassess an abnormal finding reported by UAP before notifying
the provider. [100% CORRECT]
Q10: Management of Care – Quality Improvement
A nurse notices an increase in falls on the unit. What is the best initial action?
A. Review incident reports and identify trends
B. Restrain all clients
C. Ignore the issue
D. Blame the night shift
Correct Answer: A
Rationale: Quality improvement begins with data collection and trend analysis to identify causes and
solutions. [100% CORRECT]
Q11: Management of Care – Advocacy
A client cannot afford prescribed medications. What is the nurse’s best action?
A. Contact social work or case management
B. Tell the client to skip doses
C. Ignore the issue
D. Tell the client to buy them anyway
Correct Answer: A
Rationale: The nurse advocates for the client by involving social work or case management to
explore financial assistance and resources. [100% CORRECT]
