NCLEX-RN Exam 2026/2027 | 200 NGN
Practice Questions with Verified Answers &
Detailed Rationales | All Content Areas | A+
Graded
Section 1: Safe and Effective Care Environment – Management of Care (Questions 1-
40)
1. A nurse is preparing to delegate tasks to an assistive personnel (AP). Which of the
following tasks is appropriate for the nurse to delegate to the AP?
A) Assessing a client's wound for signs of infection
B) Administering oral medications
C) Assisting a client with ambulation
D) Teaching a client about a new medication
Correct Answer: C
Rationale: Assisting with ambulation is within the scope of practice for an AP. Assessment,
medication administration, and teaching require nursing judgment and are not delegated to
unlicensed personnel .
, 2. A nurse is caring for a client who has a new prescription for oxygen therapy at 2
L/min via nasal cannula. Which of the following safety measures should the nurse
implement?
A) Place a "No Smoking" sign on the client's door
B) Apply petroleum jelly to the client's nares
C) Remove the client's cotton blankets from the room
D) Place the oxygen tank in the client's bathroom
Correct Answer: A
Rationale: Oxygen supports combustion, so a "No Smoking" sign should be placed
prominently to alert staff and visitors of the fire risk .
3. A nurse is preparing to administer medications to a client. Which of the following
actions should the nurse take to verify the client's identity?
A) Ask the client to state their name and date of birth
B) Check the client's room number
C) Ask the client's roommate to confirm the client's identity
D) Verify the client's identity using only the wristband
Correct Answer: A
Rationale: The nurse should use at least two client identifiers, such as the client's name and
date of birth. The client should be asked to state their identity rather than confirming a name
provided by the nurse .
, 4. A nurse is reviewing the medical record for a client who has a health care-
associated infection (HAI). Which of the following findings is a risk factor for
acquiring an HAI?
A) The client is 45 years old
B) The client is 71 years old
C) The client has a BMI of 22
D) The client exercises regularly
Correct Answer: B
Rationale: Clients older than 70 years of age are at an increased risk of acquiring an HAI
due to decreased immune system function .
5. A charge nurse is evaluating the time management skills of a newly licensed nurse.
Which of the following actions should the charge nurse identify as an effective time
management skill?
A) Delegates creation of a client's teaching plan to an LPN
B) Completes activities for one client before moving to the next client
C) Focuses on activities rather than objectives
D) Documents client care at the end of the shift
Correct Answer: B
, Rationale: Completing all activities for one client before moving to the next is an effective
time management strategy. Teaching plans should not be delegated to LPNs .
6. A nurse is preparing to witness a client's signature on an informed consent for a
total knee arthroplasty. Which of the following client statements indicates the nurse
should contact the surgeon?
A) "I wonder if the metal in my knee will show up in airport screenings"
B) "The physical therapy has not been working, so I will need to have the surgery"
C) "I look forward to being able to bend my knee again when I sit in a chair"
D) "I am thankful there are no serious complications from this type of surgery"
Correct Answer: D
Rationale: The client's belief that there are no serious complications indicates a lack of
understanding and requires the nurse to contact the surgeon for further education .
7. A nurse is caring for a client who has a do-not-resuscitate (DNR) order. Which of
the following actions should the nurse take?
A) Resuscitate the client if cardiac arrest occurs
B) Honor the client's wishes
C) Discuss the order with the client's family
D) Notify the provider to rescind the order
Practice Questions with Verified Answers &
Detailed Rationales | All Content Areas | A+
Graded
Section 1: Safe and Effective Care Environment – Management of Care (Questions 1-
40)
1. A nurse is preparing to delegate tasks to an assistive personnel (AP). Which of the
following tasks is appropriate for the nurse to delegate to the AP?
A) Assessing a client's wound for signs of infection
B) Administering oral medications
C) Assisting a client with ambulation
D) Teaching a client about a new medication
Correct Answer: C
Rationale: Assisting with ambulation is within the scope of practice for an AP. Assessment,
medication administration, and teaching require nursing judgment and are not delegated to
unlicensed personnel .
, 2. A nurse is caring for a client who has a new prescription for oxygen therapy at 2
L/min via nasal cannula. Which of the following safety measures should the nurse
implement?
A) Place a "No Smoking" sign on the client's door
B) Apply petroleum jelly to the client's nares
C) Remove the client's cotton blankets from the room
D) Place the oxygen tank in the client's bathroom
Correct Answer: A
Rationale: Oxygen supports combustion, so a "No Smoking" sign should be placed
prominently to alert staff and visitors of the fire risk .
3. A nurse is preparing to administer medications to a client. Which of the following
actions should the nurse take to verify the client's identity?
A) Ask the client to state their name and date of birth
B) Check the client's room number
C) Ask the client's roommate to confirm the client's identity
D) Verify the client's identity using only the wristband
Correct Answer: A
Rationale: The nurse should use at least two client identifiers, such as the client's name and
date of birth. The client should be asked to state their identity rather than confirming a name
provided by the nurse .
, 4. A nurse is reviewing the medical record for a client who has a health care-
associated infection (HAI). Which of the following findings is a risk factor for
acquiring an HAI?
A) The client is 45 years old
B) The client is 71 years old
C) The client has a BMI of 22
D) The client exercises regularly
Correct Answer: B
Rationale: Clients older than 70 years of age are at an increased risk of acquiring an HAI
due to decreased immune system function .
5. A charge nurse is evaluating the time management skills of a newly licensed nurse.
Which of the following actions should the charge nurse identify as an effective time
management skill?
A) Delegates creation of a client's teaching plan to an LPN
B) Completes activities for one client before moving to the next client
C) Focuses on activities rather than objectives
D) Documents client care at the end of the shift
Correct Answer: B
, Rationale: Completing all activities for one client before moving to the next is an effective
time management strategy. Teaching plans should not be delegated to LPNs .
6. A nurse is preparing to witness a client's signature on an informed consent for a
total knee arthroplasty. Which of the following client statements indicates the nurse
should contact the surgeon?
A) "I wonder if the metal in my knee will show up in airport screenings"
B) "The physical therapy has not been working, so I will need to have the surgery"
C) "I look forward to being able to bend my knee again when I sit in a chair"
D) "I am thankful there are no serious complications from this type of surgery"
Correct Answer: D
Rationale: The client's belief that there are no serious complications indicates a lack of
understanding and requires the nurse to contact the surgeon for further education .
7. A nurse is caring for a client who has a do-not-resuscitate (DNR) order. Which of
the following actions should the nurse take?
A) Resuscitate the client if cardiac arrest occurs
B) Honor the client's wishes
C) Discuss the order with the client's family
D) Notify the provider to rescind the order
