NCLEX-RN Comprehensive Exam Review 2026 | Latest Update |
Graded A+
1. Describe how invasive non-pharmacological pain relief techniques differ from
pharmacological methods.
Invasive non-pharmacological techniques involve physical
interventions to alleviate pain, while pharmacological methods use
medications.
Invasive non-pharmacological techniques are always more effective
than pharmacological methods.
Pharmacological methods are only used in emergency situations, while
non-pharmacological techniques are used regularly.
Invasive techniques require less training than pharmacological
methods.
2. What are the five rights of delegation in nursing practice?
Right task, right timing, right person, right communication, right
evaluation
Right task, right circumstances, right person, right
direction/communication, right supervision/evaluation
Right task, right conditions, right individual, right guidance, right
assessment
Right task, right environment, right person, right instruction, right
feedback
3. What is the normal range for Red Blood Cells (RBC) in adults?
3.5 to 5.5 million cells per microliter
4.0 to 5.0 million cells per microliter
, 5.5 to 7.0 million cells per microliter
4.2 to 6.1 million cells per microliter
4. Describe the significance of maintaining the therapeutic range for PTT and
aPTT in patient care.
Therapeutic ranges for PTT and aPTT are the same for all patients
regardless of their condition.
The therapeutic range for PTT and aPTT is irrelevant to patient
outcomes.
PTT and aPTT are only monitored in surgical patients.
Maintaining the therapeutic range for PTT and aPTT is crucial to
prevent excessive bleeding or clotting in patients on anticoagulant
therapy.
5. A patient presents with symptoms of dehydration and low blood pressure.
What nursing intervention should be prioritized?
Monitor vital signs every hour
Provide patient education on fluid intake
Administer intravenous fluids
Encourage oral hydration
6. What does PT stand for in the context of blood tests?
Platelet Time
Prothrombin Time
Plasma Time
Partial Thromboplastin Time
,7. Describe the role of analgesics in pain management for patients with
moderate to severe pain.
Analgesics are used to manage anxiety and depression.
Analgesics are medications that lower blood pressure.
Analgesics are primarily used to treat infections.
Analgesics are used to relieve pain and improve patient comfort in
cases of moderate to severe pain.
8. What are the standards of nursing care?
responsibilities that all rn's are expected to perform regardless of
specific areas of practice or roles
specific psychomotor skills nurses are trained to perform
the ethics nurses should hold
the attitudes that nurses should have
9. A patient presents with symptoms of muscle weakness and irregular
heartbeat. If lab results show a potassium level of 2.8 mEq/L, what should be
the immediate nursing intervention?
Increase the patient's fluid intake.
Encourage the patient to eat more bananas.
Administer potassium supplements as ordered.
Monitor the patient's blood pressure.
10. Describe the primary symptoms associated with Hyponatremia.
Symptoms may include excessive thirst and frequent urination.
, Symptoms may include headache, confusion, seizures, and muscle
cramps.
Symptoms may include nausea and vomiting.
Symptoms may include elevated blood pressure and increased heart
rate.
11. Describe the significance of the four criteria for malpractice in nursing
practice.
The criteria are primarily for assessing patient satisfaction.
The criteria help in the development of nursing care plans.
The criteria are used to evaluate the effectiveness of nursing
interventions.
The four criteria establish a framework to determine if a nurse's
actions led to patient harm, ensuring accountability.
12. What is the aPTT therapeutic range for someone on heparin?
50-60
33-75
22-30
18-20
13. Describe how certain medications can affect platelet counts in patients.
Only antibiotics affect platelet levels.
All medications increase platelet counts.
Certain medications, such as anticoagulants, can lead to decreased
platelet counts by inhibiting platelet production or increasing their
destruction.
Graded A+
1. Describe how invasive non-pharmacological pain relief techniques differ from
pharmacological methods.
Invasive non-pharmacological techniques involve physical
interventions to alleviate pain, while pharmacological methods use
medications.
Invasive non-pharmacological techniques are always more effective
than pharmacological methods.
Pharmacological methods are only used in emergency situations, while
non-pharmacological techniques are used regularly.
Invasive techniques require less training than pharmacological
methods.
2. What are the five rights of delegation in nursing practice?
Right task, right timing, right person, right communication, right
evaluation
Right task, right circumstances, right person, right
direction/communication, right supervision/evaluation
Right task, right conditions, right individual, right guidance, right
assessment
Right task, right environment, right person, right instruction, right
feedback
3. What is the normal range for Red Blood Cells (RBC) in adults?
3.5 to 5.5 million cells per microliter
4.0 to 5.0 million cells per microliter
, 5.5 to 7.0 million cells per microliter
4.2 to 6.1 million cells per microliter
4. Describe the significance of maintaining the therapeutic range for PTT and
aPTT in patient care.
Therapeutic ranges for PTT and aPTT are the same for all patients
regardless of their condition.
The therapeutic range for PTT and aPTT is irrelevant to patient
outcomes.
PTT and aPTT are only monitored in surgical patients.
Maintaining the therapeutic range for PTT and aPTT is crucial to
prevent excessive bleeding or clotting in patients on anticoagulant
therapy.
5. A patient presents with symptoms of dehydration and low blood pressure.
What nursing intervention should be prioritized?
Monitor vital signs every hour
Provide patient education on fluid intake
Administer intravenous fluids
Encourage oral hydration
6. What does PT stand for in the context of blood tests?
Platelet Time
Prothrombin Time
Plasma Time
Partial Thromboplastin Time
,7. Describe the role of analgesics in pain management for patients with
moderate to severe pain.
Analgesics are used to manage anxiety and depression.
Analgesics are medications that lower blood pressure.
Analgesics are primarily used to treat infections.
Analgesics are used to relieve pain and improve patient comfort in
cases of moderate to severe pain.
8. What are the standards of nursing care?
responsibilities that all rn's are expected to perform regardless of
specific areas of practice or roles
specific psychomotor skills nurses are trained to perform
the ethics nurses should hold
the attitudes that nurses should have
9. A patient presents with symptoms of muscle weakness and irregular
heartbeat. If lab results show a potassium level of 2.8 mEq/L, what should be
the immediate nursing intervention?
Increase the patient's fluid intake.
Encourage the patient to eat more bananas.
Administer potassium supplements as ordered.
Monitor the patient's blood pressure.
10. Describe the primary symptoms associated with Hyponatremia.
Symptoms may include excessive thirst and frequent urination.
, Symptoms may include headache, confusion, seizures, and muscle
cramps.
Symptoms may include nausea and vomiting.
Symptoms may include elevated blood pressure and increased heart
rate.
11. Describe the significance of the four criteria for malpractice in nursing
practice.
The criteria are primarily for assessing patient satisfaction.
The criteria help in the development of nursing care plans.
The criteria are used to evaluate the effectiveness of nursing
interventions.
The four criteria establish a framework to determine if a nurse's
actions led to patient harm, ensuring accountability.
12. What is the aPTT therapeutic range for someone on heparin?
50-60
33-75
22-30
18-20
13. Describe how certain medications can affect platelet counts in patients.
Only antibiotics affect platelet levels.
All medications increase platelet counts.
Certain medications, such as anticoagulants, can lead to decreased
platelet counts by inhibiting platelet production or increasing their
destruction.
