NCLEX-RN EXAM STUDY GUIDE
2026/2027
ACCURATE QUESTIONS WITH
CORRECT DETAILED SOLUTIONS |
NEWEST VERSION
Description: This comprehensive study guide contains 200 high-yield multiple-choice
questions designed to prepare candidates for the NCLEX-RN examination. Each
question includes detailed rationales and correct answers marked with ✅. Questions
are randomized to simulate the actual exam experience, covering all major Client Need
Categories including Safe and Effective Care Environment, Health Promotion and
Maintenance, Psychosocial Integrity, and Physiological Integrity.
Keywords: NCLEX-RN, nursing licensure, exam preparation, patient safety,
pharmacology, medication administration, infection control, prioritization, delegation,
therapeutic communication, maternal newborn, pediatric nursing, mental health, critical
care, fundamentals of nursing.
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT
1. A nurse is preparing to administer medications to a client. Which of the
following is the priority action before administration?
,A. Check the client's identification band
B. Verify the medication order with the provider
C. Perform hand hygiene ✅
D. Assess the client's vital signs
2. A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task
is appropriate to delegate?
A. Administering oral medications
B. Ambulating a stable client ✅
C. Teaching a client about insulin administration
D. Assessing a postoperative wound
3. A nurse discovers a fire in a client's room. Which action should the nurse take
first?
A. Activate the fire alarm
B. Remove the client from danger ✅
C. Extinguish the fire
D. Close all doors
4. A nurse is reviewing isolation precautions. Which type of precaution requires a
negative-pressure room?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions ✅
D. Standard precautions
5. A nurse is preparing to insert an indwelling urinary catheter. Which action
maintains sterile technique?
A. Reusing the catheter if insertion fails
B. Keeping the drainage bag below the bladder ✅
C. Touching the tip of the catheter with bare hands
D. Using tap water for inflation
,6. A nurse is assessing a client for risk of falls. Which factor places the client at
highest risk?
A. Age 45
B. History of hypertension
C. Taking a benzodiazepine ✅
D. Wearing glasses
7. A nurse is teaching a client about hand hygiene. Which statement indicates
understanding?
A. "I should wash my hands for 5 seconds."
B. "I should rub my hands together vigorously for at least 20 seconds." ✅
C. "I only need to wash after using the bathroom."
D. "Alcohol-based sanitizer is ineffective."
8. A nurse is preparing to administer a blood transfusion. Which action is priority?
A. Verify the blood type with another nurse ✅
B. Start the transfusion rapidly
C. Add medications to the blood bag
D. Use a 22-gauge IV catheter
9. A nurse is caring for a client on seizure precautions. Which item should be at the
bedside?
A. Suction equipment ✅
B. Restraints
C. Tongue blade
D. IV push medications
10. A nurse is reviewing disaster triage. Which client should be assessed first?
A. Client with a fractured arm
B. Client with absent breath sounds ✅
C. Client with a minor laceration
D. Client with anxiety
, 11. A nurse is preparing to administer heparin subcutaneously. Which site is
preferred?
A. Deltoid
B. Abdomen ✅
C. Thigh
D. Upper arm
12. A nurse is evaluating a client's understanding of advance directives. Which
statement is correct?
A. "Advance directives are only for terminally ill clients."
B. "A living will specifies wishes for end-of-life care." ✅
C. "A healthcare proxy can override the client's wishes."
D. "Advance directives must be notarized."
13. A nurse is assessing a client for signs of infection. Which finding is most
concerning?
A. Temperature of 99.0°F
B. Heart rate of 88 bpm
C. Purulent wound drainage ✅
D. Mild fatigue
14. A nurse is preparing to administer an enema. Which position is appropriate?
A. Supine
B. Left lateral Sims' ✅
C. Prone
D. High Fowler's
15. A nurse is reviewing medication reconciliation. Which action is priority?
A. Discontinue all home medications
B. Compare current medications with home medications ✅
C. Administer all medications at once
D. Ignore herbal supplements
2026/2027
ACCURATE QUESTIONS WITH
CORRECT DETAILED SOLUTIONS |
NEWEST VERSION
Description: This comprehensive study guide contains 200 high-yield multiple-choice
questions designed to prepare candidates for the NCLEX-RN examination. Each
question includes detailed rationales and correct answers marked with ✅. Questions
are randomized to simulate the actual exam experience, covering all major Client Need
Categories including Safe and Effective Care Environment, Health Promotion and
Maintenance, Psychosocial Integrity, and Physiological Integrity.
Keywords: NCLEX-RN, nursing licensure, exam preparation, patient safety,
pharmacology, medication administration, infection control, prioritization, delegation,
therapeutic communication, maternal newborn, pediatric nursing, mental health, critical
care, fundamentals of nursing.
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT
1. A nurse is preparing to administer medications to a client. Which of the
following is the priority action before administration?
,A. Check the client's identification band
B. Verify the medication order with the provider
C. Perform hand hygiene ✅
D. Assess the client's vital signs
2. A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task
is appropriate to delegate?
A. Administering oral medications
B. Ambulating a stable client ✅
C. Teaching a client about insulin administration
D. Assessing a postoperative wound
3. A nurse discovers a fire in a client's room. Which action should the nurse take
first?
A. Activate the fire alarm
B. Remove the client from danger ✅
C. Extinguish the fire
D. Close all doors
4. A nurse is reviewing isolation precautions. Which type of precaution requires a
negative-pressure room?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions ✅
D. Standard precautions
5. A nurse is preparing to insert an indwelling urinary catheter. Which action
maintains sterile technique?
A. Reusing the catheter if insertion fails
B. Keeping the drainage bag below the bladder ✅
C. Touching the tip of the catheter with bare hands
D. Using tap water for inflation
,6. A nurse is assessing a client for risk of falls. Which factor places the client at
highest risk?
A. Age 45
B. History of hypertension
C. Taking a benzodiazepine ✅
D. Wearing glasses
7. A nurse is teaching a client about hand hygiene. Which statement indicates
understanding?
A. "I should wash my hands for 5 seconds."
B. "I should rub my hands together vigorously for at least 20 seconds." ✅
C. "I only need to wash after using the bathroom."
D. "Alcohol-based sanitizer is ineffective."
8. A nurse is preparing to administer a blood transfusion. Which action is priority?
A. Verify the blood type with another nurse ✅
B. Start the transfusion rapidly
C. Add medications to the blood bag
D. Use a 22-gauge IV catheter
9. A nurse is caring for a client on seizure precautions. Which item should be at the
bedside?
A. Suction equipment ✅
B. Restraints
C. Tongue blade
D. IV push medications
10. A nurse is reviewing disaster triage. Which client should be assessed first?
A. Client with a fractured arm
B. Client with absent breath sounds ✅
C. Client with a minor laceration
D. Client with anxiety
, 11. A nurse is preparing to administer heparin subcutaneously. Which site is
preferred?
A. Deltoid
B. Abdomen ✅
C. Thigh
D. Upper arm
12. A nurse is evaluating a client's understanding of advance directives. Which
statement is correct?
A. "Advance directives are only for terminally ill clients."
B. "A living will specifies wishes for end-of-life care." ✅
C. "A healthcare proxy can override the client's wishes."
D. "Advance directives must be notarized."
13. A nurse is assessing a client for signs of infection. Which finding is most
concerning?
A. Temperature of 99.0°F
B. Heart rate of 88 bpm
C. Purulent wound drainage ✅
D. Mild fatigue
14. A nurse is preparing to administer an enema. Which position is appropriate?
A. Supine
B. Left lateral Sims' ✅
C. Prone
D. High Fowler's
15. A nurse is reviewing medication reconciliation. Which action is priority?
A. Discontinue all home medications
B. Compare current medications with home medications ✅
C. Administer all medications at once
D. Ignore herbal supplements
