updated NCLEX-RN practice questions for 2026, including detailed rationales, clinical scenarios, and verified answers
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Term 1 of 31
A nurse has delegated a venipuncture to an unlicensed assistant (UA) who has
been off orientation for five days. The UA reports, " This client has a large,
raised red area where the need was inserted." The nurse's subsequent
assessment reveals a hematoma in the venipuncture area. What elements of
delegation have been breached? Select all that apply.
,updated NCLEX-RN practice questions for 2026, including detailed rationales, clinical scenarios, and verified answers
1. Task
2. Circumstance
3. Communication
4. Supervision
5. Skill
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Answer:
Rationale:
Cognitive Level:
Client Need:
Integrated Process:
Content Area:
Strategy:
Answer: 3, 4
Rationale: A state's NPA serves to protect the public by setting minimum qualifications for
nursing in relation to skills and competencies. One way it fulfills responsibility to protect the
public is by defining the scope of nursing practice in that state. The state board of nursing
approves schools to operate but does not enforce ethical standards. A state NPA has no role
in setting liability insurance rates for nurses.
Cognitive Level: Applying
Client Need: Management of Care
Integrated Process: Nursing Process: Implementation
Content Area: Fundamentals
Strategy: Use the process of elimination and basic nursing knowledge to answer the question.
,updated NCLEX-RN practice questions for 2026,
Theincluding
wording detailed
of therationales,
questionclinical scenarios,
indicates and verified
that more than oneanswers
option is correct and that the
correct responses are worded as true statements.
Answer: 2
Rationale: Negligence is the unintentional failure of an individual to perform or not perform
an act that a reasonable person would or would not do in the same or similar circumstances.
A purposeful failure to perform a procedure would be the opposite of negligence, which is
unintentional. Substituting a different medication does not fit the description of the situation
in the question. Failure to follow a direct order does not fit the description in the situation in
the question.
Cognitive Level: Applying
Client Need: Management of Care
Integrated Process: Nursing Process: Assessment
Content Area: Fundamentals
Strategy: Two options are opposites, which is a clue that one of them may be correct. Choose
unintentional failure to carry out a procedure over purposeful failure because it matches the
definition of negligence.
Answer: 4
Rationale: Factors to consider when delegating care include complexity of task, problem-
solving innovation required, unpredictability, and level of client interaction. The ambulatory
client is best to delegate because this client in likely to be stable with a low level of
unpredictability. The client who recently lost her husband would benefit from professional
communication with the RN and requires a high level of client interaction. The client receiving
enteral feedings and is immobilized represents a more complex client, who is better assigned
to a licensed nurse. The client with a leaking osmotic would benefit from problem-solving
innovation and is best cared for by the RN.
Cognitive Level: Analyzing
Client Need: Management of Care
, updated NCLEX-RN practice questions for 2026, including detailed
Integrated Process: rationales,
Nursing clinical scenarios,
Process: Planningand verified answers
Content Area: Leadership and Management
Strategy: The core issue of the question is basic concepts that are useful when considering
delegation to a UAP. Use this knowledge and the process of elimination to make selection.
Don't know?
Term 2 of 31
After receiving the inter shift report, the registered nurse (RN) has many tasks
to complete during the next 12 hours. Which tasks would the nurse delegate to
an unlicensed person (UAP)? Select all that apply.
1. Flushing a nasogastric tube on a client who has had a colectomy
2. Irrigating a clogged urinary catheter on an older adult client
3. Rechecking vital signs on a 30-year-old client with a BP of 100/60
4. Changing a dressing on a client with an infected diabetic foot ulcer
5. Measuring and recording hourly ruin output for a client who underwent
nephrectomy
Give this one a try later!
Be kind to yourself, and keep practicing!
Your time: 1 min Next steps
Correct 0 31 missed terms
0%
Incorrect 31 Practice terms in Learn
Practice your missed terms more until
you get them right.
Take a new test
Try another test to boost your
confidence.
Your answers
Term 1 of 31
A nurse has delegated a venipuncture to an unlicensed assistant (UA) who has
been off orientation for five days. The UA reports, " This client has a large,
raised red area where the need was inserted." The nurse's subsequent
assessment reveals a hematoma in the venipuncture area. What elements of
delegation have been breached? Select all that apply.
,updated NCLEX-RN practice questions for 2026, including detailed rationales, clinical scenarios, and verified answers
1. Task
2. Circumstance
3. Communication
4. Supervision
5. Skill
Give this one a try later!
Answer:
Rationale:
Cognitive Level:
Client Need:
Integrated Process:
Content Area:
Strategy:
Answer: 3, 4
Rationale: A state's NPA serves to protect the public by setting minimum qualifications for
nursing in relation to skills and competencies. One way it fulfills responsibility to protect the
public is by defining the scope of nursing practice in that state. The state board of nursing
approves schools to operate but does not enforce ethical standards. A state NPA has no role
in setting liability insurance rates for nurses.
Cognitive Level: Applying
Client Need: Management of Care
Integrated Process: Nursing Process: Implementation
Content Area: Fundamentals
Strategy: Use the process of elimination and basic nursing knowledge to answer the question.
,updated NCLEX-RN practice questions for 2026,
Theincluding
wording detailed
of therationales,
questionclinical scenarios,
indicates and verified
that more than oneanswers
option is correct and that the
correct responses are worded as true statements.
Answer: 2
Rationale: Negligence is the unintentional failure of an individual to perform or not perform
an act that a reasonable person would or would not do in the same or similar circumstances.
A purposeful failure to perform a procedure would be the opposite of negligence, which is
unintentional. Substituting a different medication does not fit the description of the situation
in the question. Failure to follow a direct order does not fit the description in the situation in
the question.
Cognitive Level: Applying
Client Need: Management of Care
Integrated Process: Nursing Process: Assessment
Content Area: Fundamentals
Strategy: Two options are opposites, which is a clue that one of them may be correct. Choose
unintentional failure to carry out a procedure over purposeful failure because it matches the
definition of negligence.
Answer: 4
Rationale: Factors to consider when delegating care include complexity of task, problem-
solving innovation required, unpredictability, and level of client interaction. The ambulatory
client is best to delegate because this client in likely to be stable with a low level of
unpredictability. The client who recently lost her husband would benefit from professional
communication with the RN and requires a high level of client interaction. The client receiving
enteral feedings and is immobilized represents a more complex client, who is better assigned
to a licensed nurse. The client with a leaking osmotic would benefit from problem-solving
innovation and is best cared for by the RN.
Cognitive Level: Analyzing
Client Need: Management of Care
, updated NCLEX-RN practice questions for 2026, including detailed
Integrated Process: rationales,
Nursing clinical scenarios,
Process: Planningand verified answers
Content Area: Leadership and Management
Strategy: The core issue of the question is basic concepts that are useful when considering
delegation to a UAP. Use this knowledge and the process of elimination to make selection.
Don't know?
Term 2 of 31
After receiving the inter shift report, the registered nurse (RN) has many tasks
to complete during the next 12 hours. Which tasks would the nurse delegate to
an unlicensed person (UAP)? Select all that apply.
1. Flushing a nasogastric tube on a client who has had a colectomy
2. Irrigating a clogged urinary catheter on an older adult client
3. Rechecking vital signs on a 30-year-old client with a BP of 100/60
4. Changing a dressing on a client with an infected diabetic foot ulcer
5. Measuring and recording hourly ruin output for a client who underwent
nephrectomy
Give this one a try later!
