NCLEX Practice Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

NCLEX Practice Questions and Answers | Latest Version | 2025/2026 | Correct & Verified A client is scheduled for a blood transfusion. Which action should the nurse take first? a. Administer pre-medication b. Start the transfusion slowly c. Verify client identity and blood product d. Check vital signs after 15 minutes **Rationale:** Verification ensures the correct client receives the correct blood, preventing transfusion reactions. A nurse is caring for a client with an NG tube. What is the priority intervention? a. Record intake and output b. Provide oral care c. Check tube placement before each feeding d. Reposition client every 2 hours **Rationale:** Incorrect placement can lead to aspiration, so placement must be verified first. 2 A client has a new prescription for a urinary catheter. Which action is most important? a. Secure the catheter with tape b. Document insertion c. Perform hand hygiene before procedure d. Monitor for bladder distension **Rationale:** Hand hygiene prevents infection before invasive procedures. A client is post-op and reports sudden severe abdominal pain. What is the nurse’s first action? a. Offer pain medication b. Assess vital signs and abdominal assessment c. Notify family d. Assist client to the bathroom **Rationale:** Assessing for complications like internal bleeding is the priority. The nurse is preparing to administer insulin. Which step is priority? a. Draw insulin using correct syringe b. Verify expiration date c. Check client’s blood glucose 3 d. Rotate injection site **Rationale:** Ensuring appropriate blood glucose before administration prevents hypoglycemia. A client with COPD is having shortness of breath. Which intervention should the nurse perform first? a. Offer fluids b. Provide patient education c. Administer prescribed oxygen d. Encourage incentive spirometry **Rationale:** Oxygenation is the priority for clients in respiratory distress. The nurse is caring for a client with new-onset confusion. What is the first action? a. Check lab results b. Assess airway, breathing, and circulation c. Notify the physician d. Reorient the client **Rationale:** ABCs (airway, breathing, circulation) always take priority. 4 A client has a prescription for IV antibiotics. When should the nurse administer the medication? a. After lunch b. As soon as possible according to schedule c. When the client requests it d. At the end of shift **Rationale:** Timely administration of antibiotics is essential to combat infection effectively. The nurse is preparing a client for surgery. Which action is most important? a. Verify informed consent b. Provide pre-op teaching c. Administer pre-op meds d. Shave surgical site **Rationale:** Ensuring consent is legal and ethical priority. A client has a blood pressure of 80/50 mmHg and dizziness. Which intervention should the nurse do first? a. Offer water b. Assist to the bathroom