UWORLD NCLEX-PN TEST 1 | 2026/2027 | LATEST PRACTICAL NURSING REVIEW |…
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
UWorld NCLEX-PN Test 1 |
2026/2027 | Latest Practical
Nursing Review | Questions
& Answers (Rationales)
Verified Answers Exam Ready With Rationales 96 QUESTIONS
DOCUMENT OVERVIEW
This document provides 96 comprehensive NCLEX-PN review questions, each paired with
the correct answer and detailed rationales. It covers essential practical nursing knowledge,
making it an invaluable tool for study, review, and certification preparation. Students can
effectively utilize this resource to solidify their understanding and prepare for their
licensing exam.
TOPICS
Mental Health & Behavioral Health Q1–Q11
Pediatric & Adolescent Care Q12–Q24
Medical-Surgical Conditions & Treatments Q25–Q81
Geriatric Care & End-of-Life Q82–Q84
Prioritization & Delegation Q85–Q89
Maternal & Newborn Care Q90–Q90
Safety & Professional Issues Q91–Q96
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 96
The nurse on an inpatient mental health unit is caring for a client with paranoid delusions
who is refusing to eat. The client states that all the food and drinks have been poisoned.
Which intervention by the nurse is appropriate?
RESPONSE
provide the client food in unopened, individually packaged food
RATIONALE
Addressing paranoid delusions requires interventions that build trust and safety. Offering food in
unopened, individually packaged containers helps mitigate the client's fear of tampering or
poisoning, allowing for nutritional intake. This approach respects the client's perception while
promoting their well-being.
Q2 QUESTION 2 OF 96
The nurse speaks with a client diagnosed with schizophrenia who begins to look away
toward the door and grimace. Which statement by the nurse is most therapeutic at this
time?
RESPONSE
what do you see at the door?
RATIONALE
When a client exhibits signs of potential auditory or visual hallucinations, exploring the client's
perception directly with an open-ended question is therapeutic. This approach validates the
client's experience without reinforcing delusions and allows the nurse to assess the nature of the
perception.
Q3 QUESTION 3 OF 96
The nurse is caring for a client who is being treated for depression and suicidal ideation.
Which client statement best indicates that the client is not currently at risk for suicide?
Page 2
, RESPONSE
I plan to attend my granddaughter's graduation next month.
RATIONALE
The presence of future-oriented plans and engagement in life events suggests a preserved will to
live and a decreased immediate risk of self-harm. This forward-looking perspective indicates that
the client perceives a future worth experiencing, which is inconsistent with active suicidal intent.
Q4 QUESTION 4 OF 96
The nurse is caring for a client taking escitalopram who reports no improvement of
depressive feelings since starting the medication 2 months ago. What is the best response
by the nurse?
RESPONSE
Let's talk more about how you have taking this medication
RATIONALE
Selective serotonin reuptake inhibitors like escitalopram require consistent adherence and can
take several weeks to achieve therapeutic effects. Exploring the client's medication regimen and
adherence is crucial to assess potential factors contributing to a lack of perceived improvement.
This approach helps identify if the medication is being taken as prescribed and if the dosage is
optimized.
Q5 QUESTION 5 OF 96
The client admitted to the psychiatric unit with severe anxiety is pacing rapidly in the room,
crying, and hyperventilating. The client yells, "I can't believe you took my belongings! Where
are you keeping them? This is so frustrating!" What is the appropriate response by the
nurse?
RESPONSE
Your belongings are locked in a safe place to ensure that they are protected while you are here.
Page 3
, RATIONALE
Anxiety management focuses on providing a safe and secure environment. Reassuring the client
that their belongings are safely stored addresses their immediate concern and reduces agitation.
This approach validates their feelings while offering a concrete solution.
Q6 QUESTION 6 OF 96
The new nurse is reinforcing teaching to a client scheduled for electroconvulsive therapy
(ECT). What information given by the new nurse would cause the charge nurse to intervene?
RESPONSE
be sure to take your valproic acid prior to the procedure
RATIONALE
Anticonvulsant medications, such as valproic acid, can interfere with the seizure activity induced
by electroconvulsive therapy (ECT). This interference may reduce the efficacy of the ECT treatment.
Therefore, instructing a client to take this medication before ECT would necessitate intervention by
the charge nurse.
Q7 QUESTION 7 OF 96
The nurse is reinforcing teaching to the caregiver of a client with a new prescription for
risperidone. Which statement indicates that the caregiver needs further instruction?
RESPONSE
it is normal for the client to become shaky and restless when agitated
RATIONALE
Antipsychotic medications like risperidone can cause extrapyramidal side effects (EPS), including
tremors and akathisia (restlessness). These symptoms are not normal physiological responses to
agitation but rather adverse drug reactions requiring monitoring and potential intervention.
Further teaching is needed to differentiate between agitation and drug-induced side effects.
Page 4
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
UWorld NCLEX-PN Test 1 |
2026/2027 | Latest Practical
Nursing Review | Questions
& Answers (Rationales)
Verified Answers Exam Ready With Rationales 96 QUESTIONS
DOCUMENT OVERVIEW
This document provides 96 comprehensive NCLEX-PN review questions, each paired with
the correct answer and detailed rationales. It covers essential practical nursing knowledge,
making it an invaluable tool for study, review, and certification preparation. Students can
effectively utilize this resource to solidify their understanding and prepare for their
licensing exam.
TOPICS
Mental Health & Behavioral Health Q1–Q11
Pediatric & Adolescent Care Q12–Q24
Medical-Surgical Conditions & Treatments Q25–Q81
Geriatric Care & End-of-Life Q82–Q84
Prioritization & Delegation Q85–Q89
Maternal & Newborn Care Q90–Q90
Safety & Professional Issues Q91–Q96
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 96
The nurse on an inpatient mental health unit is caring for a client with paranoid delusions
who is refusing to eat. The client states that all the food and drinks have been poisoned.
Which intervention by the nurse is appropriate?
RESPONSE
provide the client food in unopened, individually packaged food
RATIONALE
Addressing paranoid delusions requires interventions that build trust and safety. Offering food in
unopened, individually packaged containers helps mitigate the client's fear of tampering or
poisoning, allowing for nutritional intake. This approach respects the client's perception while
promoting their well-being.
Q2 QUESTION 2 OF 96
The nurse speaks with a client diagnosed with schizophrenia who begins to look away
toward the door and grimace. Which statement by the nurse is most therapeutic at this
time?
RESPONSE
what do you see at the door?
RATIONALE
When a client exhibits signs of potential auditory or visual hallucinations, exploring the client's
perception directly with an open-ended question is therapeutic. This approach validates the
client's experience without reinforcing delusions and allows the nurse to assess the nature of the
perception.
Q3 QUESTION 3 OF 96
The nurse is caring for a client who is being treated for depression and suicidal ideation.
Which client statement best indicates that the client is not currently at risk for suicide?
Page 2
, RESPONSE
I plan to attend my granddaughter's graduation next month.
RATIONALE
The presence of future-oriented plans and engagement in life events suggests a preserved will to
live and a decreased immediate risk of self-harm. This forward-looking perspective indicates that
the client perceives a future worth experiencing, which is inconsistent with active suicidal intent.
Q4 QUESTION 4 OF 96
The nurse is caring for a client taking escitalopram who reports no improvement of
depressive feelings since starting the medication 2 months ago. What is the best response
by the nurse?
RESPONSE
Let's talk more about how you have taking this medication
RATIONALE
Selective serotonin reuptake inhibitors like escitalopram require consistent adherence and can
take several weeks to achieve therapeutic effects. Exploring the client's medication regimen and
adherence is crucial to assess potential factors contributing to a lack of perceived improvement.
This approach helps identify if the medication is being taken as prescribed and if the dosage is
optimized.
Q5 QUESTION 5 OF 96
The client admitted to the psychiatric unit with severe anxiety is pacing rapidly in the room,
crying, and hyperventilating. The client yells, "I can't believe you took my belongings! Where
are you keeping them? This is so frustrating!" What is the appropriate response by the
nurse?
RESPONSE
Your belongings are locked in a safe place to ensure that they are protected while you are here.
Page 3
, RATIONALE
Anxiety management focuses on providing a safe and secure environment. Reassuring the client
that their belongings are safely stored addresses their immediate concern and reduces agitation.
This approach validates their feelings while offering a concrete solution.
Q6 QUESTION 6 OF 96
The new nurse is reinforcing teaching to a client scheduled for electroconvulsive therapy
(ECT). What information given by the new nurse would cause the charge nurse to intervene?
RESPONSE
be sure to take your valproic acid prior to the procedure
RATIONALE
Anticonvulsant medications, such as valproic acid, can interfere with the seizure activity induced
by electroconvulsive therapy (ECT). This interference may reduce the efficacy of the ECT treatment.
Therefore, instructing a client to take this medication before ECT would necessitate intervention by
the charge nurse.
Q7 QUESTION 7 OF 96
The nurse is reinforcing teaching to the caregiver of a client with a new prescription for
risperidone. Which statement indicates that the caregiver needs further instruction?
RESPONSE
it is normal for the client to become shaky and restless when agitated
RATIONALE
Antipsychotic medications like risperidone can cause extrapyramidal side effects (EPS), including
tremors and akathisia (restlessness). These symptoms are not normal physiological responses to
agitation but rather adverse drug reactions requiring monitoring and potential intervention.
Further teaching is needed to differentiate between agitation and drug-induced side effects.
Page 4
