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NCLEX Practice Questions with Answers and Rationales (2025/2026) – Updated Nursing Exam Prep

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This 2025/2026 NCLEX practice set contains hundreds of updated multiple-choice questions with verified answers and rationales. It covers essential nursing areas including maternal-child health, pharmacology, pathophysiology, and evidence-based practice. Ideal for NCLEX-RN and NCLEX-PN preparation, this resource helps nursing students master key concepts and build exam confidence.

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Institution
NCLEX E
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Uploaded on
October 16, 2025
Number of pages
27
Written in
2025/2026
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NCLEX QUESTIONS, ANSWERS, RATIONALES
ALL IN PACKAGE LATEST UPDATE 2025/ 2026


Which of the following are agencies that focus on global health and development? Select all that apply.



1. World Health Organization

2. United Nations

3. National Institutes of Health

4. American Nurses Association - CORRECT ANSWER >> 1. World Health Organization

2. United Nations



Rationale: The NIH and ANA deal with local health issues within the United States while the WHO and
United Nations deal with global health.



The number of deaths of infants younger than 28 days of age per 1000 live births is termed the:



1. infant death rate.

2. neonatal birth rate.

3. neonatal morbidity rate.

4. neonatal mortality rate. - CORRECT ANSWER >> 4. neonatal mortality rate.

,Rationale: Neonatal mortality rate is defined as the number of deaths of infants under age 1 year per
1000 live births. Birth rate and neonatal birth rate refer to the number of births per 1000 population in a
year. Neonatal morbidity rate refers to illness.



Which nursing action is the priority when a patient arrives at the clinic?



1. Prepare a plan of care.

2. Select the appropriate nursing diagnoses.

3. Administer medications as ordered.

4. Determine and document history and vital signs. - CORRECT ANSWER >> 4. Determine and document
history and vital signs.



Rationale: Assessment is the first step of the nursing process and includes the collection of subjective
and objective patient data. Diagnosis is the second step of the nursing process. Preparing a plan of care
refers to the fourth step: planning. Administering medications relates to implementation, which is the
fifth step of the nursing process.



Which of the following organizations sets standards of practice for nursing?



1. American Medical Association (AMA)

2. American Nurses Association (ANA)

3. Utilization review committee

4. American Academy of Pediatrics (AAP) - CORRECT ANSWER >> 2. American Nurses Association (ANA)



Rationale:The ANA develops standards of practice. The AMA is a medical association that is geared
toward physicians. Utilization review committee reviews appropriateness of health care services and
guidelines for physicians for treatment of illness, controlling management of care to achieve cost
containment. The AAP is made up of pediatricians and establishes positions of leadership in setting
standards of care for children.



The nurse is providing evidence-based care when he or she:

, 1. adheres to hospital procedures book guidelines.

2. carries out protocols learned in nursing school.

3. carries out the practice requested by the charge nurse or health care provider.

4. knows that the practice has been published in a professional journal or text. - CORRECT ANSWER >>
4. knows that the practice has been published in a professional journal or text.



Rationale: Evidence-based practice starts when the nurse uses the best evidence obtained from current,
valid, published research. When the nurse combines that information with his or her critical thinking
process, experiences, and patients' needs, it is then possible to plan safe, effective nursing care for the
patient. The other answer options are not accurate.



which source would the nurse use to determine whether a specific nursing activity is within the scope of
practice on an LPN/LVN?



1.Doctor's prescription record

2. Nursing procedure manual

3. Head nurse or nurse manager

4. The nurse practice act - CORRECT ANSWER >> 4. The nurse practice act



Rationale: Specific activities are listed by the state nurse practice act and nurses must practice within
the limitations of the nurse practice act for their state. The other answer options are not sources that
determine scope of practice.



Nursing organizations that suggest standards of care in maternal-child nursing are:



a. AWHONN

b. ANA

c. QSEN

d. AAP

1. c and d

2. a and b
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