NCLEX EXAM PREVIEW 2026
QUESTIONS AND VERIFIED
SOLUTIONS GRADED A+
The nurse is planning a staff education program about infection control guidelines. Which of the
following information about alcohol-based hand rub should the nurse include?
1. "Use before touching medical equipment that will come in direct contact with the client."
2. "Avoid using when moving your hands from a contaminated body site to a clean body site during
client care."
3. "Avoid using before caring for clients who have severe neutropenia."
4. "Use after contact with body excretions that do not cause your hands to be visibly soiled."
1. "Use before touching medical equipment that will come in direct contact with the client."
The nurse is assessing a client with suspected mononucleosis.
Which of the following findings would support a diagnosis of mononucleosis?
1. polyarthralgia
2. costovertebral pain
3. cervical lymphadenopathy
4. left lower quadrant (LLQ) tenderness
3. cervical lymphadenopathy
The nurse and unlicensed assistive personnel (UAP) are caring for assigned clients. It would be most
appropriate for the nurse to assign UAP to
1. apply a continuous passive motion (CPM) device to the affected extremity of a client who had a total
knee replacement
2. change the bed linens for a client who was admitted 1 hour ago following a closed-head injury and is
comatose
,3. reposition a client with hydrocephalus who has a headache and is vomiting
4. place in the prone position a client who had an above-the-knee amputation (AKA) 1 day ago
4. place in the prone position a client who had an above-the-knee amputation (AKA) 1 day ago
The nurse in the inpatient psychiatric unit is leading a support group for clients. It would be a priority for
the nurse to intervene if the client with
1. bipolar I disorder is experiencing a manic episode, is moving the legs, and is looking around the room
restlessly
2. borderline personality disorder is saying that another group member is too disturbed to be attending
the session
3. major depressive disorder is sitting quietly with the eyes downcast
4. schizophrenia is rocking in place and copying the gestures of another client in the group
1. bipolar I disorder is experiencing a manic episode, is moving the legs, and is looking around the room
restlessly
These actions indicate that they could become a danger to others or themselves and should be removed
from the situation
The nurse has observed a staff member tell a client with bipolar disorder that there will be
consequences for making negative comments about conditions in the facility. When the nurse meets
privately with the staff member, which of the following statements would be most appropriate for the
nurse to make to the staff member?
1. "Threatening a client can result in the immediate dismissal of a staff member."
2. "Staff members who have difficulty with control issues often seek power over clients."
3. "Clients have a right to provide feedback about services without fear of punishment."
4. "Staff should set limits with clients in a nonjudgmental manner."
3. "Clients have a right to provide feedback about services without fear of punishment."
4 isn't right because the staff member wasn't even setting a proper limit. They should be taught that
they cannot limit clients feedback about the unit
,The nurse has been made aware of the following client situations. The nurse should first assess the
client
1. with chronic obstructive pulmonary disease (COPD) who is using pursed-lip breathing after
ambulating in the hallway
2. with pericarditis who has a systolic blood pressure that is 20 mm Hg higher during expiration than
during inspiration
3. who had a total abdominal hysterectomy (TAH) 12 hours ago and has saturated 1 perineal pad in the
past 5 hours
4. who has Guillain-Barré syndrome and has had an increase in the vital capacity over the past 4 hours
3. who had a total abdominal hysterectomy (TAH) 12 hours ago and has saturated 1 perineal pad in the
past 5 hours
Rationale:
1. Normal
2. Normal -- this is paradoxical hypotension where systolic BP decreases >20 during inspiration
4. Good
The nurse in the psychiatric unit is administering medications when a client with a borderline personality
disorder approaches and asks to talk. The nurse suggests having a talk in 1 hour. The client shouts, "I'll
wait, but you will be sorry!" and then picks up a pitcher of water and throws it onto the floor.
Which of the following actions should the nurse take?
1. Offer to listen to the client while continuing to administer the medications.
2. Suggest that the client take a p.r.n. prescribed medication for agitation.
3. Ask another nurse to finish administering the medications, and talk with the client.
4. Request assistance from several nearby staff members with controlling the client's behavior.
4. Request assistance from several nearby staff members with controlling the client's behavior.
, The nurse is talking with a client who has a positive laboratory test result for human immunodeficiency
virus (HIV) infection. Which of the following statements by the client would require follow-up?
1. "I try to eat a well-balanced diet."
2. "I avoid crowds when I go outside the house."
3. "I am taking a vitamin C tablet daily to help prevent infections."
4. "I take echinacea every day to help improve my immune system."
4. "I take echinacea every day to help improve my immune system."
Echinacia consumption every day can damage the liver and immunosuppress you
The nurse is planning a staff education program about informed consent.
Which of the following information should the nurse include? Select all that apply.
1. "An individual designated by a power of attorney for health care can provide informed consent
despite the competency of the client."
2. "The nurse has a duty to insist that the client repeat what has been said about a procedure for which
consent is necessary."
3. "The primary health care provider must disclose the risks if the client declines a recommended
procedure."
4. "The client should sign the consent form prior to receiving prescribed opioids."
5. "Informed consent is not needed for emergency procedures that are in the client's best interest."
3, 4, 5
2?
The nurse is caring for a client who has a prescription for an intravenous infusion of 0.45% sodium
chloride (half- strength saline). The nurse notes the client is receiving 5% dextrose in water.
Which of the following actions should the nurse take first?
1. Change the intravenous fluid to the prescribed fluid.
2. Notify the primary health care provider.
3. Complete an incident report.
QUESTIONS AND VERIFIED
SOLUTIONS GRADED A+
The nurse is planning a staff education program about infection control guidelines. Which of the
following information about alcohol-based hand rub should the nurse include?
1. "Use before touching medical equipment that will come in direct contact with the client."
2. "Avoid using when moving your hands from a contaminated body site to a clean body site during
client care."
3. "Avoid using before caring for clients who have severe neutropenia."
4. "Use after contact with body excretions that do not cause your hands to be visibly soiled."
1. "Use before touching medical equipment that will come in direct contact with the client."
The nurse is assessing a client with suspected mononucleosis.
Which of the following findings would support a diagnosis of mononucleosis?
1. polyarthralgia
2. costovertebral pain
3. cervical lymphadenopathy
4. left lower quadrant (LLQ) tenderness
3. cervical lymphadenopathy
The nurse and unlicensed assistive personnel (UAP) are caring for assigned clients. It would be most
appropriate for the nurse to assign UAP to
1. apply a continuous passive motion (CPM) device to the affected extremity of a client who had a total
knee replacement
2. change the bed linens for a client who was admitted 1 hour ago following a closed-head injury and is
comatose
,3. reposition a client with hydrocephalus who has a headache and is vomiting
4. place in the prone position a client who had an above-the-knee amputation (AKA) 1 day ago
4. place in the prone position a client who had an above-the-knee amputation (AKA) 1 day ago
The nurse in the inpatient psychiatric unit is leading a support group for clients. It would be a priority for
the nurse to intervene if the client with
1. bipolar I disorder is experiencing a manic episode, is moving the legs, and is looking around the room
restlessly
2. borderline personality disorder is saying that another group member is too disturbed to be attending
the session
3. major depressive disorder is sitting quietly with the eyes downcast
4. schizophrenia is rocking in place and copying the gestures of another client in the group
1. bipolar I disorder is experiencing a manic episode, is moving the legs, and is looking around the room
restlessly
These actions indicate that they could become a danger to others or themselves and should be removed
from the situation
The nurse has observed a staff member tell a client with bipolar disorder that there will be
consequences for making negative comments about conditions in the facility. When the nurse meets
privately with the staff member, which of the following statements would be most appropriate for the
nurse to make to the staff member?
1. "Threatening a client can result in the immediate dismissal of a staff member."
2. "Staff members who have difficulty with control issues often seek power over clients."
3. "Clients have a right to provide feedback about services without fear of punishment."
4. "Staff should set limits with clients in a nonjudgmental manner."
3. "Clients have a right to provide feedback about services without fear of punishment."
4 isn't right because the staff member wasn't even setting a proper limit. They should be taught that
they cannot limit clients feedback about the unit
,The nurse has been made aware of the following client situations. The nurse should first assess the
client
1. with chronic obstructive pulmonary disease (COPD) who is using pursed-lip breathing after
ambulating in the hallway
2. with pericarditis who has a systolic blood pressure that is 20 mm Hg higher during expiration than
during inspiration
3. who had a total abdominal hysterectomy (TAH) 12 hours ago and has saturated 1 perineal pad in the
past 5 hours
4. who has Guillain-Barré syndrome and has had an increase in the vital capacity over the past 4 hours
3. who had a total abdominal hysterectomy (TAH) 12 hours ago and has saturated 1 perineal pad in the
past 5 hours
Rationale:
1. Normal
2. Normal -- this is paradoxical hypotension where systolic BP decreases >20 during inspiration
4. Good
The nurse in the psychiatric unit is administering medications when a client with a borderline personality
disorder approaches and asks to talk. The nurse suggests having a talk in 1 hour. The client shouts, "I'll
wait, but you will be sorry!" and then picks up a pitcher of water and throws it onto the floor.
Which of the following actions should the nurse take?
1. Offer to listen to the client while continuing to administer the medications.
2. Suggest that the client take a p.r.n. prescribed medication for agitation.
3. Ask another nurse to finish administering the medications, and talk with the client.
4. Request assistance from several nearby staff members with controlling the client's behavior.
4. Request assistance from several nearby staff members with controlling the client's behavior.
, The nurse is talking with a client who has a positive laboratory test result for human immunodeficiency
virus (HIV) infection. Which of the following statements by the client would require follow-up?
1. "I try to eat a well-balanced diet."
2. "I avoid crowds when I go outside the house."
3. "I am taking a vitamin C tablet daily to help prevent infections."
4. "I take echinacea every day to help improve my immune system."
4. "I take echinacea every day to help improve my immune system."
Echinacia consumption every day can damage the liver and immunosuppress you
The nurse is planning a staff education program about informed consent.
Which of the following information should the nurse include? Select all that apply.
1. "An individual designated by a power of attorney for health care can provide informed consent
despite the competency of the client."
2. "The nurse has a duty to insist that the client repeat what has been said about a procedure for which
consent is necessary."
3. "The primary health care provider must disclose the risks if the client declines a recommended
procedure."
4. "The client should sign the consent form prior to receiving prescribed opioids."
5. "Informed consent is not needed for emergency procedures that are in the client's best interest."
3, 4, 5
2?
The nurse is caring for a client who has a prescription for an intravenous infusion of 0.45% sodium
chloride (half- strength saline). The nurse notes the client is receiving 5% dextrose in water.
Which of the following actions should the nurse take first?
1. Change the intravenous fluid to the prescribed fluid.
2. Notify the primary health care provider.
3. Complete an incident report.
