ALABAMA NCLEX-RN EXAM QUESTIONS
AND ANSWERS LATEST 2025-2026 EXAM
UPDATE
Safe & Effective Care Environment
1. A nurse is delegating care to a UAP. Which task is appropriate?
A. Administer oral medications
B. Perform sterile dressing change
C. Obtain vital signs on a stable patient
D. Assess pain level
Answer: C
Rationale: UAPs may perform routine, non-invasive tasks on stable
patients.
2. A nurse discovers a medication error. What is the FIRST action?
A. Notify the physician
B. Complete an incident report
C. Assess the patient
D. Inform the charge nurse
Answer: C
Rationale: Patient safety and assessment take priority.
3. Which patient should be seen FIRST?
A. BP 150/90, headache
B. Post-op day 2, pain 6/10
C. Shortness of breath, SpO₂ 88%
D. Nausea after medication
Answer: C
Rationale: Airway and breathing are priority (ABCs).
4. A nurse is caring for a patient with TB. Which precaution is
required?
, A. Contact
B. Droplet
C. Airborne
D. Standard only
Answer: C
Rationale: TB spreads via airborne particles; use N95 respirator.
5. Which action violates HIPAA?
A. Giving report to oncoming nurse
B. Discussing patient in elevator
C. Charting electronically
D. Reporting abuse
Answer: B
Rationale: Public discussions breach confidentiality.
Health Promotion & Maintenance
6. Recommended age for routine mammography begins at:
A. 30
B. 35
C. 40
D. 50
Answer: C
Rationale: Standard screening begins at age 40 unless high risk.
7. A newborn should receive which vaccine first?
A. IPV
B. Hepatitis B
C. MMR
D. Varicella
Answer: B
Rationale: Hep B is given at birth.
AND ANSWERS LATEST 2025-2026 EXAM
UPDATE
Safe & Effective Care Environment
1. A nurse is delegating care to a UAP. Which task is appropriate?
A. Administer oral medications
B. Perform sterile dressing change
C. Obtain vital signs on a stable patient
D. Assess pain level
Answer: C
Rationale: UAPs may perform routine, non-invasive tasks on stable
patients.
2. A nurse discovers a medication error. What is the FIRST action?
A. Notify the physician
B. Complete an incident report
C. Assess the patient
D. Inform the charge nurse
Answer: C
Rationale: Patient safety and assessment take priority.
3. Which patient should be seen FIRST?
A. BP 150/90, headache
B. Post-op day 2, pain 6/10
C. Shortness of breath, SpO₂ 88%
D. Nausea after medication
Answer: C
Rationale: Airway and breathing are priority (ABCs).
4. A nurse is caring for a patient with TB. Which precaution is
required?
, A. Contact
B. Droplet
C. Airborne
D. Standard only
Answer: C
Rationale: TB spreads via airborne particles; use N95 respirator.
5. Which action violates HIPAA?
A. Giving report to oncoming nurse
B. Discussing patient in elevator
C. Charting electronically
D. Reporting abuse
Answer: B
Rationale: Public discussions breach confidentiality.
Health Promotion & Maintenance
6. Recommended age for routine mammography begins at:
A. 30
B. 35
C. 40
D. 50
Answer: C
Rationale: Standard screening begins at age 40 unless high risk.
7. A newborn should receive which vaccine first?
A. IPV
B. Hepatitis B
C. MMR
D. Varicella
Answer: B
Rationale: Hep B is given at birth.
