NCLEX-RN 2026 Actual Exam with Correct Questions and Answers | 100% Accurate Grade A+ NGN NCLEX RN Test

NCLEX-RN 2026 Actual Exam with Correct
Questions and Answers | 100% Accurate
Grade A+ NGN NCLEX RN Test




NCLEX-RN 2026 Actual Exam
Accurate Grade A+ NGN NCLEX RN Test
Questions 1-200


QUESTION 1
Which classification of drugs is contraindicated for the client with hypertrophic
cardiomyopathy?
A. Positive inotropes
B. Vasodilators
C. Diuretics
D. Antidysrhythmics
Correct Answer- A
Explanation: Positive inotropic agents should not be administered owing to their
action of increasing myocardial contractility. Increased ventricular contractility
would increase outflow tract obstruction in the client with hypertrophic
cardiomyopathy. Vasodilators are not typically prescribed but are not
contraindicated. Diuretics are used with caution to avoid causing hypovolemia.
Antidysrhythmics are typically needed to treat both atrial and ventricular
dysrhythmias.

,QUESTION 2
Signs and symptoms of an allergy attack include which of the following?
A. Wheezing on inspiration
B. Increased respiratory rate
C. Circumoral cyanosis
D. Prolonged expiration
Correct Answer- D
Explanation: Wheezing occurs during expiration when air movement is impaired
because of constricted edematous bronchial lumina. Respirations are difficult, but
the rate is frequently normal. The circumoral area is usually pale. Cyanosis is not
an early sign of hypoxia. Expiration is prolonged because the alveoli are greatly
distended and air trapping occurs.


QUESTION 3
A client confides to the nurse that he tasted poison in his evening meal. This
would be an example of what type of hallucination?
A. Auditory
B. Gustatory
C. Olfactory
D. Visceral
Correct Answer- B
Explanation: Auditory hallucinations involve sensory perceptions of hearing.
Gustatory hallucinations involve sensory perceptions of taste. Olfactory
hallucinations involve sensory perceptions of smell. Visceral hallucinations involve
sensory perceptions of sensation.


QUESTION 4
The nurse is assessing a client with left-sided heart failure. Which finding is most
consistent with this diagnosis?
A. Jugular venous distention
B. Hepatomegaly

,C. Crackles in the lung bases
D. Dependent edema
Correct Answer- C
Explanation: Left-sided heart failure results in backward flow of blood into the
pulmonary circulation, causing pulmonary congestion manifested by crackles,
dyspnea, and orthopnea. Jugular venous distention, hepatomegaly, and
dependent edema are manifestations of right-sided heart failure.


QUESTION 5
A client with type 1 diabetes mellitus is admitted with diabetic ketoacidosis
(DKA). Which order should the nurse anticipate implementing first?
A. Administer regular insulin IV push
B. Initiate IV infusion of 0.9% normal saline
C. Begin an IV infusion of 5% dextrose
D. Obtain a serum potassium level
Correct Answer- B
Explanation: Fluid resuscitation is the priority in DKA to correct hypovolemia and
dehydration. IV fluids are initiated immediately to restore tissue perfusion. Insulin
therapy is started after fluid resuscitation, typically as an IV infusion. Potassium
levels are monitored closely, and replacement is given as needed. Dextrose is
added later when blood glucose levels approach normal range.


QUESTION 6
The nurse is providing discharge teaching to a client prescribed warfarin
(Coumadin). Which statement by the client indicates a need for further
teaching?
A. "I will use an electric razor when shaving."
B. "I need to eat consistent amounts of green leafy vegetables."
C. "I should expect my urine to turn orange-red."
D. "I will report any unusual bleeding or bruising."

, Correct Answer- C
Explanation: Orange-red urine is not an expected effect of warfarin and may
indicate hematuria, which should be reported. Warfarin does not discolor urine.
Using an electric razor reduces bleeding risk. Consistent intake of vitamin K-rich
foods helps maintain stable INR levels. Reporting unusual bleeding or bruising is
essential for monitoring anticoagulation therapy.


QUESTION 7
A 3-year-old child is admitted with suspected epiglottitis. Which nursing action
is most appropriate?
A. Prepare for an immediate tracheostomy
B. Inspect the throat using a tongue depressor
C. Obtain a throat culture
D. Allow the child to maintain a position of comfort
Correct Answer- D
Explanation: The child with epiglottitis should be allowed to maintain a position
of comfort, typically sitting upright leaning forward with the chin thrust out,
which optimizes airway patency. Any manipulation of the throat, including using a
tongue depressor or obtaining a throat culture, can precipitate complete airway
obstruction and should be avoided. Tracheostomy is not an immediate nursing
action but may be needed if airway obstruction occurs.


QUESTION 8
The nurse is caring for a client receiving a blood transfusion. Fifteen minutes
after the transfusion begins, the client reports low back pain and chills. What is
the nurse's priority action?
A. Slow the transfusion and monitor vital signs
B. Stop the transfusion and keep the IV line open with normal saline
C. Administer diphenhydramine (Benadryl) as ordered
D. Notify the healthcare provider immediately