NCLEX-RN Question Bank with
Rationales 2026 | Complete Practice
Questions, Answers & Detailed
Explanations
Study online at https://quizlet.com/_eklwbj
1. A nurse is planning care for a patient with anorexia nervosa. Which
goal is
most appropriate for the initial plan of care?
A) The patient will express satisfaction with body image within one
week.
B) The patient will engage in social activities with peers during meal
times.
C) The patient will independently plan and prepare all meals.
D) The patient will gain a specified amount of weight each week as
agreed upon
by the healthcare team.:
2. After a transfusion, the body reacts by destroying the transfused red
blood
cells. What is this reaction?
A) Rh negative
B) antihistamine
C) hemolytic
,D) antibody: C) Hemolytic
RATIONALE: A hemolytic reaction occurs when the body destroys
transfused red blood cells.
3. The nurse prepares to perform the initial assessment on a school-age
client.
The client has an open wound infected with methicillin-resistant
Staphylococ cus aureus (MRSA). Which precaution will the nurse take?
A. Wear gloves only.
B. Wear gown and gloves.
C. Wear gown, gloves, and mask.
D. No precautions are necessary.: B. Wear gown and gloves.
RATIONALE: MRSA requires contact precautions. The nurse should wear
clean, nonsterile gloves and gown when
entering the client?s room and when having any contact with the client
or with surfaces that the client touches.
4. The nurse has four phone messages. Which message does the nurse
return
first?
A) An older adult client undergoing bowel prep and reporting watery
diarrhea.
B) A client with a newborn and experiencing breast engorgement.
C) A client who had a cataract extraction 3 days ago and reporting
nausea.
,z
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D) A client diagnosed with a C6 spinal cord injury and reporting a
headache.: D)
A client diagnosed with a C6 spinal cord injury and reporting a
headache.
RATIONALE:
A severe headache is indicative of autonomic dysreflexia in the client
who has sustained a high-level spinal cord injury.
Autonomic dysreflexia is associated with a dangerously high blood
pressure, and, if untreated, can result in intracranial
bleeding and death. This client is the most unstable and is experiencing
a potentially life-threatening issue that needs
to be addressed immediately by the nurse.
5. The adult grandchild of a client diagnosed with Parkinson disease
tells the
nurse about proposed gift ideas for the grandparent's birthday in 2
weeks. The
grandchild asks the nurse which idea is best. Which option is the best
gift for
the nurse to recommend?
A)Perfume and makeup.
B)Hearing aid with batteries.
C)Warming tray for food.
, D)Quilt and soft pillow.: C) Warming tray for food
RATIONALE: Warming trays can keep food hot, safe, and appealing
during the slow eating process of the client
diagnosed with Parkinson disease. Eating is slow because of overall
slowed body movement, tremors, difficulty chewing
and swallowing, fatigue, and need for rest periods. This choice directly
addresses a physiologic need.
6. The nurse in the pediatric clinic instructs the parent of a preschool
client di agnosed with asthma about preventative care. Which
statement by the parent
indicates to the nurse that further teaching is necessary?
A. "My child likes sleeping on the top bunk when visiting grandparents."
B. "My child sleeps on a zippered covered pillow and mattress."
C. "My child changes his clothes after playing outside."
D. "My child wears a mask while I vacuum the carpets.": A."My child
likes sleeping on the
top bunk when visiting grandparents."
RATIONALE:
Dust mites are a trigger for asthma. Fabric from bedding on the upper
bunk can harbor dust mites. The child is not to
sleep or lie down on upholstered furniture. Use furniture that can be
wiped with a damp cloth such as wood, plastic,
vinyl, or leather.
Rationales 2026 | Complete Practice
Questions, Answers & Detailed
Explanations
Study online at https://quizlet.com/_eklwbj
1. A nurse is planning care for a patient with anorexia nervosa. Which
goal is
most appropriate for the initial plan of care?
A) The patient will express satisfaction with body image within one
week.
B) The patient will engage in social activities with peers during meal
times.
C) The patient will independently plan and prepare all meals.
D) The patient will gain a specified amount of weight each week as
agreed upon
by the healthcare team.:
2. After a transfusion, the body reacts by destroying the transfused red
blood
cells. What is this reaction?
A) Rh negative
B) antihistamine
C) hemolytic
,D) antibody: C) Hemolytic
RATIONALE: A hemolytic reaction occurs when the body destroys
transfused red blood cells.
3. The nurse prepares to perform the initial assessment on a school-age
client.
The client has an open wound infected with methicillin-resistant
Staphylococ cus aureus (MRSA). Which precaution will the nurse take?
A. Wear gloves only.
B. Wear gown and gloves.
C. Wear gown, gloves, and mask.
D. No precautions are necessary.: B. Wear gown and gloves.
RATIONALE: MRSA requires contact precautions. The nurse should wear
clean, nonsterile gloves and gown when
entering the client?s room and when having any contact with the client
or with surfaces that the client touches.
4. The nurse has four phone messages. Which message does the nurse
return
first?
A) An older adult client undergoing bowel prep and reporting watery
diarrhea.
B) A client with a newborn and experiencing breast engorgement.
C) A client who had a cataract extraction 3 days ago and reporting
nausea.
,z
Study online at https://quizlet.com/_eklwbj
D) A client diagnosed with a C6 spinal cord injury and reporting a
headache.: D)
A client diagnosed with a C6 spinal cord injury and reporting a
headache.
RATIONALE:
A severe headache is indicative of autonomic dysreflexia in the client
who has sustained a high-level spinal cord injury.
Autonomic dysreflexia is associated with a dangerously high blood
pressure, and, if untreated, can result in intracranial
bleeding and death. This client is the most unstable and is experiencing
a potentially life-threatening issue that needs
to be addressed immediately by the nurse.
5. The adult grandchild of a client diagnosed with Parkinson disease
tells the
nurse about proposed gift ideas for the grandparent's birthday in 2
weeks. The
grandchild asks the nurse which idea is best. Which option is the best
gift for
the nurse to recommend?
A)Perfume and makeup.
B)Hearing aid with batteries.
C)Warming tray for food.
, D)Quilt and soft pillow.: C) Warming tray for food
RATIONALE: Warming trays can keep food hot, safe, and appealing
during the slow eating process of the client
diagnosed with Parkinson disease. Eating is slow because of overall
slowed body movement, tremors, difficulty chewing
and swallowing, fatigue, and need for rest periods. This choice directly
addresses a physiologic need.
6. The nurse in the pediatric clinic instructs the parent of a preschool
client di agnosed with asthma about preventative care. Which
statement by the parent
indicates to the nurse that further teaching is necessary?
A. "My child likes sleeping on the top bunk when visiting grandparents."
B. "My child sleeps on a zippered covered pillow and mattress."
C. "My child changes his clothes after playing outside."
D. "My child wears a mask while I vacuum the carpets.": A."My child
likes sleeping on the
top bunk when visiting grandparents."
RATIONALE:
Dust mites are a trigger for asthma. Fabric from bedding on the upper
bunk can harbor dust mites. The child is not to
sleep or lie down on upholstered furniture. Use furniture that can be
wiped with a damp cloth such as wood, plastic,
vinyl, or leather.
