NCLEX Practice Questions 2026 |
Comprehensive Question Bank with
Answers & Detailed Rationales
The nurse is providing care for several patients that arrived at the
convenient care at the same time. Which patient will the nurse assess
first?
A) 15 year old with a severe headache, stiff neck, and high temp.
[meningitis]
B) 27 year old with a fever, vomiting, abdominal cramping, and
diarrhea. [dehydration]
C) 62 year old with arthritis and having severe pain.
D) 43 year old with dysuria, severe burning with urination and fever.
[UTI] - answer-A
Paramedics call the charge nurse. They are coming in with 4 patients
involved in a motor vehicle accident. Which patient does the nurse plan
to see first based on the report?
A) A 26 year old screaming of pain. Has a visible right knee deformity
and weak lower extremity pulses. [circulation]
,B) A 22 year old female who is responsive to painful stimuli, pulse rate
118 beats per minute with no visible traumas or injuries. [intracranial
hemorrhage]
C) A 6 year old boy with a visible deformity to the forearm and crying.
D) an 8 year old girl with a cut on the forehead, crying intensely with a
pulse rate of 126 beats per minute. - answer-B - Patient might be
experiencing internal hemorrhage and go into a hypovolemic shock
The nurse provides care for a patient with diabetes insipidus. Which
nursing diagnosis is most appropriate?
A) Fluid volume deficit related to excess urine output.
B) Hyponatremia related to high sodium excretion. [not a Nanda
nursing diagnoses]
C) Risk for fluid volume overload related to decreased urine output [
deficit not overload]
D) Hyperglycemia is related to reduced insulin and cortisol production.
[diabetes mellitus] - answer-A - DI is deficiency of secretion of
antidiuretic hormone or decreased response to ADH. This results in
massive water excretion. Thus, fluid volume deficit
A patient right after post hypophysectomy. He is thirsty and has
frequent urination. Which action does the nurse take first?
A) Check the glucose in urine
,B) Encourage drinking water
C) Check urine specific gravity
D) Call the surgeon - answer-C -Post-op, diabetes insipidus can
temporarily occur due to low ADH
Which Outcome indicates that the intervention for a patient with
syndrome of inappropriate antidiuretic hormone {SIADH} has been
effective?
A) Decreased serum osmolality
B) Serum sodium is decreased
C) Increased urine output
D) Increased urine osmolality - answer-C- Increased urine output - sign
that treatment is effective
The nurse performs a newborn assessment. Which finding does the
nurse report to the physician?
A) Pink patch on the back of the neck
B) Bluish skin over the sacral gluteal area
C) A rectal temperature of 98*F
D) A respiratory rate of 24 breaths per minute - answer-D: normal resp
rate ~ 30-60; Pink patch ~ {stork bite} normal, bluish skin ~ {mangolian
spots} normal;, Newborn 0-2yr old, Infants <1 yr old
, The oncology nurse is giving a teach about risk factors and
demographics of lung cancer at a gathering at the local community
clinic. Which group of individuals has the highest risk for lung cancer?
A)African Americans
B) Caucasians
C) South East Asians
D) Latins - answer-A
The SpO2 of a lung cancer patient drops from 92% to 85% during
ambulation. Which action does the nurse take next?
A) This is a normal drop in response to activity with lung cancer patients
B) Relocate the oximetry probe to the earlobe during activity
C) Obtain an order for supplemental oxygen to be used during activity
D) Obtain an order for ABGs to verify the arterial oxygen saturation -
answer-C-supplemental o2 is needed to increase supply of oxygen
during activity; the probe was reading well at 92%, no need to relocate
The nurse moves a patient from the bed to a chair. Which technique
does the nurse use to maintain proper body mechanics?(Select all that
apply)
Comprehensive Question Bank with
Answers & Detailed Rationales
The nurse is providing care for several patients that arrived at the
convenient care at the same time. Which patient will the nurse assess
first?
A) 15 year old with a severe headache, stiff neck, and high temp.
[meningitis]
B) 27 year old with a fever, vomiting, abdominal cramping, and
diarrhea. [dehydration]
C) 62 year old with arthritis and having severe pain.
D) 43 year old with dysuria, severe burning with urination and fever.
[UTI] - answer-A
Paramedics call the charge nurse. They are coming in with 4 patients
involved in a motor vehicle accident. Which patient does the nurse plan
to see first based on the report?
A) A 26 year old screaming of pain. Has a visible right knee deformity
and weak lower extremity pulses. [circulation]
,B) A 22 year old female who is responsive to painful stimuli, pulse rate
118 beats per minute with no visible traumas or injuries. [intracranial
hemorrhage]
C) A 6 year old boy with a visible deformity to the forearm and crying.
D) an 8 year old girl with a cut on the forehead, crying intensely with a
pulse rate of 126 beats per minute. - answer-B - Patient might be
experiencing internal hemorrhage and go into a hypovolemic shock
The nurse provides care for a patient with diabetes insipidus. Which
nursing diagnosis is most appropriate?
A) Fluid volume deficit related to excess urine output.
B) Hyponatremia related to high sodium excretion. [not a Nanda
nursing diagnoses]
C) Risk for fluid volume overload related to decreased urine output [
deficit not overload]
D) Hyperglycemia is related to reduced insulin and cortisol production.
[diabetes mellitus] - answer-A - DI is deficiency of secretion of
antidiuretic hormone or decreased response to ADH. This results in
massive water excretion. Thus, fluid volume deficit
A patient right after post hypophysectomy. He is thirsty and has
frequent urination. Which action does the nurse take first?
A) Check the glucose in urine
,B) Encourage drinking water
C) Check urine specific gravity
D) Call the surgeon - answer-C -Post-op, diabetes insipidus can
temporarily occur due to low ADH
Which Outcome indicates that the intervention for a patient with
syndrome of inappropriate antidiuretic hormone {SIADH} has been
effective?
A) Decreased serum osmolality
B) Serum sodium is decreased
C) Increased urine output
D) Increased urine osmolality - answer-C- Increased urine output - sign
that treatment is effective
The nurse performs a newborn assessment. Which finding does the
nurse report to the physician?
A) Pink patch on the back of the neck
B) Bluish skin over the sacral gluteal area
C) A rectal temperature of 98*F
D) A respiratory rate of 24 breaths per minute - answer-D: normal resp
rate ~ 30-60; Pink patch ~ {stork bite} normal, bluish skin ~ {mangolian
spots} normal;, Newborn 0-2yr old, Infants <1 yr old
, The oncology nurse is giving a teach about risk factors and
demographics of lung cancer at a gathering at the local community
clinic. Which group of individuals has the highest risk for lung cancer?
A)African Americans
B) Caucasians
C) South East Asians
D) Latins - answer-A
The SpO2 of a lung cancer patient drops from 92% to 85% during
ambulation. Which action does the nurse take next?
A) This is a normal drop in response to activity with lung cancer patients
B) Relocate the oximetry probe to the earlobe during activity
C) Obtain an order for supplemental oxygen to be used during activity
D) Obtain an order for ABGs to verify the arterial oxygen saturation -
answer-C-supplemental o2 is needed to increase supply of oxygen
during activity; the probe was reading well at 92%, no need to relocate
The nurse moves a patient from the bed to a chair. Which technique
does the nurse use to maintain proper body mechanics?(Select all that
apply)
