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NCLEX-RN Exam Prep 2026 | Comprehensive Practice Questions with Detailed Rationales | Nursing Licensure Study Guide

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Prepare effectively for the NCLEX-RN licensure exam (2026) with this comprehensive study resource designed to support nursing students in exam preparation. This guide includes practice questions with correct answers and detailed rationales to help reinforce critical nursing concepts and clinical decision-making skills. The material focuses on core NCLEX-RN exam categories, including patient care, pharmacology, health promotion, safety, infection control, and nursing management. It is ideal for practice testing, quick revision, and strengthening understanding of key nursing topics before the exam.

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NCLEX RN Actual Exam 2026 Test Bank
Questions And Correct Detailed With
Rationales Answers Brand New


Acculturation. --Verified--Solution----Is a process of learning a different
culture to adapt to a new or changing environment.


Ethnic identity --Verified--Solution----It is a subjective perspective of
the person's heritage and a sense of belonging to a group


Low-risk therapies: --Verified--Solution----Include meditation,
relaxation techniques, imagery, music therapy, massage, touch, laughter,
humor, & spiritual measures (prayer).


High risk of obesity & diabetes mellitus --Verified--Solution----Because
of their health & dietary practices, Native Americans, Latino Americans,
Hispanic Americans, & African Americans.


Jehovah's Witnesses --Verified--Solution----Surgery is not prohibited,
but the administration of blood and blood products is forbidden. This
religious group believes the soul cannot live after death. Administration
of medication is an acceptable practice except if the medication is
derived from blood products.

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Orthodox Judaism --Verified--Solution----Believers adhere to dietary
kosher laws. In this religion, the dairy-meat combination is
unacceptable. Only fish that have scales and fins are allowed; meats that
are allowed include animals that are vegetable eaters, cloven-hoofed,
and ritually slaughtered.


Five categories of complementary and alternative medicine (CAM): --
Verified--Solution----include whole medical systems, mind-body
medicine, biologically based practices, manipulative & body-based
practices, & energy medicine.


Autocratic leader --Verified--Solution----Focused, maintains strong
control, makes decisions, & addresses all problems. Dominates group &
commands, rather than seeks suggestions or input. Manager addresses
problem (quality improvement) with taff, designs a plan without input,
& wants all problems reported directly back to her


Democratic leader --Verified--Solution----Participative & would likely
meet with each staff person individually to determine staff member's
perception of problem. Would also speak with the staff about any issues
& ask the staff for input with developing a plan.


Laissez-faire leader --Verified--Solution----Passive and nondirective.
Would state what the problem was & inform staff that the staff needed to
come up with a plan to "fix it."


Overhydration or fluid overload & occurs when fluid intake or fluid
retention --Verified--Solution----Assessment findings include cough,

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dyspnea, crackles, tachypnea, tachycardia, elevated blood pressure,
bounding pulse, elevated CVP, weight gain, edema, neck & hand vein
distention, altered LOC, & decreased hematocrit.


Common food sources of potassium: --Verified--Solution----Avocado,
bananas, cantaloupe, carrots, fish, mushrooms, oranges, potatoes, pork,
beef, veal, raisins, spinach, strawberries, & tomatoes


Hyponatremia --Verified--Solution----Muscle weakness, increased
urinary output, & decreased specific gravity of the urine would be noted


Hypophosphatemia --Verified--Solution----Causative factors relate to
malnutrition or starvation & the use of aluminum hydroxide-based or
magnesium-based antacids. Malnutrition is associated with alcoholism.


Hyperphosphatemia --Verified--Solution----Renal insufficiency,
hypoparathyroidism, & tumor lysis syndrome; causative factors. Should
avoid foods high in phosphates; fish, eggs, milk products, vegetables,
whole grains, & carbonated beverages.


Causes of a fluid volume deficit --Verified--Solution----Vomiting,
diarrhea, conditions that increased respiration's or increased urinary
output, insufficient intravenous fluid replacement, draining fistulas,
presence of ileostomy or colostomy. Diuretics, & gastrointestinal
suctioning.

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Causes of overhydration or fluid overload: --Verified--Solution----
Decreased kidney function, heart failure, hypotonic fluids to replace
isotonic fluid losses, excessive irrigation of wounds & body cavities, &
excessive ingestion of sodium.


Hyperkalemia causes: --Verified--Solution----Trauma, burns, sepsis, or
metabolic or respiratory acidosis.


Hypokalemia causes: --Verified--Solution----Cushing's syndrome or
colitis & over use of laxatives.


Metabolic acidotic --Verified--Solution----Decreased pH & decreased
HCO3. Occurs in kidney disease; diabetic ketoacidosis; high fat diet;
insufficient metabolism of carbohydrates; malnutrition; ingestion of
toxins, such as acetylsalicylic acid (aspirin); malnutrition; severe
diarrhea. Intestinal secretion high in bicarbonate & may be lost through
enteric drainage tubes, an ileostomy, or diarrhea.


Metabolic alkalosis --Verified--Solution----Nausea & vomiting. Loss of
gastric acid, cause pH & HCO3 to increase. Symptoms experienced
would include hypoventilation & tachycardia.


Respiratory acidotic --Verified--Solution----Decreased pH and an
increased CO2. Hypoventalation & COPD


Respiratory alkalotic --Verified--Solution----Increased pH & decreased
CO2. Hyperventalation, Lethargy, lightheadedness, confusion,

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