NCLEX PRACTICE 2026 EXAM WITH VERIFIED QUESTIONS AND
ANSWERS WITH RATIONALES
The nurse is performing an admission assessment on a client who has been admitted to the
hospital with a diagnosis of suspected gastric ulcer. The nurse is asking the client questions
about pain. Which statement, if made by the client, would support the diagnosis of gastric
ulcer?
1-"The pain doesn't usually come right after I eat."
2-"The pain gets so bad that it wakes me up at night."
3-"The pain that I get is located on the right side of my chest."
4-"My pain comes shortly after I eat, maybe a half-hour or so later.
4-"My pain comes shortly after I eat, maybe a half-hour or so later.
Gastric ulcer pain often occurs in the upper epigastrium, with localization to the left of the
midline, and may be exacerbated by intake of food. The pain occurs 30 to 60 minutes after a
meal and rarely occurs at night. Duodenal ulcer pain is usually located to the right of the
epigastrium. The pain associated with a duodenal ulcer occurs 90 minutes to 3 hours after
eating and often awakens the client at night.
The nurse is preparing to care for a client with immunodeficiency. The nurse should plan to
address which problem as the priority?
1-Anxiety
2-Fatigue
3-Risk for infection
,4-Need for social isolation
3-Risk for infection
The client with immunodeficiency has inadequate or no immune bodies and is at risk for
infection. The priority concern would be risk for infection. The question presents no data
indicating that the client is experiencing anxiety. Fatigue may be a problem and the client may
need to be placed on protective isolation but these are not the priority problems for this client.
Infection can be life-threatening and is the priority.
The nurse is preparing to care for a client who will be arriving from the recovery room after an
above-the-knee amputation. The nurse ensures that which is in the client's hospital room as a
priority item?
1-Over-bed trapeze
2-Dry sterile dressings
3-Surgical tourniquet
4-Incentive spirometer
3-Surgical tourniquet
Monitoring for complications is an important aspect of initial postoperative care. Vital signs and
pulse oximetry values are monitored closely until the client's condition stabilizes. The wound
and any drains are monitored closely for excessive bleeding because hemorrhage is the primary
immediate complication of amputation. Therefore a surgical tourniquet is kept at the bedside in
case of acute bleeding. An over-bed trapeze increases the client's independence in self-care
activities but is not a priority in the immediate postoperative period. An incentive spirometer
and dry sterile dressings also should be available, but these are not priority items considering
the surgical procedure that the client underwent.
, A registered nurse (RN) asks a licensed practical nurse (LPN) to set up a hospital room for a
client who is being admitted with a diagnosis of tonic-clonic seizures and asks the LPN to
institute seizure precautions. The RN checks the client's room before the arrival of the client and
determines that which item placed in the room by the LPN is unsafe?
1-Restraints
2-Nasal cannula
3-Suction catheter
4-Padding for side rails
1-Restraints
Seizure precautions include keeping side rails up and padded if the client has tonic-clonic
seizures, ensuring that suction and oxygen equipment is available, and disabling the locks on
the bathroom and room doors. Restraints are not used and can result in client injury.
A nurse provides home care instructions to a client who has undergone cataract removal and
placement of an intraocular implant in the right eye. Which statement by the client would
indicate a need for further instruction?
1-"I need to avoid lying on my right side."
2-"I need to wear the metal eye shield at night when I sleep."
3-"I should take stool softeners to prevent becoming constipated."
4-"I need to remove the eye dressing as soon as I get home and place a warm pack on my eye."
4-"I need to remove the eye dressing as soon as I get home and place a warm pack on my eye."
After cataract surgery, a dressing is applied to the eye. It usually is removed later on the day of
surgery or on the following day by the health care provider. The client should not place a warm
pack on the eye unless this is specifically prescribed because of the risk of infection and
ANSWERS WITH RATIONALES
The nurse is performing an admission assessment on a client who has been admitted to the
hospital with a diagnosis of suspected gastric ulcer. The nurse is asking the client questions
about pain. Which statement, if made by the client, would support the diagnosis of gastric
ulcer?
1-"The pain doesn't usually come right after I eat."
2-"The pain gets so bad that it wakes me up at night."
3-"The pain that I get is located on the right side of my chest."
4-"My pain comes shortly after I eat, maybe a half-hour or so later.
4-"My pain comes shortly after I eat, maybe a half-hour or so later.
Gastric ulcer pain often occurs in the upper epigastrium, with localization to the left of the
midline, and may be exacerbated by intake of food. The pain occurs 30 to 60 minutes after a
meal and rarely occurs at night. Duodenal ulcer pain is usually located to the right of the
epigastrium. The pain associated with a duodenal ulcer occurs 90 minutes to 3 hours after
eating and often awakens the client at night.
The nurse is preparing to care for a client with immunodeficiency. The nurse should plan to
address which problem as the priority?
1-Anxiety
2-Fatigue
3-Risk for infection
,4-Need for social isolation
3-Risk for infection
The client with immunodeficiency has inadequate or no immune bodies and is at risk for
infection. The priority concern would be risk for infection. The question presents no data
indicating that the client is experiencing anxiety. Fatigue may be a problem and the client may
need to be placed on protective isolation but these are not the priority problems for this client.
Infection can be life-threatening and is the priority.
The nurse is preparing to care for a client who will be arriving from the recovery room after an
above-the-knee amputation. The nurse ensures that which is in the client's hospital room as a
priority item?
1-Over-bed trapeze
2-Dry sterile dressings
3-Surgical tourniquet
4-Incentive spirometer
3-Surgical tourniquet
Monitoring for complications is an important aspect of initial postoperative care. Vital signs and
pulse oximetry values are monitored closely until the client's condition stabilizes. The wound
and any drains are monitored closely for excessive bleeding because hemorrhage is the primary
immediate complication of amputation. Therefore a surgical tourniquet is kept at the bedside in
case of acute bleeding. An over-bed trapeze increases the client's independence in self-care
activities but is not a priority in the immediate postoperative period. An incentive spirometer
and dry sterile dressings also should be available, but these are not priority items considering
the surgical procedure that the client underwent.
, A registered nurse (RN) asks a licensed practical nurse (LPN) to set up a hospital room for a
client who is being admitted with a diagnosis of tonic-clonic seizures and asks the LPN to
institute seizure precautions. The RN checks the client's room before the arrival of the client and
determines that which item placed in the room by the LPN is unsafe?
1-Restraints
2-Nasal cannula
3-Suction catheter
4-Padding for side rails
1-Restraints
Seizure precautions include keeping side rails up and padded if the client has tonic-clonic
seizures, ensuring that suction and oxygen equipment is available, and disabling the locks on
the bathroom and room doors. Restraints are not used and can result in client injury.
A nurse provides home care instructions to a client who has undergone cataract removal and
placement of an intraocular implant in the right eye. Which statement by the client would
indicate a need for further instruction?
1-"I need to avoid lying on my right side."
2-"I need to wear the metal eye shield at night when I sleep."
3-"I should take stool softeners to prevent becoming constipated."
4-"I need to remove the eye dressing as soon as I get home and place a warm pack on my eye."
4-"I need to remove the eye dressing as soon as I get home and place a warm pack on my eye."
After cataract surgery, a dressing is applied to the eye. It usually is removed later on the day of
surgery or on the following day by the health care provider. The client should not place a warm
pack on the eye unless this is specifically prescribed because of the risk of infection and
