WISCONSIN NCLEX RN PRACTICE QUESTIONS WITH RATIONALES 2026 – EXAM
PRACTICE QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
*CORE DOMAINS*
Medical-Surgical Nursing
Pharmacology
Maternal and Newborn Health
Pediatric Nursing
Mental Health Nursing
Fundamentals of Nursing Practice
Infection Control & Safety
Health Assessment
Ethical and Legal Nursing Practice
Prioritization & Clinical Decision Making
*INTRODUCTION*
This comprehensive NCLEX-RN practice assessment is designed to evaluate the knowledge,
clinical judgment, and decision-making skills required for entry-level nursing practice. It
reflects real-world patient care scenarios that nurses encounter across diverse healthcare
,settings. Questions emphasize application of nursing theory, safe interventions, prioritization,
pharmacologic principles, and ethical practice. Each item is multiple-choice and structured to
mirror the NCLEX format, requiring critical thinking rather than memorization. The exam
assesses the nurse’s ability to provide safe, effective, and evidence-based care while
responding appropriately to patient needs and clinical changes.
════════════════════════════════════
SECTION ONE: QUESTIONS 1–50
════════════════════════════════════
Question 1
A nurse is caring for a patient with hypokalemia. Which ECG change should the nurse
expect?
A. Peaked T waves
B. Widened QRS complex
C. Flattened T waves
D. ST elevation
🟢 Correct Answer: C. Flattened T waves
🔴 Explanation: Hypokalemia typically causes flattened T waves and U waves due to
delayed ventricular repolarization.
,Question 2
A patient is receiving morphine. What is the priority assessment?
A. Bowel sounds
B. Respiratory rate
C. Blood pressure
D. Urine output
🟢 Correct Answer: B. Respiratory rate
🔴 Explanation: Opioids can cause respiratory depression; monitoring respiratory rate is
the priority.
Question 3
Which action is appropriate for infection control with Clostridium difficile?
A. Alcohol-based hand rub
B. Contact precautions
C. Droplet precautions
D. Airborne precautions
🟢 Correct Answer: B. Contact precautions
🔴 Explanation: C. difficile requires contact precautions and soap-and-water hand
hygiene.
, Question 4
A client with diabetes has a blood glucose of 60 mg/dL. What is the first action?
A. Give insulin
B. Administer 15g fast-acting carbohydrate
C. Recheck in 1 hour
D. Notify provider
🟢 Correct Answer: B. Administer 15g fast-acting carbohydrate
🔴 Explanation: Immediate treatment of hypoglycemia is a fast-acting carbohydrate.
Question 5
Which finding indicates fluid overload?
A. Dry mucous membranes
B. Tachycardia
C. Jugular vein distention
D. Decreased blood pressure
🟢 Correct Answer: C. Jugular vein distention
🔴 Explanation: JVD is a classic sign of fluid overload and heart failure.
Question 6
A nurse is teaching about warfarin. Which statement indicates understanding?
PRACTICE QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
*CORE DOMAINS*
Medical-Surgical Nursing
Pharmacology
Maternal and Newborn Health
Pediatric Nursing
Mental Health Nursing
Fundamentals of Nursing Practice
Infection Control & Safety
Health Assessment
Ethical and Legal Nursing Practice
Prioritization & Clinical Decision Making
*INTRODUCTION*
This comprehensive NCLEX-RN practice assessment is designed to evaluate the knowledge,
clinical judgment, and decision-making skills required for entry-level nursing practice. It
reflects real-world patient care scenarios that nurses encounter across diverse healthcare
,settings. Questions emphasize application of nursing theory, safe interventions, prioritization,
pharmacologic principles, and ethical practice. Each item is multiple-choice and structured to
mirror the NCLEX format, requiring critical thinking rather than memorization. The exam
assesses the nurse’s ability to provide safe, effective, and evidence-based care while
responding appropriately to patient needs and clinical changes.
════════════════════════════════════
SECTION ONE: QUESTIONS 1–50
════════════════════════════════════
Question 1
A nurse is caring for a patient with hypokalemia. Which ECG change should the nurse
expect?
A. Peaked T waves
B. Widened QRS complex
C. Flattened T waves
D. ST elevation
🟢 Correct Answer: C. Flattened T waves
🔴 Explanation: Hypokalemia typically causes flattened T waves and U waves due to
delayed ventricular repolarization.
,Question 2
A patient is receiving morphine. What is the priority assessment?
A. Bowel sounds
B. Respiratory rate
C. Blood pressure
D. Urine output
🟢 Correct Answer: B. Respiratory rate
🔴 Explanation: Opioids can cause respiratory depression; monitoring respiratory rate is
the priority.
Question 3
Which action is appropriate for infection control with Clostridium difficile?
A. Alcohol-based hand rub
B. Contact precautions
C. Droplet precautions
D. Airborne precautions
🟢 Correct Answer: B. Contact precautions
🔴 Explanation: C. difficile requires contact precautions and soap-and-water hand
hygiene.
, Question 4
A client with diabetes has a blood glucose of 60 mg/dL. What is the first action?
A. Give insulin
B. Administer 15g fast-acting carbohydrate
C. Recheck in 1 hour
D. Notify provider
🟢 Correct Answer: B. Administer 15g fast-acting carbohydrate
🔴 Explanation: Immediate treatment of hypoglycemia is a fast-acting carbohydrate.
Question 5
Which finding indicates fluid overload?
A. Dry mucous membranes
B. Tachycardia
C. Jugular vein distention
D. Decreased blood pressure
🟢 Correct Answer: C. Jugular vein distention
🔴 Explanation: JVD is a classic sign of fluid overload and heart failure.
Question 6
A nurse is teaching about warfarin. Which statement indicates understanding?
