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NCLEX-RN Comprehensive Predictor Review Guide 2026–2027 – High-Yield Nursing Concepts, Clinical Judgment Strategies & Exam Preparation Notes

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This NCLEX-RN study guide provides structured, high-yield review content designed to support nursing students preparing for comprehensive exit exams and the NCLEX-RN. It is aligned with ATI/VATI-style frameworks but does not contain or reproduce proprietary exam questions, answers, or rationales. The guide focuses on essential nursing competencies including prioritization and delegation, leadership and management principles, pharmacology fundamentals, patient safety and infection control, medical-surgical nursing concepts, and Next Generation NCLEX (NGN) clinical judgment strategies. It is designed to strengthen critical thinking, clinical reasoning, and exam readiness. This resource is intended for educational study purposes only.

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VATI Comprehensive Predictor 2026–2027 NCLEX-RN Review
– High-Yield Practice Questions, Rationales & Exam Readiness
Study Guide


A nurse is reinforcing teaching with a postpartum client. Which of the following
should the nurse explain as the most important reason for staff to wear
identification? - CORRECT ANSWER -Reducing the risk of newborn abduction


A nurse is reinforcing teaching with a client who plans to bottle feed her newborn.
Which of the following statements indicates an understanding of the instructions? -
CORRECT ANSWER -I will feed my baby six to eight times a day


A nurse is reinforcing teaching with a client diagnosed with osteoarthritis who
reports joint pain,swelling, and stiffness. Which of the following client statements
indicates understanding of the teaching? - CORRECT ANSWER -I will exercise my
joints as much as i can when they are inflamed


A nurse is reinforcing teaching with a client who is scheduled for a mammogram.
Which of the following instructions should the nurse include in the teaching? -
CORRECT ANSWER -Refrain from using deodorant on the morning of the test


A nurse is preparing a clients insulin regimen. Which of the following insulin's can be
mixed? - CORRECT ANSWER -Insulin aspart, regular insulin, insulin lispro


A nurse is reinforcing discharge teaching with a client who is postoperative
following laser surgery for open-angle glaucoma. Which of the following
statements by the client indicates an understanding of the instructions? - CORRECT
ANSWER -I will take a stool softener to prevent constipation

,A nurse is caring for a client who had a stroke and is having difficulty swallowing.
The nurse should recommend a referral to which of the following members of the
interprofessional team? - CORRECT ANSWER -Speech therapist


A nurse is reinforcing teaching with a client who is 12 hr postpartum and has an
episiotomy. Which of the following instructions should the nurse include? - CORRECT
ANSWER -Change the perineal pad with each void


A nurse is collecting data from a child who has acute Glomerulonephritis. Which of
the following findings should the nurse expect? - CORRECT ANSWER -Periorbital
edema


A nurse is preparing to administer a liquid medication to a 6-month-old infant who
is crying. Which of the following actions should the nurse take to reduce the risk of
aspiration? - CORRECT ANSWER -Administer using a needless syringe in the buccal
cavity


A nurse is reinforcing teaching with a client who has peptic ulcer disease. Which of
the following statements by the client indicates an understanding of the teaching? -
CORRECT ANSWER -I will plan to have my meals at regular intervals


A nurse in long-term care facility has received change-of-shift report about four
clients. Which of the following clients should the nurse attend to first? - CORRECT
ANSWER -A client who has COPD and dementia and was agitated during the night
shift


A nurse is collecting data from a client who has substance use disorder and reports
recently taking opioids. Which of the following findings should the nurse identify as
a manifestation of opioid intoxication? - CORRECT ANSWER -Pinpoint pupils

, A nurse in a urgent care clinic is collecting data from a client who reports having
diarrhea for the past 3 days. Which of the following findings indicates
hypokalemia? - CORRECT ANSWER -Muscle weakness


A nurse is contributing to the discharge plans for four clients. The nurse should
identify that which of the following clients requires an interdisciplinary care
conference? - CORRECT ANSWER -A client who has hemiparesis and lives alone


A nurse is reinforcing teaching with an adolescent who has a new prescription for
cefazolin. For which of the following findings should the nurse instruct the adolescent
to monitor and report to the provider? - CORRECT ANSWER -Depression


A nurse is reinforcing teaching with a group of expectant parents regarding the
proper use of a car seat. Which of the following statements by a parent indicates
an understanding of the teaching? - CORRECT ANSWER -I can place a rolled towel
on each side of my newborns head until he can hold his head up


A nurse is caring for a school-age child who has epistaxis. Which of them following
actions should the nurse take? - CORRECT ANSWER -Apply pressure at the bridge
of the child's nose


A nurse is caring for four clients. Which of the following clients statements should the
nurse attend to first? - CORRECT ANSWER -My heartburn pain is going into my jaw
now


A nurse in a providers office is talking on the phone with the parent of a school-age
child who has varicella. - CORRECT ANSWER -All vesicles have crusted over

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