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NCLEX-RN Practice Exam – Questions with Correct Answers (Medical-Surgical, OB, Pharmacology, Safety & More)- 2026

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This NCLEX-RN practice exam contains multiple-choice questions with verified correct answers covering a wide range of nursing topics tested on the NCLEX-RN licensure examination. Topics include patient prioritization and triage, infection control and precautions, delegation and scope of practice, patient confidentiality and HIPAA, advance directives, cardiac and respiratory assessment, gastrointestinal disorders, diabetes management, obstetric and newborn nursing, stroke and neurological assessment, pressure ulcer prevention, medication administration, surgical nursing, immobility complications, and safe patient handling. The exam also features a clinical case study focused on cerebrovascular accident (CVA/stroke) management, including pharmacological intervention with tenecteplase. Correct answers are clearly indicated for every question, making this an efficient and effective tool for NCLEX-RN candidates seeking to assess and strengthen their clinical knowledge before sitting for the exam.

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NCLEX-RN Practice Exam

NCLEX-RN Practice Exam

Questions with Correct Answers


Question 1
A patient is to get an MRI of the abdomen. Which of the following instructions should the
nurse

give the patient?

a. Do not wear metal objects during the MRI, including jewelry.

b. Do not take oral medications up to 12 hours after the MRI.

c. Do not urinate prior to the MRI.

d. Do not eat solid foods 12 hours prior to the MRI.

Correct Answer: A


Question 2
In which of the following ways can the nurse promote the sense of taste for an older adult?

a. Mix foods together on the dinner tray

b. Avoid cologne, air fresheners, or room deodorizers

c. Encourage the client to chew food thoroughly

d. Discourage the use of salt or seasonings with prepared food

Correct Answer: C


Question 3
Which of the following advisements should a patient suffering from GERD receive?

a. To eat high-protein, low-fat foods

b. To stay upright two to three hours after a meal

c. Limit the intake of acid-stimulating food and drink

d. All of the above

,Correct Answer: D


Question 4
A portion of a building collapses after an earthquake, sending multiple patients to the
nearest

emergency room. Which of the following patients should be first priority?

a. A 20-year-old male with a head laceration and substantial bleeding.

b. A 42-year-old female with dyspnea, oxygen saturation of 88%, and a pulse of 120bpm.

c. A 50-year-old male with partial amputation of the right foot, with pulse present.

d. A 12-year-old female complaining of pain and has a large bruise on her left shoulder and
neck.

Correct Answer: B


Question 5
At the beginning of the shift, a nurse receives a report for her daily assignment. Which of
the

following situations should the nurse give first priority?

a. A diabetic client with a blood glucose level of 195 mg/dL

b. A family member of an elderly client who has questions
c. A client with COPD with an oxygen saturation of 84%

d. A client who requires assistance to use the bathroom

Correct Answer: C


Question 6
Mr. W has orders for a physical therapy consult. The nurse contacts the appropriate
department

but 12 hours later, no one has come to see the client. Which is the most appropriate action
of the

nurse?

a. Call the supervisor and file a complaint against the physical therapy department

, b. Contact the physician to notify him that the orders were not carried out

c. Assess the client's activity level by assisting with ambulation using a gait belt

d. Contact the physical therapy department again and repeat the order

Correct Answer: C


Question 7
The "B" in the SBAR acronym stands for:

a. Background

b. Basic

c. Beginning

d. Break

Correct Answer: A


Question 8
A doctor visits a patient in the morning prior to a scheduled cholecystectomy to get consent
for

the procedure. He hands the nurse the consent form prior to leaving the unit. When the
nurse

steps into the room, the patient has multiple questions regarding the surgery, indicating that
everything about the procedure was not disclosed. Which is the appropriate response by the

nurse?

a. "You have already signed the consent form, so we need to proceed with the surgery."

b. "I will answer any questions that you have about the procedure and the risks/benefits."

c. "I will call the medical director and let him know the physician did not explain your
procedure."

d. "I will call the doctor and have him return to explain everything and answer your
questions."

Correct Answer: D


Question 9

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