MAINE NURSING EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains
*- Safe and Effective Care Environment – Management of Care*
*- Safe and Effective Care Environment – Safety and Infection Prevention and Control*
*- Health Promotion and Maintenance*
*- Psychosocial Integrity*
*- Physiological Integrity – Basic Care and Comfort*
*- Physiological Integrity – Pharmacological and Parenteral Therapies*
*- Physiological Integrity – Reduction of Risk Potential*
*- Physiological Integrity – Physiological Adaptation*
Introduction
This assessment evaluates the competencies essential for entry-level registered nursing practice. The exam
measures knowledge, skills, abilities, and clinical judgment required to provide safe and effective client care
across diverse settings. Questions are presented in multiple-choice and scenario-based formats, emphasizing
real-world application, critical thinking, and decision-making. The content align with the 2026 NCLEX-RN
Test Plan, covering client needs categories including safe and effective care environment, health promotion
and maintenance, psychosocial integrity, and physiological integrity. Success on this assessment
demonstrates readiness for nursing licensure and professional practice.
SECTION One: Questions 1–100
,Question 1
A nurse is caring for a client who has just been admitted to the medical-surgical unit. The client's chart indicates
a history of fall risk. Which action should the nurse prioritize first?
A. Apply a bed alarm device
B. Place the bed in the lowest position
C. Assess the client's current mobility status
D. Raise all four side rails
🟢 C. Assess the client's current mobility status
🔴 RATIONALE: Assessment is the first step of the nursing process. Before implementing fall prevention
interventions, the nurse must assess the client's current mobility status, fall risk factors, and specific needs to
develop an appropriate care plan.
Question 2
A client with diabetes mellitus is prescribed insulin glargine. The nurse should instruct the client to administer
this medication at which time?
A. Before breakfast
B. At bedtime
C. Before lunch
D. 30 minutes before meals
🟢 B. At bedtime
, 🔴 RATIONALE: Insulin glargine is a long-acting basal insulin with a duration of approximately 24 hours. It is
typically administered once daily at the same time each day, commonly at bedtime, to provide consistent basal
insulin coverage .
Question 3
A nurse is preparing to administer a blood transfusion. Which action is most important for preventing a
hemolytic transfusion reaction?
A. Use a 22-gauge needle
B. Verify client identity and blood product with another nurse
C. Administer the blood over 4 hours
D. Prime the tubing with normal saline
🟢 B. Verify client identity and blood product with another nurse
🔴 RATIONALE: Hemolytic transfusion reactions are most commonly caused by ABO incompatibility due to
administration errors. Two-nurse verification of client identity, blood type, Rh factor, and blood product
ensures the right blood is given to the right client.
Question 4
A client with chronic obstructive pulmonary disease (COPD) has an oxygen saturation of 88% on room air. The
nurse should anticipate which prescribed intervention?
RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains
*- Safe and Effective Care Environment – Management of Care*
*- Safe and Effective Care Environment – Safety and Infection Prevention and Control*
*- Health Promotion and Maintenance*
*- Psychosocial Integrity*
*- Physiological Integrity – Basic Care and Comfort*
*- Physiological Integrity – Pharmacological and Parenteral Therapies*
*- Physiological Integrity – Reduction of Risk Potential*
*- Physiological Integrity – Physiological Adaptation*
Introduction
This assessment evaluates the competencies essential for entry-level registered nursing practice. The exam
measures knowledge, skills, abilities, and clinical judgment required to provide safe and effective client care
across diverse settings. Questions are presented in multiple-choice and scenario-based formats, emphasizing
real-world application, critical thinking, and decision-making. The content align with the 2026 NCLEX-RN
Test Plan, covering client needs categories including safe and effective care environment, health promotion
and maintenance, psychosocial integrity, and physiological integrity. Success on this assessment
demonstrates readiness for nursing licensure and professional practice.
SECTION One: Questions 1–100
,Question 1
A nurse is caring for a client who has just been admitted to the medical-surgical unit. The client's chart indicates
a history of fall risk. Which action should the nurse prioritize first?
A. Apply a bed alarm device
B. Place the bed in the lowest position
C. Assess the client's current mobility status
D. Raise all four side rails
🟢 C. Assess the client's current mobility status
🔴 RATIONALE: Assessment is the first step of the nursing process. Before implementing fall prevention
interventions, the nurse must assess the client's current mobility status, fall risk factors, and specific needs to
develop an appropriate care plan.
Question 2
A client with diabetes mellitus is prescribed insulin glargine. The nurse should instruct the client to administer
this medication at which time?
A. Before breakfast
B. At bedtime
C. Before lunch
D. 30 minutes before meals
🟢 B. At bedtime
, 🔴 RATIONALE: Insulin glargine is a long-acting basal insulin with a duration of approximately 24 hours. It is
typically administered once daily at the same time each day, commonly at bedtime, to provide consistent basal
insulin coverage .
Question 3
A nurse is preparing to administer a blood transfusion. Which action is most important for preventing a
hemolytic transfusion reaction?
A. Use a 22-gauge needle
B. Verify client identity and blood product with another nurse
C. Administer the blood over 4 hours
D. Prime the tubing with normal saline
🟢 B. Verify client identity and blood product with another nurse
🔴 RATIONALE: Hemolytic transfusion reactions are most commonly caused by ABO incompatibility due to
administration errors. Two-nurse verification of client identity, blood type, Rh factor, and blood product
ensures the right blood is given to the right client.
Question 4
A client with chronic obstructive pulmonary disease (COPD) has an oxygen saturation of 88% on room air. The
nurse should anticipate which prescribed intervention?
