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NCLEX RN Test 1 Study Guide 2026 Exam Prep & Review

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Comprehensive NCLEX-RN Test 1 study guide for 2026 exam preparation. Includes high-yield review notes, key nursing concepts, and practice questions with answers and rationales. Covers core NCLEX areas such as safety, pharmacology basics, infection control, health assessment, nursing process, and clinical judgment. Designed to improve test performance, critical thinking, and readiness for NGN NCLEX-RN exams.

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NCLEX RN Test 1 for 2026
S




1. A client with ascites is scheduled for a paracentesis. b. "You need to empty
Which instruction should be given to the client before your bladder before the
the procedure?
a "You will need to lay flat during the procedure." procedure."
b. "You need to empty your bladder before the proce-
dure."
c. "You will be asleep during the procedure."
d. "The doctor will inject a medication during the pro-
cedure."

2. A client's lab values reveal Hgb 12.6, WBC 6500cu.mm, b Hypokalemia
K+ 1.9, uric acid 7.0, Na+ 136, and platelets
178,000cu.mm. The nurse evaluates that the client is
experiencing which of the following?
Hypernatremia
b Hypokalemia
Myelosuppression
Leukopenia

3. To get access to over 400 Questions https://nclexrn2025.wee-
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4. The nurse is caring for the client who has been in a a Tell the wife that the hos-
coma for two months. He has signed a donor card, pital will honor her wish-
1

, NCLEX RN Test 1 for 2026
S
but the wife is opposed to the idea of organ donation. es regarding organ dona-
How should the nurse handle the topic of organ do- tion, but contact the or-
nation with the wife? gan-retrieval statt.




2

, NCLEX RN Test 1 for 2026
S
a Tell the wife that the hospital will honor her wishes
regarding organ donation, but contact the organ-re-
trieval staff.
b Tell her that because her husband signed a donor
card, the hospital has the right to take the organs
upon the death of her husband.
c Explain that it is necessary for her to donate her
husband's organs because he signed the permit.
d Refrain from talking about the subject until after the
death of her husband.

5. Due to a high census, it has been necessary for a num- b A 40-year-old female
ber of clients to be transferred to other units within with a hysterectomy
the hospital. Which client should be transferred to the
postpartum unit?
a A 66-year-old female with gastroenteritis
b A 40-year-old female with a hysterectomy
c A 27-year-old male with severe depression
d A 28-year-old male with ulcerative colitis

6. Before administering Theo-Dur (theophylline), the c Pulse
nurse should check the patient's:
a output
b Blood pressure
c Pulse
d Temperature

7. Which information should be given to the patient un- a Avoid exposing radiation
dergoing radiation therapy for breast cancer? areas to sunlight during
a Avoid exposing radiation areas to sunlight during treatment time and for a
treatment time and for a year after completion of year after completion of
therapy therapy

3

, NCLEX RN Test 1 for 2026
S
b Moisturize the radiation site with oil-based lotion to
prevent blistering
c Use bath oil when tub bathing to prevent drying and
peeling
d Report redness and soreness of the area to the
physician

8. The charge nurse is making assignments for the day. d Ask the nurse if she has
After accepting the assignment to care for a client with ever had the chickenpox.
leukemia, the nurse tells the charge nurse that her
child has chickenpox. Which initial action should the
charge nurse take?
a Change the nurse's assignment to another client.
b Explain to the nurse that there is no risk to the
client.
c Ask the nurse if the chickenpox have crusted.
d Ask the nurse if she has ever had the chickenpox.

9. Which statement is true regarding therapy with Lev- d The duration is 24 hours.
emir (insulin detemir)?
a The onset is 1-2 hours.
b It may be mixed with regular insulin.
c It peaks in 2-3 hours.
d The duration is 24 hours.

10. Which client should be assigned to the nursing assis- c The elderly client with
tant? a thyroidectomy four days
a The 18-year-old with a fracture to two cervical verte- ago
brae
b The infant with meningitis with a temperature of
101°F
c The elderly client with a thyroidectomy four days

4

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