Next Generation NCLEXRN Exam Prep 2026-
2027: Your All-in-One Certification Prep to
Master Nursing
Exam
**1. A nurse receives change-of-shift report. Which client should the
nurse assess first?**
A. A client with a GCS of 15 awaiting discharge
B. A client with a casted leg reporting "pins and needles"
C. A client 2 days post-op reporting pain of 6/10
D. A client with pneumonia and an SpO2 of 94% on 2L
**Answer: B. A CLIENT WITH A CASTED LEG REPORTING "PINS AND
NEEDLES"**
**Rationale:** Paresthesia (pins and needles sensation) is an early
sign of Compartment Syndrome, a neurovascular emergency. This
requires immediate assessment and intervention to prevent
permanent nerve and muscle damage. The other clients are stable .
---
**2. The graduate nurse understands the purpose of the NCLEX-RN
exam when stating which of the following?**
,A. "The exam provides feedback to the candidate regarding areas of
weakness in nursing practice."
B. "The exam determines the candidate's ability or inability to meet
minimum standards for safe practice."
C. "The exam gives employers an opportunity to hire graduates who
have scored highest among first-time licensure candidates."
D. "The exam prepares new graduates as efficient, effective staff
nurses."
**Answer: B. "THE EXAM DETERMINES THE CANDIDATE'S ABILITY OR
INABILITY TO MEET MINIMUM STANDARDS FOR SAFE PRACTICE."**
**Rationale:** The purpose of the NCLEX-RN Exam is to determine
whether a candidate is competent to perform safe, effective, entry-
level nursing care. It does not prepare nurses but rather measures
their performance on a test. Candidates who are unsuccessful receive
information about their weak areas on the test, but this is not the
purpose of it .
---
**3. A client with a chest tube for a pneumothorax has continuous
bubbling in the water-seal chamber. What is the priority action?**
A. Document it as a normal finding
B. Check the system for an air leak
C. Increase the suction wall pressure
,D. Clamp the tube for 15 minutes
**Answer: B. CHECK THE SYSTEM FOR AN AIR LEAK**
**Rationale:** Continuous bubbling in the water-seal chamber
indicates an air leak. Bubbling should only be intermittent during
expiration. The nurse should check the system for an air leak, which
could be at the insertion site, connections, or within the drainage
system itself .
---
**4. A client is scheduled for surgery. Which action demonstrates
appropriate informed consent?**
A. The nurse explains the surgical procedure to the client
B. The nurse witnesses the client signing the consent form
C. The nurse answers the client's questions about risks and benefits
D. The nurse determines if the client understands the procedure
**Answer: B. THE NURSE WITNESSES THE CLIENT SIGNING THE
CONSENT FORM**
**Rationale:** The nurse's role in informed consent is to witness the
client's signature, ensure the client is signing voluntarily, and verify
that the client appears to have the capacity to understand. The
, provider is responsible for explaining the procedure, risks, benefits,
and alternatives .
---
**5. A nurse is delegating tasks to unlicensed assistive personnel
(UAP). Which task is appropriate to delegate?**
A. Administering oral medications
B. Assessing a client's wound
C. Assisting a client with ambulation
D. Teaching a client about insulin administration
**Answer: C. ASSISTING A CLIENT WITH AMBULATION**
**Rationale:** UAP can perform tasks that do not require nursing
judgment, such as activities of daily living, ambulation assistance, and
vital signs. Assessment, medication administration, and teaching
require licensed nursing knowledge and judgment.
---
**6. A nurse is prioritizing care for four clients. Which client should
be seen first?**
2027: Your All-in-One Certification Prep to
Master Nursing
Exam
**1. A nurse receives change-of-shift report. Which client should the
nurse assess first?**
A. A client with a GCS of 15 awaiting discharge
B. A client with a casted leg reporting "pins and needles"
C. A client 2 days post-op reporting pain of 6/10
D. A client with pneumonia and an SpO2 of 94% on 2L
**Answer: B. A CLIENT WITH A CASTED LEG REPORTING "PINS AND
NEEDLES"**
**Rationale:** Paresthesia (pins and needles sensation) is an early
sign of Compartment Syndrome, a neurovascular emergency. This
requires immediate assessment and intervention to prevent
permanent nerve and muscle damage. The other clients are stable .
---
**2. The graduate nurse understands the purpose of the NCLEX-RN
exam when stating which of the following?**
,A. "The exam provides feedback to the candidate regarding areas of
weakness in nursing practice."
B. "The exam determines the candidate's ability or inability to meet
minimum standards for safe practice."
C. "The exam gives employers an opportunity to hire graduates who
have scored highest among first-time licensure candidates."
D. "The exam prepares new graduates as efficient, effective staff
nurses."
**Answer: B. "THE EXAM DETERMINES THE CANDIDATE'S ABILITY OR
INABILITY TO MEET MINIMUM STANDARDS FOR SAFE PRACTICE."**
**Rationale:** The purpose of the NCLEX-RN Exam is to determine
whether a candidate is competent to perform safe, effective, entry-
level nursing care. It does not prepare nurses but rather measures
their performance on a test. Candidates who are unsuccessful receive
information about their weak areas on the test, but this is not the
purpose of it .
---
**3. A client with a chest tube for a pneumothorax has continuous
bubbling in the water-seal chamber. What is the priority action?**
A. Document it as a normal finding
B. Check the system for an air leak
C. Increase the suction wall pressure
,D. Clamp the tube for 15 minutes
**Answer: B. CHECK THE SYSTEM FOR AN AIR LEAK**
**Rationale:** Continuous bubbling in the water-seal chamber
indicates an air leak. Bubbling should only be intermittent during
expiration. The nurse should check the system for an air leak, which
could be at the insertion site, connections, or within the drainage
system itself .
---
**4. A client is scheduled for surgery. Which action demonstrates
appropriate informed consent?**
A. The nurse explains the surgical procedure to the client
B. The nurse witnesses the client signing the consent form
C. The nurse answers the client's questions about risks and benefits
D. The nurse determines if the client understands the procedure
**Answer: B. THE NURSE WITNESSES THE CLIENT SIGNING THE
CONSENT FORM**
**Rationale:** The nurse's role in informed consent is to witness the
client's signature, ensure the client is signing voluntarily, and verify
that the client appears to have the capacity to understand. The
, provider is responsible for explaining the procedure, risks, benefits,
and alternatives .
---
**5. A nurse is delegating tasks to unlicensed assistive personnel
(UAP). Which task is appropriate to delegate?**
A. Administering oral medications
B. Assessing a client's wound
C. Assisting a client with ambulation
D. Teaching a client about insulin administration
**Answer: C. ASSISTING A CLIENT WITH AMBULATION**
**Rationale:** UAP can perform tasks that do not require nursing
judgment, such as activities of daily living, ambulation assistance, and
vital signs. Assessment, medication administration, and teaching
require licensed nursing knowledge and judgment.
---
**6. A nurse is prioritizing care for four clients. Which client should
be seen first?**
