PN NCLEX 2026: PRACTICE QUESTIONS & ANSWERS FOR THE NEXT GENERATION
NCLEX Comprehensive Q&A Bank with Detailed Rationales | Client Needs
Categories | NCSBN-Aligned | A+ Graded
PART ONE: FUNDAMENTALS OF NURSING – BASIC PHYSICAL CARE (Questions 1-40)
1. A nurse is caring for a client who sustained a chemical burn in his right eye. She’s preparing
to irrigate the eye with sterile normal saline solution. Which steps are appropriate when
performing the procedure? Select all that apply.
1. Tilt the client's head toward his left eye
2. Place absorbent pads in the area of the client's shoulder
3. Wash hands and put on gloves
4. Place the irrigation syringe directly on the cornea
5. Direct the solution onto the exposed conjunctival sac from the inner to outer canthus
6. Irrigate the eye for 1 minute
Correct Answer: 2, 3, 5
Rationale: The nurse should place absorbent pads in the area of the shoulder to prevent
saturating the client's clothing and bed linens. Hand washing and gloves reduce transmission of
microorganisms. The solution should be directed from the inner to outer canthus to prevent
contamination of the unaffected eye. The head should be tilted toward the affected eye to
,facilitate drainage. The irrigation syringe should be held about 2.5 cm above the eye to prevent
injury, and irrigation should continue for at least 10 minutes in a chemical exposure .
2. A nurse is caring for a client who underwent cardiac catheterization. He starts bleeding
from his left femoral access site. The nurse should apply pressure to which area?
Correct Answer: Approximately 2 inches above the access site (over the femoral artery
puncture site)
Rationale: The femoral artery is punctured approximately 2 inches above the actual skin access
site during cardiac catheterization. Applying pressure at this location directly compresses the
arterial puncture site to achieve hemostasis. The client should also be placed on bed rest with
the affected leg extended and immobilized .
3. A nurse is preparing to leave a contact isolation room. Place the following steps in the
correct chronological order for removing protective wear:
1. Remove eyewear
2. Remove gloves
3. Remove mask
4. Remove gown
5. Wash hands for a minimum of 10 seconds
Correct Order: 2, 4, 3, 1, 5
,Rationale: The correct sequence for PPE removal is: remove gloves first (most contaminated),
then gown, then mask, then eyewear, and finally wash hands for at least 10 seconds. This
sequence limits the possibility of contact with contaminants .
4. A client is ordered to receive a sodium phosphate enema for relief of constipation. Proper
administration includes which steps? Select all that apply.
1. Chill the solution by placing it in the refrigerator for 10 minutes
2. Assist the client into Sims' position
3. Wash hands and put on gloves
4. Insert the tip of the container ½ inch into the rectum
5. Allow gravity to instill the solution
6. Encourage the client to retain the solution for 5 to 15 minutes
Correct Answer: 2, 3, 6
Rationale: The client should be placed in Sims' or knee-chest position. Hand washing and gloves
reduce infection risk. To promote effectiveness, the client should retain the solution for at least
5-15 minutes. The solution should be warmed (not chilled) for comfort. The full length of the tip
should be inserted, and the container should be compressed (positive pressure), not gravity-
fed .
5. A nurse is completing the intake and output record for a client who was restarted on his
regular diet after NPO status. Calculate the total intake and output for the shift.
, Intake:
4 oz orange juice (120 mL)
8 oz milk (240 mL)
6 oz coffee (180 mL)
1 cup ice chips (120 mL – counted as half volume = 60 mL)
1000 mL IV fluids
Output:
600 mL urine
150 mL emesis
75 mL wound drainage
Correct Answer: Total Intake = 120 + 240 + 180 + 60 + 1000 = 1600 mL; Total Output =
600 + 150 + 75 = 825 mL
Rationale: All oral intake should be measured in mL. Ice chips are counted as half the volume of
the cup. Accurate I&O recording is essential for fluid balance assessment .
6. A nurse is preparing to administer a subcutaneous heparin injection. Which site is most
appropriate for administration?
A) Ventrogluteal
B) Dorsogluteal
NCLEX Comprehensive Q&A Bank with Detailed Rationales | Client Needs
Categories | NCSBN-Aligned | A+ Graded
PART ONE: FUNDAMENTALS OF NURSING – BASIC PHYSICAL CARE (Questions 1-40)
1. A nurse is caring for a client who sustained a chemical burn in his right eye. She’s preparing
to irrigate the eye with sterile normal saline solution. Which steps are appropriate when
performing the procedure? Select all that apply.
1. Tilt the client's head toward his left eye
2. Place absorbent pads in the area of the client's shoulder
3. Wash hands and put on gloves
4. Place the irrigation syringe directly on the cornea
5. Direct the solution onto the exposed conjunctival sac from the inner to outer canthus
6. Irrigate the eye for 1 minute
Correct Answer: 2, 3, 5
Rationale: The nurse should place absorbent pads in the area of the shoulder to prevent
saturating the client's clothing and bed linens. Hand washing and gloves reduce transmission of
microorganisms. The solution should be directed from the inner to outer canthus to prevent
contamination of the unaffected eye. The head should be tilted toward the affected eye to
,facilitate drainage. The irrigation syringe should be held about 2.5 cm above the eye to prevent
injury, and irrigation should continue for at least 10 minutes in a chemical exposure .
2. A nurse is caring for a client who underwent cardiac catheterization. He starts bleeding
from his left femoral access site. The nurse should apply pressure to which area?
Correct Answer: Approximately 2 inches above the access site (over the femoral artery
puncture site)
Rationale: The femoral artery is punctured approximately 2 inches above the actual skin access
site during cardiac catheterization. Applying pressure at this location directly compresses the
arterial puncture site to achieve hemostasis. The client should also be placed on bed rest with
the affected leg extended and immobilized .
3. A nurse is preparing to leave a contact isolation room. Place the following steps in the
correct chronological order for removing protective wear:
1. Remove eyewear
2. Remove gloves
3. Remove mask
4. Remove gown
5. Wash hands for a minimum of 10 seconds
Correct Order: 2, 4, 3, 1, 5
,Rationale: The correct sequence for PPE removal is: remove gloves first (most contaminated),
then gown, then mask, then eyewear, and finally wash hands for at least 10 seconds. This
sequence limits the possibility of contact with contaminants .
4. A client is ordered to receive a sodium phosphate enema for relief of constipation. Proper
administration includes which steps? Select all that apply.
1. Chill the solution by placing it in the refrigerator for 10 minutes
2. Assist the client into Sims' position
3. Wash hands and put on gloves
4. Insert the tip of the container ½ inch into the rectum
5. Allow gravity to instill the solution
6. Encourage the client to retain the solution for 5 to 15 minutes
Correct Answer: 2, 3, 6
Rationale: The client should be placed in Sims' or knee-chest position. Hand washing and gloves
reduce infection risk. To promote effectiveness, the client should retain the solution for at least
5-15 minutes. The solution should be warmed (not chilled) for comfort. The full length of the tip
should be inserted, and the container should be compressed (positive pressure), not gravity-
fed .
5. A nurse is completing the intake and output record for a client who was restarted on his
regular diet after NPO status. Calculate the total intake and output for the shift.
, Intake:
4 oz orange juice (120 mL)
8 oz milk (240 mL)
6 oz coffee (180 mL)
1 cup ice chips (120 mL – counted as half volume = 60 mL)
1000 mL IV fluids
Output:
600 mL urine
150 mL emesis
75 mL wound drainage
Correct Answer: Total Intake = 120 + 240 + 180 + 60 + 1000 = 1600 mL; Total Output =
600 + 150 + 75 = 825 mL
Rationale: All oral intake should be measured in mL. Ice chips are counted as half the volume of
the cup. Accurate I&O recording is essential for fluid balance assessment .
6. A nurse is preparing to administer a subcutaneous heparin injection. Which site is most
appropriate for administration?
A) Ventrogluteal
B) Dorsogluteal
