HIGH-YIELD NCLEX-RN QUICK STUDY GUIDE
(2026) – PRIORITIZATION, DELEGATION &
PHARMACOLOGY PRACTICE TEST BUNDLE
This comprehensive NCLEX-RN Master Review bundle features high-yield,
realistic practice questions with precise answer keys and highly detailed
clinical rationales. Strategically engineered to mimic the actual board exam,
the material focuses on critical test areas including advanced
pharmacology, emergency prioritization, and delegation principles. It serves
as an essential, high-density quick study guide optimized to help nursing
students build critical thinking skills and pass their licensing exam on the
first attempt.
Question 1
Topic: Pharmacology
A nurse is preparing to administer morning
medications to a client. Which insulin should the
nurse clarify is classified as rapid-acting?
A) Insulin Glargine
B) NPH Insulin
C) Regular Insulin
D) Insulin Lispro
Rationale: Insulin Lispro is a rapid-acting insulin
with an onset of 15 to 30 minutes, a peak of 30 to
90 minutes, and a duration of 3 to 5 hours.
Glargine is long-acting, NPH is intermediate-
acting, and Regular is short-acting.
Question 2
,Topic: Management of Care / Prioritization
The nurse receives a shift report on four clients.
Which client should the nurse assess first?
A) A client with a leg cast complaining of generalized
itching under the cast
B) A client with type 2 diabetes who has a routine
morning blood glucose of 110 mg/dL
C) A client with asthma who is experiencing new
onset inspiratory and expiratory wheezing
D) A client with a surgical wound who has a dry and
intact dressing
Rationale: Using the Airway, Breathing,
Circulation (ABC) framework, the client with
asthma experiencing wheezing indicates acute
airway narrowing and respiratory distress,
requiring immediate intervention.
Question 3
Topic: Safe and Effective Care Environment
A nurse is caring for a client newly diagnosed with
active Tuberculosis (TB). Which type of transmission
precautions must the nurse implement?
A) Droplet Precautions
B) Airborne Precautions
C) Contact Precautions
D) Standard Precautions
,Rationale: Mycobacterium tuberculosis is
transmitted via airborne droplet nuclei that
remain suspended in the air. This requires an
airborne infection isolation room (AIIR) and the
use of an N95 respirator.
Question 4
Topic: Pharmacology
A client is receiving digoxin for heart failure. Which
clinical finding should the nurse recognize as a
classic early sign of digoxin toxicity?
A) Peripheral edema
B) Hypertension
C) Tachycardia
D) Visual disturbances like yellow-green halos
Rationale: Gastrointestinal symptoms (anorexia,
nausea) and visual disturbances (blurred vision,
yellow-green halos) are classic early signs of
digitalis toxicity.
Question 5
Topic: Management of Care / Delegation
Which task is most appropriate for the registered
nurse (RN) to delegate to an Unlicensed Assistive
Personnel (UAP)?
A) Assessing a newly admitted client's skin integrity
, B) Administering oral pain medication to a stable
client
C) Teaching a client about new diabetic medications
D) Assisting a client with chronic stable COPD with
ambulation
Rationale: UAPs can perform routine tasks and
activities of daily living on stable clients.
Assessment, medication administration, and
client teaching require professional nursing
judgment and cannot be delegated.
Question 6
Topic: Reduction of Risk Potential
A client is receiving continuous intravenous Heparin
therapy. The nurse should monitor which laboratory
value to titrate the medication dose?
A) Prothrombin Time (PT)
B) Activated Partial Thromboplastin Time (aPTT)
C) International Normalized Ratio (INR)
D) Serum Potassium
Rationale: The aPTT test is specifically used to
monitor the therapeutic effectiveness of
unfractionated Heparin. PT and INR are used to
monitor oral Warfarin therapy.
Question 7
(2026) – PRIORITIZATION, DELEGATION &
PHARMACOLOGY PRACTICE TEST BUNDLE
This comprehensive NCLEX-RN Master Review bundle features high-yield,
realistic practice questions with precise answer keys and highly detailed
clinical rationales. Strategically engineered to mimic the actual board exam,
the material focuses on critical test areas including advanced
pharmacology, emergency prioritization, and delegation principles. It serves
as an essential, high-density quick study guide optimized to help nursing
students build critical thinking skills and pass their licensing exam on the
first attempt.
Question 1
Topic: Pharmacology
A nurse is preparing to administer morning
medications to a client. Which insulin should the
nurse clarify is classified as rapid-acting?
A) Insulin Glargine
B) NPH Insulin
C) Regular Insulin
D) Insulin Lispro
Rationale: Insulin Lispro is a rapid-acting insulin
with an onset of 15 to 30 minutes, a peak of 30 to
90 minutes, and a duration of 3 to 5 hours.
Glargine is long-acting, NPH is intermediate-
acting, and Regular is short-acting.
Question 2
,Topic: Management of Care / Prioritization
The nurse receives a shift report on four clients.
Which client should the nurse assess first?
A) A client with a leg cast complaining of generalized
itching under the cast
B) A client with type 2 diabetes who has a routine
morning blood glucose of 110 mg/dL
C) A client with asthma who is experiencing new
onset inspiratory and expiratory wheezing
D) A client with a surgical wound who has a dry and
intact dressing
Rationale: Using the Airway, Breathing,
Circulation (ABC) framework, the client with
asthma experiencing wheezing indicates acute
airway narrowing and respiratory distress,
requiring immediate intervention.
Question 3
Topic: Safe and Effective Care Environment
A nurse is caring for a client newly diagnosed with
active Tuberculosis (TB). Which type of transmission
precautions must the nurse implement?
A) Droplet Precautions
B) Airborne Precautions
C) Contact Precautions
D) Standard Precautions
,Rationale: Mycobacterium tuberculosis is
transmitted via airborne droplet nuclei that
remain suspended in the air. This requires an
airborne infection isolation room (AIIR) and the
use of an N95 respirator.
Question 4
Topic: Pharmacology
A client is receiving digoxin for heart failure. Which
clinical finding should the nurse recognize as a
classic early sign of digoxin toxicity?
A) Peripheral edema
B) Hypertension
C) Tachycardia
D) Visual disturbances like yellow-green halos
Rationale: Gastrointestinal symptoms (anorexia,
nausea) and visual disturbances (blurred vision,
yellow-green halos) are classic early signs of
digitalis toxicity.
Question 5
Topic: Management of Care / Delegation
Which task is most appropriate for the registered
nurse (RN) to delegate to an Unlicensed Assistive
Personnel (UAP)?
A) Assessing a newly admitted client's skin integrity
, B) Administering oral pain medication to a stable
client
C) Teaching a client about new diabetic medications
D) Assisting a client with chronic stable COPD with
ambulation
Rationale: UAPs can perform routine tasks and
activities of daily living on stable clients.
Assessment, medication administration, and
client teaching require professional nursing
judgment and cannot be delegated.
Question 6
Topic: Reduction of Risk Potential
A client is receiving continuous intravenous Heparin
therapy. The nurse should monitor which laboratory
value to titrate the medication dose?
A) Prothrombin Time (PT)
B) Activated Partial Thromboplastin Time (aPTT)
C) International Normalized Ratio (INR)
D) Serum Potassium
Rationale: The aPTT test is specifically used to
monitor the therapeutic effectiveness of
unfractionated Heparin. PT and INR are used to
monitor oral Warfarin therapy.
Question 7
