NCLEX-RN COMPREHENSIVE EXAM
REVIEW 2026/2027 PRACTICE
QUESTIONS DETAILED ANSWERS AND
NEXT-GENERATION NCLEX (NGN) PREP
When selecting an NCLEX answer or determining the order of priority what
should you remember or use and what is the exception?
Use the ABC rule: Airway breathing, and circulation. The exception to the rule is
with actual CPR, use C-A-B for CPR. Also remember safety first and acute before
chronic. If the pt. is not in distress then you assess. If the pt is in distress then you
should do something. If the pt has diaphorisis you should always do something.
How should you address questions related to Maslow's Hierarchy of Needs
Address physiological needs first, followed by safety and security needs, love and
belonging needs, self esteem needs and finally self actualization needs. *When a
physiological need is not addressed in the question, look for the option that
addresses safety.
What is nursing negligence
Negligence is malpractice that is NOT intentional. It is the failure to exercise the
proper degree of care required by the circumstances that a reasonably prudent
person would exercise under the circumstances to avoid harming others. It is a
careless act of omission or commission that results in injury to another.
What is nursing malpractice?
Malpractice is not always negligence. It is often referred to as professional
negligence, it is a type of negligence. It is the failure to use that degree of care that
,a reasonable nurse would use under the same or similar circumstances. Malpractice
is found when:
*The nurse owed a duty to the patient
*The nurse did NOT carry out the duty/breached that duty
*The patient was at a high risk of injury
* The nurse's failure to carry out that duty caused the patients injury
What are the 7 Rights of medication administration?
1. Right drug
2. right dose
3. Right route
4. Right time
5. Right patient
6. Right documentation
7. Right to refuse
Where do Standards of Care originate?
Nurses are required to follow standards of care, which originate in the Nurse
Practice Acts, state and federal laws, accreditation recommendations, the
guidelines of professional organizations, and the written policies and procedures of
the healthcare agency
What are nurses responsible for related to the standards of care?
, Nurses are responsible for performing procedures correctly and exercising
professional judgment when implementing healthcare providers prescriptions.
When can the nurse NOT follow the healthcare provider's prescription and
what must they do about it?
Nurses MUST follow the healthcare provider's prescription unless the nurse
believes that it is in error; that it violates hospital policy; or that it is harmful to the
patient. The nurse makes a formal report explaining the refusal. The nurse should
file an incident (occurrence) report for any situation that may result in harm to the
patient.
If a question is related to the nursing process, read the question to determine
the step of the nursing process. What are the steps in the nursing process and
what kind of question might be related to that step.
Assessment question address the gathering and verification of data.
Analysis questions require the nurse to: interpret data, collect additional
information, identify and communicate nursing diagnoses and determine the health
team's ability to meet the pts needs.
Planning questions ask about determining, prioritizing, and modifying outcomes of
care.
Implementation questions reflect the management and organization of care and the
assignment and delegation of tasks. Be prepared for questions on client teaching.
REVIEW 2026/2027 PRACTICE
QUESTIONS DETAILED ANSWERS AND
NEXT-GENERATION NCLEX (NGN) PREP
When selecting an NCLEX answer or determining the order of priority what
should you remember or use and what is the exception?
Use the ABC rule: Airway breathing, and circulation. The exception to the rule is
with actual CPR, use C-A-B for CPR. Also remember safety first and acute before
chronic. If the pt. is not in distress then you assess. If the pt is in distress then you
should do something. If the pt has diaphorisis you should always do something.
How should you address questions related to Maslow's Hierarchy of Needs
Address physiological needs first, followed by safety and security needs, love and
belonging needs, self esteem needs and finally self actualization needs. *When a
physiological need is not addressed in the question, look for the option that
addresses safety.
What is nursing negligence
Negligence is malpractice that is NOT intentional. It is the failure to exercise the
proper degree of care required by the circumstances that a reasonably prudent
person would exercise under the circumstances to avoid harming others. It is a
careless act of omission or commission that results in injury to another.
What is nursing malpractice?
Malpractice is not always negligence. It is often referred to as professional
negligence, it is a type of negligence. It is the failure to use that degree of care that
,a reasonable nurse would use under the same or similar circumstances. Malpractice
is found when:
*The nurse owed a duty to the patient
*The nurse did NOT carry out the duty/breached that duty
*The patient was at a high risk of injury
* The nurse's failure to carry out that duty caused the patients injury
What are the 7 Rights of medication administration?
1. Right drug
2. right dose
3. Right route
4. Right time
5. Right patient
6. Right documentation
7. Right to refuse
Where do Standards of Care originate?
Nurses are required to follow standards of care, which originate in the Nurse
Practice Acts, state and federal laws, accreditation recommendations, the
guidelines of professional organizations, and the written policies and procedures of
the healthcare agency
What are nurses responsible for related to the standards of care?
, Nurses are responsible for performing procedures correctly and exercising
professional judgment when implementing healthcare providers prescriptions.
When can the nurse NOT follow the healthcare provider's prescription and
what must they do about it?
Nurses MUST follow the healthcare provider's prescription unless the nurse
believes that it is in error; that it violates hospital policy; or that it is harmful to the
patient. The nurse makes a formal report explaining the refusal. The nurse should
file an incident (occurrence) report for any situation that may result in harm to the
patient.
If a question is related to the nursing process, read the question to determine
the step of the nursing process. What are the steps in the nursing process and
what kind of question might be related to that step.
Assessment question address the gathering and verification of data.
Analysis questions require the nurse to: interpret data, collect additional
information, identify and communicate nursing diagnoses and determine the health
team's ability to meet the pts needs.
Planning questions ask about determining, prioritizing, and modifying outcomes of
care.
Implementation questions reflect the management and organization of care and the
assignment and delegation of tasks. Be prepared for questions on client teaching.
