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NCLEX-RN Practice Test Questions & Answers 2026 | Complete Review with NGN-Style Questions & Detailed Rationales | Graded A+

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Ace the NCLEX-RN on your first attempt with this comprehensive 2026 practice test and complete review guide, updated for the latest NCSBN test plan effective April 1, 2026. This A+ resource features 200+ exam-style questions with verified correct answers and detailed rationales explaining why each answer is correct—and why the distractors are not. Aligned with the 2026 NCLEX-RN test plan, this guide covers all major content areas: Safe & Effective Care Environment (Safety and Infection Prevention & Control, Management of Care), Health Promotion & Maintenance, Psychosocial Integrity, and Physiological Integrity (Pharmacology, Medical-Surgical Nursing, Maternal & Newborn Care, Pediatrics, Mental Health). Includes Next Generation NCLEX (NGN) item types such as case studies, extended multiple response, matrix/grid, and highlight questions to build essential clinical judgment skills. Updated for the 2026–2027 testing cycle—your guaranteed pass resource.

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, NCLEX-RN Practice Test Questions & Answers 2026 |
Complete Review | Graded A+
1. Client who is HIV positive receives a Mantoux test. Nurse identifies a 7mm
induration at the test site. Which interpretation does nurse make?

False positive, previous Bacilli Calmette-Guerin vaccine

Negative reaction, less than 15 mm

Positive reaction, greater than 5 mm

Negative reaction, less than 10 mm

2. What should the nurse intervene on when assisting a Nursing Assistant
Personnel (NAP) providing care to a comatose client?

The NAP log-rolls the client to provide back care.

The NAP positions the client on the left side, head elevated.

The NAP places an incontinence diaper under the client.

The NAP answers the phone while wearing gloves.

3. What is the primary action a nurse should take if they notice fluid leaking
from a central line dressing?

Place the client's head lower than his feet.

Verify that the client is on antibiotics.

Secure the Y-port where the lipids are infusing.

Prepare to change the central line dressing.

4. You and an aide are giving a bed bath to an incontinent client. Which action
requires you to intervene?

, The aide answers the phone while wearing gloves.

The aide log rolls the client toward themselves.

The aide leaves the client laying on their left side with the head
elevated.

The aide places an incontinence pad under the client.

5. Describe the importance of using personal protective equipment during the
insertion of a nasogastric tube.

Personal protective equipment is optional for nasogastric tube
insertion.

Personal protective equipment is only required for patients with
known infections.

Personal protective equipment is only necessary for surgical
procedures.

Using personal protective equipment helps prevent infection and
protects both the nurse and the patient.

6. A client who is human immunodeficiency virus (HIV) positive has had a
Mantoux skin test. The results show a 7-mm area of induration. The nurse
evaluates that this result is:

Negative

Positive

7. What is the most important question a nurse should ask a client reporting off-
white vaginal discharge with a curdlike appearance?

Are you sexually active?

What kind of birth control do you use?

, Have you taken any cough medicine?

Do you douche?

8. To determine the structural relationship of one hospital department with
another, the nurse should consult which of the following?

Job descriptions

Policies and procedures manual

Personnel policies

Organizational chart

9. If a primipara woman in labor expresses fear of complications from an
amniotomy, what should the nurse do to address her concerns effectively?

Encourage her to refuse the procedure outright.

Suggest that she speak with a different healthcare provider.

Dismiss her concerns as unfounded.

Provide education on the procedure and discuss monitoring
protocols.

10. What is the best initial response by a nurse when assessing a pregnant
woman with headaches and bruises?

You may be more clumsy due to your size.

Tell me about your headaches.

Are you battered by your partner?

How do you feel about being pregnant?

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