KAPLAN NCLEX-RN TRAINER 3 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A
|LATEST EXAM UPDATE 2026/2027..
*CORE DOMAINS*
Management of Care
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Basic Care and Comfort
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
*INTRODUCTION*
The purpose of this examination is to evaluate the clinical proficiency and critical thinking abilities of nursing candidates preparing for the
NCLEX-RN. This assessment measures the integration of foundational nursing theory with applied professional knowledge, focusing on
regulatory compliance, legal standards, and ethical practice. The structure consists of comprehensive multiple-choice and complex scenario-
based questions designed to mimic real-world clinical environments. Candidates are required to demonstrate advanced decision-making
,skills and sound clinical judgment in high-acuity settings. Success on this examination indicates a candidate’s readiness to provide safe,
effective, and evidence-based patient care across diverse healthcare settings.
SECTION ONE: QUESTIONS 1–100
A nurse is caring for a client with a suspected pheochromocytoma. Which assessment finding should the nurse report to the healthcare
provider immediately?
A. Blood pressure of 160/90 mmHg
B. Heart rate of 110 beats/min
C. Profuse diaphoresis
D. Sudden onset of severe headache
🟢 D. Sudden onset of severe headache
🔴 RATIONALE: A pheochromocytoma is a catecholamine-secreting tumor. A sudden, severe headache, often accompanied by
palpitations and diaphoresis, is a hallmark of a hypertensive crisis, which can lead to life-threatening complications like stroke.
A client is receiving an intravenous infusion of potassium chloride. The nurse notes the site is red, warm, and tender to the touch.
Which action should the nurse take first?
A. Slow the infusion rate
B. Stop the infusion
C. Apply a cold compress
D. Notify the healthcare provider
🟢 B. Stop the infusion
🔴 RATIONALE: The findings indicate phlebitis or infiltration. The immediate priority is to stop the infusion to prevent further tissue
damage or extravasation of the irritating potassium solution.
Which ethical principle is being upheld when a nurse ensures a client has sufficient information to make an informed decision regarding
surgery?
A. Beneficence
B. Non-maleficence
C. Autonomy
D. Justice
🟢 C. Autonomy
🔴 RATIONALE: Autonomy refers to the client’s right to make their own healthcare decisions based on adequate information and
understanding of the risks and benefits.
A nurse is assessing a client with chronic obstructive pulmonary disease (COPD). Which finding is expected?
A. Barrel chest
B. Rapid, shallow respirations
C. Decreased anterior-posterior diameter
, D. Hyper-resonance on percussion
🟢 A. Barrel chest
🔴 RATIONALE: Chronic air trapping in clients with COPD leads to an increase in the anterior-posterior diameter of the chest, creating
a characteristic "barrel chest" appearance.
A client with type 1 diabetes mellitus is found unconscious and diaphoretic. What is the priority intervention?
A. Administer subcutaneous insulin
B. Check the blood glucose level
C. Provide an oral carbohydrate source
D. Administer intramuscular glucagon
🟢 B. Check the blood glucose level
🔴 RATIONALE: Although the client is likely experiencing hypoglycemia, the nurse must confirm the blood glucose level before
initiating specific interventions to ensure appropriate treatment.
Which medication order for a client with a history of asthma should the nurse question?
A. Albuterol
B. Propranolol
C. Montelukast
D. Fluticasone
🟢 B. Propranolol
🔴 RATIONALE: Propranolol is a non-selective beta-blocker that can induce bronchospasm in clients with asthma by blocking beta-2
receptors in the lungs.
A nurse is caring for a client post-thyroidectomy. The nurse notes the client has developed a high-pitched respiratory sound. What is
the priority nursing action?
A. Suction the airway
B. Administer oxygen via mask
C. Prepare for emergency tracheostomy
D. Document the finding
🟢 C. Prepare for emergency tracheostomy
🔴 RATIONALE: Stridor is a sign of airway obstruction, often due to laryngeal edema or hematoma, following a thyroidectomy. This is a
medical emergency.
A client is admitted with suspected pulmonary embolism. Which diagnostic test is the gold standard for confirmation?
A. Chest X-ray
B. Ventilation-perfusion (V/Q) scan
|LATEST EXAM UPDATE 2026/2027..
*CORE DOMAINS*
Management of Care
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Basic Care and Comfort
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
*INTRODUCTION*
The purpose of this examination is to evaluate the clinical proficiency and critical thinking abilities of nursing candidates preparing for the
NCLEX-RN. This assessment measures the integration of foundational nursing theory with applied professional knowledge, focusing on
regulatory compliance, legal standards, and ethical practice. The structure consists of comprehensive multiple-choice and complex scenario-
based questions designed to mimic real-world clinical environments. Candidates are required to demonstrate advanced decision-making
,skills and sound clinical judgment in high-acuity settings. Success on this examination indicates a candidate’s readiness to provide safe,
effective, and evidence-based patient care across diverse healthcare settings.
SECTION ONE: QUESTIONS 1–100
A nurse is caring for a client with a suspected pheochromocytoma. Which assessment finding should the nurse report to the healthcare
provider immediately?
A. Blood pressure of 160/90 mmHg
B. Heart rate of 110 beats/min
C. Profuse diaphoresis
D. Sudden onset of severe headache
🟢 D. Sudden onset of severe headache
🔴 RATIONALE: A pheochromocytoma is a catecholamine-secreting tumor. A sudden, severe headache, often accompanied by
palpitations and diaphoresis, is a hallmark of a hypertensive crisis, which can lead to life-threatening complications like stroke.
A client is receiving an intravenous infusion of potassium chloride. The nurse notes the site is red, warm, and tender to the touch.
Which action should the nurse take first?
A. Slow the infusion rate
B. Stop the infusion
C. Apply a cold compress
D. Notify the healthcare provider
🟢 B. Stop the infusion
🔴 RATIONALE: The findings indicate phlebitis or infiltration. The immediate priority is to stop the infusion to prevent further tissue
damage or extravasation of the irritating potassium solution.
Which ethical principle is being upheld when a nurse ensures a client has sufficient information to make an informed decision regarding
surgery?
A. Beneficence
B. Non-maleficence
C. Autonomy
D. Justice
🟢 C. Autonomy
🔴 RATIONALE: Autonomy refers to the client’s right to make their own healthcare decisions based on adequate information and
understanding of the risks and benefits.
A nurse is assessing a client with chronic obstructive pulmonary disease (COPD). Which finding is expected?
A. Barrel chest
B. Rapid, shallow respirations
C. Decreased anterior-posterior diameter
, D. Hyper-resonance on percussion
🟢 A. Barrel chest
🔴 RATIONALE: Chronic air trapping in clients with COPD leads to an increase in the anterior-posterior diameter of the chest, creating
a characteristic "barrel chest" appearance.
A client with type 1 diabetes mellitus is found unconscious and diaphoretic. What is the priority intervention?
A. Administer subcutaneous insulin
B. Check the blood glucose level
C. Provide an oral carbohydrate source
D. Administer intramuscular glucagon
🟢 B. Check the blood glucose level
🔴 RATIONALE: Although the client is likely experiencing hypoglycemia, the nurse must confirm the blood glucose level before
initiating specific interventions to ensure appropriate treatment.
Which medication order for a client with a history of asthma should the nurse question?
A. Albuterol
B. Propranolol
C. Montelukast
D. Fluticasone
🟢 B. Propranolol
🔴 RATIONALE: Propranolol is a non-selective beta-blocker that can induce bronchospasm in clients with asthma by blocking beta-2
receptors in the lungs.
A nurse is caring for a client post-thyroidectomy. The nurse notes the client has developed a high-pitched respiratory sound. What is
the priority nursing action?
A. Suction the airway
B. Administer oxygen via mask
C. Prepare for emergency tracheostomy
D. Document the finding
🟢 C. Prepare for emergency tracheostomy
🔴 RATIONALE: Stridor is a sign of airway obstruction, often due to laryngeal edema or hematoma, following a thyroidectomy. This is a
medical emergency.
A client is admitted with suspected pulmonary embolism. Which diagnostic test is the gold standard for confirmation?
A. Chest X-ray
B. Ventilation-perfusion (V/Q) scan
