NCLEX PRACTICE EXAM 2026/2027
COMPLETE + QUESTION EXAM WITH
ANSWERS AND RATIONALES
MANAGEMENT OF CARE (QUESTIONS 1-25)
Question 1
A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task is appropriate to
delegate?
A) Administering medications
B) Assessing vital signs on a stable patient
C) Evaluating patient response to treatment
D) Teaching a patient about their medication
Correct ANSWER>✔-: B) Assessing vital signs on a stable patient
Rationale: UAP can collect data on stable patients (vital signs). They cannot administer medications,
evaluate, or teach as these require nursing judgment. Option A is incorrect because medication
administration requires licensed personnel. Option C is incorrect because evaluation requires
professional nursing judgment. Option D is incorrect because patient teaching requires nursing
knowledge and assessment of learning needs.
,Question 2
A nurse receives an order that appears to be an incorrect dosage. What is the appropriate action?
A) Administer as ordered
B) Contact the provider to clarify
C) Ask another nurse to administer
D) Document the error and administer
Correct ANSWER>✔-: B) Contact the provider to clarify
Rationale: The nurse must clarify any unclear or potentially harmful orders with the provider before
administration. This is a legal and ethical responsibility. Option A is incorrect because administering a
questionable dose puts the patient at risk. Option C is incorrect because delegation does not resolve the
issue of an unsafe order. Option D is incorrect because administering and documenting would be
negligent.
Question 3
Which action demonstrates proper informed consent?
A) Nurse explains the procedure
B) Provider explains risks and benefits
C) Family member signs for competent patient
D) Patient signs after sedation
,Correct ANSWER>✔-: B) Provider explains risks and benefits
Rationale: The provider must explain risks, benefits, and alternatives. The nurse witnesses the signature
and ensures the patient is competent and not sedated. Option A is incorrect because the nurse does not
provide the informed consent explanation. Option C is incorrect because a competent adult must sign
for themselves. Option D is incorrect because sedation impairs the patient's ability to provide valid
consent.
Question 4
A patient is being discharged and requires home health services. Which action should the nurse take
first?
A) Call the home health agency
B) Provide written discharge instructions
C) Assess the patient's understanding of discharge
D) Complete the discharge summary
Correct ANSWER>✔-: C) Assess the patient's understanding of discharge
Rationale: The nurse must first assess what the patient understands to tailor education and identify
needs. Option A is incorrect because assessment precedes referrals. Option B is incorrect because
written instructions should be provided after assessing understanding. Option D is incorrect because the
summary is part of the process but not the first step.
Question 5
A nurse is preparing for a Joint Commission survey. Which documentation practice is most appropriate?
, A) Documenting in advance
B) Using white-out to correct errors
C) Drawing a single line through errors and initialing
D) Leaving blank spaces in documentation
Correct ANSWER>✔-: C) Drawing a single line through errors and initialing
Rationale: Correct documentation requires drawing a single line through errors, writing "error," and
initialing. Option A is incorrect because documenting in advance is falsification. Option B is incorrect
because white-out is not acceptable in legal documentation. Option D is incorrect because blank spaces
should never be left in documentation.
Question 6
A nurse notices a colleague diverting narcotics. What is the appropriate action?
A) Ignore the behavior
B) Confront the colleague privately
C) Report to the nursing supervisor
D) Call security immediately
Correct ANSWER>✔-: C) Report to the nursing supervisor
Rationale: Substance diversion must be reported through proper channels (supervisor or risk
management). Option A is incorrect because ignoring the behavior endangers patients. Option B is
COMPLETE + QUESTION EXAM WITH
ANSWERS AND RATIONALES
MANAGEMENT OF CARE (QUESTIONS 1-25)
Question 1
A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task is appropriate to
delegate?
A) Administering medications
B) Assessing vital signs on a stable patient
C) Evaluating patient response to treatment
D) Teaching a patient about their medication
Correct ANSWER>✔-: B) Assessing vital signs on a stable patient
Rationale: UAP can collect data on stable patients (vital signs). They cannot administer medications,
evaluate, or teach as these require nursing judgment. Option A is incorrect because medication
administration requires licensed personnel. Option C is incorrect because evaluation requires
professional nursing judgment. Option D is incorrect because patient teaching requires nursing
knowledge and assessment of learning needs.
,Question 2
A nurse receives an order that appears to be an incorrect dosage. What is the appropriate action?
A) Administer as ordered
B) Contact the provider to clarify
C) Ask another nurse to administer
D) Document the error and administer
Correct ANSWER>✔-: B) Contact the provider to clarify
Rationale: The nurse must clarify any unclear or potentially harmful orders with the provider before
administration. This is a legal and ethical responsibility. Option A is incorrect because administering a
questionable dose puts the patient at risk. Option C is incorrect because delegation does not resolve the
issue of an unsafe order. Option D is incorrect because administering and documenting would be
negligent.
Question 3
Which action demonstrates proper informed consent?
A) Nurse explains the procedure
B) Provider explains risks and benefits
C) Family member signs for competent patient
D) Patient signs after sedation
,Correct ANSWER>✔-: B) Provider explains risks and benefits
Rationale: The provider must explain risks, benefits, and alternatives. The nurse witnesses the signature
and ensures the patient is competent and not sedated. Option A is incorrect because the nurse does not
provide the informed consent explanation. Option C is incorrect because a competent adult must sign
for themselves. Option D is incorrect because sedation impairs the patient's ability to provide valid
consent.
Question 4
A patient is being discharged and requires home health services. Which action should the nurse take
first?
A) Call the home health agency
B) Provide written discharge instructions
C) Assess the patient's understanding of discharge
D) Complete the discharge summary
Correct ANSWER>✔-: C) Assess the patient's understanding of discharge
Rationale: The nurse must first assess what the patient understands to tailor education and identify
needs. Option A is incorrect because assessment precedes referrals. Option B is incorrect because
written instructions should be provided after assessing understanding. Option D is incorrect because the
summary is part of the process but not the first step.
Question 5
A nurse is preparing for a Joint Commission survey. Which documentation practice is most appropriate?
, A) Documenting in advance
B) Using white-out to correct errors
C) Drawing a single line through errors and initialing
D) Leaving blank spaces in documentation
Correct ANSWER>✔-: C) Drawing a single line through errors and initialing
Rationale: Correct documentation requires drawing a single line through errors, writing "error," and
initialing. Option A is incorrect because documenting in advance is falsification. Option B is incorrect
because white-out is not acceptable in legal documentation. Option D is incorrect because blank spaces
should never be left in documentation.
Question 6
A nurse notices a colleague diverting narcotics. What is the appropriate action?
A) Ignore the behavior
B) Confront the colleague privately
C) Report to the nursing supervisor
D) Call security immediately
Correct ANSWER>✔-: C) Report to the nursing supervisor
Rationale: Substance diversion must be reported through proper channels (supervisor or risk
management). Option A is incorrect because ignoring the behavior endangers patients. Option B is
