NCLEX QUESTIONS FOR FUNDAMENTALS
OF NURSING WITH RATIONALES 2026
COMPLETE PRACTICE QUESTIONS AND
CORRECT ANSWERS NCLEX-RN
FUNDAMENTALS STUDY GUIDE
At the end of the shift, the nurse realizes that she forgot to document a
dressing change that she performed for a patient. Which action should the
nurse take?
1) Complete an occurrence report before leaving.
2) Do nothing; the next nurse will document it was done.
3) Write the note of the dressing change into an earlier note.
4) Make a late entry as an addition to the narrative notes. - CORRECT
ANSWER-Answer:
4) Make a late entry as an addition to the narrative notes.
Rationale:
If the nurse fails to make an important entry while charting, she should
make a late entry as an addition to the narrative notes. An occurrence
report is not necessary in this case. If documentation is omitted, there is no
legal verification that the procedure was performed. It is illegal to add to a
chart entry that was previously documented. The nurse can only document
care directly performed or observed. Therefore, the nurse on the incoming
shift would not record the wound change as performed.
,The client asks the nurse why an electronic health record (EHR) system is
being used. Which response by the nurse indicates an understanding of the
rationale for an EHR system?
1) It includes organizational reports of unusual occurrences that are not
part of the client's record.
2) This type of system consists of combined documentation and daily care
plans.
3) It improves interdisciplinary collaboration that improves efficiency in
procedures.
4) This type of system tracks medication administration and usage over 24
hours. - CORRECT ANSWER-Answer:
3) It improves interdisciplinary collaboration that improves efficiency in
procedures.
Rationale:
The EHR has several benefits for use, including improving interdisciplinary
collaboration and making procedures more accurate and efficient. An
occurrence report is an organizational record of an unusual occurrence or
accident that is not a part of the client's record. Integrated plans of care
(IPOC) are a combined charting and care plan format. A medication
administration record (MAR) is used to document medications
administered and their usage.
In the United States, the first programs for training nurses were affiliated
with:
1) The military
2) General hospitals
,3) Civil service
4) Religious orders - CORRECT ANSWER-Answer:
4) Religious orders
Rationale:
When the Civil War broke out, the Army used nurses who had already been
trained in religious orders. Although the Army did provide some training, it
occurred later than in the religious orders. Although nurses were trained in
hospitals, the training and the hospitals were affiliated with religious
orders. Civil service was not mentioned in Chapter 1 and was not a factor in
the early 1800s. Nursing started with religious orders. The Hindu faith was
the first to write about nursing. In the United States, all training for nurses
was affiliated with religious orders until after the Civil War.
Which of the following is/are an example(s) of a health restoration activity?
Select all that apply.
1) Administering an antibiotic every day
2) Teaching the importance of hand washing
3) Assessing a client's surgical incision
4) Advising a woman to get an annual mammogram after age 50 years -
CORRECT ANSWER-Answer:
1) Administering an antibiotic every day
3) Assessing a client's surgical incision
Rationale:
, Health restoration activities help an ill client return to health. This would
include taking an antibiotic every day and assessing a client's surgical
incision. Hand washing and mammograms both involve healthy people
who are trying to prevent illness.
Which of the following aspects of nursing is essential to defining it as both a
profession and a discipline?
1) Established standards of care
2) Professional organizations
3) Practice supported by scientific research
4) Activities determined by a scope of practice - CORRECT ANSWER-
Answer:
3) Practice supported by scientific research
Rationale:
The American Nurses Association (ANA) has developed standards of care,
but they are unrelated to defining nursing as a profession or discipline.
Having professional organizations is not included in accepted
characteristics of either a profession or a discipline. A profession must have
knowledge that is based on technical and scientific knowledge. The
theoretical knowledge of a discipline must be based on research, so both are
scientifically based. Having a scope of practice is not included in accepted
characteristics of either a profession or a discipline.
The charge nurse on the medical surgical floor assigns vital signs to the
nursing assistive personnel (NAP) and medication administration to the
licensed vocational nurse (LVN). Which nursing model of care is this floor
following?
OF NURSING WITH RATIONALES 2026
COMPLETE PRACTICE QUESTIONS AND
CORRECT ANSWERS NCLEX-RN
FUNDAMENTALS STUDY GUIDE
At the end of the shift, the nurse realizes that she forgot to document a
dressing change that she performed for a patient. Which action should the
nurse take?
1) Complete an occurrence report before leaving.
2) Do nothing; the next nurse will document it was done.
3) Write the note of the dressing change into an earlier note.
4) Make a late entry as an addition to the narrative notes. - CORRECT
ANSWER-Answer:
4) Make a late entry as an addition to the narrative notes.
Rationale:
If the nurse fails to make an important entry while charting, she should
make a late entry as an addition to the narrative notes. An occurrence
report is not necessary in this case. If documentation is omitted, there is no
legal verification that the procedure was performed. It is illegal to add to a
chart entry that was previously documented. The nurse can only document
care directly performed or observed. Therefore, the nurse on the incoming
shift would not record the wound change as performed.
,The client asks the nurse why an electronic health record (EHR) system is
being used. Which response by the nurse indicates an understanding of the
rationale for an EHR system?
1) It includes organizational reports of unusual occurrences that are not
part of the client's record.
2) This type of system consists of combined documentation and daily care
plans.
3) It improves interdisciplinary collaboration that improves efficiency in
procedures.
4) This type of system tracks medication administration and usage over 24
hours. - CORRECT ANSWER-Answer:
3) It improves interdisciplinary collaboration that improves efficiency in
procedures.
Rationale:
The EHR has several benefits for use, including improving interdisciplinary
collaboration and making procedures more accurate and efficient. An
occurrence report is an organizational record of an unusual occurrence or
accident that is not a part of the client's record. Integrated plans of care
(IPOC) are a combined charting and care plan format. A medication
administration record (MAR) is used to document medications
administered and their usage.
In the United States, the first programs for training nurses were affiliated
with:
1) The military
2) General hospitals
,3) Civil service
4) Religious orders - CORRECT ANSWER-Answer:
4) Religious orders
Rationale:
When the Civil War broke out, the Army used nurses who had already been
trained in religious orders. Although the Army did provide some training, it
occurred later than in the religious orders. Although nurses were trained in
hospitals, the training and the hospitals were affiliated with religious
orders. Civil service was not mentioned in Chapter 1 and was not a factor in
the early 1800s. Nursing started with religious orders. The Hindu faith was
the first to write about nursing. In the United States, all training for nurses
was affiliated with religious orders until after the Civil War.
Which of the following is/are an example(s) of a health restoration activity?
Select all that apply.
1) Administering an antibiotic every day
2) Teaching the importance of hand washing
3) Assessing a client's surgical incision
4) Advising a woman to get an annual mammogram after age 50 years -
CORRECT ANSWER-Answer:
1) Administering an antibiotic every day
3) Assessing a client's surgical incision
Rationale:
, Health restoration activities help an ill client return to health. This would
include taking an antibiotic every day and assessing a client's surgical
incision. Hand washing and mammograms both involve healthy people
who are trying to prevent illness.
Which of the following aspects of nursing is essential to defining it as both a
profession and a discipline?
1) Established standards of care
2) Professional organizations
3) Practice supported by scientific research
4) Activities determined by a scope of practice - CORRECT ANSWER-
Answer:
3) Practice supported by scientific research
Rationale:
The American Nurses Association (ANA) has developed standards of care,
but they are unrelated to defining nursing as a profession or discipline.
Having professional organizations is not included in accepted
characteristics of either a profession or a discipline. A profession must have
knowledge that is based on technical and scientific knowledge. The
theoretical knowledge of a discipline must be based on research, so both are
scientifically based. Having a scope of practice is not included in accepted
characteristics of either a profession or a discipline.
The charge nurse on the medical surgical floor assigns vital signs to the
nursing assistive personnel (NAP) and medication administration to the
licensed vocational nurse (LVN). Which nursing model of care is this floor
following?
