RN NCLEX COMPREHENSIVE REVIEW
FUNDAMENTALS ACTUAL EXAM PAPER
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ What should be monitored during oxygen therapy?.
Answer: Oxygen saturation to prevent hyperoxemia.
◍ What is the purpose of applying a dorsiflexion footboard in bed for a
patient?.
Answer: To maintain the ankle in dorsiflexion, preventing contracture and
skin breakdown.
◍ How should a patient's wishes regarding ventilator use be documented?.
Answer: Document in an advance directive form.
◍ What is the best way to prevent moisture-associated damage in a patient
with fecal incontinence?.
Answer: Use gentle cleansing, barrier application, protective pads, and
scheduled toileting.
◍ What should be done if a patient has a pulse oximeter reading of 88%?.
Answer: Confirm the reading before escalating care.
◍ What is the management for Fluid Volume Deficit (FVD)?.
Answer: Oral rehydration solutions or IV isotonic fluids (0.9% NS).
◍ What should be documented after administering an enema?.
Answer: Date and time, amount and type of solution, retention time, and
characteristics of the resulting feces.
◍ What intervention promotes skin integrity for a bedfast client at risk for
, pressure injury?.
Answer: Turning the client every 2 hours, using a pressure-redistributing
mattress, and keeping the skin clean and dry.
◍ What is the nursing role in anticipatory grief?.
Answer: Provide emotional support, validate feelings, and facilitate open
discussion.
◍ What is the rationale for encouraging passive range of motion twice daily
for a patient with ALS?.
Answer: To maintain joint flexibility and prevent stiffness.
◍ Should a DNR order be written or verbal?.
Answer: It should be written; specific guidelines must be followed for verbal
orders.
◍ Why is it important to avoid delaying changing briefs for a patient with fecal
incontinence?.
Answer: Delaying increases the risk of skin breakdown and infection.
◍ What are iron-rich foods recommended for iron deficiency?.
Answer: Red meat, liver, spinach, iron-fortified cereals.
◍ What is a Living Will?.
Answer: It specifies treatments a person does or does not want.
◍ What should be done to ensure effective compression when applying an
elastic bandage?.
Answer: Overlap each wrap by half of the bandage width.
◍ What is the first action for a nurse when a client is dyspneic?.
Answer: Reposition the client to improve ventilation.
◍ What is the significance of a patient planning their affairs before decline?.
Answer: It reflects anticipatory grief and a desire for control over their
situation.
◍ What are the key components of the SBAR communication tool?.
Answer: Situation, Background, Assessment, Recommendation.
, ◍ Which statement best illustrates anticipatory grief?.
Answer: B. 'I keep thinking, 'What if my cancer gets worse?'
◍ What is the appropriate nursing action for a patient with a weak cough reflex
post-extubation?.
Answer: Perform oral suctioning with a Yankauer.
◍ What should a nurse do first when a patient refuses a blood draw after being
admitted for chest pain?.
Answer: Explain again the reason for the blood draw and ask him to
reconsider.
◍ What must be documented when removing an IV?.
Answer: Date and time of removal, condition of the site, integrity of the
catheter tip, reason for removal, dressing applied, and patient response.
◍ What is the importance of using a gait belt during transfers?.
Answer: It provides additional support and safety for the patient during the
transfer.
◍ What should be counted for fluid intake?.
Answer: All liquids consumed, liquid foods, and fluids provided through IV
or enteral nutrition.
◍ What actions help protect the skin of a patient with urinary incontinence?.
Answer: Apply a moisture-barrier cream after each episode, schedule
toileting every two hours, and change briefs promptly when wet.
◍ What should be done if a patient shows signs of confusion or dizziness
while on digoxin?.
Answer: Assess for possible digoxin toxicity and notify the healthcare
provider.
◍ What are key principles for catheter insertion in males?.
Answer: Maintain sterile technique, retract foreskin gently, hold the penis at
a 90-degree angle, and inflate the balloon only after urine flow appears.
◍ What is the expected respiratory rate for a 4-month-old?.
FUNDAMENTALS ACTUAL EXAM PAPER
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ What should be monitored during oxygen therapy?.
Answer: Oxygen saturation to prevent hyperoxemia.
◍ What is the purpose of applying a dorsiflexion footboard in bed for a
patient?.
Answer: To maintain the ankle in dorsiflexion, preventing contracture and
skin breakdown.
◍ How should a patient's wishes regarding ventilator use be documented?.
Answer: Document in an advance directive form.
◍ What is the best way to prevent moisture-associated damage in a patient
with fecal incontinence?.
Answer: Use gentle cleansing, barrier application, protective pads, and
scheduled toileting.
◍ What should be done if a patient has a pulse oximeter reading of 88%?.
Answer: Confirm the reading before escalating care.
◍ What is the management for Fluid Volume Deficit (FVD)?.
Answer: Oral rehydration solutions or IV isotonic fluids (0.9% NS).
◍ What should be documented after administering an enema?.
Answer: Date and time, amount and type of solution, retention time, and
characteristics of the resulting feces.
◍ What intervention promotes skin integrity for a bedfast client at risk for
, pressure injury?.
Answer: Turning the client every 2 hours, using a pressure-redistributing
mattress, and keeping the skin clean and dry.
◍ What is the nursing role in anticipatory grief?.
Answer: Provide emotional support, validate feelings, and facilitate open
discussion.
◍ What is the rationale for encouraging passive range of motion twice daily
for a patient with ALS?.
Answer: To maintain joint flexibility and prevent stiffness.
◍ Should a DNR order be written or verbal?.
Answer: It should be written; specific guidelines must be followed for verbal
orders.
◍ Why is it important to avoid delaying changing briefs for a patient with fecal
incontinence?.
Answer: Delaying increases the risk of skin breakdown and infection.
◍ What are iron-rich foods recommended for iron deficiency?.
Answer: Red meat, liver, spinach, iron-fortified cereals.
◍ What is a Living Will?.
Answer: It specifies treatments a person does or does not want.
◍ What should be done to ensure effective compression when applying an
elastic bandage?.
Answer: Overlap each wrap by half of the bandage width.
◍ What is the first action for a nurse when a client is dyspneic?.
Answer: Reposition the client to improve ventilation.
◍ What is the significance of a patient planning their affairs before decline?.
Answer: It reflects anticipatory grief and a desire for control over their
situation.
◍ What are the key components of the SBAR communication tool?.
Answer: Situation, Background, Assessment, Recommendation.
, ◍ Which statement best illustrates anticipatory grief?.
Answer: B. 'I keep thinking, 'What if my cancer gets worse?'
◍ What is the appropriate nursing action for a patient with a weak cough reflex
post-extubation?.
Answer: Perform oral suctioning with a Yankauer.
◍ What should a nurse do first when a patient refuses a blood draw after being
admitted for chest pain?.
Answer: Explain again the reason for the blood draw and ask him to
reconsider.
◍ What must be documented when removing an IV?.
Answer: Date and time of removal, condition of the site, integrity of the
catheter tip, reason for removal, dressing applied, and patient response.
◍ What is the importance of using a gait belt during transfers?.
Answer: It provides additional support and safety for the patient during the
transfer.
◍ What should be counted for fluid intake?.
Answer: All liquids consumed, liquid foods, and fluids provided through IV
or enteral nutrition.
◍ What actions help protect the skin of a patient with urinary incontinence?.
Answer: Apply a moisture-barrier cream after each episode, schedule
toileting every two hours, and change briefs promptly when wet.
◍ What should be done if a patient shows signs of confusion or dizziness
while on digoxin?.
Answer: Assess for possible digoxin toxicity and notify the healthcare
provider.
◍ What are key principles for catheter insertion in males?.
Answer: Maintain sterile technique, retract foreskin gently, hold the penis at
a 90-degree angle, and inflate the balloon only after urine flow appears.
◍ What is the expected respiratory rate for a 4-month-old?.
