Page 1 of 46
NCLEX 75 QUESTIONS WITH CORRECT ANSWERS 2026
REVIEW EXAM LATEST VERSION QUESTIONS AND ANSWERS
2026 EDITION
NCLEX 75 Questions with Correct Answers 2026 Review
A nurse enters a patient's room and finds them unconscious with a rhythmic jerking
of all four extremities. The patient is foaming heavily at the mouth. The patient was
on seizure precautions and the bedrails are up and padded. What is the nurse's
priority action?
1. Administer Lorazepam (Ativan)
2. Turn the patient to his/her side
3. Call the physician
4. Suction the patient
1. Administer Lorazepam (Ativan)
Incorrect - If a seizure lasts more than 5 minutes, it is called Status epilepticus and can
be life-threatening. Physicians will often order anxiolytics or sedatives to treat this
condition. However, at this point it would not be appropriate for the nurse to administer
this drug.
2. Turn the patient to his/her side
Correct - Turning the patient to the side will keep the airway open, which is the first
priority
3. Call the physician
Incorrect - This would be a priority action after ensuring the patient's safety, or in the
case of Status epilepticus
4. Suction the patient
Incorrect - This intervention is warranted, but after an assessment of the patient's
airway, since forcing a suction catheter into a patient's mouth is a last resort.
, Page 2 of 46
A nurse is giving a discharge education to a patient who has been diagnosed with
epilepsy. Which of these teachings would she stress the most?
1. Avoid doing alcohol and drugs
2. Follow up with the neurologist, physician, or other health care provider as
prescribed
3. Do not stop taking anticonvulsants, even if seizures have stopped
4. Wear a medical alert bracelet or carry an ID card indicating epilepsy
1. Avoid doing alcohol and drugs
Incorrect - Although this is a general teaching that would be applied to any hospital
discharge situation, it is not the priority to be stressed.
2. Follow up with the neurologist, physician, or other health care provider as prescribed
Incorrect - Although this is correct to include in discharge education, following this
instruction is not directly contributing to their safety, so is not the priority.
3. Do not stop taking anticonvulsants, even if seizures have stopped
Correct - Following this instruction is essential for their safety, since stopping anti-
epileptic drugs suddenly can cause seizures and an increased chance of status
epilecticus
4. Wear a medical alert bracelet or carry an ID card indicating epilepsy
Incorrect - Although this is correct to include in discharge education, following this
instruction is not directly contributing to their safety, so is not the priority.
The nurse is caring for a patient in the ICU who has had a spinal cord injury. She
observes that his last blood pressure was 100/55, and his pulse is 48. These have
both trended downwards from the baseline. What should the nurse expect to be
the next course of action ordered by the physician?
1. Assess the patient for decreased level of consciousness
2. Administer Normal Saline
3. Insert an NG Tube
4. Connect and read an EKG
1. Assess the patient for decreased level of consciousness
Incorrect - An assessment has already been made, and an intervention is warranted.
2. Administer Normal Saline
Correct - The patient is entering neurogenic shock. Normal saline will replace fluid
volume, treating the hypotension and bradycardia symptomatically. Atropine sulfate is
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also commonly used to increase the heart rate.
3. Insert an NG Tube
Incorrect - An NG tube would not be relevant in this situation.
4. Connect and read an EKG
Incorrect - An EKG would not be needed in this situation.
A nurse is caring for a patient who is suspected to have sustained a spinal cord
injury. What best describes the overarching principles used to guide the care for
this type of condition?
1. Immobilize the cervical area to prevent further injury
2. Monitor the patient's level of consciousness to prevent neurologic deterioration
3. Help the patient with activities of daily living and provide emotional and physical
support to help them adjust to their injury
4. Facilitate tissue perfusion to the spinal cord while maintaining airway and
breathing
1. Immobilize the cervical area to prevent further injury
Incorrect - While this is an essential part of caring for a spinal cord injury, it does not
adequately describe guiding principles for a complete plan of care
2. Monitor the patient's level of consciousness to prevent neurologic deterioration
Incorrect - While this is an essential part of caring for a spinal cord injury, it does not
adequately describe guiding principles for a complete plan of care
3. Help the patient with activities of daily living and provide emotional and physical
support to help them adjust to their injury
Incorrect - These are important in the later stages of a spinal cord injury after the patient
has been stabilized, but at this point would be premature.
4. Facilitate tissue perfusion to the spinal cord while maintaining airway and breathing
Correct - Maintaining airway, breathing, and circulation is both essential and guides the
overall plan of care for a patient with a spinal cord injury.
A 23-year-old woman is admitted to the infusion clinic after a Multiple Sclerosis
Exacerbation. The physician orders methylprednisolone infusions (Solu-Medrol).
The nurse would expect which of the following outcomes after administration of
this medication?
1. A decrease in muscle spasticity and involuntary movements
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2. A slowed progression of Multiple Sclerosis related plaques
3. A decrease in the length of the exacerbation
4. A stabilization of mood and sleep
1. A decrease in muscle spasticity and involuntary movements
Incorrect - While muscle spasticity and involuntary movements can be symptoms of
MS, a corticosteroid infusion is not meant to directly treat these symptoms.
2. A slowed progression of Multiple Sclerosis related plaques
Incorrect - Special drugs like Interferon Beta, Natalizumab, or Glatiramir acetate are
used as first-line treatments to slow the progression of MS. While corticosteroids can
be used in conjunction with these drugs on a long-term basis, they would not be
infused. They would be taken orally.
3. A decrease in the length of the exacerbation
Correct - A methylprednisolone infusion is the first line of treatment during an acute
exacerbation and is used to decrease the length and severity of a relapse.
4. A stabilization of mood and sleep
Incorrect - Some of the frequent side effects of a Methylprednisolone infusion are
anxiety, insomnia, and mood swings.
A nurse knows that which of these patients are at greatest risk for a stroke?
1. A 60-year old male who weighs 270 pounds, has atrial fibrillation, and has had a
TIA in the past.
2. A 75-year old male who has frequent migraines, drinks a glass of wine every day,
and is Hispanic.
3. A 40-year old female who has high cholesterol and uses oral contraceptives
4. A 65-year old female who is African American, has sickle cell disease and
smokes cigarettes.
1. A 60-year old male who weighs 270 pounds, has atrial fibrillation, and has had a TIA in
the past.
Correct - Common risk factors for developing stroke include: Atrial fibrillation,
arteriosclerosis, previous stroke or ischemic attack, heart surgery, valvular heart
disease, diabetes, smoking, substance abuse,obesity, sedentary lifestyle, oral
contraceptive use, genetic tendency, migraines, older age, male, African
American/Hispanic/American Indian, Sickle Cell Anemia, and brain trauma. This man
NCLEX 75 QUESTIONS WITH CORRECT ANSWERS 2026
REVIEW EXAM LATEST VERSION QUESTIONS AND ANSWERS
2026 EDITION
NCLEX 75 Questions with Correct Answers 2026 Review
A nurse enters a patient's room and finds them unconscious with a rhythmic jerking
of all four extremities. The patient is foaming heavily at the mouth. The patient was
on seizure precautions and the bedrails are up and padded. What is the nurse's
priority action?
1. Administer Lorazepam (Ativan)
2. Turn the patient to his/her side
3. Call the physician
4. Suction the patient
1. Administer Lorazepam (Ativan)
Incorrect - If a seizure lasts more than 5 minutes, it is called Status epilepticus and can
be life-threatening. Physicians will often order anxiolytics or sedatives to treat this
condition. However, at this point it would not be appropriate for the nurse to administer
this drug.
2. Turn the patient to his/her side
Correct - Turning the patient to the side will keep the airway open, which is the first
priority
3. Call the physician
Incorrect - This would be a priority action after ensuring the patient's safety, or in the
case of Status epilepticus
4. Suction the patient
Incorrect - This intervention is warranted, but after an assessment of the patient's
airway, since forcing a suction catheter into a patient's mouth is a last resort.
, Page 2 of 46
A nurse is giving a discharge education to a patient who has been diagnosed with
epilepsy. Which of these teachings would she stress the most?
1. Avoid doing alcohol and drugs
2. Follow up with the neurologist, physician, or other health care provider as
prescribed
3. Do not stop taking anticonvulsants, even if seizures have stopped
4. Wear a medical alert bracelet or carry an ID card indicating epilepsy
1. Avoid doing alcohol and drugs
Incorrect - Although this is a general teaching that would be applied to any hospital
discharge situation, it is not the priority to be stressed.
2. Follow up with the neurologist, physician, or other health care provider as prescribed
Incorrect - Although this is correct to include in discharge education, following this
instruction is not directly contributing to their safety, so is not the priority.
3. Do not stop taking anticonvulsants, even if seizures have stopped
Correct - Following this instruction is essential for their safety, since stopping anti-
epileptic drugs suddenly can cause seizures and an increased chance of status
epilecticus
4. Wear a medical alert bracelet or carry an ID card indicating epilepsy
Incorrect - Although this is correct to include in discharge education, following this
instruction is not directly contributing to their safety, so is not the priority.
The nurse is caring for a patient in the ICU who has had a spinal cord injury. She
observes that his last blood pressure was 100/55, and his pulse is 48. These have
both trended downwards from the baseline. What should the nurse expect to be
the next course of action ordered by the physician?
1. Assess the patient for decreased level of consciousness
2. Administer Normal Saline
3. Insert an NG Tube
4. Connect and read an EKG
1. Assess the patient for decreased level of consciousness
Incorrect - An assessment has already been made, and an intervention is warranted.
2. Administer Normal Saline
Correct - The patient is entering neurogenic shock. Normal saline will replace fluid
volume, treating the hypotension and bradycardia symptomatically. Atropine sulfate is
, Page 3 of 46
also commonly used to increase the heart rate.
3. Insert an NG Tube
Incorrect - An NG tube would not be relevant in this situation.
4. Connect and read an EKG
Incorrect - An EKG would not be needed in this situation.
A nurse is caring for a patient who is suspected to have sustained a spinal cord
injury. What best describes the overarching principles used to guide the care for
this type of condition?
1. Immobilize the cervical area to prevent further injury
2. Monitor the patient's level of consciousness to prevent neurologic deterioration
3. Help the patient with activities of daily living and provide emotional and physical
support to help them adjust to their injury
4. Facilitate tissue perfusion to the spinal cord while maintaining airway and
breathing
1. Immobilize the cervical area to prevent further injury
Incorrect - While this is an essential part of caring for a spinal cord injury, it does not
adequately describe guiding principles for a complete plan of care
2. Monitor the patient's level of consciousness to prevent neurologic deterioration
Incorrect - While this is an essential part of caring for a spinal cord injury, it does not
adequately describe guiding principles for a complete plan of care
3. Help the patient with activities of daily living and provide emotional and physical
support to help them adjust to their injury
Incorrect - These are important in the later stages of a spinal cord injury after the patient
has been stabilized, but at this point would be premature.
4. Facilitate tissue perfusion to the spinal cord while maintaining airway and breathing
Correct - Maintaining airway, breathing, and circulation is both essential and guides the
overall plan of care for a patient with a spinal cord injury.
A 23-year-old woman is admitted to the infusion clinic after a Multiple Sclerosis
Exacerbation. The physician orders methylprednisolone infusions (Solu-Medrol).
The nurse would expect which of the following outcomes after administration of
this medication?
1. A decrease in muscle spasticity and involuntary movements
, Page 4 of 46
2. A slowed progression of Multiple Sclerosis related plaques
3. A decrease in the length of the exacerbation
4. A stabilization of mood and sleep
1. A decrease in muscle spasticity and involuntary movements
Incorrect - While muscle spasticity and involuntary movements can be symptoms of
MS, a corticosteroid infusion is not meant to directly treat these symptoms.
2. A slowed progression of Multiple Sclerosis related plaques
Incorrect - Special drugs like Interferon Beta, Natalizumab, or Glatiramir acetate are
used as first-line treatments to slow the progression of MS. While corticosteroids can
be used in conjunction with these drugs on a long-term basis, they would not be
infused. They would be taken orally.
3. A decrease in the length of the exacerbation
Correct - A methylprednisolone infusion is the first line of treatment during an acute
exacerbation and is used to decrease the length and severity of a relapse.
4. A stabilization of mood and sleep
Incorrect - Some of the frequent side effects of a Methylprednisolone infusion are
anxiety, insomnia, and mood swings.
A nurse knows that which of these patients are at greatest risk for a stroke?
1. A 60-year old male who weighs 270 pounds, has atrial fibrillation, and has had a
TIA in the past.
2. A 75-year old male who has frequent migraines, drinks a glass of wine every day,
and is Hispanic.
3. A 40-year old female who has high cholesterol and uses oral contraceptives
4. A 65-year old female who is African American, has sickle cell disease and
smokes cigarettes.
1. A 60-year old male who weighs 270 pounds, has atrial fibrillation, and has had a TIA in
the past.
Correct - Common risk factors for developing stroke include: Atrial fibrillation,
arteriosclerosis, previous stroke or ischemic attack, heart surgery, valvular heart
disease, diabetes, smoking, substance abuse,obesity, sedentary lifestyle, oral
contraceptive use, genetic tendency, migraines, older age, male, African
American/Hispanic/American Indian, Sickle Cell Anemia, and brain trauma. This man
