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KAPLAN COMPREHENSIVE NCLEX-RN FINAL EXAM
2026/2027 COMPLETE (100) CURRENT TESTING
QUESTIONS AND CORRECT ANSWERS WITH DETAILED
RATIONALES.
NCLEX-RN
Prepare for the Kaplan Comprehensive NCLEX-RN Final Exam with a focused study
resource covering major nursing concepts and key NCLEX-RN content areas. It
supports review of clinical judgment, patient safety, pharmacology, assessment,
prioritization, delegation, and evidence-based nursing care. Use the material to
reinforce knowledge, identify areas needing additional review, and build confidence
for comprehensive exam preparation. This resource is best suited for NCLEX-RN
candidates and nursing students preparing for a comprehensive final assessment.
MULTIPLE CHOICE.
SECTION 1: SAFETY & INFECTION CONTROL (Questions 1-10)
1. A nurse is caring for a client with a diagnosis of Clostridium difficile
infection. Which type of transmission-based precaution should the nurse
implement?
a) Standard precautions only
b) Contact precautions
c) Droplet precautions
d) Airborne precautions
Answer: b) Contact precautions
Rationale: Clostridium difficile is transmitted via the fecal-oral route and
requires contact precautions. This includes a private room or cohorting,
wearing gloves and gowns for all client contact, and hand hygiene with soap
and water (alcohol-based sanitizers are not effective against C. diff spores).
2. A nurse is preparing to administer a medication to a client. Which
action is most important to prevent medication errors?
a) Check the client's identification band using two identifiers
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b) Ask the client their name and date of birth
c) Review the client's medication administration record
d) Check the medication label three times
Answer: a) Check the client's identification band using two identifiers
Rationale: The most important action to prevent medication errors is verifying
the client's identity using at least two identifiers (e.g., name and date of birth)
against the MAR. This is the first and most critical step in the medication
administration process.
3. A client is on fall precautions. Which intervention should the nurse
implement to prevent falls?
a) Keep the bed in the highest position for easy access
b) Place all personal items out of reach to encourage movement
c) Keep the call light within reach and respond promptly
d) Leave the client's room door closed for privacy
Answer: c) Keep the call light within reach and respond promptly
Rationale: Keeping the call light within reach and responding promptly is an
essential fall prevention intervention. The bed should be in the lowest
position, personal items should be within reach, and the room door should
remain open for visibility and quick response.
4. A nurse is caring for a client who is on seizure precautions. Which item
should the nurse have available at the client's bedside?
a) Restraints
b) Oxygen and suction equipment
c) A cooling blanket
d) A padded tongue blade
Answer: b) Oxygen and suction equipment
Rationale: For clients on seizure precautions, oxygen and suction equipment
should be available at the bedside to manage the airway during and after a
seizure. Padded side rails are used, but padded tongue blades should never
be inserted during a seizure as they can cause injury.
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5. A nurse is caring for a client with a new prescription for a restraint. The
nurse understands that restraints should be used:
a) As a first-line intervention for agitation
b) Only when less restrictive measures have failed
c) For punishment of non-compliant behavior
d) For the convenience of the healthcare team
Answer: b) Only when less restrictive measures have failed
Rationale: Restraints should only be used as a last resort when less
restrictive interventions have failed or are contraindicated. They should never
be used for punishment, convenience, or as a first-line intervention.
Restraints require a provider's order and ongoing assessment.
6. A nurse is preparing to perform a sterile procedure. Which action is
correct?
a) The sterile field is kept at waist level
b) The sterile field may be left unattended
c) Sterile gloves are donned before opening the sterile package
d) The nurse may reach over the sterile field
Answer: a) The sterile field is kept at waist level
Rationale: A sterile field should be kept at or above waist level to prevent
contamination. The sterile field should never be left unattended, sterile gloves
are donned after opening the sterile package, and reaching over the sterile
field contaminates it.
7. A client with tuberculosis is being admitted. Which type of room
assignment is most appropriate?
a) A semi-private room with another client who has TB
b) A private room with negative air pressure
c) A private room with positive air pressure
d) A room with a HEPA filter only
Answer: b) A private room with negative air pressure
Rationale: Clients with suspected or confirmed tuberculosis require airborne
precautions, which include a private room with negative air pressure, a
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minimum of 6-12 air exchanges per hour, and an N95 respirator for healthcare
personnel.
8. A nurse is administering a subcutaneous injection of enoxaparin. Which
technique is correct?
a) Inject into the deltoid muscle
b) Massage the site after injection
c) Administer in the abdomen and do not aspirate
d) Use a 1-inch needle for administration
Answer: c) Administer in the abdomen and do not aspirate
Rationale: Enoxaparin is administered subcutaneously in the abdomen. The
nurse should not aspirate and should not massage the site to prevent
hematoma formation. A short needle (5/8 inch) is used.
9. A nurse is caring for a client who is receiving oxygen via nasal cannula
at 2 L/min. Which finding indicates a need for immediate intervention?
a) The client's oxygen saturation is 92%
b) The client reports a dry nose and throat
c) The nasal cannula is not positioned under the nares
d) The client's respiratory rate is 18 breaths/min
Answer: c) The nasal cannula is not positioned under the nares
Rationale: The nasal cannula must be correctly positioned under the nares to
deliver oxygen effectively. An oxygen saturation of 92% is acceptable for many
clients, a dry nose is a common side effect, and a respiratory rate of 18 is
normal.
10. A nurse is teaching a client about fire safety in the home. Which
instruction should the nurse include?
a) Use extension cords for multiple appliances
b) Have a fire extinguisher in the kitchen
c) Smoke in bed only if you are awake
d) Keep flammable materials near the fireplace
KAPLAN COMPREHENSIVE NCLEX-RN FINAL EXAM
2026/2027 COMPLETE (100) CURRENT TESTING
QUESTIONS AND CORRECT ANSWERS WITH DETAILED
RATIONALES.
NCLEX-RN
Prepare for the Kaplan Comprehensive NCLEX-RN Final Exam with a focused study
resource covering major nursing concepts and key NCLEX-RN content areas. It
supports review of clinical judgment, patient safety, pharmacology, assessment,
prioritization, delegation, and evidence-based nursing care. Use the material to
reinforce knowledge, identify areas needing additional review, and build confidence
for comprehensive exam preparation. This resource is best suited for NCLEX-RN
candidates and nursing students preparing for a comprehensive final assessment.
MULTIPLE CHOICE.
SECTION 1: SAFETY & INFECTION CONTROL (Questions 1-10)
1. A nurse is caring for a client with a diagnosis of Clostridium difficile
infection. Which type of transmission-based precaution should the nurse
implement?
a) Standard precautions only
b) Contact precautions
c) Droplet precautions
d) Airborne precautions
Answer: b) Contact precautions
Rationale: Clostridium difficile is transmitted via the fecal-oral route and
requires contact precautions. This includes a private room or cohorting,
wearing gloves and gowns for all client contact, and hand hygiene with soap
and water (alcohol-based sanitizers are not effective against C. diff spores).
2. A nurse is preparing to administer a medication to a client. Which
action is most important to prevent medication errors?
a) Check the client's identification band using two identifiers
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b) Ask the client their name and date of birth
c) Review the client's medication administration record
d) Check the medication label three times
Answer: a) Check the client's identification band using two identifiers
Rationale: The most important action to prevent medication errors is verifying
the client's identity using at least two identifiers (e.g., name and date of birth)
against the MAR. This is the first and most critical step in the medication
administration process.
3. A client is on fall precautions. Which intervention should the nurse
implement to prevent falls?
a) Keep the bed in the highest position for easy access
b) Place all personal items out of reach to encourage movement
c) Keep the call light within reach and respond promptly
d) Leave the client's room door closed for privacy
Answer: c) Keep the call light within reach and respond promptly
Rationale: Keeping the call light within reach and responding promptly is an
essential fall prevention intervention. The bed should be in the lowest
position, personal items should be within reach, and the room door should
remain open for visibility and quick response.
4. A nurse is caring for a client who is on seizure precautions. Which item
should the nurse have available at the client's bedside?
a) Restraints
b) Oxygen and suction equipment
c) A cooling blanket
d) A padded tongue blade
Answer: b) Oxygen and suction equipment
Rationale: For clients on seizure precautions, oxygen and suction equipment
should be available at the bedside to manage the airway during and after a
seizure. Padded side rails are used, but padded tongue blades should never
be inserted during a seizure as they can cause injury.
, Page 3 of 38
5. A nurse is caring for a client with a new prescription for a restraint. The
nurse understands that restraints should be used:
a) As a first-line intervention for agitation
b) Only when less restrictive measures have failed
c) For punishment of non-compliant behavior
d) For the convenience of the healthcare team
Answer: b) Only when less restrictive measures have failed
Rationale: Restraints should only be used as a last resort when less
restrictive interventions have failed or are contraindicated. They should never
be used for punishment, convenience, or as a first-line intervention.
Restraints require a provider's order and ongoing assessment.
6. A nurse is preparing to perform a sterile procedure. Which action is
correct?
a) The sterile field is kept at waist level
b) The sterile field may be left unattended
c) Sterile gloves are donned before opening the sterile package
d) The nurse may reach over the sterile field
Answer: a) The sterile field is kept at waist level
Rationale: A sterile field should be kept at or above waist level to prevent
contamination. The sterile field should never be left unattended, sterile gloves
are donned after opening the sterile package, and reaching over the sterile
field contaminates it.
7. A client with tuberculosis is being admitted. Which type of room
assignment is most appropriate?
a) A semi-private room with another client who has TB
b) A private room with negative air pressure
c) A private room with positive air pressure
d) A room with a HEPA filter only
Answer: b) A private room with negative air pressure
Rationale: Clients with suspected or confirmed tuberculosis require airborne
precautions, which include a private room with negative air pressure, a
, Page 4 of 38
minimum of 6-12 air exchanges per hour, and an N95 respirator for healthcare
personnel.
8. A nurse is administering a subcutaneous injection of enoxaparin. Which
technique is correct?
a) Inject into the deltoid muscle
b) Massage the site after injection
c) Administer in the abdomen and do not aspirate
d) Use a 1-inch needle for administration
Answer: c) Administer in the abdomen and do not aspirate
Rationale: Enoxaparin is administered subcutaneously in the abdomen. The
nurse should not aspirate and should not massage the site to prevent
hematoma formation. A short needle (5/8 inch) is used.
9. A nurse is caring for a client who is receiving oxygen via nasal cannula
at 2 L/min. Which finding indicates a need for immediate intervention?
a) The client's oxygen saturation is 92%
b) The client reports a dry nose and throat
c) The nasal cannula is not positioned under the nares
d) The client's respiratory rate is 18 breaths/min
Answer: c) The nasal cannula is not positioned under the nares
Rationale: The nasal cannula must be correctly positioned under the nares to
deliver oxygen effectively. An oxygen saturation of 92% is acceptable for many
clients, a dry nose is a common side effect, and a respiratory rate of 18 is
normal.
10. A nurse is teaching a client about fire safety in the home. Which
instruction should the nurse include?
a) Use extension cords for multiple appliances
b) Have a fire extinguisher in the kitchen
c) Smoke in bed only if you are awake
d) Keep flammable materials near the fireplace
