NCLEX-PN EXAM 2026 - COMPREHENSIVE TEST BANK
150+ Questions with Answers and Rationales
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT (25 Questions)
Question 1:
A nurse is preparing to administer medications to a client. Which action demonstrates
the correct use of the "Rights" of medication administration?
A) Checking the medication label three times during preparation
B) Asking the client about their allergies before administering
C) Documenting the medication after administration
D) All of the above
CORRECT ANSWER: D
Rationale: All options represent important aspects of safe medication administration.
The "Rights" include right patient, drug, dose, route, time, documentation, reason,
response, and right to refuse. Option A represents the right drug and dose verification, B
represents assessment of allergies, and C represents proper documentation.
Question 2:
A client is placed in restraints after attempting to pull out their IV line. Which action
should the nurse prioritize?
A) Document the client's behavior every 15 minutes
B) Obtain a written order from the healthcare provider within 1 hour
C) Remove restraints every 2 hours for range of motion exercises
D) Offer food and fluids every 4 hours
,CORRECT ANSWER: B
Rationale: According to restraint guidelines, a written order must be obtained from the
healthcare provider within 1 hour of applying restraints. While documentation, ROM
exercises, and offering fluids are important, obtaining the order is the priority legal
requirement.
Question 3:
A nurse observes a colleague administering medication without verifying the client's
identity using two identifiers. What should the nurse do FIRST?
A) Report the colleague to the nurse manager
B) Remind the colleague about proper identification protocol
C) Document the incident in the colleague's file
D) Ignore the incident to avoid conflict
CORRECT ANSWER: B
Rationale: The nurse should first address the issue directly with the colleague by
reminding them of proper protocol. This promotes a culture of safety and peer
accountability. If the behavior continues, reporting to the manager would be
appropriate.
Question 4:
A client with tuberculosis requires airborne precautions. Which personal protective
equipment (PPE) is most appropriate?
A) Surgical mask
B) N95 respirator mask
C) Face shield
D) Gown and gloves
,CORRECT ANSWER: B
Rationale: Tuberculosis requires airborne precautions, which necessitate the use of an
N95 respirator mask. Surgical masks are insufficient for airborne particles. Face shields,
gowns, and gloves are used for standard or contact precautions.
Question 5:
A nurse is caring for a client who requires continuous pulse oximetry monitoring. Which
action ensures accurate readings?
A) Place the probe on the same extremity as the blood pressure cuff
B) Apply nail polish to enhance the probe's adhesion
C) Ensure the probe is applied to a site with adequate perfusion
D) Change the probe site every 8 hours
CORRECT ANSWER: C
Rationale: Pulse oximetry requires adequate perfusion for accurate readings. The probe
should not be placed on the same extremity as the blood pressure cuff (A) as this
interferes with readings. Nail polish (B) can interfere with readings. While site rotation is
recommended, 4 hours is more appropriate than 8.
Question 6:
Which healthcare provider order requires clarification before implementation?
A) Morphine sulfate 2mg IV every 4 hours PRN pain
B) Regular insulin 10 units subcutaneously before meals
C) Digoxin 0.25mg PO daily
D) "Give patient something for nausea"
, CORRECT ANSWER: D
Rationale: "Give patient something for nausea" is an incomplete order lacking specific
medication, dosage, and route. Orders must be specific and complete. All other
options contain complete medication orders with dose, route, and frequency.
Question 7:
A nurse discovers a small fire in a client's room. What is the priority action?
A) Activate the fire alarm
B) Remove the client from the room
C) Attempt to extinguish the fire
D) Close the room door
CORRECT ANSWER: B
Rationale: The priority is to rescue the client from immediate danger (RACE: Rescue,
Alarm, Contain, Extinguish). Removing the client from the room is the first and most
critical step in fire safety protocol.
Question 8:
A client with Clostridium difficile infection requires which type of precautions?
A) Standard precautions
B) Airborne precautions
C) Droplet precautions
D) Contact precautions
CORRECT ANSWER: D
150+ Questions with Answers and Rationales
SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT (25 Questions)
Question 1:
A nurse is preparing to administer medications to a client. Which action demonstrates
the correct use of the "Rights" of medication administration?
A) Checking the medication label three times during preparation
B) Asking the client about their allergies before administering
C) Documenting the medication after administration
D) All of the above
CORRECT ANSWER: D
Rationale: All options represent important aspects of safe medication administration.
The "Rights" include right patient, drug, dose, route, time, documentation, reason,
response, and right to refuse. Option A represents the right drug and dose verification, B
represents assessment of allergies, and C represents proper documentation.
Question 2:
A client is placed in restraints after attempting to pull out their IV line. Which action
should the nurse prioritize?
A) Document the client's behavior every 15 minutes
B) Obtain a written order from the healthcare provider within 1 hour
C) Remove restraints every 2 hours for range of motion exercises
D) Offer food and fluids every 4 hours
,CORRECT ANSWER: B
Rationale: According to restraint guidelines, a written order must be obtained from the
healthcare provider within 1 hour of applying restraints. While documentation, ROM
exercises, and offering fluids are important, obtaining the order is the priority legal
requirement.
Question 3:
A nurse observes a colleague administering medication without verifying the client's
identity using two identifiers. What should the nurse do FIRST?
A) Report the colleague to the nurse manager
B) Remind the colleague about proper identification protocol
C) Document the incident in the colleague's file
D) Ignore the incident to avoid conflict
CORRECT ANSWER: B
Rationale: The nurse should first address the issue directly with the colleague by
reminding them of proper protocol. This promotes a culture of safety and peer
accountability. If the behavior continues, reporting to the manager would be
appropriate.
Question 4:
A client with tuberculosis requires airborne precautions. Which personal protective
equipment (PPE) is most appropriate?
A) Surgical mask
B) N95 respirator mask
C) Face shield
D) Gown and gloves
,CORRECT ANSWER: B
Rationale: Tuberculosis requires airborne precautions, which necessitate the use of an
N95 respirator mask. Surgical masks are insufficient for airborne particles. Face shields,
gowns, and gloves are used for standard or contact precautions.
Question 5:
A nurse is caring for a client who requires continuous pulse oximetry monitoring. Which
action ensures accurate readings?
A) Place the probe on the same extremity as the blood pressure cuff
B) Apply nail polish to enhance the probe's adhesion
C) Ensure the probe is applied to a site with adequate perfusion
D) Change the probe site every 8 hours
CORRECT ANSWER: C
Rationale: Pulse oximetry requires adequate perfusion for accurate readings. The probe
should not be placed on the same extremity as the blood pressure cuff (A) as this
interferes with readings. Nail polish (B) can interfere with readings. While site rotation is
recommended, 4 hours is more appropriate than 8.
Question 6:
Which healthcare provider order requires clarification before implementation?
A) Morphine sulfate 2mg IV every 4 hours PRN pain
B) Regular insulin 10 units subcutaneously before meals
C) Digoxin 0.25mg PO daily
D) "Give patient something for nausea"
, CORRECT ANSWER: D
Rationale: "Give patient something for nausea" is an incomplete order lacking specific
medication, dosage, and route. Orders must be specific and complete. All other
options contain complete medication orders with dose, route, and frequency.
Question 7:
A nurse discovers a small fire in a client's room. What is the priority action?
A) Activate the fire alarm
B) Remove the client from the room
C) Attempt to extinguish the fire
D) Close the room door
CORRECT ANSWER: B
Rationale: The priority is to rescue the client from immediate danger (RACE: Rescue,
Alarm, Contain, Extinguish). Removing the client from the room is the first and most
critical step in fire safety protocol.
Question 8:
A client with Clostridium difficile infection requires which type of precautions?
A) Standard precautions
B) Airborne precautions
C) Droplet precautions
D) Contact precautions
CORRECT ANSWER: D
