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NCLEX-RN Practice Test Comprehensive Final Review 2026 | Questions and Correct Answers | Latest Update | Complete Exam Prep

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Prepare for the NCLEX-RN Exam 2026 with a comprehensive final review featuring practice questions and correct answers covering essential nursing concepts and clinical practice areas. This resource is designed to help nursing students reinforce their knowledge, strengthen clinical judgment, improve recall, and assess their readiness for the NCLEX-RN examination. The review provides focused practice across major areas of nursing, including patient assessment, clinical decision-making, pharmacology, medical-surgical nursing, maternal-newborn care, pediatrics, mental health, patient safety, and nursing priorities. Use the questions for active recall, self-assessment, targeted revision, and final exam preparation. Work through the material to identify knowledge gaps, reinforce key nursing principles, and approach your exam preparation with greater confidence. Topics Covered: Fundamentals of Nursing, Medical-Surgical Nursing, Pharmacology, Patient Assessment, Clinical Judgment, Nursing Interventions, Patient Safety, Infection Prevention and Control, Prioritization, Delegation, Care Planning, Maternal-Newborn Nursing, Pediatric Nursing, Mental Health Nursing, Health Promotion, Patient Education, Adult Health, Clinical Scenarios.

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NCLEX-RN Practice Test Comprehensive Final Review
2026 | 100% Accurate Answers
1. A client with a regular menstrual cycle wants to avoid pregnancy. When
should they abstain from intercourse to effectively use natural family
planning?

After ovulation has occurred.

During the days leading up to and including ovulation.

At any time during the menstrual cycle.

Only during menstruation.

2. If the mother fails to keep the leg cast clean and dry, what potential
complication should the nurse monitor for in the child?

Skin infection.

Improved muscle strength.

Increased mobility of the leg.

Decreased pain in the leg.

3. The nurse is evaluating the risk for violence of a prenatal client. Which
question by the nurse would be most appropriate?

"Why are you still living with him and letting him hurt you?"

"Are you trying to work things out since you are pregnant."

"Have you been physically hurt by someone in the past year?"

"What do you do to make him want to hurt you?"

4. An adolescent male tells the nurse that he is afraid his penis will be damaged
because he masturbates every day. The nurse's response is based on what

, knowledge?

Masturbation may delay puberty

Only adult men masturbate

Self-stimulation is a normal activity

Masturbation is not a normal activity

5. What is the first action a nurse should take when preparing a client for
peritoneal dialysis?

Position the client on the left side.

Warm the dialysate solution.

Insert a Foley catheter.

Assess for a bruit and thrill.

6. A one day old newborn diagnosed with intrauterine growth restriction is
observed by the nurse to be restless, irritable, fist sucking and having a high
pitched shrill cry. Based on this data, the nurse should:

Encourage stimulation of the baby by rocking

Schedule feeding times every five to six hours

Tightly swaddle the infant in a flexed position

Encourage eye contact with the infant during feedings

7. What is one method the nurse can use to help relieve a client's abdominal
pain according to the provided scenario?

Apply warmth to the abdomen with a heating pad.

Massage the right lower quadrant of the abdomen.

, Encourage the client to change positions frequently in bed.

Use comfort measures and pillows to position the client.

8. Why is it important to warm the dialysate solution before peritoneal dialysis?

Warming the dialysate solution is unnecessary and does not affect the
procedure.

Warming the dialysate solution increases the risk of infection.

Warming the dialysate solution is done to ensure it is sterile.

Warming the dialysate solution helps to prevent discomfort and
promotes better absorption.

9. Why is tightly swaddling a newborn in a flexed position considered an
appropriate first intervention for a restless and irritable infant?

Tightly swaddling is a method to increase the infant's alertness.

Tightly swaddling provides comfort and security, which can help
soothe the infant's distress.

Tightly swaddling prevents the infant from feeding properly.

Tightly swaddling is used to prepare the infant for medical
procedures.

10. The lvn visits a Neighbor who is at 20 weeks gestation. The Neighbor
complains of nausea, headache, blurred vision. The lvn notes that the
Neighbor appears nervous, is disphoretic, and is experiencing tremors. It
would be most important for the lvn to ask which of the following questions?

Have you been diagnosed with diabetes?

When did you last eat or drink?

Have you been lying on the couch?

, Are you having menstural like cramps?

11. A patient is receiving total parenteral nutrition (TPN). What is the primary
intervention the nurse should follow to prevent a central line infection?

Clean the central line port through which the TPN is infusing with
alcohol

Change the TPN tubing every 24 hours

Institute isolation precautions

Monitor glucose levels to watch and assess for glucose intolerance

12. Why is it inappropriate for a nurse to provide a detailed description of the
surgery?

The surgeon is responsible for providing a detailed description of
the surgery to the client.

The nurse must focus solely on post-operative care.

The nurse should only confirm that the consent form is signed.

The nurse is not allowed to discuss any surgical procedures.

13. How many milligrams of codeine are in one tablet?

60 mg

15 mg

30 mg

45 mg

14. What is the primary concern of a primipara woman in labor regarding an
amniotomy?

Infection risk

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