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NCLEX-PN Questions & Answers 2026-
2027 | Updated 2026 Exam Review
(Rationales)
Document Overview
This document provides 85 NCLEX-PN style questions, each paired with its correct answer
and a detailed rationale. It offers a comprehensive review of core nursing knowledge,
making it an invaluable tool for studying, reinforcing concepts, and preparing for
certification exams.
100% Accurate Questions and Answers 100% Guarantee Pass - Verified by Experts
Expert-Verified
Verified Answers · Detailed Rationales · 85 Questions · September 2026
NCLEX-PN Questions & Answers 2026-2027 | Updated 2026 Exam Review (Rationales) - Practice Questions Page 0
, Topics Covered
Section 1: Cardiovascular & Respiratory Assessment Q 1-10
Questions covering cardiovascular & Respiratory Assessment concepts.
Section 2: Gastrointestinal & Nutritional Support Q 11-21
Questions covering gastrointestinal & Nutritional Support concepts.
Section 3: Neurological & Musculoskeletal Care Q 22-32
Questions covering neurological & Musculoskeletal Care concepts.
Section 4: Professional Practice & Ethical Considerations Q 33-62
Questions covering professional Practice & Ethical Considerations concepts.
Section 5: Safety, Infection Control & Emergency Response Q 63-71
Questions covering safety, Infection Control & Emergency Response concepts.
Section 6: Pharmacology & Medication Administration Q 72-85
Questions covering pharmacology & Medication Administration concepts.
Questions
QUESTION 1 OF 85
Abrupt, high-pitched snapping noise
Correct Answer: heart murmur
Rationale: A heart murmur is an abnormal sound heard during the cardiac cycle, often described as a blowing,
swishing, or snapping noise. The description of an "abrupt, high-pitched snapping noise" is characteristic of certain
types of murmurs, such as those caused by valvular stenosis or regurgitation. This sound indicates turbulent blood
flow through the heart valves or chambers.
QUESTION 2 OF 85
is normal and represent the S1 (first heart sound) and S2 (second heart sound)
Correct Answer: Lubb-dubb sounds
Rationale: The normal heart sounds heard during auscultation are the "lubb-dubb" sounds, which correspond to the
closure of the heart valves. The first heart sound (S1) is produced by the closure of the atrioventricular valves (mitral
and tricuspid), and the second heart sound (S2) is produced by the closure of the semilunar valves (aortic and
pulmonic). These sounds are fundamental to assessing cardiac function. This aligns with Lubb-dubb sounds and Lubb-
dubb.
QUESTION 3 OF 85
is described as a scratchy, leathery heart sound
Correct Answer: pericardial friction rub
Rationale: A pericardial friction rub is an abnormal heart sound characterized by a grating, scratching, or leathery
quality, often heard during both systole and diastole. This sound is caused by the inflamed layers of the pericardium
rubbing against each other. The description of a "scratchy, leathery heart sound" directly aligns with the auscultatory
findings of a pericardial friction rub, indicative of pericarditis.
NCLEX-PN Questions & Answers 2026-2027 | Updated 2026 Exam Review (Rationales) - Practice Questions Page 0
, QUESTION 4 OF 85
a nurse observes a newborn whose apgar score was 8 at one minute & then 9 at the five-
minute eval. these scores would be more commonly r/t abnormalities in which of these
areas?
Correct Answer: color
=acrocyanosis (blue hands & feet) is the most common apgar score deduction & is a normal adaptatioin in
the newborn in response to the environment. if the environment is cool, then the hands & feet would display
a more bluish discoloration. on avg. it last for about 48-72 hrs recall that he maximum score is 10 apgar, so 1
or 2 point lower would suggest a problem that is probably no as severe as a problem r/t HR, muscle tone or
cry (respirations)
QUESTION 5 OF 85
the client is Dx w/ coronary artery disease (CAD) what info should the nurse emphasize
when reinforcing nutritional info to this client?
Correct Answer: avoid heavy, large meals
Rationale: Coronary artery disease (CAD) is exacerbated by increased cardiac workload, which is significantly
elevated by large, heavy meals due to increased digestive demands and blood flow diversion to the gastrointestinal
tract. Emphasizing the avoidance of such meals helps reduce myocardial oxygen demand and potential for angina or
other ischemic events. This dietary modification directly supports cardiac health in clients with CAD. This aligns with
avoid heavy, large meals, avoid heavy and large meals.
QUESTION 6 OF 85
the RN has provided care instructions to the parents of a toddler Dx w/ atopic
dermatitis. which of these actions will the LPN now reinforces to the parents?
Correct Answer: wrap the child's hand in mitten or socks to prevent scratching
Rationale: Atopic dermatitis, commonly known as eczema, is characterized by intense itching (pruritus) which can
lead to excoriations and secondary infections. Reinforcing the use of physical barriers like mitten or socks on a
toddler's hands directly addresses the pruritus by preventing them from scratching the inflamed skin. This intervention
is a key component of managing atopic dermatitis in young children to minimize skin damage and promote healing.
This aligns with wrap the child's hand in mitten or socks to prevent scratching.
QUESTION 7 OF 85
a neonate born 12hrs ago to a methadone-maintained woman is exhibiting a hyperative
Moro reflex & slight tremors. the newborn passed one loose, watery stool. which action
is a nursing priority?
Correct Answer: observe for neonatal abstinence syndrome
=this finding is a signal w/drawal of the infant from the opiates. the findings seen in mathadone w/drawal
are often more severe than for other substances. inital findings seen are CNS hyperirritability & GI findings.
close monitoring of the infant ensures proper Tx during the period of w/drawal.
NCLEX-PN Questions & Answers 2026-2027 | Updated 2026 Exam Review (Rationales) - Practice Questions Page 0
NCLEX-PN Questions & Answers 2026-
2027 | Updated 2026 Exam Review
(Rationales)
Document Overview
This document provides 85 NCLEX-PN style questions, each paired with its correct answer
and a detailed rationale. It offers a comprehensive review of core nursing knowledge,
making it an invaluable tool for studying, reinforcing concepts, and preparing for
certification exams.
100% Accurate Questions and Answers 100% Guarantee Pass - Verified by Experts
Expert-Verified
Verified Answers · Detailed Rationales · 85 Questions · September 2026
NCLEX-PN Questions & Answers 2026-2027 | Updated 2026 Exam Review (Rationales) - Practice Questions Page 0
, Topics Covered
Section 1: Cardiovascular & Respiratory Assessment Q 1-10
Questions covering cardiovascular & Respiratory Assessment concepts.
Section 2: Gastrointestinal & Nutritional Support Q 11-21
Questions covering gastrointestinal & Nutritional Support concepts.
Section 3: Neurological & Musculoskeletal Care Q 22-32
Questions covering neurological & Musculoskeletal Care concepts.
Section 4: Professional Practice & Ethical Considerations Q 33-62
Questions covering professional Practice & Ethical Considerations concepts.
Section 5: Safety, Infection Control & Emergency Response Q 63-71
Questions covering safety, Infection Control & Emergency Response concepts.
Section 6: Pharmacology & Medication Administration Q 72-85
Questions covering pharmacology & Medication Administration concepts.
Questions
QUESTION 1 OF 85
Abrupt, high-pitched snapping noise
Correct Answer: heart murmur
Rationale: A heart murmur is an abnormal sound heard during the cardiac cycle, often described as a blowing,
swishing, or snapping noise. The description of an "abrupt, high-pitched snapping noise" is characteristic of certain
types of murmurs, such as those caused by valvular stenosis or regurgitation. This sound indicates turbulent blood
flow through the heart valves or chambers.
QUESTION 2 OF 85
is normal and represent the S1 (first heart sound) and S2 (second heart sound)
Correct Answer: Lubb-dubb sounds
Rationale: The normal heart sounds heard during auscultation are the "lubb-dubb" sounds, which correspond to the
closure of the heart valves. The first heart sound (S1) is produced by the closure of the atrioventricular valves (mitral
and tricuspid), and the second heart sound (S2) is produced by the closure of the semilunar valves (aortic and
pulmonic). These sounds are fundamental to assessing cardiac function. This aligns with Lubb-dubb sounds and Lubb-
dubb.
QUESTION 3 OF 85
is described as a scratchy, leathery heart sound
Correct Answer: pericardial friction rub
Rationale: A pericardial friction rub is an abnormal heart sound characterized by a grating, scratching, or leathery
quality, often heard during both systole and diastole. This sound is caused by the inflamed layers of the pericardium
rubbing against each other. The description of a "scratchy, leathery heart sound" directly aligns with the auscultatory
findings of a pericardial friction rub, indicative of pericarditis.
NCLEX-PN Questions & Answers 2026-2027 | Updated 2026 Exam Review (Rationales) - Practice Questions Page 0
, QUESTION 4 OF 85
a nurse observes a newborn whose apgar score was 8 at one minute & then 9 at the five-
minute eval. these scores would be more commonly r/t abnormalities in which of these
areas?
Correct Answer: color
=acrocyanosis (blue hands & feet) is the most common apgar score deduction & is a normal adaptatioin in
the newborn in response to the environment. if the environment is cool, then the hands & feet would display
a more bluish discoloration. on avg. it last for about 48-72 hrs recall that he maximum score is 10 apgar, so 1
or 2 point lower would suggest a problem that is probably no as severe as a problem r/t HR, muscle tone or
cry (respirations)
QUESTION 5 OF 85
the client is Dx w/ coronary artery disease (CAD) what info should the nurse emphasize
when reinforcing nutritional info to this client?
Correct Answer: avoid heavy, large meals
Rationale: Coronary artery disease (CAD) is exacerbated by increased cardiac workload, which is significantly
elevated by large, heavy meals due to increased digestive demands and blood flow diversion to the gastrointestinal
tract. Emphasizing the avoidance of such meals helps reduce myocardial oxygen demand and potential for angina or
other ischemic events. This dietary modification directly supports cardiac health in clients with CAD. This aligns with
avoid heavy, large meals, avoid heavy and large meals.
QUESTION 6 OF 85
the RN has provided care instructions to the parents of a toddler Dx w/ atopic
dermatitis. which of these actions will the LPN now reinforces to the parents?
Correct Answer: wrap the child's hand in mitten or socks to prevent scratching
Rationale: Atopic dermatitis, commonly known as eczema, is characterized by intense itching (pruritus) which can
lead to excoriations and secondary infections. Reinforcing the use of physical barriers like mitten or socks on a
toddler's hands directly addresses the pruritus by preventing them from scratching the inflamed skin. This intervention
is a key component of managing atopic dermatitis in young children to minimize skin damage and promote healing.
This aligns with wrap the child's hand in mitten or socks to prevent scratching.
QUESTION 7 OF 85
a neonate born 12hrs ago to a methadone-maintained woman is exhibiting a hyperative
Moro reflex & slight tremors. the newborn passed one loose, watery stool. which action
is a nursing priority?
Correct Answer: observe for neonatal abstinence syndrome
=this finding is a signal w/drawal of the infant from the opiates. the findings seen in mathadone w/drawal
are often more severe than for other substances. inital findings seen are CNS hyperirritability & GI findings.
close monitoring of the infant ensures proper Tx during the period of w/drawal.
NCLEX-PN Questions & Answers 2026-2027 | Updated 2026 Exam Review (Rationales) - Practice Questions Page 0
