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NCLEX RN EXAM STUDY GUIDE 2026/2027 | COMPREHENSIVE NURSING PRACTICE QUESTIONS, DETAILED ANSWERS AND COMPLETE NCLEX EXAM PREPARATION

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NCLEX RN EXAM STUDY GUIDE 2026/2027 | COMPREHENSIVE NURSING PRACTICE QUESTIONS, DETAILED ANSWERS AND COMPLETE NCLEX EXAM PREPARATION

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NCLEX-RN Practice Quiz Test Bank 2 |
100 Verified MCQs for 2026 Exam
Prep
Description: This comprehensive revision set contains 100 high-yield NCLEX-RN
practice questions covering fundamentals, medical-surgical, pharmacology,
maternal-newborn, pediatric, psychiatric, and prioritization/delegation content.
Each question includes four answer choices, the correct answer marked with ✅, and
a concise rationale to reinforce clinical judgment and test-taking strategy.

Key Words: NCLEX-RN, practice questions, test bank, 2025 exam prep, nursing revision,
pharmacology, med-surg, maternal newborn, pediatrics, mental health, prioritization,
delegation, safety, infection control, lab values, emergency nursing.




Fundamentals of Nursing

1. Question: A nurse is preparing to administer a cleansing enema. Which position is
most appropriate for the client?
A. Supine
B. Sims' position ✅
C. Trendelenburg
D. Prone

Rationale: Sims' position allows gravity to assist flow into the descending colon and
promotes client comfort.

2. Question: Which action best prevents catheter-associated urinary tract infection
(CAUTI)?

,A. Irrigating the catheter daily
B. Keeping the drainage bag below the bladder ✅
C. Changing the catheter every 48 hours
D. Clamping the catheter during ambulation

Rationale: Maintaining the bag below bladder level prevents backflow of contaminated
urine.

3. Question: A nurse is performing a sterile dressing change. Which action violates
sterile technique?
A. Opening sterile supplies away from the body
B. Reaching over the sterile field ✅
C. Holding sterile items above waist level
D. Using sterile gloves to arrange supplies

Rationale: Reaching over a sterile field contaminates it.

4. Question: Which client is at greatest risk for pressure injury development?
A. Client with a casted arm
B. Client with limited mobility and incontinence ✅
C. Client with asthma
D. Client with hypertension

Rationale: Immobility and moisture from incontinence are major pressure injury risk
factors.

5. Question: The nurse is teaching a client about crutch walking. Which statement
indicates correct understanding?
A. "I should bear weight on my axillae."
B. "I should keep my elbows bent at 30 degrees." ✅
C. "I should look down at my feet while walking."
D. "I should use the crutches only on stairs."

, Rationale: A 30-degree elbow bend prevents nerve damage from axillary pressure.

6. Question: Which finding requires immediate nurse intervention?
A. Client refusing breakfast
B. Client with a new onset of confusion ✅
C. Client requesting pain medication
D. Client watching television

Rationale: Acute confusion may indicate hypoxia, infection, or stroke and requires
urgent assessment.

7. Question: A nurse is calculating intake and output. Which item should be recorded as
intake?
A. Urine
B. Emesis
C. Ice chips ✅
D. Wound drainage

Rationale: Ice chips are counted as intake, usually at half the volume.

8. Question: Which technique is correct when obtaining a blood pressure?
A. Arm below heart level
B. Cuff inflated rapidly and deflated slowly ✅
C. Client talking during measurement
D. Cuff over clothing

Rationale: Proper cuff inflation and deflation ensure accurate readings.

9. Question: A nurse is caring for a client on fall precautions. Which intervention is
priority?
A. Keeping bed in high position
B. Placing call light within reach ✅

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Number of pages
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Type
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