2026 NCLEX-PN
EXAM PRACTICE
400 NCLEX-Style Questions
3
(NGN-STYLE QUESTIONS & CASE
SCENARIOS)
140 MUST KNOW NCLEX MEDS
Answers with detailed Rationale
This Document Description:
Ideal for practical nursing students preparing for the
NCLEX-PN, strengthening test-taking skills, and
boosting confidence
Clear, organized format for easy studying
Printable & digital-friendly
Not affiliated with ATI, VATI or NCLEX. For study
purposes only.
,1. The charge nurse has received a change-of-shift report
on the following clients in labor. The charge nurse should
ask a staff member to first see the client in the
1. first stage of labor who has an oral temperature of
99.7° F (37.6° C)
2. first stage of labor whose contractions are occurring
every 30 seconds
3. second stage of labor who has respirations of 26
4. second stage of labor whose contractions are lasting for
60 seconds
2. first stage of labor whose contractions are occurring
every 30 seconds
Contractions should be no longer than 90 secs and no closer than
2 mins (120 secs)
90 secs is the duration, 2 mins is the frequency.
Rationale:
1. Elevated temp is normal during labor
3. Increased resps are normal during labor "pant-pant-blow" "hee-
hee-hoo" breathing pattern
4. Contractions shouldn't be longer than 90 secs, 60 secs is okay
and normal
Second stage: 2-3 mins apart, 60-90 secs long, 10 cm dilated,
strong pain
2. The nurse is observing a staff member caring for a
client who has chickenpox.
Which of the following actions by the staff member would
require the nurse to intervene?
,1. placing the client in a private room with monitored
negative air pressure
2. placing a box of disposable face shields outside the
client's room
3. placing an alcohol-based hand rub in the client's room
for hand hygiene
4. placing a surgical mask on the client during transport
out of the client's room
2. placing a box of disposable face shields outside the
client's room
disposable face masks are not suitable for airborne precautions
Rationale:
Varicella (chickenpox) is airborne precaution. Private, negative
pressure room, universal precautions (hand sanitizer in room) and
placing surgical mask on client during transport are all correct
interventions for Varicilla.
3. The nurse is caring for a client who reports feeling faint
and is experiencing the cardiac rhythm shown in the
electrocardiogram (ECG) strip below.
- BRADYCARDIA (it is more than 5 spaces apart, sinus
rhythm)
Which of the following actions would be appropriate for
the nurse to take? Select all that apply:
1. Administer the client's prescribed beta blocker.
2. Prepare for transcutaneous pacing.
3. Instruct the client to perform the Valsalva maneuver.
4. Begin chest compressions.
5. Assess the client for angina.
2. transcutaneous pacing
- external pacing that stimulates the ventricles to pump at a set
rate
5. Assess the client for angina
, - Angina (Chest pain) can be caused by both tachycardia (most
common) and bradycardia (rare but can happen). Assessment of
angina is appropriate
Rationale:
1. Beta blocker would further decrease HR
3. Valsalva maneuver/Vagal stimulation would further decrease
HR. (can be indicated for sinus Tachy)
4. Chest compressions are for cardiac arrest
4. The nurse is planning care for a client with moderate
Alzheimer's disease (AD).
Which of the following interventions should the nurse
include in the client's plan of care?
1. Encourage the client to reminisce about happy
memories.
2. Confront the client when inappropriate or agitated
behaviors occur.
3. Administer to the client the cholinesterase inhibitor to
reverse the course of AD.
4. Provide the client with information about activity
choices in the morning so the client can make plans for
the day.
1. Encourage the client to reminisce about happy
memories.
Its possible for AD patients to retain long-term memories
Rationale:
2. Acknowledge feelings --> Redirect is protocol for Dementia.
Don't confront; they can't learn
3. AD is irreversible
4. In moderate AD, dementia has already progressed to where pt
needs help with ADLs and planning daily activities. Asking them to
plan can frustrate them and cause distress.
EXAM PRACTICE
400 NCLEX-Style Questions
3
(NGN-STYLE QUESTIONS & CASE
SCENARIOS)
140 MUST KNOW NCLEX MEDS
Answers with detailed Rationale
This Document Description:
Ideal for practical nursing students preparing for the
NCLEX-PN, strengthening test-taking skills, and
boosting confidence
Clear, organized format for easy studying
Printable & digital-friendly
Not affiliated with ATI, VATI or NCLEX. For study
purposes only.
,1. The charge nurse has received a change-of-shift report
on the following clients in labor. The charge nurse should
ask a staff member to first see the client in the
1. first stage of labor who has an oral temperature of
99.7° F (37.6° C)
2. first stage of labor whose contractions are occurring
every 30 seconds
3. second stage of labor who has respirations of 26
4. second stage of labor whose contractions are lasting for
60 seconds
2. first stage of labor whose contractions are occurring
every 30 seconds
Contractions should be no longer than 90 secs and no closer than
2 mins (120 secs)
90 secs is the duration, 2 mins is the frequency.
Rationale:
1. Elevated temp is normal during labor
3. Increased resps are normal during labor "pant-pant-blow" "hee-
hee-hoo" breathing pattern
4. Contractions shouldn't be longer than 90 secs, 60 secs is okay
and normal
Second stage: 2-3 mins apart, 60-90 secs long, 10 cm dilated,
strong pain
2. The nurse is observing a staff member caring for a
client who has chickenpox.
Which of the following actions by the staff member would
require the nurse to intervene?
,1. placing the client in a private room with monitored
negative air pressure
2. placing a box of disposable face shields outside the
client's room
3. placing an alcohol-based hand rub in the client's room
for hand hygiene
4. placing a surgical mask on the client during transport
out of the client's room
2. placing a box of disposable face shields outside the
client's room
disposable face masks are not suitable for airborne precautions
Rationale:
Varicella (chickenpox) is airborne precaution. Private, negative
pressure room, universal precautions (hand sanitizer in room) and
placing surgical mask on client during transport are all correct
interventions for Varicilla.
3. The nurse is caring for a client who reports feeling faint
and is experiencing the cardiac rhythm shown in the
electrocardiogram (ECG) strip below.
- BRADYCARDIA (it is more than 5 spaces apart, sinus
rhythm)
Which of the following actions would be appropriate for
the nurse to take? Select all that apply:
1. Administer the client's prescribed beta blocker.
2. Prepare for transcutaneous pacing.
3. Instruct the client to perform the Valsalva maneuver.
4. Begin chest compressions.
5. Assess the client for angina.
2. transcutaneous pacing
- external pacing that stimulates the ventricles to pump at a set
rate
5. Assess the client for angina
, - Angina (Chest pain) can be caused by both tachycardia (most
common) and bradycardia (rare but can happen). Assessment of
angina is appropriate
Rationale:
1. Beta blocker would further decrease HR
3. Valsalva maneuver/Vagal stimulation would further decrease
HR. (can be indicated for sinus Tachy)
4. Chest compressions are for cardiac arrest
4. The nurse is planning care for a client with moderate
Alzheimer's disease (AD).
Which of the following interventions should the nurse
include in the client's plan of care?
1. Encourage the client to reminisce about happy
memories.
2. Confront the client when inappropriate or agitated
behaviors occur.
3. Administer to the client the cholinesterase inhibitor to
reverse the course of AD.
4. Provide the client with information about activity
choices in the morning so the client can make plans for
the day.
1. Encourage the client to reminisce about happy
memories.
Its possible for AD patients to retain long-term memories
Rationale:
2. Acknowledge feelings --> Redirect is protocol for Dementia.
Don't confront; they can't learn
3. AD is irreversible
4. In moderate AD, dementia has already progressed to where pt
needs help with ADLs and planning daily activities. Asking them to
plan can frustrate them and cause distress.
