NCLEX-RN Practice Questions Latest Update 2026 | A
Comprehensive Study Guide with 595 Multichoice Questions
| Each Question Includes the Correct Answer with a Detailed
Rationale| Guaranteed Pass (Brand New!!)
Table of Contents
Chapter Content Area Question Range
1 Management of Care 1–60
2 Safety and Infection Prevention and Control 61–110
3 Health Promotion and Maintenance 111–160
4 Psychosocial Integrity 161–210
5 Basic Care and Comfort 211–260
6 Pharmacological and Parenteral Therapies 261–320
7 Reduction of Risk Potential 321–360
,8 Physiological Adaptation 361–400
9. Pediatric Nursing 401–445
10 Maternal-Newborn Nursing 446–485
11 Delegation and Prioritization 486–515
12 Emergency and Disaster Nursing 516–535
13 Mental Health Nursing (Advanced) 536–555
14: Physiological Adaptation (Advanced) 559-570
15 Management Of Care (Advanced) 571 -590
16 Safety and Infection Prevention and Control (Advanced) 576-580
17: Health Promotion and Maintenance (Advanced) 581-590
18 Basic Care and Comfort (Advanced) 591-595
Chapter 1: Management of Care
1. A nurse is prioritizing care for four clients. Which client should the nurse
assess first?
A. A client with a new prescription for antihypertensives
B. A client with stable vital signs post-surgery
C. A client reporting chest pain rated 8/10
D. A client requesting assistance with ambulation
Correct Answer: C
Rationale: Chest pain rated 8/10 indicates a potential cardiac emergency requiring
immediate assessment. Using the ABC framework (Airway, Breathing,
Circulation), chest pain takes priority over routine medication administration and
stable postoperative care. This aligns with American Heart Association guidelines
,for acute coronary syndrome assessment.
DIF: Difficult
KEY: Prioritization
MSC: Management of Care
NOT: Chest pain is a classic emergency presentation requiring immediate nursing
assessment.
2. The charge nurse receives report on four clients. Which client should the
nurse assess first?
A. A client with pneumonia whose oxygen saturation decreased from 95% to 89%
on 2 L/min nasal cannula
B. A client with heart failure who gained 0.5 kg since yesterday
C. A client with diabetes who is awaiting discharge teaching
D. A postoperative client requesting an antiemetic for nausea
Correct Answer: A
Rationale: A new decline in oxygenation represents an immediate
airway/breathing threat and takes priority over stable or nonurgent needs. The drop
from 95% to 89% indicates hypoxemia requiring immediate intervention. Weight
gain, discharge teaching, and nausea are important but not immediately life-
threatening.
DIF: Difficult
KEY: Prioritization
MSC: Management of Care
NOT: Declining oxygen saturation requires immediate assessment and
intervention.
3. The RN is assigning care for four clients. Which task is appropriate to
delegate to an experienced unlicensed assistive personnel (UAP)?
A. Reinforce teaching about incentive spirometry to a postoperative client
B. Obtain routine vital signs for a stable client 24 hours after surgery
, C. Assess a newly admitted client who reports chest pressure
D. Evaluate pain relief 30 minutes after IV morphine
Correct Answer: B
Rationale: UAP may collect routine, predictable data on stable clients. Teaching,
assessment, and evaluation require nursing judgment and remain RN
responsibilities. Obtaining vital signs on a stable client is within the UAP scope of
practice .
DIF: Moderate
KEY: Delegation
MSC: Management of Care
NOT: UAP can perform routine data collection on stable clients.
4. A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which
task is APPROPRIATE for the UAP to perform?
A. Assessing a client's pain level using a standardized scale
B. Administering a prescribed oral medication to a stable client
C. Assisting a postoperative client with ambulation in the hallway
D. Teaching a client about wound care techniques for discharge
Correct Answer: C
Rationale: Unlicensed assistive personnel can perform tasks that do not require
nursing judgment, assessment, teaching, or medication administration. Assisting
with ambulation for a stable postoperative client falls within the UAP's scope.
Assessment, medication administration, and patient education require licensed
nursing expertise.
DIF: Moderate
KEY: Delegation
MSC: Management of Care
NOT: Ambulation assistance is a non-judgment task appropriate for UAP.
Comprehensive Study Guide with 595 Multichoice Questions
| Each Question Includes the Correct Answer with a Detailed
Rationale| Guaranteed Pass (Brand New!!)
Table of Contents
Chapter Content Area Question Range
1 Management of Care 1–60
2 Safety and Infection Prevention and Control 61–110
3 Health Promotion and Maintenance 111–160
4 Psychosocial Integrity 161–210
5 Basic Care and Comfort 211–260
6 Pharmacological and Parenteral Therapies 261–320
7 Reduction of Risk Potential 321–360
,8 Physiological Adaptation 361–400
9. Pediatric Nursing 401–445
10 Maternal-Newborn Nursing 446–485
11 Delegation and Prioritization 486–515
12 Emergency and Disaster Nursing 516–535
13 Mental Health Nursing (Advanced) 536–555
14: Physiological Adaptation (Advanced) 559-570
15 Management Of Care (Advanced) 571 -590
16 Safety and Infection Prevention and Control (Advanced) 576-580
17: Health Promotion and Maintenance (Advanced) 581-590
18 Basic Care and Comfort (Advanced) 591-595
Chapter 1: Management of Care
1. A nurse is prioritizing care for four clients. Which client should the nurse
assess first?
A. A client with a new prescription for antihypertensives
B. A client with stable vital signs post-surgery
C. A client reporting chest pain rated 8/10
D. A client requesting assistance with ambulation
Correct Answer: C
Rationale: Chest pain rated 8/10 indicates a potential cardiac emergency requiring
immediate assessment. Using the ABC framework (Airway, Breathing,
Circulation), chest pain takes priority over routine medication administration and
stable postoperative care. This aligns with American Heart Association guidelines
,for acute coronary syndrome assessment.
DIF: Difficult
KEY: Prioritization
MSC: Management of Care
NOT: Chest pain is a classic emergency presentation requiring immediate nursing
assessment.
2. The charge nurse receives report on four clients. Which client should the
nurse assess first?
A. A client with pneumonia whose oxygen saturation decreased from 95% to 89%
on 2 L/min nasal cannula
B. A client with heart failure who gained 0.5 kg since yesterday
C. A client with diabetes who is awaiting discharge teaching
D. A postoperative client requesting an antiemetic for nausea
Correct Answer: A
Rationale: A new decline in oxygenation represents an immediate
airway/breathing threat and takes priority over stable or nonurgent needs. The drop
from 95% to 89% indicates hypoxemia requiring immediate intervention. Weight
gain, discharge teaching, and nausea are important but not immediately life-
threatening.
DIF: Difficult
KEY: Prioritization
MSC: Management of Care
NOT: Declining oxygen saturation requires immediate assessment and
intervention.
3. The RN is assigning care for four clients. Which task is appropriate to
delegate to an experienced unlicensed assistive personnel (UAP)?
A. Reinforce teaching about incentive spirometry to a postoperative client
B. Obtain routine vital signs for a stable client 24 hours after surgery
, C. Assess a newly admitted client who reports chest pressure
D. Evaluate pain relief 30 minutes after IV morphine
Correct Answer: B
Rationale: UAP may collect routine, predictable data on stable clients. Teaching,
assessment, and evaluation require nursing judgment and remain RN
responsibilities. Obtaining vital signs on a stable client is within the UAP scope of
practice .
DIF: Moderate
KEY: Delegation
MSC: Management of Care
NOT: UAP can perform routine data collection on stable clients.
4. A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which
task is APPROPRIATE for the UAP to perform?
A. Assessing a client's pain level using a standardized scale
B. Administering a prescribed oral medication to a stable client
C. Assisting a postoperative client with ambulation in the hallway
D. Teaching a client about wound care techniques for discharge
Correct Answer: C
Rationale: Unlicensed assistive personnel can perform tasks that do not require
nursing judgment, assessment, teaching, or medication administration. Assisting
with ambulation for a stable postoperative client falls within the UAP's scope.
Assessment, medication administration, and patient education require licensed
nursing expertise.
DIF: Moderate
KEY: Delegation
MSC: Management of Care
NOT: Ambulation assistance is a non-judgment task appropriate for UAP.
