NCLEX READINESS TEST QUESTIONS AND
ANSWERS LATEST 2025-2026 EXAM UPDATE
|GRADE A+ GUARANTEE
A newly reassigned nurse enters a hospital room at the beginning of the
shift and finds the client unconscious and unresponsive. Resuscitation is
initiated and then continued by the rapid response team. The nurse
realizes that there is a do not resuscitate (DNR) prescription posted in
the client's chart. Which action is correct?
1. Stop all resuscitation activity immediately
2. Continue resuscitation until DNR status is verified with health care
provider
3. If client shows any signs of life, follow advanced cardiovascular
support protocol until stable
4. Once resuscitation has begun, complete it regardless of client code
status - Answer-1. Stop all resuscitation activity immediately
A client recently diagnosed with a major depressive disorder reports use
of herbal supplements. It is most
important for the nurse to provide education about which supplement
reported by the client?
1. Echinacea
2. Garlic
3. Glucosamine
4. St John's wort - Answer-4. St John's wort
,A nurse is caring for a college athlete who was recently diagnosed with
moderate persistent asthma. Which common asthma trigger should the
nurse teach this client to avoid?
1. Latex-containing products
2. Penicillin antibiotics
3. Secondhand cigarette smoke
4. Strenuous physical activity - Answer-3. Secondhand cigarette smoke
A client with a diagnosis of schizophrenia with catatonia has recently
been admitted to the psychiatric unit. Which of the following is the
priority nursing diagnosis?
1. Impaired social interaction
2. Impaired verbal communication
3. Risk for deficient fluid volume
4. Risk for impaired skin integrity - Answer-3. Risk for deficient fluid
volume
The nurse is caring for 4 clients. Based on the assessment data, which
client does the nurse anticipate the health care provider transferring to
the intensive care unit?
1. 36-year-old with alcohol abuse who is prescribed IV lorazepam every
3 hours for agitation and has a blood pressure of 190/98 mm Hg and
serum magnesium level of 1.5 mEq/L (0.75 mmol/L)
,2. 56-year-old with stable angina who has chest and jaw pain relieved
with nitroglycerin, blood pressure of 98/70 mm Hg, and dizziness when
getting up
3. 60-year-old with chronic kidney disease who has a blood pressure of
168/88 mm Hg, serum creatinine level of 5.0 mg/dL (442 µmol/L), and
reports nausea and itching
4. 82-year-old with pressure injury who has a change in mental status,
temperature of 96.4 F (35.8 C), pulse of 110/min, and blood pressure of
96/72 mm Hg - Answer-4. 82-year-old with pressure injury who has a
change in mental status, temperature of 96.4 F (35.8 C), pulse of
110/min, and blood pressure of 96/72 mm Hg
The charge registered nurse (RN) on a medical-surgical unit is
responsible for making assignments. Which assignment made by the RN
is most appropriate?
1. A licensed practical nurse (LPN) assigned to a client receiving blood
transfusions
2. A student nurse assigned to a client who requires frequent intravenous
pain medication
3. An LPN assigned to a client 2 days postoperative appendectomy
scheduled to be discharged today
4. An RN assigned to a client 1 day postoperative repair of a compound
fracture - Answer-4. An RN assigned to a client 1 day postoperative
repair of a compound fracture
A nurse caring for a client following a right femoral angiogram is
unable to palpate the right pedal pulse. What should the nurse do next?
1. Apply a heating pad to increase circulation
, 2. Call the health care provider
3. Document "0" for right pedal pulse strength
4. Obtain a Doppler ultrasound - Answer-3. Document "0" for right
pedal pulse strength
The nurse is preparing to administer the fourth dose of IV vancomycin
to a client. Which set of laboratory values would alert the nurse to hold
the vancomycin and notify the health care provider?
1. Vancomycin trough 10 mg/L (6.9 µmol/L), creatinine 1.1 mg/dL
(97.2 µmol/L), BUN 6 mg/dL (2.1 mmol/L)
2. Vancomycin trough 14 mg/L (9.7 µmol/L), creatinine 1.2 mg/dL
(106.1 µmol/L), BUN 10 mg/dL (3.6 mmol/L)
3. Vancomycin trough 18 mg/L (12.4 µmol/L), creatinine 0.6 mg/dL (53
µmol/L), BUN 18 mg/dL (6.4 mmol/L)
4. Vancomycin trough 23 mg/L (15.9 µmol/L), creatinine 1.5 mg/dL
(132.6 µmol/L), BUN 24 mg/dL (8.6 mmol/L) - Answer-4. Vancomycin
trough 23 mg/L (15.9 µmol/L), creatinine 1.5 mg/dL (132.6 µmol/L),
BUN 24 mg/dL (8.6 mmol/L)
Which client is at greatest risk for respiratory depression when
receiving opioids for pain control?
1. 20-year-old client with bronchitis receiving inhaled bronchodilator
therapy every 4 hours
2. 30-year-old client with heroin addiction with rotator cuff repair
surgery this morning
3. 50-year-old client with sleep apnea and left foot cellulitis and
scheduled for a bone scan
ANSWERS LATEST 2025-2026 EXAM UPDATE
|GRADE A+ GUARANTEE
A newly reassigned nurse enters a hospital room at the beginning of the
shift and finds the client unconscious and unresponsive. Resuscitation is
initiated and then continued by the rapid response team. The nurse
realizes that there is a do not resuscitate (DNR) prescription posted in
the client's chart. Which action is correct?
1. Stop all resuscitation activity immediately
2. Continue resuscitation until DNR status is verified with health care
provider
3. If client shows any signs of life, follow advanced cardiovascular
support protocol until stable
4. Once resuscitation has begun, complete it regardless of client code
status - Answer-1. Stop all resuscitation activity immediately
A client recently diagnosed with a major depressive disorder reports use
of herbal supplements. It is most
important for the nurse to provide education about which supplement
reported by the client?
1. Echinacea
2. Garlic
3. Glucosamine
4. St John's wort - Answer-4. St John's wort
,A nurse is caring for a college athlete who was recently diagnosed with
moderate persistent asthma. Which common asthma trigger should the
nurse teach this client to avoid?
1. Latex-containing products
2. Penicillin antibiotics
3. Secondhand cigarette smoke
4. Strenuous physical activity - Answer-3. Secondhand cigarette smoke
A client with a diagnosis of schizophrenia with catatonia has recently
been admitted to the psychiatric unit. Which of the following is the
priority nursing diagnosis?
1. Impaired social interaction
2. Impaired verbal communication
3. Risk for deficient fluid volume
4. Risk for impaired skin integrity - Answer-3. Risk for deficient fluid
volume
The nurse is caring for 4 clients. Based on the assessment data, which
client does the nurse anticipate the health care provider transferring to
the intensive care unit?
1. 36-year-old with alcohol abuse who is prescribed IV lorazepam every
3 hours for agitation and has a blood pressure of 190/98 mm Hg and
serum magnesium level of 1.5 mEq/L (0.75 mmol/L)
,2. 56-year-old with stable angina who has chest and jaw pain relieved
with nitroglycerin, blood pressure of 98/70 mm Hg, and dizziness when
getting up
3. 60-year-old with chronic kidney disease who has a blood pressure of
168/88 mm Hg, serum creatinine level of 5.0 mg/dL (442 µmol/L), and
reports nausea and itching
4. 82-year-old with pressure injury who has a change in mental status,
temperature of 96.4 F (35.8 C), pulse of 110/min, and blood pressure of
96/72 mm Hg - Answer-4. 82-year-old with pressure injury who has a
change in mental status, temperature of 96.4 F (35.8 C), pulse of
110/min, and blood pressure of 96/72 mm Hg
The charge registered nurse (RN) on a medical-surgical unit is
responsible for making assignments. Which assignment made by the RN
is most appropriate?
1. A licensed practical nurse (LPN) assigned to a client receiving blood
transfusions
2. A student nurse assigned to a client who requires frequent intravenous
pain medication
3. An LPN assigned to a client 2 days postoperative appendectomy
scheduled to be discharged today
4. An RN assigned to a client 1 day postoperative repair of a compound
fracture - Answer-4. An RN assigned to a client 1 day postoperative
repair of a compound fracture
A nurse caring for a client following a right femoral angiogram is
unable to palpate the right pedal pulse. What should the nurse do next?
1. Apply a heating pad to increase circulation
, 2. Call the health care provider
3. Document "0" for right pedal pulse strength
4. Obtain a Doppler ultrasound - Answer-3. Document "0" for right
pedal pulse strength
The nurse is preparing to administer the fourth dose of IV vancomycin
to a client. Which set of laboratory values would alert the nurse to hold
the vancomycin and notify the health care provider?
1. Vancomycin trough 10 mg/L (6.9 µmol/L), creatinine 1.1 mg/dL
(97.2 µmol/L), BUN 6 mg/dL (2.1 mmol/L)
2. Vancomycin trough 14 mg/L (9.7 µmol/L), creatinine 1.2 mg/dL
(106.1 µmol/L), BUN 10 mg/dL (3.6 mmol/L)
3. Vancomycin trough 18 mg/L (12.4 µmol/L), creatinine 0.6 mg/dL (53
µmol/L), BUN 18 mg/dL (6.4 mmol/L)
4. Vancomycin trough 23 mg/L (15.9 µmol/L), creatinine 1.5 mg/dL
(132.6 µmol/L), BUN 24 mg/dL (8.6 mmol/L) - Answer-4. Vancomycin
trough 23 mg/L (15.9 µmol/L), creatinine 1.5 mg/dL (132.6 µmol/L),
BUN 24 mg/dL (8.6 mmol/L)
Which client is at greatest risk for respiratory depression when
receiving opioids for pain control?
1. 20-year-old client with bronchitis receiving inhaled bronchodilator
therapy every 4 hours
2. 30-year-old client with heroin addiction with rotator cuff repair
surgery this morning
3. 50-year-old client with sleep apnea and left foot cellulitis and
scheduled for a bone scan
