UWorld NCLEX-RN Review | A Test
Prep with Great Practice Questions |
Verified Q&A | A+ Graded |
2025/2026 Edition
Section 1: Introduction
This document provides a curated selection of high-quality and fully verified practice
questions from the UWorld NCLEX-RN Review, tailored for the 2025/2026 testing
cycle. It includes expertly designed questions that mirror the NCLEX-RN format and
focus on core areas such as clinical judgment, pharmacology, prioritization, patient
safety, and evidence-based care. All answers are A+ graded and aligned with NCLEX
testing standards, making this an essential test prep tool for nursing students
preparing for licensure.
Section 2: Practice Questions and Answers
1. A nurse is assessing a patient with suspected pneumonia. Which finding requires
immediate intervention?
A. Temperature of 38.5°C
B. Respiratory rate of 32 breaths/min
C. Pulse oximetry of 88% on room air
D. Productive cough with yellow sputum
Correct Answer: C. Pulse oximetry of 88% on room air
Rationale: A pulse oximetry reading below 90% indicates hypoxemia, requiring
immediate oxygen therapy.
2. A nurse is preparing to administer a dose of warfarin. Which laboratory value
should be monitored?
A. Hemoglobin
B. International Normalized Ratio (INR)
C. White blood cell count
D. Blood urea nitrogen (BUN)
Correct Answer: B. International Normalized Ratio (INR)
Rationale: INR monitors the therapeutic effect of warfarin and prevents bleeding
risks.
3. A nurse is prioritizing care for four patients. Which patient should be assessed
first?
A. A patient with a new prescription for insulin
B. A patient reporting chest pain for 10 minutes
C. A patient needing a dressing change
D. A patient scheduled for discharge
Correct Answer: B. A patient reporting chest pain for 10 minutes
Rationale: Chest pain may indicate a cardiac emergency, requiring immediate
assessment.
,4. A nurse is teaching a patient about preventing falls at home. Which interventions
should be included? (Select all that apply)
A. Remove throw rugs
B. Install grab bars in the bathroom
C. Use a nightlight in hallways
D. Encourage wearing socks without traction
Correct Answer: A. Remove throw rugs B. Install grab bars in the bathroom C.
Use a nightlight in hallways
Rationale: These measures reduce fall risks; socks without traction increase the risk.
5. A nurse is caring for a patient receiving a blood transfusion who develops a
fever. What is the priority action?
A. Stop the transfusion
B. Administer antipyretics
C. Increase the infusion rate
D. Notify the physician
Correct Answer: A. Stop the transfusion
Rationale: A fever may indicate a transfusion reaction, requiring immediate cessation.
6. A nurse is reviewing a patient’s medication list and notes a potential drug
interaction. Which action should the nurse take?
A. Administer the medications as prescribed
B. Consult the healthcare provider
C. Discontinue the interacting drug
D. Increase the dose of the interacting drug
Correct Answer: B. Consult the healthcare provider
Rationale: Consultation ensures safe adjustment of the treatment plan.
7. A nurse is delegating tasks to a licensed practical nurse (LPN). Which task is
appropriate?
A. Perform a comprehensive assessment
B. Administer IV push medications
C. Monitor a patient with a stable condition
D. Develop a care plan
Correct Answer: C. Monitor a patient with a stable condition
Rationale: Monitoring stable patients falls within an LPN’s scope of practice.
8. A patient with diabetes is experiencing hypoglycemia. Which intervention should
the nurse implement first?
A. Administer 15-20 grams of fast-acting carbohydrate
B. Recheck blood glucose in 1 hour
C. Administer insulin
D. Provide a full meal
Correct Answer: A. Administer 15-20 grams of fast-acting carbohydrate
Rationale: Fast-acting carbs rapidly raise blood glucose levels.
9. A nurse is caring for a patient post-surgery who has a chest tube. Which
assessment finding is abnormal?
A. Continuous bubbling in the water seal chamber
B. Fluctuation in the water seal chamber with respiration
C. Drainage of 100 mL in the first hour
D. Absence of air leak
Correct Answer: A. Continuous bubbling in the water seal chamber
Rationale: Continuous bubbling indicates an air leak, requiring intervention.
, 10. A nurse is educating a patient about managing hypertension. Which lifestyle
change should be emphasized?
A. Increase sodium intake
B. Engage in regular physical activity
C. Reduce water intake
D. Avoid all medications
Correct Answer: B. Engage in regular physical activity
Rationale: Exercise helps lower blood pressure effectively.
11. A nurse is assessing a patient with heart failure. Which symptom is the most
concerning?
A. Mild ankle swelling
B. Shortness of breath at rest
C. Fatigue after activity
D. Decreased appetite
Correct Answer: B. Shortness of breath at rest
Rationale: Resting dyspnea indicates severe cardiac decompensation.
12. A nurse is administering a unit of packed red blood cells. Which action is most
important?
A. Verify the blood type with another nurse
B. Warm the blood to body temperature
C. Infuse the unit over 6 hours
D. Use a 22-gauge needle
Correct Answer: A. Verify the blood type with another nurse
Rationale: Verification prevents transfusion reactions.
13. A nurse is caring for a patient with a new tracheostomy. What is the priority
nursing action?
A. Suction the airway as needed
B. Change the tracheostomy ties daily
C. Encourage oral intake
D. Apply a humidifier to the setup
Correct Answer: A. Suction the airway as needed
Rationale: Suctioning maintains a patent airway.
14. A nurse is teaching a patient about postoperative deep breathing exercises. What
is the primary purpose?
A. Prevent pneumonia
B. Reduce pain
C. Improve circulation
D. Enhance appetite
Correct Answer: A. Prevent pneumonia
Rationale: Deep breathing prevents atelectasis and pneumonia.
15. A nurse is caring for a patient with a urinary catheter. Which finding suggests a
catheter-associated infection?
A. Clear urine output
B. Cloudy urine with sediment
C. Steady drip rate
D. Absence of discomfort
Correct Answer: B. Cloudy urine with sediment
Rationale: Cloudy urine indicates possible infection.
16. A nurse is preparing to discharge a patient with a new colostomy. What should
be included in teaching?
Prep with Great Practice Questions |
Verified Q&A | A+ Graded |
2025/2026 Edition
Section 1: Introduction
This document provides a curated selection of high-quality and fully verified practice
questions from the UWorld NCLEX-RN Review, tailored for the 2025/2026 testing
cycle. It includes expertly designed questions that mirror the NCLEX-RN format and
focus on core areas such as clinical judgment, pharmacology, prioritization, patient
safety, and evidence-based care. All answers are A+ graded and aligned with NCLEX
testing standards, making this an essential test prep tool for nursing students
preparing for licensure.
Section 2: Practice Questions and Answers
1. A nurse is assessing a patient with suspected pneumonia. Which finding requires
immediate intervention?
A. Temperature of 38.5°C
B. Respiratory rate of 32 breaths/min
C. Pulse oximetry of 88% on room air
D. Productive cough with yellow sputum
Correct Answer: C. Pulse oximetry of 88% on room air
Rationale: A pulse oximetry reading below 90% indicates hypoxemia, requiring
immediate oxygen therapy.
2. A nurse is preparing to administer a dose of warfarin. Which laboratory value
should be monitored?
A. Hemoglobin
B. International Normalized Ratio (INR)
C. White blood cell count
D. Blood urea nitrogen (BUN)
Correct Answer: B. International Normalized Ratio (INR)
Rationale: INR monitors the therapeutic effect of warfarin and prevents bleeding
risks.
3. A nurse is prioritizing care for four patients. Which patient should be assessed
first?
A. A patient with a new prescription for insulin
B. A patient reporting chest pain for 10 minutes
C. A patient needing a dressing change
D. A patient scheduled for discharge
Correct Answer: B. A patient reporting chest pain for 10 minutes
Rationale: Chest pain may indicate a cardiac emergency, requiring immediate
assessment.
,4. A nurse is teaching a patient about preventing falls at home. Which interventions
should be included? (Select all that apply)
A. Remove throw rugs
B. Install grab bars in the bathroom
C. Use a nightlight in hallways
D. Encourage wearing socks without traction
Correct Answer: A. Remove throw rugs B. Install grab bars in the bathroom C.
Use a nightlight in hallways
Rationale: These measures reduce fall risks; socks without traction increase the risk.
5. A nurse is caring for a patient receiving a blood transfusion who develops a
fever. What is the priority action?
A. Stop the transfusion
B. Administer antipyretics
C. Increase the infusion rate
D. Notify the physician
Correct Answer: A. Stop the transfusion
Rationale: A fever may indicate a transfusion reaction, requiring immediate cessation.
6. A nurse is reviewing a patient’s medication list and notes a potential drug
interaction. Which action should the nurse take?
A. Administer the medications as prescribed
B. Consult the healthcare provider
C. Discontinue the interacting drug
D. Increase the dose of the interacting drug
Correct Answer: B. Consult the healthcare provider
Rationale: Consultation ensures safe adjustment of the treatment plan.
7. A nurse is delegating tasks to a licensed practical nurse (LPN). Which task is
appropriate?
A. Perform a comprehensive assessment
B. Administer IV push medications
C. Monitor a patient with a stable condition
D. Develop a care plan
Correct Answer: C. Monitor a patient with a stable condition
Rationale: Monitoring stable patients falls within an LPN’s scope of practice.
8. A patient with diabetes is experiencing hypoglycemia. Which intervention should
the nurse implement first?
A. Administer 15-20 grams of fast-acting carbohydrate
B. Recheck blood glucose in 1 hour
C. Administer insulin
D. Provide a full meal
Correct Answer: A. Administer 15-20 grams of fast-acting carbohydrate
Rationale: Fast-acting carbs rapidly raise blood glucose levels.
9. A nurse is caring for a patient post-surgery who has a chest tube. Which
assessment finding is abnormal?
A. Continuous bubbling in the water seal chamber
B. Fluctuation in the water seal chamber with respiration
C. Drainage of 100 mL in the first hour
D. Absence of air leak
Correct Answer: A. Continuous bubbling in the water seal chamber
Rationale: Continuous bubbling indicates an air leak, requiring intervention.
, 10. A nurse is educating a patient about managing hypertension. Which lifestyle
change should be emphasized?
A. Increase sodium intake
B. Engage in regular physical activity
C. Reduce water intake
D. Avoid all medications
Correct Answer: B. Engage in regular physical activity
Rationale: Exercise helps lower blood pressure effectively.
11. A nurse is assessing a patient with heart failure. Which symptom is the most
concerning?
A. Mild ankle swelling
B. Shortness of breath at rest
C. Fatigue after activity
D. Decreased appetite
Correct Answer: B. Shortness of breath at rest
Rationale: Resting dyspnea indicates severe cardiac decompensation.
12. A nurse is administering a unit of packed red blood cells. Which action is most
important?
A. Verify the blood type with another nurse
B. Warm the blood to body temperature
C. Infuse the unit over 6 hours
D. Use a 22-gauge needle
Correct Answer: A. Verify the blood type with another nurse
Rationale: Verification prevents transfusion reactions.
13. A nurse is caring for a patient with a new tracheostomy. What is the priority
nursing action?
A. Suction the airway as needed
B. Change the tracheostomy ties daily
C. Encourage oral intake
D. Apply a humidifier to the setup
Correct Answer: A. Suction the airway as needed
Rationale: Suctioning maintains a patent airway.
14. A nurse is teaching a patient about postoperative deep breathing exercises. What
is the primary purpose?
A. Prevent pneumonia
B. Reduce pain
C. Improve circulation
D. Enhance appetite
Correct Answer: A. Prevent pneumonia
Rationale: Deep breathing prevents atelectasis and pneumonia.
15. A nurse is caring for a patient with a urinary catheter. Which finding suggests a
catheter-associated infection?
A. Clear urine output
B. Cloudy urine with sediment
C. Steady drip rate
D. Absence of discomfort
Correct Answer: B. Cloudy urine with sediment
Rationale: Cloudy urine indicates possible infection.
16. A nurse is preparing to discharge a patient with a new colostomy. What should
be included in teaching?
