NEW GENERATION NCLEX EXAM QUESTIONS
2026 JANUARY REAL QUESTIONS & ANSWERS
NCLEX 2026 – ACTUAL EXAM QUESTIONS AND
ANSWERS
1. Multiple-choice question (MCQ):
Question: Which of the following is the most common cause of nosocomial infections?
A. Escherichia coli
B. Staphylococcus aureus
C. Pseudomonas aeruginosa
D. Streptococcus pneumoniae
Answer: B. Staphylococcus aureus
2. Multiple-response question (MRQ):
Question: Which of the following are early signs of hypoxia? (Select all that apply.)
A. Restlessness
B. Tachycardia
C. Bradypnea
D. Cyanosis
E. Confusion
Answer: A. Restlessness, B. Tachycardia, E. Confusion
3. Ordered response question:
,Question: Arrange the following steps of the nursing process in the correct order.
A. Planning
, B. Assessment
C. Evaluation
D. Implementation
Answer: B. Assessment, A. Planning, D. Implementation, C. Evaluation
4. Fill-in-the-blank question:
Question: The normal range for adult heart rate is between and beats per
minute.
Answer: 60 and 100
5. Hotspot question:
Question: [An image of the human body is provided.]
Click on the correct location of the apex of the heart.
, Answer: [A point in the image where the apex of the heart is located, typically in the left
chest area.]
6. Chart/exhibit question: Question: [A table of vital signs for a patient is provided.] Based
on the patient's vital signs, which of the following interventions is most appropriate?
A. Administer supplemental oxygen
B. Initiate IV fluid replacement
C. Provide pain relief medication
D. Monitor vital signs closely
Answer: [The answer would depend on the specific vital signs provided in the chart.]
7. Drag-and-drop question:
Question: Drag the following electrolytes to their normal adult serum concentrations.
A. Sodium (Na+)
B. Potassium (K+)
C. Calcium (Ca2+)
D. Magnesium (Mg2+)
Answer:
A. Sodium (Na+): 135-145 mEq/L
B. Potassium (K+): 3.5-5.0 mEq/L
C. Calcium (Ca2+): 8.5-10.5 mg/dL
D. Magnesium (Mg2+): 1.5-2.5 mEq/L
2026 JANUARY REAL QUESTIONS & ANSWERS
NCLEX 2026 – ACTUAL EXAM QUESTIONS AND
ANSWERS
1. Multiple-choice question (MCQ):
Question: Which of the following is the most common cause of nosocomial infections?
A. Escherichia coli
B. Staphylococcus aureus
C. Pseudomonas aeruginosa
D. Streptococcus pneumoniae
Answer: B. Staphylococcus aureus
2. Multiple-response question (MRQ):
Question: Which of the following are early signs of hypoxia? (Select all that apply.)
A. Restlessness
B. Tachycardia
C. Bradypnea
D. Cyanosis
E. Confusion
Answer: A. Restlessness, B. Tachycardia, E. Confusion
3. Ordered response question:
,Question: Arrange the following steps of the nursing process in the correct order.
A. Planning
, B. Assessment
C. Evaluation
D. Implementation
Answer: B. Assessment, A. Planning, D. Implementation, C. Evaluation
4. Fill-in-the-blank question:
Question: The normal range for adult heart rate is between and beats per
minute.
Answer: 60 and 100
5. Hotspot question:
Question: [An image of the human body is provided.]
Click on the correct location of the apex of the heart.
, Answer: [A point in the image where the apex of the heart is located, typically in the left
chest area.]
6. Chart/exhibit question: Question: [A table of vital signs for a patient is provided.] Based
on the patient's vital signs, which of the following interventions is most appropriate?
A. Administer supplemental oxygen
B. Initiate IV fluid replacement
C. Provide pain relief medication
D. Monitor vital signs closely
Answer: [The answer would depend on the specific vital signs provided in the chart.]
7. Drag-and-drop question:
Question: Drag the following electrolytes to their normal adult serum concentrations.
A. Sodium (Na+)
B. Potassium (K+)
C. Calcium (Ca2+)
D. Magnesium (Mg2+)
Answer:
A. Sodium (Na+): 135-145 mEq/L
B. Potassium (K+): 3.5-5.0 mEq/L
C. Calcium (Ca2+): 8.5-10.5 mg/dL
D. Magnesium (Mg2+): 1.5-2.5 mEq/L
