NCLEX-RN TEST BANK UPDATE | 250 QUESTIONS
+ ANSWER SHEET ATTACHED ON THE LAST PAGES, 100%
GUARANTEED PASS || COMPLETE A+ GUIDE
NCLEX-RN TEST BANK 2026/2027
200+ Practice Questions, Answer Key & Detailed Rationales
Verified A+ Notes • Updated 2026/2027 • Exam Success Resources
Study Resource / Practice Examination
Table of Contents
1. Introduction — Questions 1–40
2. Core Concepts — Questions 41–80
3. Applied Scenarios — Questions 81–120
4. Critical Thinking & Clinical Judgment — Questions 121–160
5. Review Questions — Questions 161–200
6. Consolidated Answer Sheet
7. SEO Description & Keywords
SECTION I — INTRODUCTION
Questions 1–40
Question 1
A nurse is preparing to administer medication to a client. Which action best demonstrates safe
medication practice?
A. Ask the client to state the medication's purpose
B. Administer the medication after identifying the room number
C. Document the medication before administration
D. Ask another client to verify the medication
Correct Answer: A
Rationale: Having the client identify themselves and participate in medication verification
provides an additional safety check. Room number alone is not an acceptable client identifier.
,Question 2
Which finding requires the nurse's immediate attention?
A. Temperature of 37.2°C (99.0°F)
B. Respiratory rate of 8/min in a sedated client
C. Heart rate of 82/min
D. Blood pressure of 124/76 mm Hg
Correct Answer: B
Rationale: A respiratory rate of 8/min indicates respiratory depression and may threaten airway
and oxygenation. The other findings are within expected adult ranges.
Question 3
Which assessment should the nurse perform first when receiving a newly admitted client?
A. Dietary preferences
B. Airway and breathing status
C. Family history
D. Insurance information
Correct Answer: B
Rationale: Airway and breathing are immediate physiologic priorities. The ABC framework
guides prioritization when an immediate threat is present.
Question 4
A nurse notices that a client's identification band is missing before medication administration.
What should the nurse do?
A. Ask another nurse to identify the client
B. Administer the medication because the nurse recognizes the client
C. Replace the identification band before administration
D. Ask the client to state the room number
Correct Answer: C
Rationale: Proper identification is required before medication administration. Recognition or
room number does not replace approved identification procedures.
Question 5
Which statement best describes informed consent?
A. The nurse independently explains all surgical risks
B. The client voluntarily agrees after receiving appropriate information
,C. The family makes all decisions for an adult client
D. Consent is unnecessary for invasive procedures
Correct Answer: B
Rationale: Informed consent involves voluntary agreement after the client receives relevant
information from the appropriate provider. The nurse generally verifies understanding and
voluntariness according to policy.
Question 6
Which intervention most directly reduces transmission of infection?
A. Hand hygiene
B. Closing the client's door
C. Limiting visitors
D. Wearing shoe covers
Correct Answer: A
Rationale: Hand hygiene is one of the most effective measures for preventing transmission of
microorganisms in healthcare settings.
Question 7
A nurse is caring for a client with suspected tuberculosis. Which precaution is appropriate?
A. Contact
B. Droplet
C. Airborne
D. Protective
Correct Answer: C
Rationale: Tuberculosis is transmitted through airborne particles. Appropriate respiratory
protection and airborne infection-control measures are required.
Question 8
Which client statement demonstrates understanding of fall prevention?
A. "I will get up quickly so I do not become stiff."
B. "I will call for assistance before getting out of bed."
C. "I will keep the bed at its highest position."
D. "I will walk without my assistive device."
Correct Answer: B
, Rationale: Calling for assistance before ambulation reduces fall risk, particularly in clients with
weakness, dizziness, or impaired mobility.
Question 9
Which action is appropriate when delegating a task?
A. Delegate assessment of an unstable client to assistive personnel
B. Delegate tasks according to competence and scope
C. Delegate all nursing responsibilities
D. Delegate clinical judgment
Correct Answer: B
Rationale: Delegation requires consideration of the task, client condition, required supervision,
and delegatee competence. Nursing judgment and assessment cannot simply be delegated.
Question 10
Which finding is most concerning in a client receiving an opioid?
A. Mild nausea
B. Respiratory rate of 7/min
C. Mild constipation
D. Drowsiness after administration
Correct Answer: B
Rationale: Significant respiratory depression is a potentially life-threatening opioid adverse
effect and requires immediate intervention.
Question 11
A client asks the nurse to explain a complex surgical procedure. What is the nurse's best
response?
A. Provide the surgeon's detailed explanation
B. Tell the client not to worry
C. Notify the provider responsible for explaining the procedure
D. Ask a family member to explain it
Correct Answer: C
Rationale: The provider performing or obtaining consent for the procedure is responsible for
explaining its risks, benefits, alternatives, and nature. The nurse can reinforce information within
scope.
Question 12
+ ANSWER SHEET ATTACHED ON THE LAST PAGES, 100%
GUARANTEED PASS || COMPLETE A+ GUIDE
NCLEX-RN TEST BANK 2026/2027
200+ Practice Questions, Answer Key & Detailed Rationales
Verified A+ Notes • Updated 2026/2027 • Exam Success Resources
Study Resource / Practice Examination
Table of Contents
1. Introduction — Questions 1–40
2. Core Concepts — Questions 41–80
3. Applied Scenarios — Questions 81–120
4. Critical Thinking & Clinical Judgment — Questions 121–160
5. Review Questions — Questions 161–200
6. Consolidated Answer Sheet
7. SEO Description & Keywords
SECTION I — INTRODUCTION
Questions 1–40
Question 1
A nurse is preparing to administer medication to a client. Which action best demonstrates safe
medication practice?
A. Ask the client to state the medication's purpose
B. Administer the medication after identifying the room number
C. Document the medication before administration
D. Ask another client to verify the medication
Correct Answer: A
Rationale: Having the client identify themselves and participate in medication verification
provides an additional safety check. Room number alone is not an acceptable client identifier.
,Question 2
Which finding requires the nurse's immediate attention?
A. Temperature of 37.2°C (99.0°F)
B. Respiratory rate of 8/min in a sedated client
C. Heart rate of 82/min
D. Blood pressure of 124/76 mm Hg
Correct Answer: B
Rationale: A respiratory rate of 8/min indicates respiratory depression and may threaten airway
and oxygenation. The other findings are within expected adult ranges.
Question 3
Which assessment should the nurse perform first when receiving a newly admitted client?
A. Dietary preferences
B. Airway and breathing status
C. Family history
D. Insurance information
Correct Answer: B
Rationale: Airway and breathing are immediate physiologic priorities. The ABC framework
guides prioritization when an immediate threat is present.
Question 4
A nurse notices that a client's identification band is missing before medication administration.
What should the nurse do?
A. Ask another nurse to identify the client
B. Administer the medication because the nurse recognizes the client
C. Replace the identification band before administration
D. Ask the client to state the room number
Correct Answer: C
Rationale: Proper identification is required before medication administration. Recognition or
room number does not replace approved identification procedures.
Question 5
Which statement best describes informed consent?
A. The nurse independently explains all surgical risks
B. The client voluntarily agrees after receiving appropriate information
,C. The family makes all decisions for an adult client
D. Consent is unnecessary for invasive procedures
Correct Answer: B
Rationale: Informed consent involves voluntary agreement after the client receives relevant
information from the appropriate provider. The nurse generally verifies understanding and
voluntariness according to policy.
Question 6
Which intervention most directly reduces transmission of infection?
A. Hand hygiene
B. Closing the client's door
C. Limiting visitors
D. Wearing shoe covers
Correct Answer: A
Rationale: Hand hygiene is one of the most effective measures for preventing transmission of
microorganisms in healthcare settings.
Question 7
A nurse is caring for a client with suspected tuberculosis. Which precaution is appropriate?
A. Contact
B. Droplet
C. Airborne
D. Protective
Correct Answer: C
Rationale: Tuberculosis is transmitted through airborne particles. Appropriate respiratory
protection and airborne infection-control measures are required.
Question 8
Which client statement demonstrates understanding of fall prevention?
A. "I will get up quickly so I do not become stiff."
B. "I will call for assistance before getting out of bed."
C. "I will keep the bed at its highest position."
D. "I will walk without my assistive device."
Correct Answer: B
, Rationale: Calling for assistance before ambulation reduces fall risk, particularly in clients with
weakness, dizziness, or impaired mobility.
Question 9
Which action is appropriate when delegating a task?
A. Delegate assessment of an unstable client to assistive personnel
B. Delegate tasks according to competence and scope
C. Delegate all nursing responsibilities
D. Delegate clinical judgment
Correct Answer: B
Rationale: Delegation requires consideration of the task, client condition, required supervision,
and delegatee competence. Nursing judgment and assessment cannot simply be delegated.
Question 10
Which finding is most concerning in a client receiving an opioid?
A. Mild nausea
B. Respiratory rate of 7/min
C. Mild constipation
D. Drowsiness after administration
Correct Answer: B
Rationale: Significant respiratory depression is a potentially life-threatening opioid adverse
effect and requires immediate intervention.
Question 11
A client asks the nurse to explain a complex surgical procedure. What is the nurse's best
response?
A. Provide the surgeon's detailed explanation
B. Tell the client not to worry
C. Notify the provider responsible for explaining the procedure
D. Ask a family member to explain it
Correct Answer: C
Rationale: The provider performing or obtaining consent for the procedure is responsible for
explaining its risks, benefits, alternatives, and nature. The nurse can reinforce information within
scope.
Question 12
