CliffsTestPrep
NCLEX-PN PRACTICE QUESTIONS
AND ANSWERS 2026/2027
An American BookWorks Corporation Project
Contributing Authors/Consultants Sharon Krumm, RN, MN, CCRN
Amy Anderson, RN, MSN
Texas Tech University Health Sciences Center,
School of Nursing, TX
Wanda Bradshaw, RNC, MSN
Duke University, NC
Valerie Eschiti, RN, MSN, CHTP, HNC
Midwestern State University, TX
Sara Freuchting, RN, MNSc, CCRN,
APRN, BC
University of Arkansas
Arkansas State at Little
University, AR Rock, AR Carolyn Mathis White, RN, MSN, FNP,
PNP, JD
Mary Alice Momeyer, MSN, CNP
University of South Alabama, AL
Ohio State University
Joan Williams, MS, RN, CS, CNP
,Cynthia O’Neal, PhD, RN
Texas Tech University Health Sciences Center
School of Nursing, TX
Deborah Persell, MSW, RN, CPNP
Arkansas State University, AR
Vicki A. Schnetter, MSN, RN
Texas Tech University Health Sciences Center
School of Nursing, TX
Brenda Leigh Yolles Smith, EdD RN, MN,
CNM, ICCE
Arkansas State University, AR
,Table of Contents
Introduction ........................................................................................................................... 1
PART I: SUBJECT AREA REVIEW CHAPTERS
Coordinated Care .............................................................................................................. 15
Advance Directives • Advocacy • Client Care Assignments • Client Rights • Concepts of
Management and Supervision • Confidentiality • Consultation with Members of the
Health Care Team • Continuity of Care • Establishing Priorities • Ethical Practice •
Informed Consent • Legal Responsibilities • Performance Improvement (Quality
Assurance) • Referral Process • Resource Management
Safety and Infection Control.......................................................................................... 59
Accident/Error Prevention • Handling Hazardous and Infectious Materials • Home
Safety • Injury Prevention • Internal and External Disaster Plans • Medical and
Surgical Asepsis • Reporting of Incident/Event/Irregular Occurrence/Variance • Safe Use
of Equipment • Security Plans • Standard/Transmission-Based/Other Precautions • Use
of Restraints/Safety Devices
Health Promotion and Maintenance ........................................................................... 105
Aging Process • Ante/Intra/Postpartum and Newborn Care • Data Collection Techniques
Developmental Stages and Transitions • Disease Prevention • Expected Body Image
Changes • Family Interaction Patterns • Family Planning • Health Promotion/Screening
Programs • High Risk Behaviors • Human Sexuality • Immunizations • Lifestyle Choices
Self-Care
Psychosocial Integrity ...................................................................................................... 175
Abuse or Neglect • Behavioral Interventions • Behavioral Management • Coping
Mechanisms • Crisis Intervention • Cultural Awareness • End-of-Life Concepts • Grief
and Loss • Mental Health Concepts • Mental Illness Concepts • Religious or Spiritual
Influences on Health • Sensory/Perceptual Alterations • Situational Role Changes •
Stress Management • Substance-Related Disorders • Suicide/Violence Precautions •
Support Systems • Therapeutic Communication • Therapeutic Environment • Unexpected
Body Image Changes
Basic Care and Comfort ................................................................................................ 219
Assistive Devices • Elimination • Mobility/Immobility • Non-Pharmacological Comfort
Interventions • Nutrition and Oral Hydration • Palliative/Comfort Care • Personal
Hygiene • Rest and Sleep
, Pharmacological Therapies ........................................................................................... 259
Adverse Effects • Expected Effects • Medication Administration • Pharmacological
Actions • Pharmacological Agents • Side Effects
Reduction of Risk Potential ...........................................................................................303
Diagnostic Tests • Laboratory Values • Potential for Alterations in Body Systems •
Potential for Complications of Diagnostic Tests/Treatments/Procedures/Surgery, or
Health Alterations • Therapeutic Procedures • Vital Signs
Physiological Adaptation ................................................................................................337
Alterations in Body Systems • Basic Pathophysiology • Fluid and Electrolyte Imbalances
Medical Emergencies • Radiation Therapy • Unexpected Response to Therapies
PART II: NCLEX-PN PRACTICE TESTS
NCLEX-PN Practice Test 1 ............................................................................................393
Answers and Explanations for Practice Test 1 .......................................................................................413
NCLEX-PN Practice Test 2 ............................................................................................427
Answers and Explanations for Practice Test 2 .......................................................................................449
NCLEX-PN Practice Test 3 ............................................................................................465
Answers and Explanations for Practice Test 3 .......................................................................................487
End-User License Agreement .......................................................................................503
NCLEX-PN PRACTICE QUESTIONS
AND ANSWERS 2026/2027
An American BookWorks Corporation Project
Contributing Authors/Consultants Sharon Krumm, RN, MN, CCRN
Amy Anderson, RN, MSN
Texas Tech University Health Sciences Center,
School of Nursing, TX
Wanda Bradshaw, RNC, MSN
Duke University, NC
Valerie Eschiti, RN, MSN, CHTP, HNC
Midwestern State University, TX
Sara Freuchting, RN, MNSc, CCRN,
APRN, BC
University of Arkansas
Arkansas State at Little
University, AR Rock, AR Carolyn Mathis White, RN, MSN, FNP,
PNP, JD
Mary Alice Momeyer, MSN, CNP
University of South Alabama, AL
Ohio State University
Joan Williams, MS, RN, CS, CNP
,Cynthia O’Neal, PhD, RN
Texas Tech University Health Sciences Center
School of Nursing, TX
Deborah Persell, MSW, RN, CPNP
Arkansas State University, AR
Vicki A. Schnetter, MSN, RN
Texas Tech University Health Sciences Center
School of Nursing, TX
Brenda Leigh Yolles Smith, EdD RN, MN,
CNM, ICCE
Arkansas State University, AR
,Table of Contents
Introduction ........................................................................................................................... 1
PART I: SUBJECT AREA REVIEW CHAPTERS
Coordinated Care .............................................................................................................. 15
Advance Directives • Advocacy • Client Care Assignments • Client Rights • Concepts of
Management and Supervision • Confidentiality • Consultation with Members of the
Health Care Team • Continuity of Care • Establishing Priorities • Ethical Practice •
Informed Consent • Legal Responsibilities • Performance Improvement (Quality
Assurance) • Referral Process • Resource Management
Safety and Infection Control.......................................................................................... 59
Accident/Error Prevention • Handling Hazardous and Infectious Materials • Home
Safety • Injury Prevention • Internal and External Disaster Plans • Medical and
Surgical Asepsis • Reporting of Incident/Event/Irregular Occurrence/Variance • Safe Use
of Equipment • Security Plans • Standard/Transmission-Based/Other Precautions • Use
of Restraints/Safety Devices
Health Promotion and Maintenance ........................................................................... 105
Aging Process • Ante/Intra/Postpartum and Newborn Care • Data Collection Techniques
Developmental Stages and Transitions • Disease Prevention • Expected Body Image
Changes • Family Interaction Patterns • Family Planning • Health Promotion/Screening
Programs • High Risk Behaviors • Human Sexuality • Immunizations • Lifestyle Choices
Self-Care
Psychosocial Integrity ...................................................................................................... 175
Abuse or Neglect • Behavioral Interventions • Behavioral Management • Coping
Mechanisms • Crisis Intervention • Cultural Awareness • End-of-Life Concepts • Grief
and Loss • Mental Health Concepts • Mental Illness Concepts • Religious or Spiritual
Influences on Health • Sensory/Perceptual Alterations • Situational Role Changes •
Stress Management • Substance-Related Disorders • Suicide/Violence Precautions •
Support Systems • Therapeutic Communication • Therapeutic Environment • Unexpected
Body Image Changes
Basic Care and Comfort ................................................................................................ 219
Assistive Devices • Elimination • Mobility/Immobility • Non-Pharmacological Comfort
Interventions • Nutrition and Oral Hydration • Palliative/Comfort Care • Personal
Hygiene • Rest and Sleep
, Pharmacological Therapies ........................................................................................... 259
Adverse Effects • Expected Effects • Medication Administration • Pharmacological
Actions • Pharmacological Agents • Side Effects
Reduction of Risk Potential ...........................................................................................303
Diagnostic Tests • Laboratory Values • Potential for Alterations in Body Systems •
Potential for Complications of Diagnostic Tests/Treatments/Procedures/Surgery, or
Health Alterations • Therapeutic Procedures • Vital Signs
Physiological Adaptation ................................................................................................337
Alterations in Body Systems • Basic Pathophysiology • Fluid and Electrolyte Imbalances
Medical Emergencies • Radiation Therapy • Unexpected Response to Therapies
PART II: NCLEX-PN PRACTICE TESTS
NCLEX-PN Practice Test 1 ............................................................................................393
Answers and Explanations for Practice Test 1 .......................................................................................413
NCLEX-PN Practice Test 2 ............................................................................................427
Answers and Explanations for Practice Test 2 .......................................................................................449
NCLEX-PN Practice Test 3 ............................................................................................465
Answers and Explanations for Practice Test 3 .......................................................................................487
End-User License Agreement .......................................................................................503
