1
NCLEX-RN 2026 TESTBANK – 4 FULL PRACTICE EXAMS +
REVIEW QUESTIONS ANSWERS AND RATIONALES
JUST RELEASED INSTANT DOWNLOAD PDF
EXAM 1 (Q1–Q100)
Q1
A nurse prepares to administer IV potassium chloride. Which
action is most important?
A. Administer by IV push
B. Dilute and infuse using a pump
C. Give with dextrose solution only
D. Warm solution before use
Correct Answer: B
Rationale: Potassium must never be given IV push; controlled
infusion prevents fatal dysrhythmias.
,2
Q2
A client with stroke has right-sided weakness. Which
intervention promotes safety?
A. Place items on left side
B. Encourage independent ambulation immediately
C. Place call light within reach on affected side
D. Restrain unaffected arm
Correct Answer: C
Rationale: Call light within reach reduces fall risk; place items
on strong side.
Q3 (SATA)
Which actions follow standard precautions?
☑ Hand hygiene before and after care
☑ Gloves when contact with blood is expected
☑ Mask for all patient interactions
☑ Proper disposal of sharps
Correct Answers: Hand hygiene, Gloves, Proper disposal
Rationale: Masks are used only when droplet or splash
exposure is expected.
,3
Q4
A confused client tries to climb out of bed. First action?
A. Apply restraints
B. Place bed in lowest position
C. Give sedative
D. Leave the client alone
Correct Answer: B
Rationale: Least restrictive interventions should be
implemented first to promote safety.
Q5
Which client is at greatest risk for aspiration?
A. Client with hypertension
B. Client with dysphagia after stroke
C. Client with diabetes
D. Client with asthma
Correct Answer: B
Rationale: Dysphagia increases risk of choking and aspiration
pneumonia.
Q6
, 4
A client has potassium 6.5 mEq/L. What is priority nursing
action?
A. Monitor intake
B. Administer Kayexalate
C. Assess cardiac rhythm
D. Notify dietitian
Correct Answer: C
Rationale: Severe hyperkalemia can cause life-threatening
dysrhythmias; assess first.
Q7 (SATA)
Signs of respiratory distress include:
☑ Nasal flaring
☑ Intercostal retractions
☑ Bradypnea
☑ Cyanosis
Correct Answers: Nasal flaring, Intercostal retractions, Cyanosis
Rationale: Bradypnea is a late, severe sign; early signs include
increased RR and accessory muscle use.
Q8
A client with left-sided heart failure. Which finding is expected?
NCLEX-RN 2026 TESTBANK – 4 FULL PRACTICE EXAMS +
REVIEW QUESTIONS ANSWERS AND RATIONALES
JUST RELEASED INSTANT DOWNLOAD PDF
EXAM 1 (Q1–Q100)
Q1
A nurse prepares to administer IV potassium chloride. Which
action is most important?
A. Administer by IV push
B. Dilute and infuse using a pump
C. Give with dextrose solution only
D. Warm solution before use
Correct Answer: B
Rationale: Potassium must never be given IV push; controlled
infusion prevents fatal dysrhythmias.
,2
Q2
A client with stroke has right-sided weakness. Which
intervention promotes safety?
A. Place items on left side
B. Encourage independent ambulation immediately
C. Place call light within reach on affected side
D. Restrain unaffected arm
Correct Answer: C
Rationale: Call light within reach reduces fall risk; place items
on strong side.
Q3 (SATA)
Which actions follow standard precautions?
☑ Hand hygiene before and after care
☑ Gloves when contact with blood is expected
☑ Mask for all patient interactions
☑ Proper disposal of sharps
Correct Answers: Hand hygiene, Gloves, Proper disposal
Rationale: Masks are used only when droplet or splash
exposure is expected.
,3
Q4
A confused client tries to climb out of bed. First action?
A. Apply restraints
B. Place bed in lowest position
C. Give sedative
D. Leave the client alone
Correct Answer: B
Rationale: Least restrictive interventions should be
implemented first to promote safety.
Q5
Which client is at greatest risk for aspiration?
A. Client with hypertension
B. Client with dysphagia after stroke
C. Client with diabetes
D. Client with asthma
Correct Answer: B
Rationale: Dysphagia increases risk of choking and aspiration
pneumonia.
Q6
, 4
A client has potassium 6.5 mEq/L. What is priority nursing
action?
A. Monitor intake
B. Administer Kayexalate
C. Assess cardiac rhythm
D. Notify dietitian
Correct Answer: C
Rationale: Severe hyperkalemia can cause life-threatening
dysrhythmias; assess first.
Q7 (SATA)
Signs of respiratory distress include:
☑ Nasal flaring
☑ Intercostal retractions
☑ Bradypnea
☑ Cyanosis
Correct Answers: Nasal flaring, Intercostal retractions, Cyanosis
Rationale: Bradypnea is a late, severe sign; early signs include
increased RR and accessory muscle use.
Q8
A client with left-sided heart failure. Which finding is expected?
