NCLEX-RN 2026 Comprehensive Certified
Examination
Format: Traditional MCQ + NGN Clinical Judgment
Total Questions (Exam Set): 20
Sections:
1. Management of Care
2. Pharmacological & Parenteral Therapies
3. Health Promotion & Maintenance
4. Psychosocial Integrity
5. NGN Case Study
6. NGN Stand-Alone Clinical Judgment
Section 1 — Management of Care (Questions
1–4)
Question 1
A nurse is assigning tasks to a licensed practical nurse (LPN) and an unlicensed assistive
personnel (UAP). Which task is most appropriate to delegate to the UAP?
A. Administering oral antibiotics
B. Monitoring a client with new chest pain
C. Assisting a stable client with ambulation
D. Performing sterile wound irrigation
Correct Answer: C. Assisting a stable client with ambulation
Rationale:
UAPs may perform non-invasive, routine care such as ambulation, hygiene, and vital signs.
Medication administration and sterile procedures require licensed personnel.
Question 2
A nurse receives four client reports. Which client should the nurse assess first?
, A. Client with COPD reporting mild dyspnea after walking
B. Client with diabetes reporting blood glucose of 220 mg/dL
C. Client with chest pain radiating to the left arm
D. Client with hypertension reporting headache
Correct Answer: C. Client with chest pain radiating to the left arm
Rationale:
Chest pain with radiation suggests possible myocardial infarction, which is an immediate life-
threatening condition.
Question 3
Which action by the nurse best protects client confidentiality?
A. Sharing patient information during shift report in the hallway
B. Logging off the electronic health record after charting
C. Leaving patient charts open at the nurse’s station
D. Discussing client care in the elevator
Correct Answer: B. Logging off the electronic health record after charting
Rationale:
HIPAA requires protecting electronic data; logging out prevents unauthorized access.
Question 4
Which situation requires the nurse to file an incident report?
A. Client refuses medication
B. Client falls from bed without injury
C. Client is discharged home
D. Client requests pain medication
Correct Answer: B. Client falls from bed without injury
Rationale:
Any unexpected event or safety issue must be documented through an incident report.
Examination
Format: Traditional MCQ + NGN Clinical Judgment
Total Questions (Exam Set): 20
Sections:
1. Management of Care
2. Pharmacological & Parenteral Therapies
3. Health Promotion & Maintenance
4. Psychosocial Integrity
5. NGN Case Study
6. NGN Stand-Alone Clinical Judgment
Section 1 — Management of Care (Questions
1–4)
Question 1
A nurse is assigning tasks to a licensed practical nurse (LPN) and an unlicensed assistive
personnel (UAP). Which task is most appropriate to delegate to the UAP?
A. Administering oral antibiotics
B. Monitoring a client with new chest pain
C. Assisting a stable client with ambulation
D. Performing sterile wound irrigation
Correct Answer: C. Assisting a stable client with ambulation
Rationale:
UAPs may perform non-invasive, routine care such as ambulation, hygiene, and vital signs.
Medication administration and sterile procedures require licensed personnel.
Question 2
A nurse receives four client reports. Which client should the nurse assess first?
, A. Client with COPD reporting mild dyspnea after walking
B. Client with diabetes reporting blood glucose of 220 mg/dL
C. Client with chest pain radiating to the left arm
D. Client with hypertension reporting headache
Correct Answer: C. Client with chest pain radiating to the left arm
Rationale:
Chest pain with radiation suggests possible myocardial infarction, which is an immediate life-
threatening condition.
Question 3
Which action by the nurse best protects client confidentiality?
A. Sharing patient information during shift report in the hallway
B. Logging off the electronic health record after charting
C. Leaving patient charts open at the nurse’s station
D. Discussing client care in the elevator
Correct Answer: B. Logging off the electronic health record after charting
Rationale:
HIPAA requires protecting electronic data; logging out prevents unauthorized access.
Question 4
Which situation requires the nurse to file an incident report?
A. Client refuses medication
B. Client falls from bed without injury
C. Client is discharged home
D. Client requests pain medication
Correct Answer: B. Client falls from bed without injury
Rationale:
Any unexpected event or safety issue must be documented through an incident report.
