NCLEX-RN Fundamentals Practice Questions With Accurate Answers
latest Update 2026
1. What is the appropriate task for the nurse to delegate to the charge nurse in
the case of a client experiencing respiratory distress?
Placement of a second IV site
Head-to-toe assessment
Overhead page the respiratory therapist (RT)
Application of oxygen
2. A nurse is caring for a client who has metastatic cancer and has become
ventilator-dependent after palliative surgery. The client wants to have the
ventilator withdrawn. The nurse's continued treatment against the client's
wishes is a violation of which ethical principle?
Autonomy
Fidelity
Privacy
Veracity
3. In a situation where a client refuses a life-saving procedure, how should the
nurse respond to uphold the principle of autonomy?
Consult with the healthcare team to persuade the client.
Override the client's decision for their safety.
Document the refusal without further discussion.
Respect the client's decision and provide information about the
consequences.
,4. A client is referred to a surgeon by the healthcare provider. After meeting the
surgeon, the client decides to consult with a different surgeon about
treatment options. The nurse supports the client's action. This represents
which ethical principle?
Autonomy
Veracity
Privacy
Beneficence
5. Why is documenting the time spent on direct client care important for
evaluating nursing care?
It helps in tracking medication administration times for clients.
It provides insight into the allocation of nursing resources and the
quality of care provided to clients.
It ensures compliance with hospital supply usage policies.
It allows for the assessment of client satisfaction with nursing services.
6. If the RN delegates care to the UAP for the ambulatory client, what should
the RN ensure regarding the UAP's responsibilities?
The UAP should perform all assessments without guidance from the
RN.
The UAP should focus solely on emotional support for the client.
The UAP should not communicate with the RN about the client's
status.
The UAP should be instructed on how to monitor the client's
mobility and report any changes.
, 7. If the RN has to delay seeing the client who is ready for discharge due to
transportation issues, what should the RN do to ensure client safety and
satisfaction?
Assess the client’s needs and provide education while arranging for
safe transportation.
Discharge the client without further assessment.
Inform the client to wait until transportation arrives without any further
action.
Prioritize other clients and ignore the discharge client.
8. Which of the following tasks is considered inappropriate for delegation to a
UAP?
Complete vital signs and document changes
Reinforce teaching of the RN's assigned clients prior to discharge
Assess and evaluate the client response to IV pain medication
Remove a dressing from a postoperative client's abdominal wound
9. Discuss how the Nurse Practice Act (NPA) contributes to public safety in
nursing.
The NPA is only concerned with the educational requirements for
nurses.
The NPA protects the public by defining the scope of nursing
practice and enforcing ethical standards.
The NPA primarily focuses on accrediting nursing schools.
The NPA determines liability insurance rates for nurses.
latest Update 2026
1. What is the appropriate task for the nurse to delegate to the charge nurse in
the case of a client experiencing respiratory distress?
Placement of a second IV site
Head-to-toe assessment
Overhead page the respiratory therapist (RT)
Application of oxygen
2. A nurse is caring for a client who has metastatic cancer and has become
ventilator-dependent after palliative surgery. The client wants to have the
ventilator withdrawn. The nurse's continued treatment against the client's
wishes is a violation of which ethical principle?
Autonomy
Fidelity
Privacy
Veracity
3. In a situation where a client refuses a life-saving procedure, how should the
nurse respond to uphold the principle of autonomy?
Consult with the healthcare team to persuade the client.
Override the client's decision for their safety.
Document the refusal without further discussion.
Respect the client's decision and provide information about the
consequences.
,4. A client is referred to a surgeon by the healthcare provider. After meeting the
surgeon, the client decides to consult with a different surgeon about
treatment options. The nurse supports the client's action. This represents
which ethical principle?
Autonomy
Veracity
Privacy
Beneficence
5. Why is documenting the time spent on direct client care important for
evaluating nursing care?
It helps in tracking medication administration times for clients.
It provides insight into the allocation of nursing resources and the
quality of care provided to clients.
It ensures compliance with hospital supply usage policies.
It allows for the assessment of client satisfaction with nursing services.
6. If the RN delegates care to the UAP for the ambulatory client, what should
the RN ensure regarding the UAP's responsibilities?
The UAP should perform all assessments without guidance from the
RN.
The UAP should focus solely on emotional support for the client.
The UAP should not communicate with the RN about the client's
status.
The UAP should be instructed on how to monitor the client's
mobility and report any changes.
, 7. If the RN has to delay seeing the client who is ready for discharge due to
transportation issues, what should the RN do to ensure client safety and
satisfaction?
Assess the client’s needs and provide education while arranging for
safe transportation.
Discharge the client without further assessment.
Inform the client to wait until transportation arrives without any further
action.
Prioritize other clients and ignore the discharge client.
8. Which of the following tasks is considered inappropriate for delegation to a
UAP?
Complete vital signs and document changes
Reinforce teaching of the RN's assigned clients prior to discharge
Assess and evaluate the client response to IV pain medication
Remove a dressing from a postoperative client's abdominal wound
9. Discuss how the Nurse Practice Act (NPA) contributes to public safety in
nursing.
The NPA is only concerned with the educational requirements for
nurses.
The NPA protects the public by defining the scope of nursing
practice and enforcing ethical standards.
The NPA primarily focuses on accrediting nursing schools.
The NPA determines liability insurance rates for nurses.
