Page 1 of 50
“NCLEX RN EXAM PREVIEW 2026 ”LATEST
EXAM 2026 – 2027 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED 100% GUARANTEE
PASS
well analyzed
day 3
NCLEX RN EXAM PREVIEW
The registered nurse (RN) must delegate care of an assigned client to an
unlicensed assistive person (UAP) for the shift. Which client would be best to
delegate to the UAP?
1. A client who would benefit from talking about the recent death of her
husband.
2. A client with a urinary drainage catheter and nasogastric feedings who is on
bedrest.
3. A client with an osmotic who has persistent problems with leakage.
4. A client who was transferred from the critical care unit 3 days ago is
ambulatory
Answer: 4
Rationale: Factors to consider when delegating care include complexity of task,
problem-solving innovation required, unpredictability, and level of client interaction.
The ambulatory client is best to delegate because this client in likely to be stable with
a low level of unpredictability. The client who recently lost her husband would benefit
from professional communication with the RN and requires a high level of client
interaction. The client receiving enteral feedings and is immobilized represents a
more complex client, who is better assigned to a licensed nurse. The client with a
leaking osmotic would benefit from problem-solving innovation and is best cared for
by the RN.
Cognitive Level: Analyzing
Client Need: Management of Care
Integrated Process: Nursing Process: Planning
Content Area: Leadership and Management
, Page 2 of 50
Strategy: The core issue of the question is basic concepts that are useful when
considering delegation to a UAP. Use this knowledge and the process of elimination
to make selection.
Which task would not be appropriate for the registered nurse (RN) to delegate
to a licensed practical nurse (LPN) or unlicensed assistive personnel (UAP)?
1. Instructing the LPN to reinforce teaching of the RN's assigned clients prior
to discharge
2. Assigning UAPs to complete vital signs and document and report changes
to the RN
3. Asking the UAP to assess and evaluate the client response to IV pain
medication
4. Instructing the LPN to remove a dressing from a postoperative client's
abdominal would
Answer:
Rationale:
Cognitive Level:
Client Need:
Integrated Process:
Content Area:
Strategy:
The charge nurse on the night shift reports that the narcotic count is incorrect.
The nurse has spoken to the responsible staff nurse and believes that
substance abuse by the nurse is the cause. If substance abuse proves to be
the cause of the incorrect count, what is the most appropriate next step?
1. Recount the narcotics with the staff nurse and take disciplinary action
2. Ask the staff nurse to leave the unit and report the incident to the American
Nurses Association
3. Complete an incident report and report findings to the pharmacy and
nursing administration
4. Submit the findings to the Council on Nursing Practice
Answer:
Rationale:
Cognitive Level:
Client Need:
Integrated Process:
Content Area:
Strategy:
A quarterly audit is now due to evaluate implementation of an electronic
medical record system on the nursing unit. As the unit representative who
supervised the adaptation of this documentation system, how can the nurse
best determine if nursing staff have accepted this change?
1. Nursing staff uses the electronic medical record daily in routine
documentation
2. Nursing staff verbalizes the need for the electronic record but still hand-
write nursing notes into the clients' charts
3. Nursing staff uses the electronic record sporadically to monitor clients'
progress
, Page 3 of 50
4. Nursing staff likes the electronic record because they believe it saves them
time
Answer:
Rationale:
Cognitive Level:
Client Need:
Integrated Process:
Content Area:
Strategy:
The nurse on the hospital quality improvement team has been asked to
evaluate nursing care on the nurse's assigned unit. After deciding to ask the
nursing staff for assistance in this effort, what would be most appropriate for
the nurse to initially ask the staff to do?
1. Track the number of supplies used by clients on the unit
2. Document the time spent on direct client care
3. Administer a client and family satisfaction survey
4. Assess clients and report acuity daily
Answer:
Rationale:
Cognitive Level:
Client Need:
Integrated Process:
Content Area:
Strategy:
An RN is about to make first rounds after receiving an inter shift report at 3pm.
In what order should the RN see the following clients? Place the options in
order. All options must be used.
1. A 54-year-old client 4 hours post-cardiac catheterization who has mild
discomfort at the access site
2. A client newly diagnosed with diabetes mellitus who needs reinforcement of
sick day management guidelines
3. A client who arrived 30 minutes ago from the postanesthesia care unit
4. A client who is ready for discharge but will not have transportation home
available until 5pm
5. A client with pneumonia who has received two doses of IV antibiotics and
has an oxygen saturation of 93%
Answer:
Rationale:
Cognitive Level:
Client Need:
Integrated Process:
Content Area:
Strategy:
A client is experiencing respiratory distress. Respirations are 32 breaths/min
and shallow. The client is positioned in an orthopneic position, with a heart
rate of 118/min and a blood pressure of 90/40 mmHg. The client is pale and
confused. Which task should the nurse delegate to the charge nurse?
, Page 4 of 50
1. Head-to-toe assessment
2. Placement of a second IV site
3. Application of oxygen
4. Overhead page the respiratory therapist (RT)
Answer:
Rationale:
Cognitive Level:
Client Need:
Integrated Process:
Content Area:
Strategy:
A nurse is assisting a client in room 1 with lunch. The charge nurse calls the
nurse and states the client in room 3 is reporting pain and requests pain
medication. What is the nurse's best and first action?
1. Finish feeding the client in room 1, then medicate the client in room 3 for
pain.
2. Stop feeding the client in room 1, and medicate the client in room 3 for pain.
3. Finish feeding the client in room 1, and ask the charge nurse to medicate the
client in room 3.
4. Ask the charge nurse to feed the client in room 1 while the nurse medicates
the client in room 3 for pain.
Answer:
Rationale:
Cognitive Level:
Client Need:
Integrated Process:
Content Area:
Strategy:
To get access to over 400 Questions Test Bank with correct answers email
our prediction Exams contains 97% of the
questions you will find in your exam, which makes as give you 100%
assurance you will pass in your Exam.
After receiving the inter shift report, the registered nurse (RN) has many tasks
to complete during the next 12 hours. Which tasks would the nurse delegate to
an unlicensed person (UAP)? Select all that apply.
1. Flushing a nasogastric tube on a client who has had a colectomy
2. Irrigating a clogged urinary catheter on an older adult client
3. Rechecking vital signs on a 30-year-old client with a BP of 100/60
4. Changing a dressing on a client with an infected diabetic foot ulcer
5. Measuring and recording hourly ruin output for a client who underwent
nephrectomy
Answer:
Rationale:
Cognitive Level:
Client Need:
Integrated Process:
Content Area:
Strategy:
“NCLEX RN EXAM PREVIEW 2026 ”LATEST
EXAM 2026 – 2027 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED 100% GUARANTEE
PASS
well analyzed
day 3
NCLEX RN EXAM PREVIEW
The registered nurse (RN) must delegate care of an assigned client to an
unlicensed assistive person (UAP) for the shift. Which client would be best to
delegate to the UAP?
1. A client who would benefit from talking about the recent death of her
husband.
2. A client with a urinary drainage catheter and nasogastric feedings who is on
bedrest.
3. A client with an osmotic who has persistent problems with leakage.
4. A client who was transferred from the critical care unit 3 days ago is
ambulatory
Answer: 4
Rationale: Factors to consider when delegating care include complexity of task,
problem-solving innovation required, unpredictability, and level of client interaction.
The ambulatory client is best to delegate because this client in likely to be stable with
a low level of unpredictability. The client who recently lost her husband would benefit
from professional communication with the RN and requires a high level of client
interaction. The client receiving enteral feedings and is immobilized represents a
more complex client, who is better assigned to a licensed nurse. The client with a
leaking osmotic would benefit from problem-solving innovation and is best cared for
by the RN.
Cognitive Level: Analyzing
Client Need: Management of Care
Integrated Process: Nursing Process: Planning
Content Area: Leadership and Management
, Page 2 of 50
Strategy: The core issue of the question is basic concepts that are useful when
considering delegation to a UAP. Use this knowledge and the process of elimination
to make selection.
Which task would not be appropriate for the registered nurse (RN) to delegate
to a licensed practical nurse (LPN) or unlicensed assistive personnel (UAP)?
1. Instructing the LPN to reinforce teaching of the RN's assigned clients prior
to discharge
2. Assigning UAPs to complete vital signs and document and report changes
to the RN
3. Asking the UAP to assess and evaluate the client response to IV pain
medication
4. Instructing the LPN to remove a dressing from a postoperative client's
abdominal would
Answer:
Rationale:
Cognitive Level:
Client Need:
Integrated Process:
Content Area:
Strategy:
The charge nurse on the night shift reports that the narcotic count is incorrect.
The nurse has spoken to the responsible staff nurse and believes that
substance abuse by the nurse is the cause. If substance abuse proves to be
the cause of the incorrect count, what is the most appropriate next step?
1. Recount the narcotics with the staff nurse and take disciplinary action
2. Ask the staff nurse to leave the unit and report the incident to the American
Nurses Association
3. Complete an incident report and report findings to the pharmacy and
nursing administration
4. Submit the findings to the Council on Nursing Practice
Answer:
Rationale:
Cognitive Level:
Client Need:
Integrated Process:
Content Area:
Strategy:
A quarterly audit is now due to evaluate implementation of an electronic
medical record system on the nursing unit. As the unit representative who
supervised the adaptation of this documentation system, how can the nurse
best determine if nursing staff have accepted this change?
1. Nursing staff uses the electronic medical record daily in routine
documentation
2. Nursing staff verbalizes the need for the electronic record but still hand-
write nursing notes into the clients' charts
3. Nursing staff uses the electronic record sporadically to monitor clients'
progress
, Page 3 of 50
4. Nursing staff likes the electronic record because they believe it saves them
time
Answer:
Rationale:
Cognitive Level:
Client Need:
Integrated Process:
Content Area:
Strategy:
The nurse on the hospital quality improvement team has been asked to
evaluate nursing care on the nurse's assigned unit. After deciding to ask the
nursing staff for assistance in this effort, what would be most appropriate for
the nurse to initially ask the staff to do?
1. Track the number of supplies used by clients on the unit
2. Document the time spent on direct client care
3. Administer a client and family satisfaction survey
4. Assess clients and report acuity daily
Answer:
Rationale:
Cognitive Level:
Client Need:
Integrated Process:
Content Area:
Strategy:
An RN is about to make first rounds after receiving an inter shift report at 3pm.
In what order should the RN see the following clients? Place the options in
order. All options must be used.
1. A 54-year-old client 4 hours post-cardiac catheterization who has mild
discomfort at the access site
2. A client newly diagnosed with diabetes mellitus who needs reinforcement of
sick day management guidelines
3. A client who arrived 30 minutes ago from the postanesthesia care unit
4. A client who is ready for discharge but will not have transportation home
available until 5pm
5. A client with pneumonia who has received two doses of IV antibiotics and
has an oxygen saturation of 93%
Answer:
Rationale:
Cognitive Level:
Client Need:
Integrated Process:
Content Area:
Strategy:
A client is experiencing respiratory distress. Respirations are 32 breaths/min
and shallow. The client is positioned in an orthopneic position, with a heart
rate of 118/min and a blood pressure of 90/40 mmHg. The client is pale and
confused. Which task should the nurse delegate to the charge nurse?
, Page 4 of 50
1. Head-to-toe assessment
2. Placement of a second IV site
3. Application of oxygen
4. Overhead page the respiratory therapist (RT)
Answer:
Rationale:
Cognitive Level:
Client Need:
Integrated Process:
Content Area:
Strategy:
A nurse is assisting a client in room 1 with lunch. The charge nurse calls the
nurse and states the client in room 3 is reporting pain and requests pain
medication. What is the nurse's best and first action?
1. Finish feeding the client in room 1, then medicate the client in room 3 for
pain.
2. Stop feeding the client in room 1, and medicate the client in room 3 for pain.
3. Finish feeding the client in room 1, and ask the charge nurse to medicate the
client in room 3.
4. Ask the charge nurse to feed the client in room 1 while the nurse medicates
the client in room 3 for pain.
Answer:
Rationale:
Cognitive Level:
Client Need:
Integrated Process:
Content Area:
Strategy:
To get access to over 400 Questions Test Bank with correct answers email
our prediction Exams contains 97% of the
questions you will find in your exam, which makes as give you 100%
assurance you will pass in your Exam.
After receiving the inter shift report, the registered nurse (RN) has many tasks
to complete during the next 12 hours. Which tasks would the nurse delegate to
an unlicensed person (UAP)? Select all that apply.
1. Flushing a nasogastric tube on a client who has had a colectomy
2. Irrigating a clogged urinary catheter on an older adult client
3. Rechecking vital signs on a 30-year-old client with a BP of 100/60
4. Changing a dressing on a client with an infected diabetic foot ulcer
5. Measuring and recording hourly ruin output for a client who underwent
nephrectomy
Answer:
Rationale:
Cognitive Level:
Client Need:
Integrated Process:
Content Area:
Strategy:
