NCLEX RN ACTUAL EXAM TEST
BANK OF REAL QUESTIONS &
ANSWERS NCLEX 2026
NCLEX EXAM PREVIEW
The nurse has taught a client with multiple sclerosis (MS).
Which of the following statements by the client would
indicate a correct understanding of the teaching?
1. "I will complete all of my household chores in the morning
when I am well rested."
2. "I have learned how to massage my bladder to help empty
my bladder completely."
3. "I will take a hot bath in the evening to help me relax if I
have had a stressful day at work."
4. "I should expect the blurred vision to resolve after I have
received medications for several weeks." - CORRECT
ANSWER -4. "I should expect the blurred vision to resolve
after I have received medications for several weeks."
,MS causes nerve damage and can result in optic neuritis
(vision loss, burry vision). In most cases it resolves itself in 4-
12 weeks, but medication (steroids) can speed up the process
and resolve it quicker
Rationale:
1. MS patients should not exert themselves too much at one
time. Space out activities and allow time for rest.
2. Urinary retention is primarily treated by medication
(bethanochol), and exercises can aid with it but are not the
primary treatment
3. Hot temperatures are bad for MS and can worsen
symptoms. Your nerves are already fcked up and extra heat
can stress your body into overdrive
The nurse has attended a staff education program about caring
for clients who are receiving positive pressure mechanical
ventilation. Which of the following statements by the nurse
would indicate a correct understanding of the teaching?
,1. "Clients should avoid range-of-motion (ROM) exercises
until weaned from ventilation."
2. "Clients may develop stress ulcers and gastrointestinal
bleeding."
3. "Clients will be chemically paralyzed to improve
oxygenation."
4. "Clients will experience diuresis and polyuria." -
CORRECT ANSWER -2. "Clients may develop stress
ulcers and gastrointestinal bleeding."
Rationale: Postive Pressure Ventilation may cause stress
ulcers and GI bleeding because
The charge nurse has received a change-of-shift report on the
following clients in labor. The charge nurse should ask a staff
member to first see the client in the
1. first stage of labor who has an oral temperature of 99.7° F
(37.6° C)
, 2. first stage of labor whose contractions are occurring every
30 seconds
3. second stage of labor who has respirations of 26
4. second stage of labor whose contractions are lasting for 60
seconds - CORRECT ANSWER -2. first stage of labor
whose contractions are occurring every 30 seconds
Contractions should be no longer than 90 secs and no
closer than 2 mins (120 secs) 90 secs is the duration,
2 mins is the frequency.
Rationale:
1. Elevated temp is normal during labor
3. Increased resps are normal during labor "pant-pant-blow"
"hee-hee-hoo" breathing pattern
4. Contractions shouldn't be longer than 90 secs, 60 secs is
okay and normal
Second stage: 2-3 mins apart, 60-90 secs long, 10 cm dilated,
strong pain
BANK OF REAL QUESTIONS &
ANSWERS NCLEX 2026
NCLEX EXAM PREVIEW
The nurse has taught a client with multiple sclerosis (MS).
Which of the following statements by the client would
indicate a correct understanding of the teaching?
1. "I will complete all of my household chores in the morning
when I am well rested."
2. "I have learned how to massage my bladder to help empty
my bladder completely."
3. "I will take a hot bath in the evening to help me relax if I
have had a stressful day at work."
4. "I should expect the blurred vision to resolve after I have
received medications for several weeks." - CORRECT
ANSWER -4. "I should expect the blurred vision to resolve
after I have received medications for several weeks."
,MS causes nerve damage and can result in optic neuritis
(vision loss, burry vision). In most cases it resolves itself in 4-
12 weeks, but medication (steroids) can speed up the process
and resolve it quicker
Rationale:
1. MS patients should not exert themselves too much at one
time. Space out activities and allow time for rest.
2. Urinary retention is primarily treated by medication
(bethanochol), and exercises can aid with it but are not the
primary treatment
3. Hot temperatures are bad for MS and can worsen
symptoms. Your nerves are already fcked up and extra heat
can stress your body into overdrive
The nurse has attended a staff education program about caring
for clients who are receiving positive pressure mechanical
ventilation. Which of the following statements by the nurse
would indicate a correct understanding of the teaching?
,1. "Clients should avoid range-of-motion (ROM) exercises
until weaned from ventilation."
2. "Clients may develop stress ulcers and gastrointestinal
bleeding."
3. "Clients will be chemically paralyzed to improve
oxygenation."
4. "Clients will experience diuresis and polyuria." -
CORRECT ANSWER -2. "Clients may develop stress
ulcers and gastrointestinal bleeding."
Rationale: Postive Pressure Ventilation may cause stress
ulcers and GI bleeding because
The charge nurse has received a change-of-shift report on the
following clients in labor. The charge nurse should ask a staff
member to first see the client in the
1. first stage of labor who has an oral temperature of 99.7° F
(37.6° C)
, 2. first stage of labor whose contractions are occurring every
30 seconds
3. second stage of labor who has respirations of 26
4. second stage of labor whose contractions are lasting for 60
seconds - CORRECT ANSWER -2. first stage of labor
whose contractions are occurring every 30 seconds
Contractions should be no longer than 90 secs and no
closer than 2 mins (120 secs) 90 secs is the duration,
2 mins is the frequency.
Rationale:
1. Elevated temp is normal during labor
3. Increased resps are normal during labor "pant-pant-blow"
"hee-hee-hoo" breathing pattern
4. Contractions shouldn't be longer than 90 secs, 60 secs is
okay and normal
Second stage: 2-3 mins apart, 60-90 secs long, 10 cm dilated,
strong pain
