NCLEX EXAM PREVIEW QUESTIONS & ANSWERS 2026-2027 | UPDATED & … EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NCLEX Exam Preview
Questions & Answers 2026-
2027 | Updated & Verified
Questions (Rationales)
Verified Answers Exam Ready With Rationales 110 QUESTIONS
DOCUMENT OVERVIEW
This document provides 110 verified NCLEX-style questions with pre-supplied correct
answers and detailed rationales, covering a broad spectrum of nursing practice. Each
question features a clear answer and an in-depth explanation of the underlying nursing
principles. This resource is suitable for comprehensive study, focused review, and effective
certification exam preparation.
TOPICS
• Maternity & Pediatrics • Infection Control & Isolation
• Cardiovascular & Hematology • Neurology & Mental Health
• Safety, Ethics & Professional Practice • Gastrointestinal & Genitourinary
• Musculoskeletal & Integumentary • Pharmacology & Therapeutics
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 110
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
Q2 QUESTION 2 OF 110
The charge nurse must transfer a female client from the medical-surgical unit to the
maternity unit to make a bed available. It would be most appropriate for the nurse to transfer
the client who is
1. 28 years old, had a right mastectomy and has a closed-wound drainage system
2. 49 years old, has diabetes mellitus (type 2) and has begun receiving insulin
3. 56 years old, has hepatitis C (HCV) and has been afebrile for 24 hours
4. 70 years old, has a fractured left tibia and had an external fixation device applied 48 hours
ago
CORRECT ANSWER
3. 56 years old, has hepatitis C (HCV) and has been afebrile for 24 hours
Page 2
, RATIONALE
Hepatitis C, while a serious condition, does not pose an increased risk of transmission to a
maternity unit population, and the client's afebrile status indicates clinical stability for transfer. The
other clients have conditions (post-mastectomy with drainage, new-onset insulin therapy for
diabetes, or orthopedic surgery with external fixation) that necessitate closer monitoring or
present higher risks in a different unit setting.
Q3 QUESTION 3 OF 110
The nurse is caring for a 3-year-old client with a cerebral concussion who is being observed
overnight in the pediatric unit. Which of the following observations would be most
significant for the nurse to report to the oncoming shift?
1. The client has a blood pressure of 94/58 mm Hg and an apical pulse of 90.
2. The client is sleeping but is easily aroused.
3. The client's pupils are equal and reactive to light.
4. The client has an axillary temperature of 99.0° F (37.2° C) and respirations of 24.
CORRECT ANSWER
2. The client is sleeping but is easily aroused.
Important to keep checking for decline in M/S with concussions, even when sleeping.
RATIONALE
Easily aroused sleep indicates a preserved level of consciousness, whereas decreased arousal
suggests increasing intracranial pressure and potential neurological deterioration following a
concussion. This observation directly assesses for changes in the client's mental status, a critical
indicator of brain injury severity.
Q4 QUESTION 4 OF 110
The nurse is planning care for a pediatric client being admitted with pertussis. Which of the
following interventions should the nurse include in the client's plan of care?
1. Keep the client NPO.
2. Place a dehumidifier in the client's room.
3. Encourage the client to ambulate frequently.
4. Implement droplet precautions.
CORRECT ANSWER
4. Implement droplet precautions.
Page 3
, RATIONALE
Pertussis is a highly contagious respiratory infection spread via *Bordetella pertussis* bacteria
through respiratory droplets, necessitating droplet precautions to prevent transmission. This
airborne transmission route is the key principle tested.
Q5 QUESTION 5 OF 110
The nurse is caring for a 3-year-old client with impetigo.
Which of the following infection control precautions should the nurse implement? Select all
that apply.
1. Wear a surgical mask when bathing the client.
2. Wear a protective gown when changing the client's bed linens.
3. Keep the door to the client's room closed.
4. Place a box of clean gloves outside the client's door.
5. Place a surgical mask on the client during transport to other departments.
CORRECT ANSWER
2. Wear a protective gown when changing the client's bed linens.
4. Place a box of clean gloves outside the client's door.
Rationale: Impetigo is a highly infectious skin disease spread by direct contact. Contact
precautions include gown and gloves. Private closed door and surgical masks are appropriate
for airborne and not necessary for contact
Q6 QUESTION 6 OF 110
The nurse in the pediatric unit is preparing to admit a client with rubeola (measles). The
nurse should assign the client to a
1. private room at the end of the hallway
2. private room with monitored negative air pressure
3. room with a client who has chickenpox
4. room with a client who has atopic dermatitis (eczema)
CORRECT ANSWER
2. private room with monitored negative air pressure
Measles is airborne (MTV) and requires a private room with negative air pressure
Page 4
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NCLEX Exam Preview
Questions & Answers 2026-
2027 | Updated & Verified
Questions (Rationales)
Verified Answers Exam Ready With Rationales 110 QUESTIONS
DOCUMENT OVERVIEW
This document provides 110 verified NCLEX-style questions with pre-supplied correct
answers and detailed rationales, covering a broad spectrum of nursing practice. Each
question features a clear answer and an in-depth explanation of the underlying nursing
principles. This resource is suitable for comprehensive study, focused review, and effective
certification exam preparation.
TOPICS
• Maternity & Pediatrics • Infection Control & Isolation
• Cardiovascular & Hematology • Neurology & Mental Health
• Safety, Ethics & Professional Practice • Gastrointestinal & Genitourinary
• Musculoskeletal & Integumentary • Pharmacology & Therapeutics
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 110
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
Q2 QUESTION 2 OF 110
The charge nurse must transfer a female client from the medical-surgical unit to the
maternity unit to make a bed available. It would be most appropriate for the nurse to transfer
the client who is
1. 28 years old, had a right mastectomy and has a closed-wound drainage system
2. 49 years old, has diabetes mellitus (type 2) and has begun receiving insulin
3. 56 years old, has hepatitis C (HCV) and has been afebrile for 24 hours
4. 70 years old, has a fractured left tibia and had an external fixation device applied 48 hours
ago
CORRECT ANSWER
3. 56 years old, has hepatitis C (HCV) and has been afebrile for 24 hours
Page 2
, RATIONALE
Hepatitis C, while a serious condition, does not pose an increased risk of transmission to a
maternity unit population, and the client's afebrile status indicates clinical stability for transfer. The
other clients have conditions (post-mastectomy with drainage, new-onset insulin therapy for
diabetes, or orthopedic surgery with external fixation) that necessitate closer monitoring or
present higher risks in a different unit setting.
Q3 QUESTION 3 OF 110
The nurse is caring for a 3-year-old client with a cerebral concussion who is being observed
overnight in the pediatric unit. Which of the following observations would be most
significant for the nurse to report to the oncoming shift?
1. The client has a blood pressure of 94/58 mm Hg and an apical pulse of 90.
2. The client is sleeping but is easily aroused.
3. The client's pupils are equal and reactive to light.
4. The client has an axillary temperature of 99.0° F (37.2° C) and respirations of 24.
CORRECT ANSWER
2. The client is sleeping but is easily aroused.
Important to keep checking for decline in M/S with concussions, even when sleeping.
RATIONALE
Easily aroused sleep indicates a preserved level of consciousness, whereas decreased arousal
suggests increasing intracranial pressure and potential neurological deterioration following a
concussion. This observation directly assesses for changes in the client's mental status, a critical
indicator of brain injury severity.
Q4 QUESTION 4 OF 110
The nurse is planning care for a pediatric client being admitted with pertussis. Which of the
following interventions should the nurse include in the client's plan of care?
1. Keep the client NPO.
2. Place a dehumidifier in the client's room.
3. Encourage the client to ambulate frequently.
4. Implement droplet precautions.
CORRECT ANSWER
4. Implement droplet precautions.
Page 3
, RATIONALE
Pertussis is a highly contagious respiratory infection spread via *Bordetella pertussis* bacteria
through respiratory droplets, necessitating droplet precautions to prevent transmission. This
airborne transmission route is the key principle tested.
Q5 QUESTION 5 OF 110
The nurse is caring for a 3-year-old client with impetigo.
Which of the following infection control precautions should the nurse implement? Select all
that apply.
1. Wear a surgical mask when bathing the client.
2. Wear a protective gown when changing the client's bed linens.
3. Keep the door to the client's room closed.
4. Place a box of clean gloves outside the client's door.
5. Place a surgical mask on the client during transport to other departments.
CORRECT ANSWER
2. Wear a protective gown when changing the client's bed linens.
4. Place a box of clean gloves outside the client's door.
Rationale: Impetigo is a highly infectious skin disease spread by direct contact. Contact
precautions include gown and gloves. Private closed door and surgical masks are appropriate
for airborne and not necessary for contact
Q6 QUESTION 6 OF 110
The nurse in the pediatric unit is preparing to admit a client with rubeola (measles). The
nurse should assign the client to a
1. private room at the end of the hallway
2. private room with monitored negative air pressure
3. room with a client who has chickenpox
4. room with a client who has atopic dermatitis (eczema)
CORRECT ANSWER
2. private room with monitored negative air pressure
Measles is airborne (MTV) and requires a private room with negative air pressure
Page 4
