NCLEX NCLEX-RN Questions - To Pass Exam Easily [2026]

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NCLEX NCLEX-RN Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Physiological Adaptation	11-17%	- Physiological Adaptation 1. Fluid and Electrolyte Imbalances 2. Medical Emergencies 3. Unexpected Response to Therapies 4. Hemodynamics 5. Alterations in Body Systems 6. Pathophysiology
Topic 2: Psychosocial Integrity	6-12%	- Psychosocial Integrity 1. Family Dynamics 2. Crisis Intervention 3. Therapeutic Communication 4. Coping Mechanisms 5. Support Systems 6. Substance Use Disorders 7. Mental Health Concepts 8. Behavioral Interventions
Topic 3: Health Promotion and Maintenance	6-12%	- Health Promotion and Maintenance 1. Disease Prevention 2. Health Promotion Programs 3. Growth and Development 4. Prenatal, Intrapartum and Postpartum Care 5. Health Screening 6. Newborn Care 7. Aging Process
Topic 4: Basic Care and Comfort	6-12%	- Basic Care and Comfort 1. Nutrition and Oral Hydration 2. Activities of Daily Living 3. Personal Hygiene 4. Rest and Sleep 5. Elimination 6. Mobility and Immobility 7. Assistive Devices
Topic 5: Reduction of Risk Potential	9-15%	- Reduction of Risk Potential 1. Diagnostic Tests 2. Therapeutic Procedures 3. Changes in Vital Signs 4. Monitoring and Assessment 5. Potential Complications 6. System-Specific Assessments
Topic 6: Safety and Infection Control	10-16%	- Safety and Infection Control 1. Accident and Injury Prevention 2. Standard and Transmission-Based Precautions 3. Safe Use of Equipment 4. Home Safety 5. Infection Prevention and Control 6. Security Plans 7. Handling Hazardous Materials 8. Emergency Response Planning
Topic 7: Pharmacological and Parenteral Therapies	13-19%	- Pharmacological and Parenteral Therapies 1. Parenteral Therapies 2. Blood and Blood Products 3. Central Venous Access Devices 4. Adverse Effects and Contraindications 5. Dosage Calculations 6. Medication Administration 7. Expected Actions and Outcomes
Topic 8: Management of Care	15-21%	- Management of Care 1. Performance Improvement and Quality Assurance 2. Advance Directives 3. Assignment, Delegation and Supervision 4. Ethical Practice 5. Priority Setting 6. Client Rights 7. Case Management 8. Informed Consent 9. Legal Rights and Responsibilities 10. Collaboration with Interdisciplinary Team 11. Confidentiality and Information Security 12. Advocacy 13. Continuity of Care

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q221-Q226):

NEW QUESTION # 221
A client had a cardiac catheterization with angiography and thrombolytic therapy with streptokinase. The nurse should initiate which of the following interventions immediately after he returns to his room?

A. Monitor the catheterization site every 15 minutes.
B. Place him in a high Fowler position.
C. Place him on NPO restriction for 4 hours.
D. Ambulate him to the bathroom to void.

Answer: A

Explanation:
(A)
A contrast dye, iodine, is used in this procedure. This dye is nephrotoxic. The client must be encouraged to drink plenty of liquids to assist the kidneys in eliminating the dye.
(B)
Streptokinase activates plasminogen, dissolving fibrin deposits. To prevent bleeding, pressure is applied at the insertion site. The client is assessed for both internal and external bleeding. (C) The extremity used for the insertion site must be kept straight and be immobilized because of the potential for bleeding. (D) The client is kept on bed rest for 8-12 hours following the procedure because of the potential for bleeding.

NEW QUESTION # 222
A 78-year-old female client has a total hip arthroplasty. Her nurse should know that which of the following is contraindicated?

A. Place a trochanter roll along the upper thigh of the affected leg.
B. Encourage exercises in the unaffected extremities.
C. Check neurological and circulatory status of the affected leg hourly.
D. Encourage her to cross and uncross her legs.

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) Exercising the unaffected extremities will prevent contractures and emboli. (B) Crossing and uncrossing the affected leg after surgery can dislocate the joint. (C) Neurological and circulatory status of the affected leg has been compromised by surgery. Hourly checks are needed to monitor the status of the leg. (D) A trochanter roll will prevent the upper thigh from rolling outward, increasing the chances of dislocation.

NEW QUESTION # 223
The nurse is admitting an infant with bacterial meningitis and is prepared to manage the following possible effects of meningitis:

A. Hypothermia
B. Seizure
C. Constipation
D. Sunken fontanelles

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) Constipation may occur if the child is dehydrated, but it is not directly associated with meningitis. (B) It is more likely the child will have fever. (C) Seizure is often the initial sign of meningitis in children and could become frequent. (D) It is more likely the child will have bulging fontanelles.

NEW QUESTION # 224
Which of the following menu choices would indicate that a client with pressure ulcers understands the role diet plays in restoring her albumin levels?

A. Bran flakes with fresh peaches
B. Lasagna with garlic bread
C. Cauliflower and lettuce salad
D. Broiled fish with rice

Answer: D

Explanation:
(A) Broiled fish and rice are both excellent sources of protein. (B) Fresh fruits are not a good source of protein. (C) Foods in the bread group are not high in protein. (D) Most vegetables are not high in protein; peas and beans are the major vegetables higher in protein.

NEW QUESTION # 225
A female client is started on warfarin (Coumadin) 5 mg po bid. To adequately evaluate the effectiveness of the warfarin therapy, the nurse must know that this medication:

A. Dissolves any clots already formed in the arteries
B. Interferes with the synthesis of vitamin K-dependent clotting factors
C. Prevents the conversion of prothrombin to thrombin
D. Stimulates the manufacturing of platelets

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) Thrombolytic agents (e.g., streptokinase) directly activate plasminogen, dissolving fibrin deposits, which in turn dissolves clots that have already formed. (B) Heparin prevents the formation of clots by potentiating the effects of antithrombin III and the conversion of prothrombin to thrombin. (C) Warfarin prevents the formation of clots by interfering with the hepatic synthesis of the vitamin K-dependent clotting factors. (D) Platelets initiate the coagulation of blood by adhering to each other and the site of injury to form platelet plugs.

NEW QUESTION # 226
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