2026 NCLEX Perfect NCLEX-RN: New National Council Licensure Examination(NCLEX-RN) Test Cram

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NCLEX NCLEX-RN Exam Syllabus Topics:

Section	Weight	Objectives
Safe and Effective Care Environment	26–38%	- Safety and Infection Control 1. Use of Restraints and Safety Devices 2. Error Prevention 3. Accident Prevention 4. Infection Control 5. Hazardous Materials Handling 6. Standard Precautions - Management of Care 1. Ethical Practice 2. Delegation and Prioritization 3. Legal Responsibilities 4. Client Rights 5. Quality Improvement 6. Case Management 7. Continuity of Care 8. Advocacy
Health Promotion and Maintenance	6–12%	- Self-Care - Disease Prevention and Health Screening - Health Promotion Programs - Antepartum, Intrapartum, Postpartum and Newborn Care - Physical Assessment Techniques - Developmental Stages and Transitions - Aging Process
Psychosocial Integrity	6–12%	- Chemical Dependency and Substance Use Disorders - Mental Health Concepts - Family Dynamics - Behavioral Interventions - End-of-Life Support - Therapeutic Communication - Coping Mechanisms - Grief and Loss
Physiological Integrity	43–67%	- Reduction of Risk Potential 1. Vital Signs 2. Laboratory Values 3. Potential for Complications 4. Diagnostic Tests 5. Therapeutic Procedures - Pharmacological and Parenteral Therapies 1. Dosage Calculation 2. IV Therapy and Blood Products 3. Pharmacological Pain Management 4. Medication Administration 5. Adverse Effects and Contraindications - Physiological Adaptation 1. Hemodynamics 2. Respiratory Care 3. Fluid and Electrolyte Imbalances 4. Medical Emergencies 5. Pathophysiology 6. Illness Management - Basic Care and Comfort 1. Nutrition and Oral Hydration 2. Non-pharmacological Comfort Interventions 3. Elimination 4. Assistive Devices 5. Personal Hygiene 6. Mobility and Immobility

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q116-Q121):

NEW QUESTION # 116
A client is hyperactive and not sleeping. She will not remain at the table during mealtime. She is getting very limited calories and is using a lot of energy in her hyperactive state. The most therapeutic nursing action is to:

A. Order a high-calorie diet with supplements.
B. Provide nutritious finger foods several times a day.
C. Insist that she remain at the table and eat a balanced diet.
D. Offer to go to the dining room with her and allow her to open the food and inspect what she eats.

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) The client is not able to sit for long periods. Forcing her to remain at the table will increase her anxiety and cause her to become hostile. (B) This action will not ensure that the client eats what is ordered.
Dietary orders are not within the nurse's scope of practice. (C) Providing finger foods increases the likelihood of eating for hyperactive persons. They may be eating "on the run." (D) These clients are not suspicious of the food or insecure in moving about the unit alone.

NEW QUESTION # 117
Endotracheal tube cuff pressure should never exceed:

A. 45 mm Hg
B. 60 mm Hg
C. 20 mm Hg
D. 10 mm Hg

Answer: C

Explanation:
Explanation
(A) Pressure<10 mm Hg places the client at risk for aspiration. (B) Pressure in the endotracheal tube cuff should never exceed 20 mm Hg, because higher pressure places the client at risk for tracheal erosion. (C) A pressure of 45 mm Hg is an extremely high pressure in the endotracheal tube cuff. This places the client at great risk for tracheal erosion. (D) A pressure of 60 mm Hg is an extremely high pressure in the endotracheal tube cuff. This places the client at great risk for tracheal erosion.

NEW QUESTION # 118
A client is being admitted to the labor and delivery unit. She has had previous admissions for "false labor." Which clinical manifestation would be most indicative of true labor?

A. Decreased discomfort with ambulation
B. Progressive dilatation and effacement of the cervix
C. Uterine contractions
D. Increased bloody show

Answer: B

Explanation:
(A) Bloody show is considered a sign of imminent labor, which usually begins in 24-48 hours. An increase in bloody show is an indication that the cervix is changing. (B) Contractions of true labor produce progressive cervical effacement and dilatation. (C) Contractions of false labor may mimic those of true labor. However, the contractions of false labor do not produce progressive effacement and dilatation of the cervix. (D) In true labor, the discomfort is not relieved by ambulation; walking may intensify the discomfort.

NEW QUESTION # 119
In client teaching, the nurse should emphasize that fetal damage occurs more frequently with ingestion of drugs during:

A. Every trimester
B. First trimester
C. Second trimester
D. Third trimester

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) Organogenesis occurs in the first trimester. Fetus is most susceptible to malformation during this period. (B) Organogenesis has occurred by the second trimester. (C) Fetal development is complete by this time. (D) The dangerous period for fetal damage is the first trimester, not the entire pregnancy.

NEW QUESTION # 120
In an interview for suspected child abuse, the child's mother openly discusses her feelings.
She feels her husband is too aggressive in disciplining their child. The child's father states,
"Being a school custodian, I see kids every day that are bad because they did not get enough discipline at home. That will not happen to our child." Based on this remark, the nurse would make the following nursing diagnosis:

A. Altered family process related to physical abuse
B. Ineffective coping
C. Fear related to retaliation by the father
D. Actual injury related to poor impulse control by the father

Answer: A

Explanation:
(A) There is no evidence of fear as the child is unable to communicate. (B) There is actual injury, but the parents have not yet admitted causing the child's injuries. (C) This diagnosis is incomplete. There is no specific ineffective coping behavior identified in this nursing diagnosis. (D) Altered family process best describes the family dynamics in this situation. The parents have admitted severe disciplinary action.

NEW QUESTION # 121
......

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