NCLEX NCLEX-RN PDF Questions [2026] - Make Your Aspirations Profitable

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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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2026 100% Free NCLEX-RN –Reliable 100% Free Latest Practice Questions | Valid National Council Licensure Examination(NCLEX-RN) Test Syllabus

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q856-Q861):

NEW QUESTION # 856
A client is experiencing mucosal cell damage secondary to chemotherapy. Because of mucosal ulcers, eating has become increasingly uncomfortable for her. Which of the following interventions would be most effective in getting her to eat?

A. Cleaning the mouth carefully with lemon glycerin swabs and milk of magnesia before meals
B. Staying with the client and providing distraction during meals
C. Local anesthetics or mouth washes applied to ulcers 30 minutes prior to meals
D. A bland, moist, soft diet

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) Local anesthetics do temporarily relieve the pain but leave an unpleasant taste and numb feeling that are not conductive to eating. (B) Such a diet is less irritating to the damaged mucosa and is easier for the child to tolerate. (C) This intervention is helpful if the child has only anorexia. It does not work if the type and texture of the food increase oral discomfort. (D) Lemon glycerin swabs and milk of magnesia dry the oral mucosa and should be avoided.

NEW QUESTION # 857
When preparing insulin for IV administration, the nurse identifies which kind of insulin to use?

A. Regular
B. NPH
C. Long acting
D. Human or pork

Answer: A

Explanation:
Explanation
(A, B, D) Intermediate-acting and long-acting preparations contain materials that increase length of absorption time from the subcutaneous tissues but cause the preparation to be cloudy and unsuitable for IV use. Human insulin must be given SC. (C) Only regular insulin can be given IV.

NEW QUESTION # 858
A client has just been transferred to the floor from the labor and delivery unit following delivery of a stillborn term infant. She is very despondent. When the nurse attempts to take her vital signs, she responds in anger, stating, "You leave me alone. You don't care anything about me. It's people like you who let my baby die." The nurse's best course of action is to:

A. Tell her that what happened was for the best and that she is still young and can have other children.
B. Quietly leave her room, allowing her more private time to deal with her loss.
C. Tell her how sorry you are, and let her know that her child is now a little angel in heaven.
D. Tell her how sorry you are about the loss of her baby, and acknowledge her anger as being a normal stage of grief. Assure her that you are there to help her in any way you can.

Answer: D

Explanation:
Explanation
(A) Parents do need their privacy following a loss, but the nurse still has a responsibility to provide postpartum physical care. (B) This is a negative statement, which is not therapeutic. The client is not concerned about future children but is in the first stages of grief, denial, and anger. (C) This is a negative statement, which is not therapeutic. The client does not want to hear about her baby in heaven. She cannot believe that God could love or want her child more than she could. (D) Acknowledging that anger is normal and beneficial will help the client to understand the normal stages of grief. Expressing sorrow over her loss and assuring her that the support is there to take care of her physical and emotional needs will help to promote a trusting relationship.

NEW QUESTION # 859
Cystic fibrosis is transmitted as an autosomal recessive trait. This means that:

A. Both parents must have the disease for a child to have the disease
B. Mothers carry the gene and pass it to their sons
C. Fathers carry the gene and pass it to their daughters
D. Both parents must be carriers for a child to have the disease

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) Cystic fibrosis is not an X-linked or sex-linked disease. (B) The only characteristic on the Y chromosome is the trait for hairy ears. (C) Both parents do not need to have the disease but must be carriers. (D) If a trait is recessive, two genes (one from each parent) are necessary to produce an affected child.

NEW QUESTION # 860
A client at 6 months' gestation complains of tiredness and dizziness. Her hemoglobin level is 10 g/dL, and her hematocrit value is 32%. Her nutritional intake is assessed as sufficient. The most likely diagnosis is:

A. Iron-deficiency anemia
B. No problem indicated
C. Physiological anemia
D. Fatigue due to stress

Answer: A

Explanation:
Explanation
(A) This clinical situation is indicative of iron-deficiency anemia because the client has inadequate nutritional intake. Her blood volume is increasing faster than her red blood cell volume. Anemia is present in the second trimester when the hemoglobin level is <10.5 and the hematocrit value falls below 35%. She needs increased iron supplements with follow-up. (B) The client's values are below levels for physiological anemia. (C) The client is fatigued because of a low hemoglobin level. (D) Her hemoglobin level is low and will probably decrease even more when the blood volume peaks at 28 weeks.

NEW QUESTION # 861
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