Free PDF Quiz 2026 NCLEX-RN: National Council Licensure Examination(NCLEX-RN)–High Pass-Rate Test Passing Score

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NCLEX NCLEX-RN Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Reduction of Risk Potential9-15%- Reduction of Risk Potential
  • 1. Potential Complications
  • 2. System-Specific Assessments
  • 3. Diagnostic Tests
  • 4. Monitoring and Assessment
  • 5. Therapeutic Procedures
  • 6. Changes in Vital Signs
Topic 2: Safety and Infection Control10-16%- Safety and Infection Control
  • 1. Standard and Transmission-Based Precautions
  • 2. Infection Prevention and Control
  • 3. Home Safety
  • 4. Emergency Response Planning
  • 5. Handling Hazardous Materials
  • 6. Safe Use of Equipment
  • 7. Security Plans
  • 8. Accident and Injury Prevention
Topic 3: Basic Care and Comfort6-12%- Basic Care and Comfort
  • 1. Activities of Daily Living
  • 2. Elimination
  • 3. Nutrition and Oral Hydration
  • 4. Mobility and Immobility
  • 5. Personal Hygiene
  • 6. Rest and Sleep
  • 7. Assistive Devices
Topic 4: Psychosocial Integrity6-12%- Psychosocial Integrity
  • 1. Substance Use Disorders
  • 2. Family Dynamics
  • 3. Support Systems
  • 4. Crisis Intervention
  • 5. Coping Mechanisms
  • 6. Therapeutic Communication
  • 7. Behavioral Interventions
  • 8. Mental Health Concepts
Topic 5: Management of Care15-21%- Management of Care
  • 1. Client Rights
  • 2. Legal Rights and Responsibilities
  • 3. Case Management
  • 4. Ethical Practice
  • 5. Continuity of Care
  • 6. Advance Directives
  • 7. Assignment, Delegation and Supervision
  • 8. Performance Improvement and Quality Assurance
  • 9. Collaboration with Interdisciplinary Team
  • 10. Priority Setting
  • 11. Informed Consent
  • 12. Advocacy
  • 13. Confidentiality and Information Security
Topic 6: Pharmacological and Parenteral Therapies13-19%- Pharmacological and Parenteral Therapies
  • 1. Adverse Effects and Contraindications
  • 2. Parenteral Therapies
  • 3. Expected Actions and Outcomes
  • 4. Blood and Blood Products
  • 5. Central Venous Access Devices
  • 6. Medication Administration
  • 7. Dosage Calculations
Topic 7: Physiological Adaptation11-17%- Physiological Adaptation
  • 1. Fluid and Electrolyte Imbalances
  • 2. Medical Emergencies
  • 3. Unexpected Response to Therapies
  • 4. Pathophysiology
  • 5. Hemodynamics
  • 6. Alterations in Body Systems
Topic 8: Health Promotion and Maintenance6-12%- Health Promotion and Maintenance
  • 1. Aging Process
  • 2. Newborn Care
  • 3. Prenatal, Intrapartum and Postpartum Care
  • 4. Growth and Development
  • 5. Health Screening
  • 6. Health Promotion Programs
  • 7. Disease Prevention

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q602-Q607):

NEW QUESTION # 602
A client has ascites, which is caused by:

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) A decrease in plasma proteins causes a decrease in intravascular osmotic pressure resulting in leakage of fluid into peritoneal cavity. (B) Fluid and electrolyte imbalance may occur as a result of the ascites. (C) Ascites is a result of hepatic malfunction, not renal malfunction. (D) Portal hypertension causes esophageal varices, not ascites.


NEW QUESTION # 603
A client with IDDM is given IV insulin for a blood glucose level of 520 mg/dL. Life-threatening complications may occur initially, so the nurse will monitor him closely for serum:

Answer: D

Explanation:
Section: Questions Set F
Explanation:
(A) The chloride level is within acceptable limits. (B) The sodium level is within acceptable limits. (C) This value indicates hypokalemia, rather than the hyperkalemia that occurs during diabetic ketoacidosis. (D) When diabetic ketoacidosis exists, intracellular dehydration occurs and potassium leaves the cells and enters the vascular system, thus increasing the serum level beyond an acceptable range. When insulin and fluids are administered, cell walls are repaired and potassium is transported back into the cells. Normal serum potassium levels range from 3.5-5.0 mEq/L.


NEW QUESTION # 604
A client with cirrhosis of the liver becomes comatose and is started on neomycin 300 mg q6h via nasogastric tube. The rationale for this therapy is to:

Answer: B

Explanation:
(A) Neomycin is an antibiotic, but this is not the Rationale for administering it to a client in hepatic coma. (B) Diuretics and salt-free albumin are used to promote diuresis in clients with cirrhosis of the liver. (C) Neomycin destroys the bacteria in the intestines. It is the bacteria in the bowel that break down protein into ammonia. (D) Lactulose is administered to create an acid environment in the bowel. Ammonia leaves the blood and migrates to this acidic environment where it is trapped and excreted.


NEW QUESTION # 605
An 11-month-old infant is admitted with a possible diagnosis of pyloric stenosis. Which of the following best describes the characteristic clinical manifestations of pyloric stenosis?

Answer: A

Explanation:
Explanation
(A) There is no evidence of pain in infants with pyloric stenosis whether eating or not. (B) There are both good appetite and feeding habits in these children. (C) Because of regurgitation, there is usually decreased frequency and quantity of stools and also signs of dehydration and weight loss. (D) Along with upper abdominal distention, there is a characteristic palpable olive-shaped mass located to the right of the umbilicus.


NEW QUESTION # 606
When teaching a mother of a 4-month-old with diarrhea about the importance of preventing dehydration, the nurse would inform the mother about the importance of feeding her child:

Answer: D

Explanation:
Explanation
(A) Diluted fruit juices are not recommended for rehydration because they tend to aggravate the diarrhea. (B) Diluted soft drinks have a high-carbohydrate content, which aggravates the diarrhea. (C) Soy-based, lactose-free formula reduces stool output and duration of diarrhea in most infants. (D) Regular formulas contain lactose, which can increase diarrhea.


NEW QUESTION # 607
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