100% Pass 2026 NCLEX NCLEX-RN: Unparalleled National Council Licensure Examination(NCLEX-RN) Review Guide

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NCLEX NCLEX-RN Exam Overview:

Certification Vendor:	NCSBN (National Council of State Boards of Nursing)
Exam Name:	National Council Licensure Examination for Registered Nurses
Exam Number:	NCLEX-RN
Passing Score:	-0.18 logits
Real Exam Qty:	85–150
Exam Format:	Drag-and-drop, Matrix, Multiple-choice, Multiple-response, Computerized Adaptive Testing (CAT), Hot spot, Case study items, Bow-tie
Related Certifications:	NCLEX-PN
Exam Duration:	300 minutes
Certificate Validity Period:	Passing result does not expire; license renewal every 2 years in most jurisdictions
Available Languages:	French, English
Exam Price:	$200 USD
Recommended Training:	2026 NCLEX-RN Test Plan NCSBN NCLEX Preparation Resources
Exam Registration:	Pearson VUE NCLEX Registration NCSBN NCLEX Official Site
Sample Questions:	NCLEX NCLEX-RN Sample Questions
Exam Way:	Computer-based, delivered at authorized Pearson VUE test centers; no online remote proctoring
Pre Condition:	Graduation from an approved/accredited nursing program (ADN, BSN, or hospital diploma); eligibility approved by State Board of Nursing/Nursing Regulatory Body; official transcripts and background check required
Official Syllabus URL:	https://nclex.com/files/2026_RN_Test_Plan_English-F.pdf

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NCLEX-RN is a standardized exam that is used to determine if a nurse is ready to begin practicing as a registered nurse (RN) in the United States. NCLEX-RN Exam is developed and administered by the National Council of State Boards of Nursing (NCSBN) and is designed to assess a nurse's knowledge, skills, and abilities in relation to the safe and effective delivery of patient care.

NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q786-Q791):

NEW QUESTION # 786
The physician orders haloperidol 5 mg IM stat for a client and tells the nurse that the dose can be repeated in
1-2 hours if needed. The most likely rationale for this order is:

A. The client will settle down more quickly if he thinks the staff is medicating him
B. Rapid neuroleptization is the most effective approach to care for the violent or potentially violent client
C. The medication will sedate the client until the physician arrives
D. Haloperidol is a minor tranquilizer and will not oversedate the client

Answer: B

Explanation:
Section: Questions Set G
Explanation:
(A) If the client could think logically, he would not be paranoid. In fact, he is probably suspicious of the staff, too. Newly admitted clients frequently experience high levels of anxiety, which can contribute to delusions. (B) The goal of pharmacological intervention is to calm the client and assist with reality-based thinking, not to sedate him. (C) Haloperidol is a neuroleptic and antipsychotic drug, not a minor tranquilizer. (D) Haloperidol is a high-potency neuroleptic and first-line choice for rapid neuroleptization, with low potential for sedation.

NEW QUESTION # 787
A client develops complications following a hysterectomy. Blood cultures reveal Pseudomonas aeruginosa.
The nurse expects that the physician would order an appropriate antibiotic to treat P.aeruginosa such as:

A. Erythromycin (Erythrocin)
B. Clindamycin (Cleocin)
C. Cefoperazone (Cefobid)
D. Dicloxacillin (Dycill)

Answer: C

Explanation:
(A) Cefoperazone is indicated in the treatment of infection withPseudomonas aeruginosa.
(B) Clindamycin is not indicated in the treatment of infection withP. aeruginosa.(C) Dicloxacillin is not indicated in the treatment of infection withP. aeruginosa.(D) Erythromycin is not indicated in the treatment of infection withP. aeruginosa.

NEW QUESTION # 788
A client is admitted to the hospital with a diagnosis of aplastic anemia and placed on isolation. The nurse notices a family member entering the room without applying the appropriate apparel. The nurse will approach the family member using the following information as a basis for discussion:

A. The client is at extreme risk of acquiring infections.
B. Adherence to the guidelines are the latest Centers for Disease Control and Prevention recommendations on use of protective apparel.
C. Hospital regulations mandate that everyone in the facility adhere to appropriate codes.
D. The risks of exposure of the visitor to infectious organisms is great.

Answer: A

Explanation:
Explanation
(A) Although clients with a compromised immune system may acquire infections, the primary emphasis is on protecting the client. (B, D) Most people are aware of the guidelines once they see posted signs, so quoting regulations is not likely to result in consistent adherence to regulations. (C) Clients with aplastic anemia have white cell counts of 2000 or lower, making them more vulnerable to infections from others.

NEW QUESTION # 789
An 18-year-old girl is admitted to the hospital with a depressed skull fracture as a result of a car accident. If the nurse were to observe a rising pulse rate and lowering blood pressure, the nurse would suspect that the client:

A. Has a sudden and severe increase in intracranial pressure
B. Has sustained an internal injury in addition to the head injury
C. Is beginning to experience a dangerously high level of anxiety
D. Is having intracranial bleeding

Answer: B

Explanation:
Explanation
(A) Widening pulse pressure (high systolic and low diastolic) with compensatory slowing of pulse rate are late signs of increasing ICP. (B) Rising pulse rate and lowering blood pressure are indicative of hypovolemia due to hemorrhage. (C) High anxiety, in the absence of hemorrhage, would result in a high pulse rate and a high blood pressure. (D) Intracranial bleeding results in increased ICP. A change in level of consciousness is an early sign of increasing ICP, and vital sign changes are late signs of increasing ICP.

NEW QUESTION # 790
The nurse and prenatal client discuss the effects of cigarette smoking on pregnancy. It would be correct for the nurse to explain that with cigarette smoking there is increased risk that the baby will have:

A. A birth defect
B. Nicotine withdrawal
C. A low birth weight
D. Anemia

Answer: C

Explanation:
(A) Women who smoke during pregnancy are at increased risk for miscarriage, preterm labor, and IUGR in the fetus. (B) Although smoking produces harmful effects on the maternal vascular system and the developing fetus, it has not been directly linked to fetal anomalies. (C) Smoking during pregnancy has not been directly linked to anemia in the fetus. (D) Smoking during pregnancy has not been linked to nicotine withdrawal symptoms in the newborn.

NEW QUESTION # 791
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