Quiz 2026 NCLEX NCLEX-RN–High Hit-Rate Exam Learning

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NCLEX NCLEX-RN Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Psychosocial Integrity6–12%- Coping Mechanisms
- End-of-Life Support
- Mental Health Concepts
- Chemical Dependency and Substance Use Disorders
- Behavioral Interventions
- Grief and Loss
- Family Dynamics
- Therapeutic Communication
Topic 2: Physiological Integrity43–67%- Reduction of Risk Potential
  • 1. Diagnostic Tests
    • 2. Vital Signs
      • 3. Therapeutic Procedures
        • 4. Laboratory Values
          • 5. Potential for Complications
            - Basic Care and Comfort
            • 1. Assistive Devices
              • 2. Non-pharmacological Comfort Interventions
                • 3. Personal Hygiene
                  • 4. Mobility and Immobility
                    • 5. Nutrition and Oral Hydration
                      • 6. Elimination
                        - Pharmacological and Parenteral Therapies
                        • 1. Dosage Calculation
                          • 2. IV Therapy and Blood Products
                            • 3. Medication Administration
                              • 4. Adverse Effects and Contraindications
                                • 5. Pharmacological Pain Management
                                  - Physiological Adaptation
                                  • 1. Hemodynamics
                                    • 2. Pathophysiology
                                      • 3. Respiratory Care
                                        • 4. Illness Management
                                          • 5. Fluid and Electrolyte Imbalances
                                            • 6. Medical Emergencies
                                              Topic 3: Health Promotion and Maintenance6–12%- Self-Care
                                              - Antepartum, Intrapartum, Postpartum and Newborn Care
                                              - Developmental Stages and Transitions
                                              - Aging Process
                                              - Disease Prevention and Health Screening
                                              - Physical Assessment Techniques
                                              - Health Promotion Programs
                                              Topic 4: Safe and Effective Care Environment26–38%- Safety and Infection Control
                                              • 1. Use of Restraints and Safety Devices
                                                • 2. Error Prevention
                                                  • 3. Accident Prevention
                                                    • 4. Hazardous Materials Handling
                                                      • 5. Standard Precautions
                                                        • 6. Infection Control
                                                          - Management of Care
                                                          • 1. Delegation and Prioritization
                                                            • 2. Client Rights
                                                              • 3. Continuity of Care
                                                                • 4. Legal Responsibilities
                                                                  • 5. Case Management
                                                                    • 6. Quality Improvement
                                                                      • 7. Ethical Practice
                                                                        • 8. Advocacy

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                                                                          NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q120-Q125):

                                                                          NEW QUESTION # 120
                                                                          A client is being discharged from the hospital today. The discharge teaching for care of her colostomy included which of the following basic principles for protecting the skin around her stoma:

                                                                          Answer: A

                                                                          Explanation:
                                                                          Explanation/Reference:
                                                                          Explanation:
                                                                          (A) When a pouch seal leaks, the pouch should be immediately changed, not taped. Stool held against the skin can quickly result in severe irritation. (B) The skin barrier should be cut only slightly larger than the stoma (one-half inch). (C) The client should be taught to change pouches whenever possible before leakage occurs. (D) When skin sealant is used under the tape, the outermost layer of the epidermis remains intact. When no skin sealant is used, this layer is removed when the tape is removed.


                                                                          NEW QUESTION # 121
                                                                          The usual treatment for diabetes insipidus is with IM or SC injection of vasopressin tannate in oil. Nursing care related to the client receiving IM vasopressin tannate would include:

                                                                          Answer: B

                                                                          Explanation:
                                                                          (A) Weight should be obtained daily. (B) Fluid is not restricted but is given according to urine output. (C) The medication does not have to be stored in a refrigerator. (D) Holding the vial under warm water for 10-15 minutes or rolling between your hands and shaking vigorously before drawing medication into the syringe activates the medication in the oil solution.


                                                                          NEW QUESTION # 122
                                                                          The nurse is interviewing a client with a diagnosis of possible abdominal aortic aneurysm. Which of the following statements will be reflected in the client's chief complaint?

                                                                          Answer: A

                                                                          Explanation:
                                                                          Explanation
                                                                          (A, B, C) These complaints are not specific signs and symptoms associated with abdominal aortic aneurysm. If symptoms are present, the aneurysm is expanding or rupture is imminent. (D) Many clients may experience no symptoms. The only symptom may be a pulsation noted in the abdomen in the reclining position.


                                                                          NEW QUESTION # 123
                                                                          Which one of the following is considered a reliable indicator for assessing the adequacy of fluid resuscitation in a 3-year-old child who suffered partial- and fullthickness burns to 25% of her body?

                                                                          Answer: D

                                                                          Explanation:
                                                                          (A) Urinary output is a reliable indicator of renal perfusion, which in turn indicates that fluid resuscitation is adequate. IV fluids are adjusted based on the urinary output of the child during fluid resuscitation. (B) Edema is an indication of increased capillary permeability following a burn injury. (C) Hypertension is an indicator of fluid volume excess. (D) Fontanelles close by 18 months of age.


                                                                          NEW QUESTION # 124
                                                                          A 3-year-old child was hospitalized for acute laryngotracheobronchitis. During her hospitalization, the child was placed under an oxygen mist tent. The nurse's frequent monitoring of the child's temperature frightened her parents. Which response by the nurse would be most appropriate?

                                                                          Answer: D

                                                                          Explanation:
                                                                          Explanation
                                                                          (A) The refrigerated cool mist tent creates a cool, moist environment. The child as well as bedding and clothing may become dampened. Monitoring the temperature of the child will ensure warmth and prevent chilling. (B) Only a low-grade fever is expected in laryngotracheobronchitis. (C) Febrile seizures are not expected with the low-grade fever. (D) Inflammation of the mucosal lining in the respiratory tract can cause airway obstruction. However, monitoring the child's temperature would not prevent airway obstruction.


                                                                          NEW QUESTION # 125
                                                                          ......

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