Updated NCLEX NCLEX-RN Exam Questions For Accurately Prepare [2026]

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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q144-Q149):

NEW QUESTION # 144
A gravida 2 para 1 client is hospitalized with severe preeclampsia. While she receives magnesium sulfate (MgSO4) therapy, the nurse knows it is safe to repeat the dosage if:

A. Deep tendon reflexes are absent
B. Respirations are > 16 breaths/min
C. MgSO4 serum levels are > 15 mg/dL
D. Urine output is 20 mL/hr

Answer: B

Explanation:
Section: Questions Set B
Explanation:
(A) MgSO4 is a central nervous system depressant. Loss of reflexes is often the first sign of developing toxicity.
(B) Urinary output at < 25 mL/hr or 100 mL in 4 hours may result in the accumulation of toxic levels of magnesium. (C) The therapeutic serum range for MgSO4 is 6-8 mg/dL. Higher levels indicate toxicity. (D) Respirations of >16 breaths/min indicate that toxic levels of magnesium have not been reached. Medication administration would be safe.

NEW QUESTION # 145
To prevent transmission of bacterial meningitis, the nurse would instruct an infected baby's mother to:

A. Wear a gown and gloves and wash her hands before and after leaving the room.
B. Wear a mask while in the room.
C. Stay outside of the baby's room.
D. Avoid touching the baby while in the room.

Answer: A

Explanation:
Section: Questions Set G
Explanation:
(A) The mother should be allowed and encouraged to touch her baby. (B) With care, transmission can be prevented. There is no need for the mother to stay outside the room. (C) Everyone entering the baby's room should take appropriate measures to prevent transmission of pathogens. (D) Wearing a mask will not protect against transmission of pathogens.

NEW QUESTION # 146
A male client has a history of diverticulosis. He has questions about the foods that he should eat. His nurse gives him the following information:

A. He should eat a low-residue diet.
B. He should drink minimal amounts of fluids.
C. He does not need to make any modifications.
D. He should be on a high-fiber diet.

Answer: D

Explanation:
(A) Clients with diverticulosis should maintain a high-fiber diet and prevent constipation with bran or bulk laxatives. (B) Lowresidue diets lead to constipation and are contraindicated in clients with diverticulosis. (C) Clients with diverticulosis should drink at least eight glasses of water each day to prevent constipation. (D) Clients with diverticulosis should modify their diet to include high-fiber foods and bulk laxatives.

NEW QUESTION # 147
While changing the dressing on a client's central line, the nurse notices redness and warmth at the needle insertion site. Which of the following actions would be appropriate to implement based on this finding?

A. Begin a peripheral IV.
B. Discontinue the central line.
C. Document in the nurse's notes and notify the physician after redressing the site.
D. Clean the site well and redress.

Answer: C

Explanation:
(A) The nurse may never discontinue a central line without a physician's order. (B) The nurse may never initiate a peripheral IV without a physician's order except in an emergency situation. (C) The nurse should always document findings and alert the physician to the findings as well. The physician may then initiate a new central line and order the current central line to be discontinued. (D) Besides cleaning and redressing, the nurse should always document the findings.

NEW QUESTION # 148
A group of nursing students at a local preschool day care center are going to screen each child's fine and gross motor, language, and social skills. The students will use which one of the most widely used screening tests?

A. Revised Prescreening Developmental Questionnaire
B. Goodenough Draw-a-Person Screening Test
C. Denver Development Screening Test
D. Caldwell Home Inventory

Answer: C

Explanation:
Explanation
(A) The Revised Prescreening Developmental Questionnaire is more age appropriate and offers simplified parent scoring and easier comparison. It is used by parents instead of professionals. (B) The Goodenough Draw-a-Person test is used to assess intellectual development. (C) The Denver Developmental Screening Test is one of the most widely used screening tests. It offers a concise, easy-to-administer, systematic approach to assessing the preschool child. It is widely used because of its reliability and validity. (D) The Caldwell Home Inventory is used to assess the home environment in areas of social, emotional, and cognitive supports.

NEW QUESTION # 149
......

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