NCLEX-RN Practice Test 2026-2027 and Free Sample Questions

A registered nurse is working with a licensed practical nurse and an unlicensed assistive personnel. Which task is most appropriate for the registered nurse to delegate to the unlicensed assistive personnel?

A nurse is preparing to administer digoxin to a client with heart failure. The client's most recent serum potassium level is 3.0 milliequivalents per liter. What is the nurse's priority action?

A nurse is caring for a client diagnosed with active pulmonary tuberculosis. Which personal protective equipment must the nurse wear when entering the client's room?

A nurse is caring for a client receiving a unit of packed red blood cells. Fifteen minutes after the transfusion begins, the client reports chills, low back pain, and a feeling of apprehension. What should the nurse do first?

A nurse is assessing a client who is one hour postpartum after a vaginal delivery. The fundus is boggy and located above the umbilicus, and there is moderate vaginal bleeding. What is the nurse's first action?

A nurse is caring for a client who is experiencing a generalized tonic-clonic seizure. Which action should the nurse take?

A nurse is about to administer a medication and finds that the dose ordered is twice the usual recommended dose for the client. What should the nurse do?

A nurse is caring for a client with a chest tube connected to a water seal drainage system. The nurse notices the chest tube has become disconnected from the drainage system. What should the nurse do first?

A client on an inpatient psychiatric unit states, I have been thinking about ending my life and I have a plan. What is the nurse's priority action?

A nurse is assessing a 10-month-old infant brought to the clinic. Which finding should the nurse report to the provider as a concern?

A nurse reviews the laboratory results of a client and notes a serum sodium level of 122 milliequivalents per liter. Which assessment finding is the nurse most likely to observe?

A client reports crushing substernal chest pain that radiates to the left arm. The nurse suspects an acute myocardial infarction. After ensuring the client is positioned comfortably, which action should the nurse take first?

A nurse is teaching a client who has a new prescription for warfarin. Which statement by the client indicates a correct understanding of the teaching?

A nurse is caring for a client with an endotracheal tube receiving mechanical ventilation. The high-pressure ventilator alarm sounds. Which is a likely cause the nurse should assess for?

A nurse receives laboratory results for four clients. Which result requires the most immediate nursing action?

A nurse is caring for a client with Clostridioides difficile infection. Which action by the nurse demonstrates correct infection control practice?

A nurse is caring for a client with type 1 diabetes who is diaphoretic, shaky, confused, and has a blood glucose of 54 milligrams per deciliter. The client is awake and able to swallow. What should the nurse do first?

A nurse is caring for a postoperative client who suddenly reports shortness of breath and sharp chest pain that worsens with deep breathing. The client is anxious, tachycardic, and has an oxygen saturation of 89 percent. What should the nurse do first?

A nurse is providing discharge teaching to a client who will be taking oral iron supplements for iron deficiency anemia. Which instruction should the nurse include?