Free NCLEX NCLEX-RN Practice Exam Questions and Answers 2026

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Total 865 Questions | Updated On: Apr 01, 2026

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Question 1

A male infant is to be discharged home this morning. Which instruction related to his cord care should be included in his mother’s discharge teaching plan?

A : Keep the umbilical area moist with Vaseline until the stump falls off.

B : Keep the umbilical area covered at all times with the diaper.

C : Clean the umbilical cord with alcohol at each diaper change.

D : Clean the umbilical cord daily with soap and water during the bath

Answer: C

Question 2

A female client is started on warfarin (Coumadin) 5 mg po bid. To adequately evaluate the effectiveness of the warfarin therapy, the nurse must know that this medication:

A : Dissolves any clots already formed in the arteries

B : Prevents the conversion of prothrombin to thrombin

C : Interferes with the synthesis of vitamin K-dependent clotting factors

D : Stimulates the manufacturing of platelets

Answer: C

Question 3

Hypoxia is the primary problem related to near-drowning victims. The first organ that sustains irreversibledamage after submersion in water is the:

A : Kidney (urinary system)

B : Brain (nervous system)

C : Heart (circulatory system)

D : Lungs (respiratory system)

Answer: B

Question 4

A client reports to the nurse that the voices are practically nonstop and that he needs to leave the hospital immediately to find his girlfriend and kill her. The best verbal response to the client by the nurse at this time is:

A : “I understand that the voices are real to you, but I want you to know I don’t hear them. They are a symptom of your illness.”

B : “Just don’t pay attention to the voices. They’ll go away after some medication.”

C : “You can’t leave here. This unit is locked and the doctor has not ordered your discharge.”

D : “We will have to put you in seclusion and restraints for a while. You could hurt someone with thoughts like that.”

Answer: A

Question 5

A violent client remains in restraints for several hours. Which of the following interventions is most appropriate while he is in restraints?

A : Give fluids if the client requests them.

B : Assess skin integrity and circulation of extremities before applying restraints and as they are removed.

C : Measure vital signs at least every 4 hours.

D : Release restraints every 2 hours for client to exercise.

Answer: D

Page: 1 / 173

Total 865 Questions | Updated On: Apr 01, 2026

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