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NCLEX RN Exam Questions & Answers 2026 (11–20)

NCLEX RN practice questions and answers 2026. Tap an option to test yourself — you'll see the correct answer and a plain-English explanation for every question. Free, no login.

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  1. Q11Your patient has been diagnosed with Parkinson’s disease. He has been taking Parcopa orally for 10 days and is concerned that it is not helping to control his symptoms. <br/><br/>What would be the appropriate response to his concern?

    • AImmediately notify his health care provider that the medication has not been effective.
    • BMake sure that the patient is taking the medication properly.
    • CAsk the patient if he is adhering to the recommended diet.
    • DTell the patient that it takes 1 to 2 months before the medication is effective in controlling symptoms.
    Show answer

    ✓ Correct answer: D. Tell the patient that it takes 1 to 2 months before the medication is effective in controlling symptoms.

    It takes at least 1 to 2 months for this medication to be effective. Sometimes it takes as much as 6 months. The patient is not likely to see any improvement in symptoms in 10 days. Reminding the patient that it takes a while for the medication to be effective would be the appropriate response to his concern.

  2. Q12Which of the following medications would NOT be an appropriate prn medication for use during an episode of aggression or violence for the patient with a psychiatric diagnosis?

    • AMeperidine
    • BHaloperidol
    • COlanzapine
    • DZiprasidone
    Show answer

    ✓ Correct answer: A. Meperidine

    Meperidine is an opioid used to treat pain, and is not an appropriate medication to use to treat aggressive or violent behavior. Second-generation anti-psychotic medications such as olanzapine and ziprasidone, as well as traditional anti-psychotics such as haloperidol are effective agents, with or without the concurrent use of a benzodiazepine.

  3. Q13A 47-year-old female is admitted due to cellulitis of the right leg. Medical history reveals that the client was diagnosed with diabetes mellitus four years ago and that she has hypertension. <br/><br/>Which of the following is the most appropriate intervention to reduce and manage the swelling in the right leg?

    • AApply warm compress on the affected leg.
    • BImmobilize the leg.
    • CElevate the affected leg on one pillow with the head of bed elevated.
    • DAdminister prescribed antibiotics.
    Show answer

    ✓ Correct answer: D. Administer prescribed antibiotics.

    Administering prescribed antibiotics is the most proper intervention to reduce the swelling and inflammation of the leg.<br/><br/>Avoid applying warm compresses to the affected leg because this can cause further tissue injury.<br/><br/>In addition, the client has diabetes that may significantly decrease the client’s perception of heat.<br/><br/>Immobilizing the leg is unnecessary; however, the nurse must gently handle the extremity because this can be extremely painful for the client.<br/><br/>Ideally, the affected leg should be elevated above the heart level.

  4. Q14In the postictal period, the nurse must give highest priority to which aspect of patient care?

    • APatient satisfaction
    • BPatient comfort
    • CFamily education
    • DPatient safety
    Show answer

    ✓ Correct answer: D. Patient safety

    While all of the above are important aspects of care, patient safety must be assured before focusing on comfort, satisfaction or education.

  5. Q15You are assessing a patient for fluid volume deficit. <br/><br/>Which of the following is a cause of this type of deficit?

    • AVomiting
    • BRenal failure
    Show answer

    ✓ Correct answer: A. Vomiting

    Fluid volume deficit may be caused by gastrointestinal problems such as vomiting, diarrhea and GI suctioning. It can also be caused by a decrease in fluid intake or an increase in fluid output. Renal failure would be the cause of fluid volume overload not fluid volume deficit.

  6. Q16How often should a patient be encouraged to perform incentive spirometry?

    • A1 time per hour
    • B2-3 times every few hours
    • C10 times per hour while awake
    • DTwice a day
    Show answer

    ✓ Correct answer: C. 10 times per hour while awake

    Patients should be encouraged to perform incentive spirometry ten times per hour while awake, but to stop and rest if they become dizzy or lightheaded. Consistent use of an incentive spirometer will lead to better overall patient outcomes.

  7. Q17A collection is <code>________</code>.

    • Athe process of collecting fluid into the surgical drainage bag
    • Bredness around the drain site
    • Cwhen you have a combination of temperature of > 98.6 F or 37 C, and the presence of increasing pain
    • Dwhen fluids are trapped inside the body and form a pocket of infection
    Show answer

    ✓ Correct answer: D. when fluids are trapped inside the body and form a pocket of infection

    When body fluid, blood and/or pus gets trapped inside the body and forms a pocket of infection, this is referred to as a collection.

  8. Q18How can having an open-door policy create progress monitoring opportunities?

    • AIt does not allow for adequate progress monitoring.
    • BEmployees are required to stop in regularly and give updates.
    • CYou are always available for an update or questions.
    • DIt eliminates the need for other forms of check-in.
    Show answer

    ✓ Correct answer: C. You are always available for an update or questions.

    An open-door policy as a manager can be an effective way to monitor progress because it works on your availability for updates or questions.

  9. Q19A 50-year-old male is admitted to the hospital with a stroke. <br/><br/>Which of the following actions should the nurse delegate to a nursing assistant?

    • AAssess the client for deep vein thrombosis
    • BAusculate the client’s breath sounds every 4 hours to maintain patent airways
    • COffer the client a bedpan every 2 hours
    • DAdminister prescribed medication
    Show answer

    ✓ Correct answer: C. Offer the client a bedpan every 2 hours

    Interventions that help the client with activities of daily living is a task the nurse can delegate to the nursing assistant because this activity is within the nursing assistant’s educational level and practice.<br/><br/>However, assessing the client, such as assessing for deep vein thrombosis, along with medication administration and assessing the client to ensure airway management is outside of a nursing assistant’s scope of practice.<br/><br/>These activities require additional training and education of a licensed nurse.

  10. Q20A nurse is caring for an elderly client with dementia.<br/><br/>The client asks the nurse the same question repeatedly because she cannot remember if she had asked the nurse the question previously.<br/><br/>The nurse becomes angry with the client, tells the client "shut up already. You have asked me that question. I am tired of telling you the same answer over and over."<br/><br/>The client asks the nurse the same question 10 minutes later.<br/><br/>The nurse slaps the client and says, "maybe this will help you remember the answer."<br/><br/>The nurse could be charged with a

    • AMisdemeanor
    • BInquest
    • CMalpractice
    • DEuthanasia
    Show answer

    ✓ Correct answer: A. Misdemeanor

    A misdemeanor is a type of crime.<br/><br/>A crime is an act that is performed that violates the law.<br/><br/>A crime can either be a misdemeanor or a felony.<br/><br/>A misdemeanor is a less serious crime because it does not involve murder.<br/><br/>However, the nurse can be charged with a misdemeanor for physically harming the client by slapping her.<br/><br/>Most states have laws that address physical violence.

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