NCLEX PN – Actual Exam for 2026: Questions, Correct Answers & Explanations
1. A newly hired nurse prepares to insert an indwelling urinary catheter for the first time. Which action is appropriate?
A. Review policy and procedure manual ✅
B. Read and follow instructions provided
C. Ask preceptor to observe the procedure
D. Request another nurse to complete the skill
Explanation:
Reviewing the facility’s policy and procedure manual ensures the nurse follows the correct evidence-based protocol and institutional guidelines before performing a new skill. This promotes client safety and professional accountability.
2. A nurse recognizes an increase in client falls in a long-term care facility. Which step should the nurse use to begin the quality improvement process?
A. Collect data ✅
B. Identify causes
C. Initiate corrective actions
D. Analyze possible solutions
Explanation:
The first step in quality improvement is collecting data. The nurse must gather accurate information about the falls before identifying causes or implementing solutions.
3. A client who has a terminal illness decides to discontinue treatment. What is the appropriate response from the nurse?
A. Why are you giving up
B. Tell me about your decision ✅
C. What does your family want
D. You have other available options
Explanation:
This response is therapeutic and nonjudgmental. It encourages the client to express feelings and reasoning while respecting autonomy and end-of-life decisions.
