Sen Lin, Người sáng lập PrepPass · Đối chiếu với NCSBN — National Council of State Boards of Nursing · Quy trình kiểm tra
Miễn phí · in được · không cần đăng ký
Phiếu Ôn Cấp Tốc Kỳ Thi NCLEX-RN Nursing (2026)
Phiếu Ôn Cấp Tốc miễn phí, in được cho kỳ thi NCLEX-RN Nursing: 140 điểm trọng tâm nhất, chia thành 7 phần theo các lĩnh vực nội dung của kỳ thi, mỗi phần kèm trọng số đã công bố.
- Miễn phí đọc, in và giữ lại — không cần đăng ký, không cần email, không có tường phí.
- In trực tiếp từ trình duyệt (Ctrl-P, hoặc Cmd-P trên Mac) — thanh điều hướng, các nút và liên kết không xuất hiện trong bản in.
- 400 câu hỏi luyện tập NCLEX-RN Nursing miễn phí trên cùng nội dung, câu nào cũng có giải thích.
- Cập nhật lần cuối: tháng 8 năm 2026.
Học theo trình tự?
Luyện tập vẫn miễn phí. Trọn bộ hướng dẫn NCLEX-RN Nursing Licensure là chính phần kiến thức, dạy từ đầu đến cuối — tệp PDF + EPUB tải về, thuộc về bạn.
Management of Care
15% của kỳ thi- Apply ABC first
- Address airway, then breathing, then circulation problems before other needs, because these threaten life most rapidly.
- Use Maslow when no ABC threat exists
- Meet physiological needs before safety, then love and belonging, esteem, and self-actualization.
- Prioritize the unstable client
- The least stable or most rapidly changing client is generally seen first.
- Acute over chronic
- A new, acute problem usually takes priority over a stable chronic condition.
- Delegate routine tasks to UAP
- Vital signs on stable clients, hygiene, ambulation, and intake and output are appropriate for unlicensed assistive personnel.
- Reserve nursing judgment for the RN
- Initial assessment, care planning, teaching, and evaluation stay with the registered nurse.
- Match acuity to competency
- Assign stable, predictable clients to less experienced staff and complex clients to experienced nurses.
- Accountability is not transferred
- Delegation moves the task, not the responsibility; the RN supervises and follows up.
- Respect autonomy
- Competent clients may accept or refuse treatment; document refusals and notify the provider.
- Clarify consent roles
- The provider explains risks and alternatives; the nurse witnesses that consent is voluntary and informed.
- Advocate for the client
- Speak up when a plan may harm the client or conflicts with the client's expressed wishes.
- Protect confidentiality
- Share protected health information only with those involved in the client's care.
- Practice veracity
- Document only care that was actually provided; falsification is an ethical and legal violation.
- Report errors and near-misses
- Complete an incident report for quality improvement; do not file it in the medical record.
- Apply nonmaleficence
- Avoid actions that could harm the client, and question unsafe orders.
- Ensure justice
- Distribute care and resources fairly regardless of the client's background.
- Give structured handoff
- Emphasize the least stable clients and use a consistent format to ensure continuity.
- Plan discharge early
- Arrange home health, equipment, and follow-up appointments before the client leaves.
- Coordinate the team
- Communicate with providers, therapists, and social workers to align the plan of care.
- Reconcile medications
- Verify the client's medication list at transitions to prevent omissions and duplications.
Safety and Infection Control
13% của kỳ thi- Use standard precautions always
- Perform hand hygiene and use PPE whenever contact with blood or body fluids is possible.
- Airborne precautions
- Tuberculosis, measles, and varicella require a negative-pressure room and an N95 respirator.
- Droplet precautions
- Influenza and meningococcal meningitis require a mask and a private room when possible.
- Contact precautions
- MRSA, C. difficile, and scabies require gowns and gloves; use soap and water for C. difficile.
- Donning order
- Apply gown, then mask or respirator, then goggles, then gloves.
- Doffing order
- Remove gloves, then goggles, then gown, then mask, performing hand hygiene between and after.
- Hand hygiene bookends PPE
- Wash or sanitize hands before donning and after doffing every time.
- Right PPE for the task
- Select PPE based on anticipated exposure to blood, secretions, or airborne particles.
- Screen for fall risk
- Assess age, mobility, cognition, and medications; use bed alarms and frequent rounding for high-risk clients.
- Modify the environment
- Remove clutter, improve lighting, and keep the call light and needed items within reach.
- Restraints need an order
- Obtain a current provider order and use the least restrictive device for the shortest time.
- Monitor restrained clients
- Check circulation, skin, and needs every 15 to 30 minutes and use a quick-release knot on the bed frame.
- Follow RACE for fire
- Rescue, Alarm, Confine, then Extinguish, in that order.
- Prevent oxygen fires
- Prohibit smoking and open flames near oxygen and use only water-based lubricants.
- Prepare for seizures
- Keep suction and oxygen at the bedside, pad rails, and never place objects in the mouth.
- Decontaminate before care
- Remove hazardous chemicals from the client before other treatment to protect the client and staff.
- Verify two identifiers
- Confirm client identity with two identifiers before medications, procedures, and transfusions.
- Double-check high-alert items
- Two qualified staff verify blood products, insulin, and other high-risk agents.
- Honor allergy alerts
- Provide latex-free or allergen-free supplies and hold any drug the client is allergic to.
- Store medications safely
- Keep drugs in original labeled containers, locked away from children, and discard expired medications.
Health Promotion and Maintenance
12% của kỳ thi- Colorectal screening at 45
- Average-risk adults begin colorectal cancer screening at age 45.
- Cervical screening
- Women aged 30 may have a Pap test every three years or human papillomavirus co-testing at extended intervals.
- Do not wait for symptoms
- Screening aims to detect disease before symptoms appear.
- Individualize by risk
- Family history and personal risk factors may warrant earlier or more frequent screening.
- Avoid live vaccines in pregnancy
- MMR and varicella are live attenuated vaccines contraindicated during pregnancy.
- Recommend inactivated vaccines in pregnancy
- Inactivated influenza and Tdap protect the mother and newborn.
- Screen for contraindications
- Assess for immunosuppression and severe allergy before administering vaccines.
- Educate on schedules
- Teach the recommended childhood and adult immunization timelines.
- Infant milestones
- By 12 months, infants pull to stand, cruise, and may take first steps.
- Introduce solids around 6 months
- Start solid foods when the infant sits with support and has lost the tongue-thrust reflex.
- Toddler and preschool language
- A 4-year-old speaks in short sentences that strangers can understand.
- Recognize red flags
- Loss of skills or major delays warrant further developmental evaluation.
- Guide pregnancy weight gain
- A woman of normal weight is advised to gain about 25 to 35 pounds.
- Support breastfeeding
- Six or more wet diapers a day indicate adequate infant hydration.
- Teach newborn feeding cues
- Encourage feeding on demand and monitor output and weight.
- Promote prenatal nutrition
- Encourage folic acid intake and a balanced diet to support fetal development.
- Promote heart-healthy diet
- Encourage fish, vegetables, and whole grains while limiting saturated fat and sodium.
- Recommend regular activity
- Most adults benefit from about 150 minutes of moderate activity weekly plus balance and strength work.
- Support tobacco cessation
- Help clients set a quit date and use behavioral and pharmacologic support.
- Advise moderate alcohol
- Moderate intake is up to one drink daily for women and two for men.
Psychosocial Integrity
12% của kỳ thi- Acknowledge feelings
- Reflect and validate the client's emotions to encourage expression.
- Use open-ended questions
- Invite the client to share more rather than asking yes-or-no questions.
- Use silence
- Allow pauses so the client has time to process and respond.
- Avoid communication blocks
- Do not give false reassurance, advice, or change the subject.
- Present reality kindly
- For hallucinations, acknowledge the client's experience without confirming or arguing about the perception.
- Reduce stimulation in mania
- Provide a calm environment and portable high-calorie foods for manic clients.
- Watch physiology in eating disorders
- Bradycardia and electrolyte imbalance in anorexia can be life-threatening and take priority.
- Support panic clients
- Stay present, remain calm, and use short, simple statements during a panic attack.
- Ask directly about suicide
- Directly asking about suicidal ideation assesses risk and does not increase self-harm.
- Assess safety in abuse
- Evaluate immediate safety and provide resources for clients disclosing violence.
- Monitor withdrawal
- Seizures during alcohol withdrawal are an emergency requiring immediate intervention.
- De-escalate anger
- Acknowledge feelings and invite discussion rather than commanding or threatening.
- Recognize grief stages
- Denial, anger, bargaining, depression, and acceptance may occur in any order.
- Support the grieving
- Use presence and silence and encourage expression of feelings.
- Identify postpartum depression
- Persistent sadness and disinterest in the infant beyond two weeks warrant evaluation.
- Support families at end of life
- Provide privacy and encourage families to express feelings.
- Reorient in delirium
- Provide frequent reorientation, familiar objects, and consistent caregivers.
- Avoid overstimulation
- Reduce noise and clutter that can worsen confusion and agitation.
- Minimize restraints
- Use nonpharmacologic strategies before considering restraints for confused clients.
- Ensure a safe environment
- Prevent wandering and injury while preserving dignity.
Basic Care and Comfort
12% của kỳ thi- Know clear liquids
- Clear liquids include apple juice, broth, and plain gelatin, which leave little residue.
- Prevent aspiration in dysphagia
- Position the client upright and use chin-tuck swallowing; avoid thin liquids as ordered.
- Provide comfort during NPO
- Offer oral care and lip moisture without giving fluids to an NPO client.
- Verify tube feeding placement
- Confirm nasogastric tube placement per protocol using pH or radiographic methods before feeding.
- Treat constipation conservatively
- Increase fluids, fiber, and activity before using enemas or laxatives.
- Report low urine output
- Output below 30 mL per hour may indicate poor perfusion or obstruction and should be reported.
- Provide correct perineal care
- Clean from the urethra outward toward the anus using a clean cloth section per stroke.
- Maintain catheter safety
- Keep the drainage bag below the bladder and the system closed to prevent infection.
- Fit crutches correctly
- The crutch top rests about two finger-widths below the axilla with weight on the hands.
- Prevent venous thromboembolism
- Encourage leg exercises and apply sequential compression devices for immobile clients.
- Apply antiembolism stockings correctly
- Apply while the client is lying down before rising, without wrinkles or rolling.
- Reposition regularly
- Change position at least every two hours to maintain circulation and prevent breakdown.
- Reposition to prevent injury
- Turn and reposition at least every two hours and use the 30-degree lateral position.
- Stage pressure injuries
- Stage 1 is nonblanchable redness, stage 2 is partial-thickness loss, and deeper stages involve full-thickness loss.
- Avoid harmful practices
- Do not massage bony prominences or use doughnut cushions, which cause tissue damage.
- Keep skin clean and dry
- Manage moisture and incontinence to protect skin integrity.
- Protect the airway during oral care
- Position unconscious clients side-lying and use minimal fluid to prevent aspiration.
- Promote rest
- Cluster care and reduce nighttime interruptions to support sleep.
- Manage pain and comfort
- Use pharmacologic and nonpharmacologic measures to relieve discomfort.
- Maintain dignity
- Provide privacy and involve the client in hygiene decisions when possible.
Pharmacological and Parenteral Therapies
15% của kỳ thi- Apply the rights
- Verify the right client, drug, dose, route, time, and documentation.
- Honor allergies
- Hold any drug the client is allergic to and notify the prescriber.
- Verify identity
- Use two identifiers before administering medications.
- Document accurately
- Record administration promptly and never chart a drug before giving it.
- Use desired over available
- Divide the ordered dose by the dose on hand and multiply by the quantity.
- Double-check high-alert drugs
- Have a second nurse verify insulin, heparin, and pediatric doses.
- Convert units carefully
- Ensure consistent units before calculating to avoid tenfold errors.
- Question unusual doses
- Verify any dose that seems too high or requires many tablets or vials.
- Monitor anticoagulants
- Use PT and INR for warfarin and aPTT for heparin; protamine reverses heparin and vitamin K reverses warfarin.
- Check cardiac drugs
- Hold digoxin for an apical rate below 60 and assess heart rate and blood pressure before beta-blockers.
- Watch diuretics
- Loop diuretics such as furosemide can cause hypokalemia; monitor potassium.
- Monitor nephrotoxic antibiotics
- Check renal function and peak and trough levels with aminoglycosides.
- Recognize opioid effects
- Assess respiratory rate and sedation and initiate a bowel regimen to prevent constipation.
- Detect lithium toxicity
- Vomiting, coarse tremors, and confusion signal toxicity due to the narrow therapeutic range.
- Teach ACE inhibitor cough
- A persistent dry cough is common, and angioedema is a rare emergency.
- Taper corticosteroids
- Do not stop long-term steroids abruptly; taper to prevent adrenal insufficiency.
- Never IV push potassium
- Dilute IV potassium and infuse slowly with a pump; rapid administration can be fatal.
- Time insulin with food
- Ensure rapid-acting insulin such as lispro is followed by food within about 15 minutes.
- Give blood with saline
- Infuse blood products with normal saline only and verify with a second nurse.
- Teach food and drug interactions
- Avoid tyramine with MAOIs and separate tetracycline from dairy and antacids.
Physiological Adaptation and Reduction of Risk
21% của kỳ thi- Know normal potassium
- Normal serum potassium is about 3.5 to 5.0 mEq/L; values above or below signal danger.
- Interpret cardiac markers
- Troponin is the most specific marker for myocardial injury and rises within hours.
- Assess coagulation
- An INR of 5.0 indicates a high bleeding risk; normal is near 1.0 without anticoagulation.
- Recognize anemia
- A low hemoglobin causes fatigue, pallor, and compensatory tachycardia.
- Recognize fluid overload
- Rapid weight gain and lung crackles suggest fluid volume overload.
- Recognize dehydration
- Poor skin turgor and concentrated urine indicate fluid volume deficit.
- Prioritize hyperkalemia
- Peaked T waves with high potassium require immediate intervention.
- Interpret hypocalcemia
- Positive Trousseau and Chvostek signs reflect increased neuromuscular excitability.
- Identify respiratory acidosis
- A low pH with an elevated PaCO2 reflects hypoventilation.
- Identify respiratory alkalosis
- A high pH with a low PaCO2 reflects hyperventilation.
- Identify metabolic acidosis
- Diabetic ketoacidosis lowers pH and bicarbonate and triggers Kussmaul respirations.
- Identify metabolic alkalosis
- Loss of gastric acid through suction causes alkalosis with hypokalemia.
- Act fast in stroke
- Facial droop, slurred speech, and weakness require immediate stroke protocol activation and onset time documentation.
- Suspect pulmonary embolism
- Sudden dyspnea, chest pain, and tachycardia after surgery signal a possible embolism.
- Detect early increased ICP
- A change in level of consciousness is the earliest sign of increased intracranial pressure.
- Recognize compensated shock
- Tachycardia and cool, clammy skin appear as the body compensates for hypovolemia.
- Treat hypoglycemia promptly
- Give about 15 grams of fast-acting carbohydrate to a conscious client, then recheck glucose.
- Recognize thyroid patterns
- Hypothyroidism causes fatigue, cold intolerance, and bradycardia; hyperthyroidism causes the opposite.
- Prevent adrenal crisis
- Severe hypotension and hyperkalemia in Addison's disease require immediate fluids and hydrocortisone.
- Support organ failure
- Lower ammonia in hepatic encephalopathy and implement bleeding precautions in liver failure.
Giờ hãy chứng minh bạn nhớ
Đọc qua đề cương không giống với nhớ được khi vào phòng thi. Luyện các câu hỏi NCLEX-RN Nursing miễn phí để tìm ra những lĩnh vực bạn hay sai, rồi làm một đề mô phỏng có tính giờ.
Tài liệu hỗ trợ học tập, không thay thế tài liệu chính thức — luôn kiểm tra quy định hiện hành với NCSBN — National Council of State Boards of Nursing.