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NCLEX RN ACTUAL EXAM TEST BANK WITH REAL AND EXACT EXAM QUESTIONS & ANSWERS
NCLEX 2026/2027 NCLEX EXAM 1200 Q&A
1. A nurse notes crackles in a client with heart failure. What is the priority action?
A. Restrict fluids
B. Administer diuretic
C. Elevate legs
D. Obtain ECG
Answer: B
Rationale: Crackles indicate pulmonary congestion. Diuretics reduce fluid overload.
2. A diabetic client is diaphoretic and shaky. What should the nurse do first?
A. Give insulin
B. Give juice
C. Check blood glucose
D. Call provider
Answer: C
Rationale: Blood glucose must be checked before intervention.
3. Which finding requires holding digoxin?
A. HR 54 bpm
B. BP 140/88
C. RR 18
D. K⁺ 4.2 mEq/L
Answer: A
Rationale: Digoxin is held if HR < 60 bpm.
4. Which client is at highest risk for aspiration?
A. COPD
B. Stroke with dysphagia
C. Hypertension
D. Obesity
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Answer: B
Rationale: Impaired swallowing increases aspiration risk.
5. A chest tube shows tidaling. What does this mean?
A. Air leak
B. Obstruction
C. Normal finding
D. Pneumothorax
Answer: C
Rationale: Tidaling reflects normal pleural pressure changes.
6. A client on morphine has RR 8/min. Priority action?
A. Reposition
B. Stop infusion
C. Administer naloxone
D. Call provider
Answer: C
Rationale: Naloxone reverses opioid respiratory depression.
7. Which lab indicates effective anemia treatment?
A. ↓ Ferritin
B. ↑ Hemoglobin
C. ↓ Hematocrit
D. ↑ Platelets
Answer: B
Rationale: Hemoglobin reflects improved oxygen-carrying capacity.
8. A client with hypertension shows understanding by stating:
A. “I stop meds when BP is normal.”
B. “I limit sodium intake.”
C. “Exercise worsens BP.”
D. “Stress has no effect.”
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Answer: B
Rationale: Sodium restriction helps control blood pressure.
9. Albuterol primarily causes:
A. Bradycardia
B. Bronchodilation
C. Sedation
D. Hypotension
Answer: B
Rationale: Albuterol relaxes bronchial smooth muscle.
10. Which client should be seen first?
A. Pain 7/10
B. Glucose 52 mg/dL
C. BP 160/92
D. Awaiting discharge
Answer: B
Rationale: Hypoglycemia is immediately life-threatening.
11. A platelet drop to 90,000 in a client on heparin suggests:
A. Expected effect
B. HIT
C. Dehydration
D. Infection
Answer: B
Rationale: Heparin-induced thrombocytopenia causes low platelets.
12. Best position to reduce ICP?
A. Supine
B. Trendelenburg
C. HOB 30°
D. Side-lying
practice exam 2026
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Answer: C
Rationale: Promotes venous drainage.
13. A client with COPD should receive oxygen at:
A. 10 L NRB
B. 6 L mask
C. 1–2 L nasal cannula
D. Room air only
Answer: C
Rationale: Prevents suppression of respiratory drive.
14. Purulent surgical wound drainage requires:
A. Start antibiotics
B. Culture wound
C. Apply heat
D. Change dressing
Answer: B
Rationale: Culture before antibiotics.
15. Which food is high in potassium?
A. Apples
B. Bananas
C. Rice
D. Bread
Answer: B
16. Which task may a UAP perform?
A. Assess pain
B. Administer meds
C. Measure urine output
D. Teach breathing exercises
practice exam 2026
NCLEX RN ACTUAL EXAM TEST BANK WITH REAL AND EXACT EXAM QUESTIONS & ANSWERS
NCLEX 2026/2027 NCLEX EXAM 1200 Q&A
1. A nurse notes crackles in a client with heart failure. What is the priority action?
A. Restrict fluids
B. Administer diuretic
C. Elevate legs
D. Obtain ECG
Answer: B
Rationale: Crackles indicate pulmonary congestion. Diuretics reduce fluid overload.
2. A diabetic client is diaphoretic and shaky. What should the nurse do first?
A. Give insulin
B. Give juice
C. Check blood glucose
D. Call provider
Answer: C
Rationale: Blood glucose must be checked before intervention.
3. Which finding requires holding digoxin?
A. HR 54 bpm
B. BP 140/88
C. RR 18
D. K⁺ 4.2 mEq/L
Answer: A
Rationale: Digoxin is held if HR < 60 bpm.
4. Which client is at highest risk for aspiration?
A. COPD
B. Stroke with dysphagia
C. Hypertension
D. Obesity
practice exam 2026
,2|Page
Answer: B
Rationale: Impaired swallowing increases aspiration risk.
5. A chest tube shows tidaling. What does this mean?
A. Air leak
B. Obstruction
C. Normal finding
D. Pneumothorax
Answer: C
Rationale: Tidaling reflects normal pleural pressure changes.
6. A client on morphine has RR 8/min. Priority action?
A. Reposition
B. Stop infusion
C. Administer naloxone
D. Call provider
Answer: C
Rationale: Naloxone reverses opioid respiratory depression.
7. Which lab indicates effective anemia treatment?
A. ↓ Ferritin
B. ↑ Hemoglobin
C. ↓ Hematocrit
D. ↑ Platelets
Answer: B
Rationale: Hemoglobin reflects improved oxygen-carrying capacity.
8. A client with hypertension shows understanding by stating:
A. “I stop meds when BP is normal.”
B. “I limit sodium intake.”
C. “Exercise worsens BP.”
D. “Stress has no effect.”
practice exam 2026
,3|Page
Answer: B
Rationale: Sodium restriction helps control blood pressure.
9. Albuterol primarily causes:
A. Bradycardia
B. Bronchodilation
C. Sedation
D. Hypotension
Answer: B
Rationale: Albuterol relaxes bronchial smooth muscle.
10. Which client should be seen first?
A. Pain 7/10
B. Glucose 52 mg/dL
C. BP 160/92
D. Awaiting discharge
Answer: B
Rationale: Hypoglycemia is immediately life-threatening.
11. A platelet drop to 90,000 in a client on heparin suggests:
A. Expected effect
B. HIT
C. Dehydration
D. Infection
Answer: B
Rationale: Heparin-induced thrombocytopenia causes low platelets.
12. Best position to reduce ICP?
A. Supine
B. Trendelenburg
C. HOB 30°
D. Side-lying
practice exam 2026
, 4|Page
Answer: C
Rationale: Promotes venous drainage.
13. A client with COPD should receive oxygen at:
A. 10 L NRB
B. 6 L mask
C. 1–2 L nasal cannula
D. Room air only
Answer: C
Rationale: Prevents suppression of respiratory drive.
14. Purulent surgical wound drainage requires:
A. Start antibiotics
B. Culture wound
C. Apply heat
D. Change dressing
Answer: B
Rationale: Culture before antibiotics.
15. Which food is high in potassium?
A. Apples
B. Bananas
C. Rice
D. Bread
Answer: B
16. Which task may a UAP perform?
A. Assess pain
B. Administer meds
C. Measure urine output
D. Teach breathing exercises
practice exam 2026
