VERIFIED QUESTIONS, ACCURATE ANSWERS & DETAILED
RATIONALES, FULL-LENGTH PRACTICE TESTS, NCLEX
READINESS & PASS-FOCUSED REVIEW
Question 1:
A nurse is assessing a patient with heart failure. Which of the following findings should the nurse
expect?
• A) Hypotension
• B) Bradycardia
• C) Jugular vein distention
• D) Warm, dry skin
Correct Answer: C) Jugular vein distention
Rationale: Jugular vein distention indicates increased venous pressure from fluid overload,
common in heart failure.
Question 2:
Which of the following is the priority nursing intervention for a patient experiencing a panic
attack?
• A) Administer prescribed benzodiazepines
• B) Encourage the patient to breathe slowly
• C) Monitor vital signs every 15 minutes
• D) Provide information on stress management techniques
Correct Answer: B) Encourage the patient to breathe slowly
Rationale: Helping the patient control their breathing is crucial to managing a panic attack
effectively.
Question 3:
A newly admitted patient with diabetes has a serum glucose level of 350 mg/dL. Which of the
following actions should the nurse take first?
• A) Administer insulin as prescribed
• B) Obtain an order for intravenous fluids
, • C) Encourage the patient to drink water
• D) Recheck the blood glucose level in 30 minutes
Correct Answer: A) Administer insulin as prescribed
Rationale: Immediate administration of insulin will help to lower dangerously high glucose
levels.
Question 4:
A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD). Which of the
following is the priority assessment?
• A) Breath sounds
• B) Oxygen saturation
• C) Respiratory rate
• D) Skin color
Correct Answer: C) Respiratory rate
Rationale: The respiratory rate is critical to assess for potential respiratory failure in COPD
patients.
Question 5:
A patient receiving chemotherapy develops neutropenia. Which of the following interventions
should the nurse implement?
• A) Encourage a high-fiber diet
• B) Instruct the patient to avoid crowds
• C) Administer antipyretics for fever
• D) Promote exercise to enhance immunity
Correct Answer: B) Instruct the patient to avoid crowds
Rationale: Avoiding crowds minimizes the risk of infection during periods of low white blood
cell counts.