NCLEX-RN Comprehensive Exam 1
(Practice Test) Examination Actual
Practice Exam 2025|2026 Question And
Correct Answers & Explanation
1. A client with chest pain arrives at the emergency unit. What is
the nurse’s first action?
A. Give pain medication
B. Assess airway, breathing, and circulation
C. Obtain full medical history
D. Call the family
Correct Answer: B
Rationale: Priority is ABC assessment in any emergency situation.
2. Which finding requires immediate intervention?
A. BP 120/80 mmHg
B. Respiratory rate 8/min
C. Temperature 36.5°C
D. Pulse 80 bpm
Correct Answer: B
Rationale: Respiratory depression is life-threatening.
3. What is the normal adult respiratory rate?
A. 5–10
B. 12–20
,C. 20–30
D. 30–40
Correct Answer: B
Rationale: Normal range is 12–20 breaths per minute.
4. A post-operative patient is drowsy and has shallow breathing.
What is the priority action?
A. Encourage fluids
B. Stimulate and assess airway
C. Give antibiotics
D. Document findings
Correct Answer: B
Rationale: Airway and breathing must be maintained first.
5. Which sign indicates hypoxia?
A. Pink skin
B. Cyanosis
C. Normal speech
D. Bradycardia only
Correct Answer: B
Rationale: Cyanosis indicates low oxygen levels.
6. What is the most important nursing intervention to prevent
infection?
A. Wear jewelry
B. Hand hygiene
C. Reduce fluids
,D. Limit oxygen
Correct Answer: B
Rationale: Hand hygiene is the most effective infection control
measure.
7. A patient is prescribed IV fluids. What is the nurse’s priority
assessment?
A. Skin color
B. Lung sounds
C. Hair condition
D. Appetite
Correct Answer: B
Rationale: Fluid overload can cause pulmonary edema.
8. What is the most common sign of dehydration?
A. Edema
B. Dry mucous membranes
C. Weight gain
D. Hypertension
Correct Answer: B
Rationale: Fluid loss causes dryness of mucous membranes.
9. What is the correct technique for blood pressure
measurement?
A. Arm below heart level
B. Arm at heart level
C. Arm above head
, D. Any position
Correct Answer: B
Rationale: Ensures accurate readings.
10. Which medication requires monitoring for bleeding risk?
A. Paracetamol
B. Heparin
C. Vitamin C
D. Insulin
Correct Answer: B
Rationale: Heparin is an anticoagulant.
11. A patient has chest pain radiating to left arm. What is the
priority action?
A. Give water
B. Administer oxygen
C. Encourage walking
D. Apply heat
Correct Answer: B
Rationale: Suspected myocardial infarction requires oxygen.
12. What is the most common symptom of myocardial infarction?
A. Headache
B. Chest pain
C. Rash
D. Back pain only
(Practice Test) Examination Actual
Practice Exam 2025|2026 Question And
Correct Answers & Explanation
1. A client with chest pain arrives at the emergency unit. What is
the nurse’s first action?
A. Give pain medication
B. Assess airway, breathing, and circulation
C. Obtain full medical history
D. Call the family
Correct Answer: B
Rationale: Priority is ABC assessment in any emergency situation.
2. Which finding requires immediate intervention?
A. BP 120/80 mmHg
B. Respiratory rate 8/min
C. Temperature 36.5°C
D. Pulse 80 bpm
Correct Answer: B
Rationale: Respiratory depression is life-threatening.
3. What is the normal adult respiratory rate?
A. 5–10
B. 12–20
,C. 20–30
D. 30–40
Correct Answer: B
Rationale: Normal range is 12–20 breaths per minute.
4. A post-operative patient is drowsy and has shallow breathing.
What is the priority action?
A. Encourage fluids
B. Stimulate and assess airway
C. Give antibiotics
D. Document findings
Correct Answer: B
Rationale: Airway and breathing must be maintained first.
5. Which sign indicates hypoxia?
A. Pink skin
B. Cyanosis
C. Normal speech
D. Bradycardia only
Correct Answer: B
Rationale: Cyanosis indicates low oxygen levels.
6. What is the most important nursing intervention to prevent
infection?
A. Wear jewelry
B. Hand hygiene
C. Reduce fluids
,D. Limit oxygen
Correct Answer: B
Rationale: Hand hygiene is the most effective infection control
measure.
7. A patient is prescribed IV fluids. What is the nurse’s priority
assessment?
A. Skin color
B. Lung sounds
C. Hair condition
D. Appetite
Correct Answer: B
Rationale: Fluid overload can cause pulmonary edema.
8. What is the most common sign of dehydration?
A. Edema
B. Dry mucous membranes
C. Weight gain
D. Hypertension
Correct Answer: B
Rationale: Fluid loss causes dryness of mucous membranes.
9. What is the correct technique for blood pressure
measurement?
A. Arm below heart level
B. Arm at heart level
C. Arm above head
, D. Any position
Correct Answer: B
Rationale: Ensures accurate readings.
10. Which medication requires monitoring for bleeding risk?
A. Paracetamol
B. Heparin
C. Vitamin C
D. Insulin
Correct Answer: B
Rationale: Heparin is an anticoagulant.
11. A patient has chest pain radiating to left arm. What is the
priority action?
A. Give water
B. Administer oxygen
C. Encourage walking
D. Apply heat
Correct Answer: B
Rationale: Suspected myocardial infarction requires oxygen.
12. What is the most common symptom of myocardial infarction?
A. Headache
B. Chest pain
C. Rash
D. Back pain only
