"Boost your Chamberlain BSN exam performance — premium NCLEX prep guide
with rationales and practice questions designed for nursing success."
🏆 **Chamberlain University & National Nursing School Comprehensive NCLEX-
RN Domination Vault | Ultimate HESI Exit, ATI Predictor, Kaplan, and BSN/ADN
Final Exam Review | 500+ High-Yield Practice Questions with Clinical Judgment,
Prioritization, Delegation, Pharmacology, Med-Surg, Maternity, Pediatrics, and
Psychiatric Nursing Rationales | 2025–2026 Academic Cycle | Aligned with
Chamberlain, WGU, Walden, GCU, and All U.S. Nursing Program Standards**
---
**1.** A nurse is caring for a client who is 4 hours post-operative after a thyroidectomy. The client
reports tingling around the mouth and in the fingers. Which laboratory value should the nurse
anticipate?
A) Decreased serum calcium
B) Increased serum sodium
C) Decreased serum potassium
D) Increased serum phosphorus
💫ANSWER✔️✔️: A
💫RATIONALE✔️✔️: Tingling around the mouth and fingers (paresthesia) is a classic sign of hypocalcemia,
which can occur after thyroidectomy if the parathyroid glands are inadvertently removed or damaged.
This NCLEX prep question is essential for Chamberlain BSN and all nursing students to recognize post-
surgical complications. Monitoring calcium levels is a key component of nursing success in post-
operative care.
**2.** A client is experiencing chest pain that radiates to the left arm and is accompanied by nausea
and diaphoresis. Which medication should the nurse administer first?
A) Morphine sulfate
B) Nitroglycerin sublingual
C) Aspirin
,D) Oxygen
💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: Although oxygen and aspirin are also priorities, sublingual nitroglycerin is typically
the first medication administered for chest pain to vasodilate coronary arteries and relieve ischemia.
This high-yield cardiovascular question is frequently tested on Kaplan Nursing Prep and HESI exams.
Nursing exam guide success requires understanding the immediate management of acute coronary
syndrome.
**3.** A nurse is preparing to administer an enteral feeding via a nasogastric tube. Which action is most
important to prevent aspiration?
A) Flush the tube with 30 mL of water before and after the feeding.
B) Check the residual volume before each feeding.
C) Place the client in a supine position.
D) Administer the feeding over 15 minutes.
💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: Checking gastric residual volume before feeding helps assess gastric emptying and
reduces the risk of aspiration if a large residual is present. Elevating the head of the bed (HOB) to at
least 30 degrees is also crucial. This ATI Nursing Education concept is vital for Chamberlain BSN exam
practice and ensuring patient safety.
**4.** A client with a history of chronic obstructive pulmonary disease (COPD) is prescribed a low-flow
oxygen at 2 L/min via nasal cannula. The nurse understands that this rate is ordered primarily to:
A) Maintain the client's hypoxic drive.
B) Increase the oxygen saturation to 100%.
C) Prevent carbon dioxide retention.
D) Alleviate shortness of breath.
💫ANSWER✔️✔️: A
,💫RATIONALE✔️✔️: Clients with COPD may rely on a hypoxic drive to breathe; high-flow oxygen can
depress this drive and lead to respiratory failure. Low-flow oxygen maintains this drive. This is a critical
respiratory concept for all nursing exam guides and is heavily tested on the NCLEX.
**5.** A nurse is assessing a client's wound and notes healthy red granulation tissue. Which phase of
wound healing does this represent?
A) Hemostasis
B) Inflammatory
C) Proliferative
D) Maturation
💫ANSWER✔️✔️: C
💫RATIONALE✔️✔️: The proliferative phase is characterized by the formation of granulation tissue, which
is red, moist, and granular. This is a sign of healing. Understanding wound healing phases is a
fundamental concept for nursing success and is tested in HESI and ATI exams.
**6.** A client is prescribed metoprolol for hypertension. Which assessment finding would indicate a
therapeutic response to the medication?
A) Heart rate of 92 beats per minute
B) Blood pressure of 118/78 mm Hg
C) Respiratory rate of 22 breaths per minute
D) Blood pressure of 152/90 mm Hg
💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: Metoprolol is a beta-blocker used to lower blood pressure. A therapeutic response is
a reduction in blood pressure to within a normal or acceptable range (e.g., <130/80). This medication
question is essential for NCLEX prep and pharmacology review for all nursing students.
**7.** A client is admitted with a diagnosis of diabetic ketoacidosis (DKA). Which type of insulin should
the nurse anticipate administering?
A) NPH insulin
B) Insulin glargine
, C) Regular insulin
D) Insulin detemir
💫ANSWER✔️✔️: C
💫RATIONALE✔️✔️: Regular insulin is a short-acting insulin used in DKA because it can be given
intravenously for rapid action. Other insulins are typically given subcutaneously. This is a classic
endocrine emergency question for nursing exam practice.
**8.** A nurse is caring for a client who is on a mechanical ventilator. Which intervention is most
effective in preventing ventilator-associated pneumonia (VAP)?
A) Suctioning the endotracheal tube every hour.
B) Elevating the head of the bed to 30-45 degrees.
C) Changing the ventilator circuit daily.
D) Administering prophylactic antibiotics.
💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: Elevating the head of the bed helps prevent the aspiration of gastric contents, a
major risk factor for VAP. This is a key critical care nursing intervention tested on HESI and NCLEX exams.
**9.** A client is taking warfarin (Coumadin) and has an international normalized ratio (INR) of 1.5.
Which nursing action is appropriate?
A) Administer the next scheduled dose as ordered.
B) Hold the medication and notify the healthcare provider.
C) Prepare to administer vitamin K.
D) Monitor the client for signs of bleeding.
💫ANSWER✔️✔️: A
💫RATIONALE✔️✔️: A therapeutic INR for a client on warfarin is typically between 2.0 and 3.0. An INR of
1.5 is subtherapeutic, so the nurse should administer the dose. Notifying the provider about a high INR
or administering vitamin K is for toxicity. This is a core pharmacology safety question for ATI and
Chamberlain BSN curricula.
with rationales and practice questions designed for nursing success."
🏆 **Chamberlain University & National Nursing School Comprehensive NCLEX-
RN Domination Vault | Ultimate HESI Exit, ATI Predictor, Kaplan, and BSN/ADN
Final Exam Review | 500+ High-Yield Practice Questions with Clinical Judgment,
Prioritization, Delegation, Pharmacology, Med-Surg, Maternity, Pediatrics, and
Psychiatric Nursing Rationales | 2025–2026 Academic Cycle | Aligned with
Chamberlain, WGU, Walden, GCU, and All U.S. Nursing Program Standards**
---
**1.** A nurse is caring for a client who is 4 hours post-operative after a thyroidectomy. The client
reports tingling around the mouth and in the fingers. Which laboratory value should the nurse
anticipate?
A) Decreased serum calcium
B) Increased serum sodium
C) Decreased serum potassium
D) Increased serum phosphorus
💫ANSWER✔️✔️: A
💫RATIONALE✔️✔️: Tingling around the mouth and fingers (paresthesia) is a classic sign of hypocalcemia,
which can occur after thyroidectomy if the parathyroid glands are inadvertently removed or damaged.
This NCLEX prep question is essential for Chamberlain BSN and all nursing students to recognize post-
surgical complications. Monitoring calcium levels is a key component of nursing success in post-
operative care.
**2.** A client is experiencing chest pain that radiates to the left arm and is accompanied by nausea
and diaphoresis. Which medication should the nurse administer first?
A) Morphine sulfate
B) Nitroglycerin sublingual
C) Aspirin
,D) Oxygen
💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: Although oxygen and aspirin are also priorities, sublingual nitroglycerin is typically
the first medication administered for chest pain to vasodilate coronary arteries and relieve ischemia.
This high-yield cardiovascular question is frequently tested on Kaplan Nursing Prep and HESI exams.
Nursing exam guide success requires understanding the immediate management of acute coronary
syndrome.
**3.** A nurse is preparing to administer an enteral feeding via a nasogastric tube. Which action is most
important to prevent aspiration?
A) Flush the tube with 30 mL of water before and after the feeding.
B) Check the residual volume before each feeding.
C) Place the client in a supine position.
D) Administer the feeding over 15 minutes.
💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: Checking gastric residual volume before feeding helps assess gastric emptying and
reduces the risk of aspiration if a large residual is present. Elevating the head of the bed (HOB) to at
least 30 degrees is also crucial. This ATI Nursing Education concept is vital for Chamberlain BSN exam
practice and ensuring patient safety.
**4.** A client with a history of chronic obstructive pulmonary disease (COPD) is prescribed a low-flow
oxygen at 2 L/min via nasal cannula. The nurse understands that this rate is ordered primarily to:
A) Maintain the client's hypoxic drive.
B) Increase the oxygen saturation to 100%.
C) Prevent carbon dioxide retention.
D) Alleviate shortness of breath.
💫ANSWER✔️✔️: A
,💫RATIONALE✔️✔️: Clients with COPD may rely on a hypoxic drive to breathe; high-flow oxygen can
depress this drive and lead to respiratory failure. Low-flow oxygen maintains this drive. This is a critical
respiratory concept for all nursing exam guides and is heavily tested on the NCLEX.
**5.** A nurse is assessing a client's wound and notes healthy red granulation tissue. Which phase of
wound healing does this represent?
A) Hemostasis
B) Inflammatory
C) Proliferative
D) Maturation
💫ANSWER✔️✔️: C
💫RATIONALE✔️✔️: The proliferative phase is characterized by the formation of granulation tissue, which
is red, moist, and granular. This is a sign of healing. Understanding wound healing phases is a
fundamental concept for nursing success and is tested in HESI and ATI exams.
**6.** A client is prescribed metoprolol for hypertension. Which assessment finding would indicate a
therapeutic response to the medication?
A) Heart rate of 92 beats per minute
B) Blood pressure of 118/78 mm Hg
C) Respiratory rate of 22 breaths per minute
D) Blood pressure of 152/90 mm Hg
💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: Metoprolol is a beta-blocker used to lower blood pressure. A therapeutic response is
a reduction in blood pressure to within a normal or acceptable range (e.g., <130/80). This medication
question is essential for NCLEX prep and pharmacology review for all nursing students.
**7.** A client is admitted with a diagnosis of diabetic ketoacidosis (DKA). Which type of insulin should
the nurse anticipate administering?
A) NPH insulin
B) Insulin glargine
, C) Regular insulin
D) Insulin detemir
💫ANSWER✔️✔️: C
💫RATIONALE✔️✔️: Regular insulin is a short-acting insulin used in DKA because it can be given
intravenously for rapid action. Other insulins are typically given subcutaneously. This is a classic
endocrine emergency question for nursing exam practice.
**8.** A nurse is caring for a client who is on a mechanical ventilator. Which intervention is most
effective in preventing ventilator-associated pneumonia (VAP)?
A) Suctioning the endotracheal tube every hour.
B) Elevating the head of the bed to 30-45 degrees.
C) Changing the ventilator circuit daily.
D) Administering prophylactic antibiotics.
💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: Elevating the head of the bed helps prevent the aspiration of gastric contents, a
major risk factor for VAP. This is a key critical care nursing intervention tested on HESI and NCLEX exams.
**9.** A client is taking warfarin (Coumadin) and has an international normalized ratio (INR) of 1.5.
Which nursing action is appropriate?
A) Administer the next scheduled dose as ordered.
B) Hold the medication and notify the healthcare provider.
C) Prepare to administer vitamin K.
D) Monitor the client for signs of bleeding.
💫ANSWER✔️✔️: A
💫RATIONALE✔️✔️: A therapeutic INR for a client on warfarin is typically between 2.0 and 3.0. An INR of
1.5 is subtherapeutic, so the nurse should administer the dose. Notifying the provider about a high INR
or administering vitamin K is for toxicity. This is a core pharmacology safety question for ATI and
Chamberlain BSN curricula.
