NU 301 Units 1–8 Exam Prep Document|
NCLEX Nursing Foundations,
Medical-Surgical Concepts & Clinical
Judgment |Verified Questions with Detailed
Rationales
Units 1–8 Nursing Foundations + Med-Surg + Clinical
Judgment
Question 1
A nurse is prioritizing care using ABCs. Which client should be seen first?
A. Client with constipation for 3 days
B. Client with oxygen saturation of 86%
C. Client requesting pain medication
D. Client awaiting discharge teaching
Correct Answer
✅ B. Client with oxygen saturation of 86%
Rationale
Airway and breathing take priority. Low oxygen saturation indicates hypoxia.
Question 2
,Which action best demonstrates therapeutic communication?
A. “You shouldn’t feel that way.”
B. “Tell me more about what you are experiencing.”
C. “Everything will be fine.”
D. “Why did you do that?”
Correct Answer
✅ B. “Tell me more about what you are experiencing.”
Question 3
Which finding indicates infection?
A. WBC 6,000/mm³
B. WBC 14,500/mm³
C. Hgb 13 g/dL
D. Platelets 250,000/mm³
Correct Answer
✅ B. WBC 14,500/mm³
Question 4
A client is at risk for pressure injury. What is the priority prevention intervention?
A. Massage reddened areas
B. Reposition every 2 hours
C. Keep bed flat
D. Limit protein intake
Correct Answer
✅ B. Reposition every 2 hours
,Question 5
Which electrolyte imbalance is life-threatening?
A. Sodium 140 mEq/L
B. Potassium 6.8 mEq/L
C. Calcium 9.2 mg/dL
D. Chloride 100 mEq/L
Correct Answer
✅ B. Potassium 6.8 mEq/L
Question 6
A nurse is caring for a client with hypoglycemia. Which symptom is expected?
A. Sweating and tremors
B. Fruity breath
C. Hypertension
D. Dry skin
Correct Answer
✅ A. Sweating and tremors
Question 7
Which action is appropriate for medication safety?
A. Give medication without checking ID
B. Verify two patient identifiers
C. Crush all medications
D. Skip allergy checks
Correct Answer
✅ B. Verify two patient identifiers
, Question 8
Which client is at highest risk for falls?
A. Healthy young adult
B. Elderly client on antihypertensives
C. Athlete
D. Teenager
Correct Answer
✅ B. Elderly client on antihypertensives
Question 9
Which finding suggests fluid overload?
A. Dry mucous membranes
B. Crackles in lungs
C. Flat neck veins
D. Hypotension
Correct Answer
✅ B. Crackles in lungs
Question 10
Which position improves oxygenation in a client with COPD?
A. Supine
B. High Fowler’s
C. Trendelenburg
D. Prone
Correct Answer
✅ B. High Fowler’s
NCLEX Nursing Foundations,
Medical-Surgical Concepts & Clinical
Judgment |Verified Questions with Detailed
Rationales
Units 1–8 Nursing Foundations + Med-Surg + Clinical
Judgment
Question 1
A nurse is prioritizing care using ABCs. Which client should be seen first?
A. Client with constipation for 3 days
B. Client with oxygen saturation of 86%
C. Client requesting pain medication
D. Client awaiting discharge teaching
Correct Answer
✅ B. Client with oxygen saturation of 86%
Rationale
Airway and breathing take priority. Low oxygen saturation indicates hypoxia.
Question 2
,Which action best demonstrates therapeutic communication?
A. “You shouldn’t feel that way.”
B. “Tell me more about what you are experiencing.”
C. “Everything will be fine.”
D. “Why did you do that?”
Correct Answer
✅ B. “Tell me more about what you are experiencing.”
Question 3
Which finding indicates infection?
A. WBC 6,000/mm³
B. WBC 14,500/mm³
C. Hgb 13 g/dL
D. Platelets 250,000/mm³
Correct Answer
✅ B. WBC 14,500/mm³
Question 4
A client is at risk for pressure injury. What is the priority prevention intervention?
A. Massage reddened areas
B. Reposition every 2 hours
C. Keep bed flat
D. Limit protein intake
Correct Answer
✅ B. Reposition every 2 hours
,Question 5
Which electrolyte imbalance is life-threatening?
A. Sodium 140 mEq/L
B. Potassium 6.8 mEq/L
C. Calcium 9.2 mg/dL
D. Chloride 100 mEq/L
Correct Answer
✅ B. Potassium 6.8 mEq/L
Question 6
A nurse is caring for a client with hypoglycemia. Which symptom is expected?
A. Sweating and tremors
B. Fruity breath
C. Hypertension
D. Dry skin
Correct Answer
✅ A. Sweating and tremors
Question 7
Which action is appropriate for medication safety?
A. Give medication without checking ID
B. Verify two patient identifiers
C. Crush all medications
D. Skip allergy checks
Correct Answer
✅ B. Verify two patient identifiers
, Question 8
Which client is at highest risk for falls?
A. Healthy young adult
B. Elderly client on antihypertensives
C. Athlete
D. Teenager
Correct Answer
✅ B. Elderly client on antihypertensives
Question 9
Which finding suggests fluid overload?
A. Dry mucous membranes
B. Crackles in lungs
C. Flat neck veins
D. Hypotension
Correct Answer
✅ B. Crackles in lungs
Question 10
Which position improves oxygenation in a client with COPD?
A. Supine
B. High Fowler’s
C. Trendelenburg
D. Prone
Correct Answer
✅ B. High Fowler’s
