Florida NCLEX Adult Medical-Surgical Nursing Practice Exam III
Updated Exam 2026 WITH Recent Newest Verified And Well
Analyzed Exam Questions (Actual Exam 2026-2027) Correct
Detailed & Verified ANSWERS (100% Accurate Solutions) ALREADY
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1. A nurse is caring for a client admitted with acute pancreatitis. Which assessment finding
requires immediate intervention?
A. Serum amylase of 400 units/L
B. Epigastric pain radiating to the back
C. Blood pressure of 86/54 mm Hg
D. Nausea and vomiting
Answer: C. Blood pressure of 86/54 mm Hg
Rationale: Hypotension indicates possible hypovolemia, hemorrhage, or shock resulting from
severe pancreatitis and requires immediate intervention. Elevated amylase, abdominal pain,
nausea, and vomiting are expected findings but are less immediately lifethreatening.
2. A client with chronic kidney disease is prescribed a low-potassium diet. Which food should
the nurse instruct the client to avoid?
A. Apples
B. White rice
C. Bananas
D. Bread
Answer: C. Bananas
Rationale: Bananas are high in potassium and should be avoided by clients with impaired kidney
function. Apples, white rice, and bread contain significantly less potassium.
3. A client receiving a blood transfusion suddenly develops chills, fever, and low back pain. What
is the nurse's priority action?
A. Slow the infusion.
,B. Stop the transfusion immediately.
C. Administer acetaminophen.
D. Notify the laboratory.
Answer: B. Stop the transfusion immediately.
Rationale: These findings suggest an acute hemolytic transfusion reaction. The nurse should
immediately stop the transfusion, maintain IV access with normal saline, assess the client, and
notify the provider and blood bank.
4. Which assessment finding is most consistent with left-sided heart failure?
A. Peripheral edema
B. Jugular vein distention
C. Pulmonary crackles
D. Hepatomegaly
Answer: C. Pulmonary crackles
Rationale: Left-sided heart failure results in pulmonary congestion, causing crackles, dyspnea,
orthopnea, and decreased oxygenation. Peripheral edema and hepatomegaly are more common
with right-sided heart failure.
5. A client with diabetes mellitus reports sweating, tremors, and confusion. Which action should
the nurse perform first?
A. Administer insulin.
B. Check the blood glucose level.
C. Encourage exercise.
D. Restrict fluids.
Answer: B. Check the blood glucose level.
Rationale: The client is displaying signs of hypoglycemia. Confirming the blood glucose level
guides appropriate treatment, although treatment should not be delayed if severe symptoms
are present.
6. Which laboratory value should the nurse monitor most closely in a client receiving
intravenous heparin?
, A. INR
B. aPTT
C. Platelet count only
D. Hemoglobin A1C
Answer: B. aPTT
Rationale: Activated partial thromboplastin time (aPTT) is used to monitor therapeutic
intravenous heparin therapy. INR is used to monitor warfarin therapy.
7. A client has suspected bacterial meningitis. Which action should the nurse implement first?
A. Place the client on droplet precautions.
B. Encourage ambulation.
C. Restrict oral fluids.
D. Place the client in Trendelenburg position.
Answer: A. Place the client on droplet precautions.
Rationale: Bacterial meningitis is highly contagious. Droplet precautions reduce disease
transmission while additional diagnostic and therapeutic interventions are initiated.
8. Which assessment finding is expected in a client with hyperthyroidism?
A. Bradycardia
B. Weight gain
C. Heat intolerance
D. Cold intolerance
Answer: C. Heat intolerance
Rationale: Hyperthyroidism increases metabolic rate, producing heat intolerance, tachycardia,
weight loss, anxiety, and tremors.
9. Which intervention best reduces the risk of aspiration in a client receiving enteral tube
feedings?
A. Keep the client flat.
B. Elevate the head of the bed 30–45 degrees.
C. Flush with sterile water every 12 hours.
Updated Exam 2026 WITH Recent Newest Verified And Well
Analyzed Exam Questions (Actual Exam 2026-2027) Correct
Detailed & Verified ANSWERS (100% Accurate Solutions) ALREADY
GRADED A+||NEWEST VERSION Of The Exam Guarantee Pass!!
1. A nurse is caring for a client admitted with acute pancreatitis. Which assessment finding
requires immediate intervention?
A. Serum amylase of 400 units/L
B. Epigastric pain radiating to the back
C. Blood pressure of 86/54 mm Hg
D. Nausea and vomiting
Answer: C. Blood pressure of 86/54 mm Hg
Rationale: Hypotension indicates possible hypovolemia, hemorrhage, or shock resulting from
severe pancreatitis and requires immediate intervention. Elevated amylase, abdominal pain,
nausea, and vomiting are expected findings but are less immediately lifethreatening.
2. A client with chronic kidney disease is prescribed a low-potassium diet. Which food should
the nurse instruct the client to avoid?
A. Apples
B. White rice
C. Bananas
D. Bread
Answer: C. Bananas
Rationale: Bananas are high in potassium and should be avoided by clients with impaired kidney
function. Apples, white rice, and bread contain significantly less potassium.
3. A client receiving a blood transfusion suddenly develops chills, fever, and low back pain. What
is the nurse's priority action?
A. Slow the infusion.
,B. Stop the transfusion immediately.
C. Administer acetaminophen.
D. Notify the laboratory.
Answer: B. Stop the transfusion immediately.
Rationale: These findings suggest an acute hemolytic transfusion reaction. The nurse should
immediately stop the transfusion, maintain IV access with normal saline, assess the client, and
notify the provider and blood bank.
4. Which assessment finding is most consistent with left-sided heart failure?
A. Peripheral edema
B. Jugular vein distention
C. Pulmonary crackles
D. Hepatomegaly
Answer: C. Pulmonary crackles
Rationale: Left-sided heart failure results in pulmonary congestion, causing crackles, dyspnea,
orthopnea, and decreased oxygenation. Peripheral edema and hepatomegaly are more common
with right-sided heart failure.
5. A client with diabetes mellitus reports sweating, tremors, and confusion. Which action should
the nurse perform first?
A. Administer insulin.
B. Check the blood glucose level.
C. Encourage exercise.
D. Restrict fluids.
Answer: B. Check the blood glucose level.
Rationale: The client is displaying signs of hypoglycemia. Confirming the blood glucose level
guides appropriate treatment, although treatment should not be delayed if severe symptoms
are present.
6. Which laboratory value should the nurse monitor most closely in a client receiving
intravenous heparin?
, A. INR
B. aPTT
C. Platelet count only
D. Hemoglobin A1C
Answer: B. aPTT
Rationale: Activated partial thromboplastin time (aPTT) is used to monitor therapeutic
intravenous heparin therapy. INR is used to monitor warfarin therapy.
7. A client has suspected bacterial meningitis. Which action should the nurse implement first?
A. Place the client on droplet precautions.
B. Encourage ambulation.
C. Restrict oral fluids.
D. Place the client in Trendelenburg position.
Answer: A. Place the client on droplet precautions.
Rationale: Bacterial meningitis is highly contagious. Droplet precautions reduce disease
transmission while additional diagnostic and therapeutic interventions are initiated.
8. Which assessment finding is expected in a client with hyperthyroidism?
A. Bradycardia
B. Weight gain
C. Heat intolerance
D. Cold intolerance
Answer: C. Heat intolerance
Rationale: Hyperthyroidism increases metabolic rate, producing heat intolerance, tachycardia,
weight loss, anxiety, and tremors.
9. Which intervention best reduces the risk of aspiration in a client receiving enteral tube
feedings?
A. Keep the client flat.
B. Elevate the head of the bed 30–45 degrees.
C. Flush with sterile water every 12 hours.
