Florida NCLEX Adult Medical-Surgical Nursing Practice Exam IV
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 with acute pancreatitis. Which laboratory finding should the
nurse expect?
A. Decreased serum lipase
B. Elevated serum amylase and lipase
C. Decreased blood glucose
D. Elevated calcium level
Answer: B. Elevated serum amylase and lipase
Rationale: Acute pancreatitis causes inflammation of the pancreas, resulting in leakage of
digestive enzymes into the bloodstream. Serum amylase and lipase levels become
elevated, with lipase remaining elevated longer and being more specific for pancreatitis.
2. A client with chronic kidney disease is prescribed a low-potassium diet. Which food
should the nurse instruct the client to avoid?
A. White rice
B. Apples
C. Bananas
D. Green beans
Answer: C. Bananas
Rationale: Bananas are rich in potassium and should be avoided by clients with impaired
kidney function to reduce the risk of hyperkalemia. White rice, apples, and green beans are
relatively lower in potassium.
, 3. A nurse is assessing a client experiencing hypoglycemia. Which finding requires
immediate intervention?
A. Dry skin
B. Confusion and diaphoresis
C. Increased thirst
D. Polyuria
Answer: B. Confusion and diaphoresis
Rationale: Confusion and diaphoresis are classic signs of hypoglycemia and require
immediate treatment with fast-acting carbohydrates or intravenous dextrose if the client
cannot swallow safely.
4. Which assessment finding is most concerning in a client receiving intravenous
heparin?
A. Heart rate of 84 beats/minute
B. Platelet count of 70,000/mm³
C. Blood pressure of 128/74 mmHg
D. Temperature of 98.6°F (37°C)
Answer: B. Platelet count of 70,000/mm³
Rationale: A significantly decreased platelet count may indicate heparin-induced
thrombocytopenia (HIT), a potentially life-threatening complication requiring immediate
discontinuation of heparin and provider notification.
5. A nurse is caring for a client after a thyroidectomy. Which assessment finding
requires immediate action?
A. Mild neck discomfort
B. Hoarse voice immediately after surgery
C. Tingling around the mouth
D. Sore throat
Answer: C. Tingling around the mouth
Rationale: Perioral tingling suggests hypocalcemia caused by accidental injury or removal
of the parathyroid glands. This may progress to tetany and requires prompt treatment with
calcium.
, 6. A client has heart failure with pulmonary edema. Which intervention should the
nurse perform first?
A. Restrict fluids.
B. Elevate the head of the bed.
C. Obtain daily weights.
D. Encourage oral fluids.
Answer: B. Elevate the head of the bed.
Rationale: Elevating the head of the bed improves lung expansion, decreases venous
return, and promotes oxygenation. Airway and breathing take priority.
7. A client with liver cirrhosis develops confusion and asterixis. Which medication
does the nurse anticipate administering?
A. Furosemide
B. Lactulose
C. Omeprazole
D. Warfarin
Answer: B. Lactulose
Rationale: Lactulose reduces ammonia absorption from the gastrointestinal tract, helping
treat hepatic encephalopathy and improving neurological status.
8. Which electrolyte imbalance is most commonly associated with loop diuretic
therapy?
A. Hyperkalemia
B. Hypokalemia
C. Hypercalcemia
D. Hypermagnesemia
Answer: B. Hypokalemia
Rationale: Loop diuretics increase urinary potassium excretion, placing clients at risk for
hypokalemia and associated cardiac dysrhythmias.
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 with acute pancreatitis. Which laboratory finding should the
nurse expect?
A. Decreased serum lipase
B. Elevated serum amylase and lipase
C. Decreased blood glucose
D. Elevated calcium level
Answer: B. Elevated serum amylase and lipase
Rationale: Acute pancreatitis causes inflammation of the pancreas, resulting in leakage of
digestive enzymes into the bloodstream. Serum amylase and lipase levels become
elevated, with lipase remaining elevated longer and being more specific for pancreatitis.
2. A client with chronic kidney disease is prescribed a low-potassium diet. Which food
should the nurse instruct the client to avoid?
A. White rice
B. Apples
C. Bananas
D. Green beans
Answer: C. Bananas
Rationale: Bananas are rich in potassium and should be avoided by clients with impaired
kidney function to reduce the risk of hyperkalemia. White rice, apples, and green beans are
relatively lower in potassium.
, 3. A nurse is assessing a client experiencing hypoglycemia. Which finding requires
immediate intervention?
A. Dry skin
B. Confusion and diaphoresis
C. Increased thirst
D. Polyuria
Answer: B. Confusion and diaphoresis
Rationale: Confusion and diaphoresis are classic signs of hypoglycemia and require
immediate treatment with fast-acting carbohydrates or intravenous dextrose if the client
cannot swallow safely.
4. Which assessment finding is most concerning in a client receiving intravenous
heparin?
A. Heart rate of 84 beats/minute
B. Platelet count of 70,000/mm³
C. Blood pressure of 128/74 mmHg
D. Temperature of 98.6°F (37°C)
Answer: B. Platelet count of 70,000/mm³
Rationale: A significantly decreased platelet count may indicate heparin-induced
thrombocytopenia (HIT), a potentially life-threatening complication requiring immediate
discontinuation of heparin and provider notification.
5. A nurse is caring for a client after a thyroidectomy. Which assessment finding
requires immediate action?
A. Mild neck discomfort
B. Hoarse voice immediately after surgery
C. Tingling around the mouth
D. Sore throat
Answer: C. Tingling around the mouth
Rationale: Perioral tingling suggests hypocalcemia caused by accidental injury or removal
of the parathyroid glands. This may progress to tetany and requires prompt treatment with
calcium.
, 6. A client has heart failure with pulmonary edema. Which intervention should the
nurse perform first?
A. Restrict fluids.
B. Elevate the head of the bed.
C. Obtain daily weights.
D. Encourage oral fluids.
Answer: B. Elevate the head of the bed.
Rationale: Elevating the head of the bed improves lung expansion, decreases venous
return, and promotes oxygenation. Airway and breathing take priority.
7. A client with liver cirrhosis develops confusion and asterixis. Which medication
does the nurse anticipate administering?
A. Furosemide
B. Lactulose
C. Omeprazole
D. Warfarin
Answer: B. Lactulose
Rationale: Lactulose reduces ammonia absorption from the gastrointestinal tract, helping
treat hepatic encephalopathy and improving neurological status.
8. Which electrolyte imbalance is most commonly associated with loop diuretic
therapy?
A. Hyperkalemia
B. Hypokalemia
C. Hypercalcemia
D. Hypermagnesemia
Answer: B. Hypokalemia
Rationale: Loop diuretics increase urinary potassium excretion, placing clients at risk for
hypokalemia and associated cardiac dysrhythmias.
