Florida NCLEX Comprehensive Review Practice Exam V
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Analyzed Exam Questions (Actual Exam 2026-2027) Correct
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1. A nurse is caring for a client diagnosed with left-sided heart failure. Which
assessment finding should the nurse expect?
A. Jugular vein distention
B. Peripheral edema
C. Crackles in both lungs
D. Hepatomegaly
Answer: C. Crackles in both lungs
Rationale: Left-sided heart failure causes blood to back up into the pulmonary circulation,
leading to pulmonary congestion, crackles, dyspnea, and orthopnea. Jugular vein
distention, hepatomegaly, and peripheral edema are more commonly associated with
right-sided heart failure.
2. A nurse is teaching a client prescribed warfarin. Which statement indicates correct
understanding?
A. "I should avoid all green vegetables."
B. "I should take aspirin if I develop pain."
C. "I will notify my provider if I notice blood in my urine."
D. "I should double my dose if I forget one."
Answer: C. "I will notify my provider if I notice blood in my urine."
Rationale: Hematuria may indicate excessive anticoagulation and should be reported
immediately. Clients do not need to avoid all vitamin K-containing foods but should
maintain consistent intake. Aspirin increases bleeding risk, and missed doses should not
be doubled.
, 3. A client develops sudden facial drooping and unilateral weakness. What is the
nurse's priority action?
A. Obtain vital signs.
B. Check blood glucose.
C. Activate the stroke response team.
D. Place the client in Trendelenburg position.
Answer: C. Activate the stroke response team.
Rationale: Time-sensitive treatment is critical during suspected stroke. Activating the stroke
response ensures rapid imaging and intervention. Blood glucose is important but follows
immediate stroke activation.
4. Which laboratory value requires immediate nursing intervention?
A. Sodium 138 mEq/L
B. Potassium 6.2 mEq/L
C. Calcium 9.1 mg/dL
D. Chloride 102 mEq/L
Answer: B. Potassium 6.2 mEq/L
Rationale: Severe hyperkalemia increases the risk of life-threatening cardiac dysrhythmias
and requires immediate intervention. The remaining electrolyte values are within normal
limits.
5. A nurse is assessing a client with hypoglycemia. Which manifestation is expected?
A. Warm, dry skin
B. Bradycardia
C. Diaphoresis and tremors
D. Fruity breath odor
Answer: C. Diaphoresis and tremors
Rationale: Hypoglycemia stimulates the sympathetic nervous system, producing sweating,
shakiness, tachycardia, and anxiety. Fruity breath is associated with diabetic ketoacidosis.
, 6. A nurse is caring for a postoperative client. Which finding suggests a pulmonary
embolism?
A. Bradycardia
B. Sudden dyspnea and chest pain
C. Productive cough for several days
D. Bilateral pedal edema
Answer: B. Sudden dyspnea and chest pain
Rationale: Pulmonary embolism commonly presents with sudden shortness of breath,
pleuritic chest pain, tachycardia, hypoxemia, and anxiety. Immediate intervention is
required.
7. Which intervention is most effective for preventing catheter-associated urinary tract
infections?
A. Irrigate the catheter daily.
B. Disconnect the drainage bag each shift.
C. Maintain a closed drainage system.
D. Change the catheter every three days.
Answer: C. Maintain a closed drainage system.
Rationale: Maintaining a sterile, closed drainage system significantly reduces bacterial
contamination and infection risk. Routine irrigation and frequent catheter changes are not
recommended.
8. Which client should the nurse assess first?
A. Client with chronic arthritis reporting joint stiffness.
B. Client with pneumonia whose oxygen saturation decreased from 95% to 88%.
C. Client requesting pain medication.
D. Client awaiting discharge instructions.
Answer: B. Client with pneumonia whose oxygen saturation decreased from 95% to
88%.
Rationale: Airway and breathing take priority. A sudden decline in oxygen saturation
indicates worsening respiratory status requiring immediate assessment.
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 diagnosed with left-sided heart failure. Which
assessment finding should the nurse expect?
A. Jugular vein distention
B. Peripheral edema
C. Crackles in both lungs
D. Hepatomegaly
Answer: C. Crackles in both lungs
Rationale: Left-sided heart failure causes blood to back up into the pulmonary circulation,
leading to pulmonary congestion, crackles, dyspnea, and orthopnea. Jugular vein
distention, hepatomegaly, and peripheral edema are more commonly associated with
right-sided heart failure.
2. A nurse is teaching a client prescribed warfarin. Which statement indicates correct
understanding?
A. "I should avoid all green vegetables."
B. "I should take aspirin if I develop pain."
C. "I will notify my provider if I notice blood in my urine."
D. "I should double my dose if I forget one."
Answer: C. "I will notify my provider if I notice blood in my urine."
Rationale: Hematuria may indicate excessive anticoagulation and should be reported
immediately. Clients do not need to avoid all vitamin K-containing foods but should
maintain consistent intake. Aspirin increases bleeding risk, and missed doses should not
be doubled.
, 3. A client develops sudden facial drooping and unilateral weakness. What is the
nurse's priority action?
A. Obtain vital signs.
B. Check blood glucose.
C. Activate the stroke response team.
D. Place the client in Trendelenburg position.
Answer: C. Activate the stroke response team.
Rationale: Time-sensitive treatment is critical during suspected stroke. Activating the stroke
response ensures rapid imaging and intervention. Blood glucose is important but follows
immediate stroke activation.
4. Which laboratory value requires immediate nursing intervention?
A. Sodium 138 mEq/L
B. Potassium 6.2 mEq/L
C. Calcium 9.1 mg/dL
D. Chloride 102 mEq/L
Answer: B. Potassium 6.2 mEq/L
Rationale: Severe hyperkalemia increases the risk of life-threatening cardiac dysrhythmias
and requires immediate intervention. The remaining electrolyte values are within normal
limits.
5. A nurse is assessing a client with hypoglycemia. Which manifestation is expected?
A. Warm, dry skin
B. Bradycardia
C. Diaphoresis and tremors
D. Fruity breath odor
Answer: C. Diaphoresis and tremors
Rationale: Hypoglycemia stimulates the sympathetic nervous system, producing sweating,
shakiness, tachycardia, and anxiety. Fruity breath is associated with diabetic ketoacidosis.
, 6. A nurse is caring for a postoperative client. Which finding suggests a pulmonary
embolism?
A. Bradycardia
B. Sudden dyspnea and chest pain
C. Productive cough for several days
D. Bilateral pedal edema
Answer: B. Sudden dyspnea and chest pain
Rationale: Pulmonary embolism commonly presents with sudden shortness of breath,
pleuritic chest pain, tachycardia, hypoxemia, and anxiety. Immediate intervention is
required.
7. Which intervention is most effective for preventing catheter-associated urinary tract
infections?
A. Irrigate the catheter daily.
B. Disconnect the drainage bag each shift.
C. Maintain a closed drainage system.
D. Change the catheter every three days.
Answer: C. Maintain a closed drainage system.
Rationale: Maintaining a sterile, closed drainage system significantly reduces bacterial
contamination and infection risk. Routine irrigation and frequent catheter changes are not
recommended.
8. Which client should the nurse assess first?
A. Client with chronic arthritis reporting joint stiffness.
B. Client with pneumonia whose oxygen saturation decreased from 95% to 88%.
C. Client requesting pain medication.
D. Client awaiting discharge instructions.
Answer: B. Client with pneumonia whose oxygen saturation decreased from 95% to
88%.
Rationale: Airway and breathing take priority. A sudden decline in oxygen saturation
indicates worsening respiratory status requiring immediate assessment.
