NCLEX-RN EXAM PACK SET 10 QUESTIONS AND ANSWERS ALREADY GRADED A+. 100% Verified Solutions |
Updated Per Latest Guidelines | Graded A+
CORE DOMAINS
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Clinical Judgment and Decision-Making
INTRODUCTION
This comprehensive NCLEX-RN examination practice set is designed to assess the candidate's readiness for the
National Council Licensure Examination. It evaluates the essential competencies required for safe and effective
nursing practice, focusing on the application of clinical reasoning, evidence-based decision-making, and sound
professional judgment. The questions are presented in a realistic, scenario-based format to evaluate critical
thinking skills across diverse healthcare settings. Candidates will be challenged to synthesize knowledge, prioritize
patient needs, and demonstrate a commitment to patient safety and ethical practice. This rigorous assessment
,mirrors the complexity of the NCLEX-RN and is structured to reflect Next Generation NCLEX (NGN) principles,
preparing candidates for the adaptive examination environment.
SECTION ONE
Questions 1–100
Question 1
The nurse is caring for a patient who is 24 hours post-operative following a laparoscopic cholecystectomy. The
patient reports increasing abdominal pain, nausea, and feels "bloated." The nurse notes that the patient's
abdomen is distended and tympanic to percussion. Which of the following is the nurse's priority action?
A. Administer the prescribed PRN antiemetic.
B. Assess the patient's bowel sounds in all four quadrants.
C. Encourage the patient to ambulate in the hallway.
D. Notify the healthcare provider of the findings.
🟢 Correct Answer:
D. Notify the healthcare provider of the findings.
,🔴 RATIONALE:
The patient is exhibiting signs of a possible complication such as a bowel obstruction or perforation, indicated
by increasing pain, nausea, distension, and tympany. These findings warrant immediate notification of the
healthcare provider for further evaluation. While assessing bowel sounds and ambulation are important, the
priority is to report the concerning symptoms.
Question 2
A nurse is providing discharge teaching to a patient with a new diagnosis of heart failure. Which of the
following statements by the patient indicates a correct understanding of the teaching?
A. "I should weigh myself weekly and report any gain of more than 1 pound."
B. "I should limit my fluid intake to 2 liters per day and drink plenty of water."
C. "I should weigh myself daily and report any gain of more than 2-3 pounds in a day."
D. "I should restrict my sodium intake and increase my daily activity to at least 1 hour."
🟢 Correct Answer:
C. "I should weigh myself daily and report any gain of more than 2-3 pounds in a day."
🔴 RATIONALE:
Patients with heart failure should weigh themselves daily at the same time and report a weight gain of 2-3
pounds or more in a day, or 5 pounds in a week, as this indicates fluid retention. Fluid restriction is typically 1.5-
2 liters, not encouraged to "drink plenty of water," and activity should be moderate and approved by the
provider.
, Question 3
The nurse is caring for a patient with chronic obstructive pulmonary disease (COPD) who is receiving oxygen at
2 L/min via nasal cannula. The patient's oxygen saturation is 89%. Which of the following actions should the
nurse take first?
A. Increase the oxygen to 4 L/min.
B. Place the patient in a high Fowler's position.
C. Assess the patient's respiratory rate and depth.
D. Notify the respiratory therapist.
🟢 Correct Answer:
C. Assess the patient's respiratory rate and depth.
🔴 RATIONALE:
Before making any changes to the oxygen therapy, the nurse must first assess the patient's respiratory status,
including rate, depth, and effort. This will help determine the cause of the low saturation and guide appropriate
interventions. Increasing oxygen without assessment could be dangerous, especially in COPD patients with
hypoxic drive.
Question 4
Updated Per Latest Guidelines | Graded A+
CORE DOMAINS
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Clinical Judgment and Decision-Making
INTRODUCTION
This comprehensive NCLEX-RN examination practice set is designed to assess the candidate's readiness for the
National Council Licensure Examination. It evaluates the essential competencies required for safe and effective
nursing practice, focusing on the application of clinical reasoning, evidence-based decision-making, and sound
professional judgment. The questions are presented in a realistic, scenario-based format to evaluate critical
thinking skills across diverse healthcare settings. Candidates will be challenged to synthesize knowledge, prioritize
patient needs, and demonstrate a commitment to patient safety and ethical practice. This rigorous assessment
,mirrors the complexity of the NCLEX-RN and is structured to reflect Next Generation NCLEX (NGN) principles,
preparing candidates for the adaptive examination environment.
SECTION ONE
Questions 1–100
Question 1
The nurse is caring for a patient who is 24 hours post-operative following a laparoscopic cholecystectomy. The
patient reports increasing abdominal pain, nausea, and feels "bloated." The nurse notes that the patient's
abdomen is distended and tympanic to percussion. Which of the following is the nurse's priority action?
A. Administer the prescribed PRN antiemetic.
B. Assess the patient's bowel sounds in all four quadrants.
C. Encourage the patient to ambulate in the hallway.
D. Notify the healthcare provider of the findings.
🟢 Correct Answer:
D. Notify the healthcare provider of the findings.
,🔴 RATIONALE:
The patient is exhibiting signs of a possible complication such as a bowel obstruction or perforation, indicated
by increasing pain, nausea, distension, and tympany. These findings warrant immediate notification of the
healthcare provider for further evaluation. While assessing bowel sounds and ambulation are important, the
priority is to report the concerning symptoms.
Question 2
A nurse is providing discharge teaching to a patient with a new diagnosis of heart failure. Which of the
following statements by the patient indicates a correct understanding of the teaching?
A. "I should weigh myself weekly and report any gain of more than 1 pound."
B. "I should limit my fluid intake to 2 liters per day and drink plenty of water."
C. "I should weigh myself daily and report any gain of more than 2-3 pounds in a day."
D. "I should restrict my sodium intake and increase my daily activity to at least 1 hour."
🟢 Correct Answer:
C. "I should weigh myself daily and report any gain of more than 2-3 pounds in a day."
🔴 RATIONALE:
Patients with heart failure should weigh themselves daily at the same time and report a weight gain of 2-3
pounds or more in a day, or 5 pounds in a week, as this indicates fluid retention. Fluid restriction is typically 1.5-
2 liters, not encouraged to "drink plenty of water," and activity should be moderate and approved by the
provider.
, Question 3
The nurse is caring for a patient with chronic obstructive pulmonary disease (COPD) who is receiving oxygen at
2 L/min via nasal cannula. The patient's oxygen saturation is 89%. Which of the following actions should the
nurse take first?
A. Increase the oxygen to 4 L/min.
B. Place the patient in a high Fowler's position.
C. Assess the patient's respiratory rate and depth.
D. Notify the respiratory therapist.
🟢 Correct Answer:
C. Assess the patient's respiratory rate and depth.
🔴 RATIONALE:
Before making any changes to the oxygen therapy, the nurse must first assess the patient's respiratory status,
including rate, depth, and effort. This will help determine the cause of the low saturation and guide appropriate
interventions. Increasing oxygen without assessment could be dangerous, especially in COPD patients with
hypoxic drive.
Question 4
