NCLEX NURSING SCHOOL SURVIVAL
KIT COMPREHENSIVE REVIEW EXAM
QUESTIONS AND ANSWERS
1. A patient with a history of heart failure is prescribed digoxin. Which of the following
assessment findings would most likely indicate digoxin toxicity?
A. Anorexia, nausea, and visual disturbances
B. Tachycardia and hypertension
C. Increased urinary output
D. Hyperkalemia and muscle cramps
Answer: A
Conceptual Explanation: Digoxin toxicity commonly presents with gastrointestinal
symptoms like anorexia and nausea, along with neurological symptoms like yellow-green
halos in vision.
2. Which arterial blood gas (ABG) result is most consistent with a patient experiencing a
severe panic attack?
A. pH 7.32, PaCO2 50, HCO3 26
,B. pH 7.48, PaCO2 30, HCO3 23
C. pH 7.30, PaCO2 38, HCO3 18
D. pH 7.50, PaCO2 48, HCO3 32
Answer: B
Conceptual Explanation: Hyperventilation during a panic attack causes a loss of CO2,
leading to respiratory alkalosis (high pH, low PaCO2).
3. A patient is diagnosed with Addison’s disease. Which electrolyte imbalance is the nurse
most likely to observe?
A. Hypernatremia and hypokalemia
B. Hypercalcemia and hypophosphatemia
C. Hypocalcemia and hypermagnesemia
D. Hyponatremia and hyperkalemia
Answer: D
Conceptual Explanation: Addison’s disease involves a lack of aldosterone, leading to the
excretion of sodium (hyponatremia) and the retention of potassium (hyperkalemia).
4. When caring for a patient with a chest tube, the nurse notes continuous bubbling in the
water seal chamber. What does this indicate?
A. The system is functioning normally.
B. The suction is set too high.
, C. There is an air leak in the system.
D. The lung has fully re-expanded.
Answer: C
Conceptual Explanation: Intermittent bubbling is expected with expiration in a patient
with a pneumothorax, but continuous bubbling indicates a leak in the drainage system.
5. A nurse is preparing to administer Lispro insulin to a patient. When should the nurse
instruct the patient to eat?
A. 30 to 60 minutes after the injection
B. Immediately before the injection
C. Two hours after the injection
D. Within 15 minutes of the injection
Answer: D
Conceptual Explanation: Lispro is a rapid-acting insulin with an onset of 15 minutes. The
patient must eat within 15 minutes to prevent hypoglycemia.
6. A patient with deep vein thrombosis (DVT) is receiving a heparin infusion. Which lab value
should the nurse monitor to adjust the dosage?
A. Prothrombin time (PT)
B. International Normalized Ratio (INR)
C. Activated partial thromboplastin time (aPTT)
KIT COMPREHENSIVE REVIEW EXAM
QUESTIONS AND ANSWERS
1. A patient with a history of heart failure is prescribed digoxin. Which of the following
assessment findings would most likely indicate digoxin toxicity?
A. Anorexia, nausea, and visual disturbances
B. Tachycardia and hypertension
C. Increased urinary output
D. Hyperkalemia and muscle cramps
Answer: A
Conceptual Explanation: Digoxin toxicity commonly presents with gastrointestinal
symptoms like anorexia and nausea, along with neurological symptoms like yellow-green
halos in vision.
2. Which arterial blood gas (ABG) result is most consistent with a patient experiencing a
severe panic attack?
A. pH 7.32, PaCO2 50, HCO3 26
,B. pH 7.48, PaCO2 30, HCO3 23
C. pH 7.30, PaCO2 38, HCO3 18
D. pH 7.50, PaCO2 48, HCO3 32
Answer: B
Conceptual Explanation: Hyperventilation during a panic attack causes a loss of CO2,
leading to respiratory alkalosis (high pH, low PaCO2).
3. A patient is diagnosed with Addison’s disease. Which electrolyte imbalance is the nurse
most likely to observe?
A. Hypernatremia and hypokalemia
B. Hypercalcemia and hypophosphatemia
C. Hypocalcemia and hypermagnesemia
D. Hyponatremia and hyperkalemia
Answer: D
Conceptual Explanation: Addison’s disease involves a lack of aldosterone, leading to the
excretion of sodium (hyponatremia) and the retention of potassium (hyperkalemia).
4. When caring for a patient with a chest tube, the nurse notes continuous bubbling in the
water seal chamber. What does this indicate?
A. The system is functioning normally.
B. The suction is set too high.
, C. There is an air leak in the system.
D. The lung has fully re-expanded.
Answer: C
Conceptual Explanation: Intermittent bubbling is expected with expiration in a patient
with a pneumothorax, but continuous bubbling indicates a leak in the drainage system.
5. A nurse is preparing to administer Lispro insulin to a patient. When should the nurse
instruct the patient to eat?
A. 30 to 60 minutes after the injection
B. Immediately before the injection
C. Two hours after the injection
D. Within 15 minutes of the injection
Answer: D
Conceptual Explanation: Lispro is a rapid-acting insulin with an onset of 15 minutes. The
patient must eat within 15 minutes to prevent hypoglycemia.
6. A patient with deep vein thrombosis (DVT) is receiving a heparin infusion. Which lab value
should the nurse monitor to adjust the dosage?
A. Prothrombin time (PT)
B. International Normalized Ratio (INR)
C. Activated partial thromboplastin time (aPTT)
