PAPER N1: NCLEX-RN
COMPREHENSIVE MIXED EXAM 1
Title: NCLEX-RN Comprehensive Exam 1:
30 Practice Questions with Rationales
Keywords: NCLEX-RN, comprehensive, mixed exam,
nursing licensing, practice questions, test bank, NCLEX
prep, nursing exam
,Questions
1. A nurse is caring for a client with heart failure who reports
sudden onset of shortness of breath and coughing up pink,
frothy sputum. Which position should the nurse place the
client in? A) Supine B) High Fowler's C) Left lateral
recumbent D) Trendelenburg
Explanation: High Fowler's position promotes optimal lung
expansion and reduces venous return to the heart, helping to
decrease pulmonary congestion. This position is essential for
clients experiencing pulmonary edema.
2. A client with diabetes mellitus type 2 is prescribed
metformin. Which laboratory value should the nurse
monitor closely? A) Serum potassium B) Serum creatinine
C) Serum sodium D) Serum calcium
, Explanation: Metformin can cause lactic acidosis, especially in
clients with renal impairment. Serum creatinine should be
monitored to assess kidney function before and during therapy.
3. A nurse is assessing a client who has just returned from
surgery. Which finding requires immediate intervention?
A) Heart rate 88 bpm B) Blood pressure 100/60 mmHg C)
Oxygen saturation 88% on room air D) Temperature
36.8°C (98.2°F)
Explanation: An oxygen saturation of 88% indicates hypoxemia
and requires immediate intervention such as supplemental
oxygen. The other vital signs are within acceptable ranges for a
postoperative client.
4. A client with a diagnosis of major depressive disorder is
prescribed fluoxetine. Which teaching point is most
important for the nurse to include? A) Take the medication
COMPREHENSIVE MIXED EXAM 1
Title: NCLEX-RN Comprehensive Exam 1:
30 Practice Questions with Rationales
Keywords: NCLEX-RN, comprehensive, mixed exam,
nursing licensing, practice questions, test bank, NCLEX
prep, nursing exam
,Questions
1. A nurse is caring for a client with heart failure who reports
sudden onset of shortness of breath and coughing up pink,
frothy sputum. Which position should the nurse place the
client in? A) Supine B) High Fowler's C) Left lateral
recumbent D) Trendelenburg
Explanation: High Fowler's position promotes optimal lung
expansion and reduces venous return to the heart, helping to
decrease pulmonary congestion. This position is essential for
clients experiencing pulmonary edema.
2. A client with diabetes mellitus type 2 is prescribed
metformin. Which laboratory value should the nurse
monitor closely? A) Serum potassium B) Serum creatinine
C) Serum sodium D) Serum calcium
, Explanation: Metformin can cause lactic acidosis, especially in
clients with renal impairment. Serum creatinine should be
monitored to assess kidney function before and during therapy.
3. A nurse is assessing a client who has just returned from
surgery. Which finding requires immediate intervention?
A) Heart rate 88 bpm B) Blood pressure 100/60 mmHg C)
Oxygen saturation 88% on room air D) Temperature
36.8°C (98.2°F)
Explanation: An oxygen saturation of 88% indicates hypoxemia
and requires immediate intervention such as supplemental
oxygen. The other vital signs are within acceptable ranges for a
postoperative client.
4. A client with a diagnosis of major depressive disorder is
prescribed fluoxetine. Which teaching point is most
important for the nurse to include? A) Take the medication
