NCLEX RN Comprehensive
Practice Exam 005 Questions
And Correct Answers (Verified
Answers) Plus Rationales 2026
Q&A Instant Download Pdf
1. A nurse is caring for a client with hypoglycemia. Which finding
should the nurse expect?
A. Warm, dry skin
B. Bradycardia
C. Diaphoresis and tremors
D. Deep, rapid respirations
Answer: Diaphoresis and tremors
Rationale: Hypoglycemia stimulates the sympathetic nervous system,
producing sweating, tremors, palpitations, anxiety, and hunger.
2. Which assessment finding is most concerning in a client receiving
morphine?
A. Nausea
B. Constipation
C. Respiratory rate of 8/min
D. Mild drowsiness
Answer: Respiratory rate of 8/min
,Rationale: Opioids can cause life-threatening respiratory depression.
A respiratory rate below 12/min requires immediate assessment and
intervention.
3. A client with heart failure is prescribed furosemide. Which
laboratory value is most important to monitor?
A. Sodium
B. Calcium
C. Potassium
D. Hemoglobin
Answer: Potassium
Rationale: Furosemide is a loop diuretic that can cause significant
potassium loss, increasing the risk of dysrhythmias.
4. Which intervention is appropriate for a client with suspected
tuberculosis?
A. Place the client in a positive-pressure room.
B. Use only standard precautions.
C. Place the client in an airborne infection isolation room.
D. Keep the client in a room with another client who has pneumonia.
Answer: Place the client in an airborne infection isolation room.
Rationale: Tuberculosis requires airborne precautions, including a
negative-pressure room and an appropriately fitted respirator.
5. A nurse is assessing a client with increased intracranial pressure.
Which finding requires immediate intervention?
A. Headache
B. Nausea
C. Decreased level of consciousness
D. Photophobia
,Answer: Decreased level of consciousness
Rationale: A declining level of consciousness is an early and significant
indicator of worsening intracranial pressure.
6. Which medication is commonly used as an antidote for opioid
overdose?
A. Flumazenil
B. Atropine
C. Naloxone
D. Protamine sulfate
Answer: Naloxone
Rationale: Naloxone is an opioid antagonist that reverses opioid-
induced respiratory and central nervous system depression.
7. A client with chronic obstructive pulmonary disease is receiving
oxygen. Which prescription should the nurse question?
A. Oxygen at 1 L/min by nasal cannula
B. Monitor oxygen saturation
C. Encourage pursed-lip breathing
D. Oxygen at 15 L/min by nonrebreather mask without further
assessment
Answer: Oxygen at 15 L/min by nonrebreather mask without further
assessment
Rationale: Clients with chronic obstructive pulmonary disease require
carefully titrated oxygen therapy based on clinical status and
prescribed targets.
8. Which finding is characteristic of left-sided heart failure?
, A. Peripheral edema only
B. Enlarged liver
C. Pulmonary crackles
D. Jugular venous distention only
Answer: Pulmonary crackles
Rationale: Left-sided heart failure causes pulmonary congestion,
producing crackles, dyspnea, and orthopnea.
9. A nurse is teaching a client taking warfarin. Which food should the
client consume consistently?
A. Bananas
B. Oranges
C. Leafy green vegetables
D. White rice
Answer: Leafy green vegetables
Rationale: Leafy green vegetables contain vitamin K, which can
reduce warfarin's anticoagulant effect. Consistency is more important
than complete avoidance.
10. Which laboratory test is used to monitor unfractionated
heparin therapy?
A. INR
B. Hemoglobin A1c
C. aPTT
D. Serum creatinine only
Answer: aPTT
Rationale: Activated partial thromboplastin time is commonly used to
monitor therapeutic unfractionated heparin.
Practice Exam 005 Questions
And Correct Answers (Verified
Answers) Plus Rationales 2026
Q&A Instant Download Pdf
1. A nurse is caring for a client with hypoglycemia. Which finding
should the nurse expect?
A. Warm, dry skin
B. Bradycardia
C. Diaphoresis and tremors
D. Deep, rapid respirations
Answer: Diaphoresis and tremors
Rationale: Hypoglycemia stimulates the sympathetic nervous system,
producing sweating, tremors, palpitations, anxiety, and hunger.
2. Which assessment finding is most concerning in a client receiving
morphine?
A. Nausea
B. Constipation
C. Respiratory rate of 8/min
D. Mild drowsiness
Answer: Respiratory rate of 8/min
,Rationale: Opioids can cause life-threatening respiratory depression.
A respiratory rate below 12/min requires immediate assessment and
intervention.
3. A client with heart failure is prescribed furosemide. Which
laboratory value is most important to monitor?
A. Sodium
B. Calcium
C. Potassium
D. Hemoglobin
Answer: Potassium
Rationale: Furosemide is a loop diuretic that can cause significant
potassium loss, increasing the risk of dysrhythmias.
4. Which intervention is appropriate for a client with suspected
tuberculosis?
A. Place the client in a positive-pressure room.
B. Use only standard precautions.
C. Place the client in an airborne infection isolation room.
D. Keep the client in a room with another client who has pneumonia.
Answer: Place the client in an airborne infection isolation room.
Rationale: Tuberculosis requires airborne precautions, including a
negative-pressure room and an appropriately fitted respirator.
5. A nurse is assessing a client with increased intracranial pressure.
Which finding requires immediate intervention?
A. Headache
B. Nausea
C. Decreased level of consciousness
D. Photophobia
,Answer: Decreased level of consciousness
Rationale: A declining level of consciousness is an early and significant
indicator of worsening intracranial pressure.
6. Which medication is commonly used as an antidote for opioid
overdose?
A. Flumazenil
B. Atropine
C. Naloxone
D. Protamine sulfate
Answer: Naloxone
Rationale: Naloxone is an opioid antagonist that reverses opioid-
induced respiratory and central nervous system depression.
7. A client with chronic obstructive pulmonary disease is receiving
oxygen. Which prescription should the nurse question?
A. Oxygen at 1 L/min by nasal cannula
B. Monitor oxygen saturation
C. Encourage pursed-lip breathing
D. Oxygen at 15 L/min by nonrebreather mask without further
assessment
Answer: Oxygen at 15 L/min by nonrebreather mask without further
assessment
Rationale: Clients with chronic obstructive pulmonary disease require
carefully titrated oxygen therapy based on clinical status and
prescribed targets.
8. Which finding is characteristic of left-sided heart failure?
, A. Peripheral edema only
B. Enlarged liver
C. Pulmonary crackles
D. Jugular venous distention only
Answer: Pulmonary crackles
Rationale: Left-sided heart failure causes pulmonary congestion,
producing crackles, dyspnea, and orthopnea.
9. A nurse is teaching a client taking warfarin. Which food should the
client consume consistently?
A. Bananas
B. Oranges
C. Leafy green vegetables
D. White rice
Answer: Leafy green vegetables
Rationale: Leafy green vegetables contain vitamin K, which can
reduce warfarin's anticoagulant effect. Consistency is more important
than complete avoidance.
10. Which laboratory test is used to monitor unfractionated
heparin therapy?
A. INR
B. Hemoglobin A1c
C. aPTT
D. Serum creatinine only
Answer: aPTT
Rationale: Activated partial thromboplastin time is commonly used to
monitor therapeutic unfractionated heparin.
