MARYLAND NCLEX-RN EXAM PRACTICE QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALE 2026/| INSTANT DOWNLOAD PDF
150 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
MARYLAND NCLEX-RN EXAM PRACTICE QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALE 2026/| INSTANT DOWNLOAD PDF. It contains 150 carefully selected questions that reflect
the most current exam content and testing strategies. Each question is accompanied by a correct answer and a
detailed rationale that explains the underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 150 Questions
Foundations - Application - Maryland Nclex-rn AND Correct PLUS Rationale 2026/ Instant Download PDF
Nursing Nclex-rn Preparation Undergraduate YEAR 4 / Pre-licensure
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Management OF CARE 1-25 Finding, Receiving, Infusion, Indicates, Requires
Safety AND Infection Control 26-50 Finding, Prescribed, Blood, Reviewing, Results
Health Promotion AND 51-75 Indicates, Finding, Assessing, Prescribed, Medication
Maintenance
Psychosocial Integrity 76-100 Finding, Appropriate, Indicates, History, Prescribed
Basic CARE AND Comfort 101-125 Receiving, Finding, Indicates, Prescribed, Laboratory
Pharmacological Therapies 126-150 Indicates, Prescribed, Teaching, Appropriate, Heart
TOTAL 150 All questions include answers and detailed rationales
,Section A - Management OF CARE
Q1.
A patient with diabetic ketoacidosis is receiving an insulin infusion at 0.1 units/kg/hr. The
latest serum potassium is 3.2 mEq/L. Which action is most appropriate?
A. Continue insulin infusion and monitor B. Hold insulin infusion and notify the
potassium hourly. provider immediately.
C. Administer IV potassium before D. Decrease insulin infusion rate and
continuing insulin infusion. reassess potassium in 2 hours.
Correct: C - Administer IV potassium before continuing insulin infusion.
Rationale:In DKA, insulin drives potassium into cells, worsening hypokalemia. With K+ < 3.3
mEq/L, insulin should be held until potassium is corrected to prevent life-threatening
arrhythmias. IV potassium replacement is urgent. Continuing or decreasing insulin without
addressing hypokalemia is unsafe.
Why the other answers are wrong:
A. Continuing insulin while potassium is critically low risks severe hypokalemia and cardiac
arrest.
B. Holding insulin without replacing potassium delays treatment and fails to correct the
underlying deficit.
D. Decreasing the rate does not eliminate the risk and delays necessary potassium
replacement.
Reference: Ignatavicius, D. & Workman, M.L. (2026). Medical-Surgical Nursing: Concepts for
Interprofessional Collaborative Care, 10th Ed., Ch. 59.
Q2.
Which drug class is most likely to cause QTc prolongation and requires baseline and
periodic ECG monitoring?
A. Loop diuretics B. Fluoroquinolones
C. ACE inhibitors D. Benzodiazepines
Correct: B - Fluoroquinolones
Rationale:Fluoroquinolones (e.g., levofloxacin, ciprofloxacin) are associated with QTc
prolongation and risk of torsades de pointes. Loop diuretics may cause electrolyte imbalances
but don't directly affect QTc. ACE inhibitors and benzodiazepines are not known for QTc
prolongation.
Why the other answers are wrong:
A. Loop diuretics may cause hypokalemia but do not directly prolong QTc.
Page 3
, Section A - Management OF CARE
C. ACE inhibitors have no significant effect on cardiac repolarization.
D. Benzodiazepines do not affect QTc interval.
Reference: Lehne, R.A. (2026). Pharmacology for Nursing Care, 12th Ed., Ch. 84.
Q3.
A nurse is assessing a patient who recently started an SSRI. Which finding requires
immediate follow-up?
A. Dry mouth and mild sedation B. Agitation and restlessness
C. Complaints of insomnia D. Sexual dysfunction
Correct: B - Agitation and restlessness
Rationale:Agitation and restlessness early in SSRI therapy may indicate akathisia or
activation, which can increase suicide risk, especially in younger patients. Dry mouth,
sedation, insomnia, and sexual dysfunction are common adverse effects that are bothersome
but not immediately dangerous.
Why the other answers are wrong:
A. Dry mouth and sedation are common but not urgent.
C. Insomnia is a common side effect that may need management but not immediate
intervention.
D. Sexual dysfunction is a long-term side effect that may affect adherence but is not
immediately dangerous.
Reference: Varcarolis, E.M. & Fosbre, C.D. (2026). Essentials of Psychiatric Mental Health Nursing, 5th
Ed., Ch. 15.
Q4.
A nurse is preparing to administer a blood transfusion. Which action is essential to
prevent a transfusion-associated circulatory overload (TACO)?
A. Administer the transfusion over 4 hours. B. Prime the tubing with normal saline.
C. Assess the patient's fluid volume status D. Obtain baseline vital signs immediately
and history of heart failure. before transfusion.
Correct: C - Assess the patient's fluid volume status and history of heart failure.
Rationale:TACO is more likely in patients with compromised cardiac or renal function.
Assessing fluid volume status and history of heart failure helps identify at-risk patients.
Transfusion duration, priming, and baseline vitals are important but do not directly prevent
TACO.
Why the other answers are wrong:
A. Transfusion duration may reduce risk but is not the primary preventive measure.
B. Priming with saline is standard but doesn't prevent TACO.
Page 4
AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALE 2026/| INSTANT DOWNLOAD PDF
150 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
MARYLAND NCLEX-RN EXAM PRACTICE QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALE 2026/| INSTANT DOWNLOAD PDF. It contains 150 carefully selected questions that reflect
the most current exam content and testing strategies. Each question is accompanied by a correct answer and a
detailed rationale that explains the underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 150 Questions
Foundations - Application - Maryland Nclex-rn AND Correct PLUS Rationale 2026/ Instant Download PDF
Nursing Nclex-rn Preparation Undergraduate YEAR 4 / Pre-licensure
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Management OF CARE 1-25 Finding, Receiving, Infusion, Indicates, Requires
Safety AND Infection Control 26-50 Finding, Prescribed, Blood, Reviewing, Results
Health Promotion AND 51-75 Indicates, Finding, Assessing, Prescribed, Medication
Maintenance
Psychosocial Integrity 76-100 Finding, Appropriate, Indicates, History, Prescribed
Basic CARE AND Comfort 101-125 Receiving, Finding, Indicates, Prescribed, Laboratory
Pharmacological Therapies 126-150 Indicates, Prescribed, Teaching, Appropriate, Heart
TOTAL 150 All questions include answers and detailed rationales
,Section A - Management OF CARE
Q1.
A patient with diabetic ketoacidosis is receiving an insulin infusion at 0.1 units/kg/hr. The
latest serum potassium is 3.2 mEq/L. Which action is most appropriate?
A. Continue insulin infusion and monitor B. Hold insulin infusion and notify the
potassium hourly. provider immediately.
C. Administer IV potassium before D. Decrease insulin infusion rate and
continuing insulin infusion. reassess potassium in 2 hours.
Correct: C - Administer IV potassium before continuing insulin infusion.
Rationale:In DKA, insulin drives potassium into cells, worsening hypokalemia. With K+ < 3.3
mEq/L, insulin should be held until potassium is corrected to prevent life-threatening
arrhythmias. IV potassium replacement is urgent. Continuing or decreasing insulin without
addressing hypokalemia is unsafe.
Why the other answers are wrong:
A. Continuing insulin while potassium is critically low risks severe hypokalemia and cardiac
arrest.
B. Holding insulin without replacing potassium delays treatment and fails to correct the
underlying deficit.
D. Decreasing the rate does not eliminate the risk and delays necessary potassium
replacement.
Reference: Ignatavicius, D. & Workman, M.L. (2026). Medical-Surgical Nursing: Concepts for
Interprofessional Collaborative Care, 10th Ed., Ch. 59.
Q2.
Which drug class is most likely to cause QTc prolongation and requires baseline and
periodic ECG monitoring?
A. Loop diuretics B. Fluoroquinolones
C. ACE inhibitors D. Benzodiazepines
Correct: B - Fluoroquinolones
Rationale:Fluoroquinolones (e.g., levofloxacin, ciprofloxacin) are associated with QTc
prolongation and risk of torsades de pointes. Loop diuretics may cause electrolyte imbalances
but don't directly affect QTc. ACE inhibitors and benzodiazepines are not known for QTc
prolongation.
Why the other answers are wrong:
A. Loop diuretics may cause hypokalemia but do not directly prolong QTc.
Page 3
, Section A - Management OF CARE
C. ACE inhibitors have no significant effect on cardiac repolarization.
D. Benzodiazepines do not affect QTc interval.
Reference: Lehne, R.A. (2026). Pharmacology for Nursing Care, 12th Ed., Ch. 84.
Q3.
A nurse is assessing a patient who recently started an SSRI. Which finding requires
immediate follow-up?
A. Dry mouth and mild sedation B. Agitation and restlessness
C. Complaints of insomnia D. Sexual dysfunction
Correct: B - Agitation and restlessness
Rationale:Agitation and restlessness early in SSRI therapy may indicate akathisia or
activation, which can increase suicide risk, especially in younger patients. Dry mouth,
sedation, insomnia, and sexual dysfunction are common adverse effects that are bothersome
but not immediately dangerous.
Why the other answers are wrong:
A. Dry mouth and sedation are common but not urgent.
C. Insomnia is a common side effect that may need management but not immediate
intervention.
D. Sexual dysfunction is a long-term side effect that may affect adherence but is not
immediately dangerous.
Reference: Varcarolis, E.M. & Fosbre, C.D. (2026). Essentials of Psychiatric Mental Health Nursing, 5th
Ed., Ch. 15.
Q4.
A nurse is preparing to administer a blood transfusion. Which action is essential to
prevent a transfusion-associated circulatory overload (TACO)?
A. Administer the transfusion over 4 hours. B. Prime the tubing with normal saline.
C. Assess the patient's fluid volume status D. Obtain baseline vital signs immediately
and history of heart failure. before transfusion.
Correct: C - Assess the patient's fluid volume status and history of heart failure.
Rationale:TACO is more likely in patients with compromised cardiac or renal function.
Assessing fluid volume status and history of heart failure helps identify at-risk patients.
Transfusion duration, priming, and baseline vitals are important but do not directly prevent
TACO.
Why the other answers are wrong:
A. Transfusion duration may reduce risk but is not the primary preventive measure.
B. Priming with saline is standard but doesn't prevent TACO.
Page 4
