,This study document brings together 143 carefully worded exam questions drawn from Vermont
NCLEX-RN Nursing Licensure Exam- Practice Questions And Correct Answers (Verified Answers)
Plus Rationales Q&A Instant Download Pdf, with the strongest emphasis placed on Apply the
nursing process and clinical judgment model to prioritize safe, evidence-based care across diverse
populations, Calculate and verify medication dosages, IV flow rates, and titrations with precision to
prevent adverse events, Interpret laboratory, diagnostic and and assessment data to recognize
complications and initiate appropriate interventions. Every item follows the wording style and level
of reasoning you meet in the real paper, and each one is paired with a clear rationale so the
correct choice is never a guess. Work through the set at your own pace, mark the questions that
slow you down, then come back to them until the reasoning feels automatic. Learners who revise
this way walk into the exam room recognising the pattern behind the questions instead of meeting
them for the first time. Keep going - steady, honest practice is what turns a difficult paper into a
comfortable pass.
Q1 APPLY THE NURSING PROCESS AND CLINICAL JUDGMENT MODEL TO PRIORITIZE
SAFE, EVIDENCE-BASED CARE ACROSS DIVERSE POPULATIONS
A client with acute decompensated heart failure is prescribed intravenous
furosemide. Which assessment finding most urgently indicates a need to withhold
the dose and notify the provider?
A. Serum potassium 3.1 mEq/L CORRECT
B. Urine output 40 mL/hr
C. Blood pressure 98/60 mm Hg
D. Serum sodium 134 mEq/L
RATIONALE: Loop diuretics cause potassium loss; a level <3.5 mEq/L increases risk of digoxin
toxicity and lethal dysrhythmias, so the dose should be held and the provider notified. The other
findings are either expected or not immediately life-threatening.
Page 2
,Q2 APPLY THE NURSING PROCESS AND CLINICAL JUDGMENT MODEL TO PRIORITIZE
SAFE, EVIDENCE-BASED CARE ACROSS DIVERSE POPULATIONS
A nurse is calculating the dose of enoxaparin for a client with a creatinine
clearance of 22 mL/min. Which action is most appropriate?
A. Administer the prescribed dose as ordered.
B. Hold the dose and contact the provider for dose adjustment. CORRECT
C. Administer half the prescribed dose and document.
D. Switch to unfractionated heparin without an order.
RATIONALE: Enoxaparin is renally cleared; CrCl <30 mL/min requires dose reduction or
alternative therapy. The nurse must hold and clarify with the provider, not independently adjust or
substitute.
Q3 APPLY THE NURSING PROCESS AND CLINICAL JUDGMENT MODEL TO PRIORITIZE
SAFE, EVIDENCE-BASED CARE ACROSS DIVERSE POPULATIONS
A client with a new colostomy has a stoma that is dark purple and dry. Which
nursing action is the priority?
A. Apply a transparent film dressing over the stoma.
B. Notify the surgeon immediately. CORRECT
C. Document the finding as normal.
D. Increase oral fluid intake.
RATIONALE: A dark purple, dry stoma indicates ischemia/necrosis, a surgical emergency.
Immediate provider notification is required; other actions delay necessary intervention.
Page 3
, Q4 APPLY THE NURSING PROCESS AND CLINICAL JUDGMENT MODEL TO PRIORITIZE
SAFE, EVIDENCE-BASED CARE ACROSS DIVERSE POPULATIONS
A nurse is reviewing a medication administration record for a client with a newly
placed epidural catheter. Which medication should the nurse question?
A. Fentanyl 50 mcg IV every 2 hours PRN
B. Heparin 5000 units subcutaneously every 8 hours CORRECT
C. Acetaminophen 650 mg PO every 6 hours PRN
D. Docusate sodium 100 mg PO daily
RATIONALE: Heparin increases risk of epidural hematoma in a client with an epidural catheter; it
should be held and the provider notified. The other medications are not contraindicated.
Q5 APPLY THE NURSING PROCESS AND CLINICAL JUDGMENT MODEL TO PRIORITIZE
SAFE, EVIDENCE-BASED CARE ACROSS DIVERSE POPULATIONS
A nurse is assessing a client with severe preeclampsia who is receiving
magnesium sulfate. Which finding indicates magnesium toxicity?
A. Respiratory rate 10/min CORRECT
B. Deep tendon reflexes 2+
C. Urine output 50 mL/hr
D. Blood pressure 150/90 mm Hg
RATIONALE: Magnesium toxicity manifests as respiratory depression (<12/min), loss of deep
tendon reflexes, and oliguria. The other findings are not indicative of toxicity.
Page 4
NCLEX-RN Nursing Licensure Exam- Practice Questions And Correct Answers (Verified Answers)
Plus Rationales Q&A Instant Download Pdf, with the strongest emphasis placed on Apply the
nursing process and clinical judgment model to prioritize safe, evidence-based care across diverse
populations, Calculate and verify medication dosages, IV flow rates, and titrations with precision to
prevent adverse events, Interpret laboratory, diagnostic and and assessment data to recognize
complications and initiate appropriate interventions. Every item follows the wording style and level
of reasoning you meet in the real paper, and each one is paired with a clear rationale so the
correct choice is never a guess. Work through the set at your own pace, mark the questions that
slow you down, then come back to them until the reasoning feels automatic. Learners who revise
this way walk into the exam room recognising the pattern behind the questions instead of meeting
them for the first time. Keep going - steady, honest practice is what turns a difficult paper into a
comfortable pass.
Q1 APPLY THE NURSING PROCESS AND CLINICAL JUDGMENT MODEL TO PRIORITIZE
SAFE, EVIDENCE-BASED CARE ACROSS DIVERSE POPULATIONS
A client with acute decompensated heart failure is prescribed intravenous
furosemide. Which assessment finding most urgently indicates a need to withhold
the dose and notify the provider?
A. Serum potassium 3.1 mEq/L CORRECT
B. Urine output 40 mL/hr
C. Blood pressure 98/60 mm Hg
D. Serum sodium 134 mEq/L
RATIONALE: Loop diuretics cause potassium loss; a level <3.5 mEq/L increases risk of digoxin
toxicity and lethal dysrhythmias, so the dose should be held and the provider notified. The other
findings are either expected or not immediately life-threatening.
Page 2
,Q2 APPLY THE NURSING PROCESS AND CLINICAL JUDGMENT MODEL TO PRIORITIZE
SAFE, EVIDENCE-BASED CARE ACROSS DIVERSE POPULATIONS
A nurse is calculating the dose of enoxaparin for a client with a creatinine
clearance of 22 mL/min. Which action is most appropriate?
A. Administer the prescribed dose as ordered.
B. Hold the dose and contact the provider for dose adjustment. CORRECT
C. Administer half the prescribed dose and document.
D. Switch to unfractionated heparin without an order.
RATIONALE: Enoxaparin is renally cleared; CrCl <30 mL/min requires dose reduction or
alternative therapy. The nurse must hold and clarify with the provider, not independently adjust or
substitute.
Q3 APPLY THE NURSING PROCESS AND CLINICAL JUDGMENT MODEL TO PRIORITIZE
SAFE, EVIDENCE-BASED CARE ACROSS DIVERSE POPULATIONS
A client with a new colostomy has a stoma that is dark purple and dry. Which
nursing action is the priority?
A. Apply a transparent film dressing over the stoma.
B. Notify the surgeon immediately. CORRECT
C. Document the finding as normal.
D. Increase oral fluid intake.
RATIONALE: A dark purple, dry stoma indicates ischemia/necrosis, a surgical emergency.
Immediate provider notification is required; other actions delay necessary intervention.
Page 3
, Q4 APPLY THE NURSING PROCESS AND CLINICAL JUDGMENT MODEL TO PRIORITIZE
SAFE, EVIDENCE-BASED CARE ACROSS DIVERSE POPULATIONS
A nurse is reviewing a medication administration record for a client with a newly
placed epidural catheter. Which medication should the nurse question?
A. Fentanyl 50 mcg IV every 2 hours PRN
B. Heparin 5000 units subcutaneously every 8 hours CORRECT
C. Acetaminophen 650 mg PO every 6 hours PRN
D. Docusate sodium 100 mg PO daily
RATIONALE: Heparin increases risk of epidural hematoma in a client with an epidural catheter; it
should be held and the provider notified. The other medications are not contraindicated.
Q5 APPLY THE NURSING PROCESS AND CLINICAL JUDGMENT MODEL TO PRIORITIZE
SAFE, EVIDENCE-BASED CARE ACROSS DIVERSE POPULATIONS
A nurse is assessing a client with severe preeclampsia who is receiving
magnesium sulfate. Which finding indicates magnesium toxicity?
A. Respiratory rate 10/min CORRECT
B. Deep tendon reflexes 2+
C. Urine output 50 mL/hr
D. Blood pressure 150/90 mm Hg
RATIONALE: Magnesium toxicity manifests as respiratory depression (<12/min), loss of deep
tendon reflexes, and oliguria. The other findings are not indicative of toxicity.
Page 4
