PAPER N2: NCLEX-RN
COMPREHENSIVE MIXED EXAM 2
Title: NCLEX-RN Comprehensive
Exam 2: 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 a diagnosis of heart
failure. Which symptom should the nurse report
immediately to the healthcare provider? A) Weight
gain of 2 pounds in one week B) Edema in lower
extremities C) Shortness of breath with exertion D)
Crackles auscultated in the lung bases
Explanation: Crackles indicate fluid accumulation in the
lungs, a sign of worsening heart failure and pulmonary
edema. This finding should be reported immediately as it
is an acute change requiring intervention.
2. A client is prescribed furosemide for hypertension.
Which laboratory value should the nurse monitor
, closely? A) Serum sodium B) Serum potassium C)
Serum calcium D) Serum magnesium
Explanation: Furosemide is a loop diuretic that can cause
hypokalemia (low potassium). The nurse should monitor
potassium levels and educate the client about potassium-
rich foods.
3. A nurse is preparing to administer morphine to a
client with severe pain. Which finding indicates the
client is experiencing an adverse reaction? A)
Respiratory rate 12 breaths/min B) Blood pressure
110/70 mmHg C) Heart rate 88 bpm D) Oxygen
saturation 90%
COMPREHENSIVE MIXED EXAM 2
Title: NCLEX-RN Comprehensive
Exam 2: 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 a diagnosis of heart
failure. Which symptom should the nurse report
immediately to the healthcare provider? A) Weight
gain of 2 pounds in one week B) Edema in lower
extremities C) Shortness of breath with exertion D)
Crackles auscultated in the lung bases
Explanation: Crackles indicate fluid accumulation in the
lungs, a sign of worsening heart failure and pulmonary
edema. This finding should be reported immediately as it
is an acute change requiring intervention.
2. A client is prescribed furosemide for hypertension.
Which laboratory value should the nurse monitor
, closely? A) Serum sodium B) Serum potassium C)
Serum calcium D) Serum magnesium
Explanation: Furosemide is a loop diuretic that can cause
hypokalemia (low potassium). The nurse should monitor
potassium levels and educate the client about potassium-
rich foods.
3. A nurse is preparing to administer morphine to a
client with severe pain. Which finding indicates the
client is experiencing an adverse reaction? A)
Respiratory rate 12 breaths/min B) Blood pressure
110/70 mmHg C) Heart rate 88 bpm D) Oxygen
saturation 90%
