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NCLEX RN ACTUAL EXAM TEST BANK WITH REAL AND EXACT EXAM QUESTIONS &
ANSWERS NCLEX 2026/2027 NCLEX EXAM 700 Q&A
NCLEX-RN PRACTICE QUESTIONS
Batch 1: Questions 1–70
1. A nurse assesses crackles, jugular vein distention, and edema in a client with heart failure.
What is the priority action?
A. Restrict fluids
B. Administer diuretic
C. Elevate legs
D. Obtain ECG
Answer: B
Rationale: Diuretics reduce fluid overload and improve breathing.
2. A diabetic client is shaky and diaphoretic. What should the nurse do first?
A. Give insulin
B. Give juice
C. Check glucose
D. Call provider
Answer: C
Rationale: Always confirm hypoglycemia before treatment.
3. Which finding requires withholding digoxin?
A. HR 56 bpm
B. K⁺ 4.1 mEq/L
C. BP 130/80
D. RR 18
Answer: A
Rationale: Digoxin is held if HR < 60 bpm.
practice exam 2026
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4. Which client is at highest aspiration risk?
A. COPD
B. Stroke with dysphagia
C. Hypertension
D. Obesity
Answer: B
Rationale: Impaired swallowing increases aspiration risk.
5. A chest tube shows tidaling in the water-seal chamber. What does this indicate?
A. Air leak
B. Obstruction
C. Normal finding
D. Pneumothorax
Answer: C
Rationale: Tidaling reflects normal pressure changes.
6. A client receiving morphine has RR 8/min and is hard to arouse. Priority action?
A. Reposition
B. Stop infusion
C. Give naloxone
D. Call provider
Answer: C
Rationale: Naloxone reverses opioid respiratory depression.
7. Which lab shows effective anemia treatment?
A. ↓ Ferritin
B. ↑ Hemoglobin
C. ↓ Hematocrit
D. ↑ Platelets
Answer: B
practice exam 2026
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8. A client with hypertension demonstrates understanding when stating:
A. “I stop meds when BP is normal.”
B. “I limit sodium intake.”
C. “Exercise raises BP.”
D. “Stress doesn’t affect BP.”
Answer: B
9. Albuterol primarily causes:
A. Bradycardia
B. Bronchodilation
C. Sedation
D. Hypotension
Answer: B
10. Which client should be seen first?
A. Pain 7/10
B. Glucose 54 mg/dL
C. BP 158/90
D. Awaiting discharge
Answer: B
11. Which finding suggests heparin-induced thrombocytopenia?
A. Platelets 90,000
B. INR 2.0
C. Hgb 12
D. BP 140/88
Answer: A
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12. Best position for increased ICP?
A. Supine
B. Trendelenburg
C. HOB 30°
D. Side-lying
Answer: C
13. A client with COPD should receive oxygen at:
A. 10 L NRB
B. 6 L mask
C. 1–2 L nasal cannula
D. Room air
Answer: C
14. A postoperative client has purulent wound drainage. Priority action?
A. Start antibiotics
B. Culture wound
C. Apply heat
D. Reinforce dressing
Answer: B
15. Which food is highest in potassium?
A. Apples
B. Bananas
C. Rice
D. Bread
Answer: B
practice exam 2026
NCLEX RN ACTUAL EXAM TEST BANK WITH REAL AND EXACT EXAM QUESTIONS &
ANSWERS NCLEX 2026/2027 NCLEX EXAM 700 Q&A
NCLEX-RN PRACTICE QUESTIONS
Batch 1: Questions 1–70
1. A nurse assesses crackles, jugular vein distention, and edema in a client with heart failure.
What is the priority action?
A. Restrict fluids
B. Administer diuretic
C. Elevate legs
D. Obtain ECG
Answer: B
Rationale: Diuretics reduce fluid overload and improve breathing.
2. A diabetic client is shaky and diaphoretic. What should the nurse do first?
A. Give insulin
B. Give juice
C. Check glucose
D. Call provider
Answer: C
Rationale: Always confirm hypoglycemia before treatment.
3. Which finding requires withholding digoxin?
A. HR 56 bpm
B. K⁺ 4.1 mEq/L
C. BP 130/80
D. RR 18
Answer: A
Rationale: Digoxin is held if HR < 60 bpm.
practice exam 2026
,2|Page
4. Which client is at highest aspiration risk?
A. COPD
B. Stroke with dysphagia
C. Hypertension
D. Obesity
Answer: B
Rationale: Impaired swallowing increases aspiration risk.
5. A chest tube shows tidaling in the water-seal chamber. What does this indicate?
A. Air leak
B. Obstruction
C. Normal finding
D. Pneumothorax
Answer: C
Rationale: Tidaling reflects normal pressure changes.
6. A client receiving morphine has RR 8/min and is hard to arouse. Priority action?
A. Reposition
B. Stop infusion
C. Give naloxone
D. Call provider
Answer: C
Rationale: Naloxone reverses opioid respiratory depression.
7. Which lab shows effective anemia treatment?
A. ↓ Ferritin
B. ↑ Hemoglobin
C. ↓ Hematocrit
D. ↑ Platelets
Answer: B
practice exam 2026
,3|Page
8. A client with hypertension demonstrates understanding when stating:
A. “I stop meds when BP is normal.”
B. “I limit sodium intake.”
C. “Exercise raises BP.”
D. “Stress doesn’t affect BP.”
Answer: B
9. Albuterol primarily causes:
A. Bradycardia
B. Bronchodilation
C. Sedation
D. Hypotension
Answer: B
10. Which client should be seen first?
A. Pain 7/10
B. Glucose 54 mg/dL
C. BP 158/90
D. Awaiting discharge
Answer: B
11. Which finding suggests heparin-induced thrombocytopenia?
A. Platelets 90,000
B. INR 2.0
C. Hgb 12
D. BP 140/88
Answer: A
practice exam 2026
, 4|Page
12. Best position for increased ICP?
A. Supine
B. Trendelenburg
C. HOB 30°
D. Side-lying
Answer: C
13. A client with COPD should receive oxygen at:
A. 10 L NRB
B. 6 L mask
C. 1–2 L nasal cannula
D. Room air
Answer: C
14. A postoperative client has purulent wound drainage. Priority action?
A. Start antibiotics
B. Culture wound
C. Apply heat
D. Reinforce dressing
Answer: B
15. Which food is highest in potassium?
A. Apples
B. Bananas
C. Rice
D. Bread
Answer: B
practice exam 2026
