NCLEX-RN & NCLEX-PN PRACTICE EXAM — PART 1 2026
— ACTUAL QUESTIONS & CORRECT ANSWERS |
ALREADY GRADED A+
Content Covered (Most Tested Areas):
Safety & Infection Control • Pharmacology • Medical-Surgical Nursing
• Fundamentals • Maternal-Newborn • Pediatric Nursing • Mental
Health • Prioritization & Delegation • Fluid & Electrolytes •
Cardiovascular • Respiratory • Endocrine • Neurological
All answers are clearly shown. Explanations are in italics. No
multiple-choice options provided.
1. A client with heart failure has sudden weight gain of 2 kg in 24
hours. What is the priority nursing action?
Notify the healthcare provider
Rapid weight gain indicates fluid retention and worsening heart
failure requiring immediate intervention.
2. A nurse is caring for a client with a potassium level of 6.2 mEq/L.
What is the priority assessment?
Cardiac rhythm monitoring
Hyperkalemia can cause life-threatening arrhythmias.
3. A postoperative client has shallow respirations and oxygen
saturation of 88%. What should the nurse do first?
Encourage deep breathing and coughing
, Airway and breathing are priority; noninvasive measures come
first.
4. A client receiving morphine becomes difficult to arouse. What
medication should the nurse anticipate?
Naloxone
Naloxone reverses opioid-induced respiratory depression.
5. A child with croup has inspiratory stridor. What is the priority
intervention?
Maintain a patent airway
Stridor indicates airway obstruction risk.
6. A client with diabetes is sweating, confused, and shaky. What is
the likely condition?
Hypoglycemia
Classic signs of low blood glucose.
7. Which isolation is required for tuberculosis?
Airborne precautions
TB spreads via droplet nuclei suspended in air.
8. A client with chest pain unrelieved by rest should receive which
medication first?
Nitroglycerin
First-line treatment for angina.
9. A newborn with a heart rate of 80 bpm after birth requires what
action?
Initiate positive pressure ventilation
Normal newborn HR is >100 bpm.
, 10. A client with stroke has difficulty swallowing. What diet is
safest?
Thickened liquids
Reduces aspiration risk.
11. A nurse notes unilateral leg swelling and pain. What
condition is suspected?
Deep vein thrombosis
Classic signs of DVT.
12. A client with COPD should receive oxygen at what level?
Low-flow oxygen (1–2 L/min)
High oxygen can suppress respiratory drive.
13. Which electrolyte imbalance causes muscle weakness and
arrhythmias?
Hypokalemia
Low potassium disrupts muscle and cardiac function.
14. A client on warfarin has INR of 5.0. What is the priority
action?
Hold the medication and notify provider
High INR indicates bleeding risk.
15. A pregnant client at 38 weeks reports painless vaginal
bleeding. What is suspected?
Placenta previa
Bright red bleeding without pain is characteristic.
16. A client with bacterial meningitis requires which isolation?
Droplet precautions
Meningitis spreads via respiratory droplets.
— ACTUAL QUESTIONS & CORRECT ANSWERS |
ALREADY GRADED A+
Content Covered (Most Tested Areas):
Safety & Infection Control • Pharmacology • Medical-Surgical Nursing
• Fundamentals • Maternal-Newborn • Pediatric Nursing • Mental
Health • Prioritization & Delegation • Fluid & Electrolytes •
Cardiovascular • Respiratory • Endocrine • Neurological
All answers are clearly shown. Explanations are in italics. No
multiple-choice options provided.
1. A client with heart failure has sudden weight gain of 2 kg in 24
hours. What is the priority nursing action?
Notify the healthcare provider
Rapid weight gain indicates fluid retention and worsening heart
failure requiring immediate intervention.
2. A nurse is caring for a client with a potassium level of 6.2 mEq/L.
What is the priority assessment?
Cardiac rhythm monitoring
Hyperkalemia can cause life-threatening arrhythmias.
3. A postoperative client has shallow respirations and oxygen
saturation of 88%. What should the nurse do first?
Encourage deep breathing and coughing
, Airway and breathing are priority; noninvasive measures come
first.
4. A client receiving morphine becomes difficult to arouse. What
medication should the nurse anticipate?
Naloxone
Naloxone reverses opioid-induced respiratory depression.
5. A child with croup has inspiratory stridor. What is the priority
intervention?
Maintain a patent airway
Stridor indicates airway obstruction risk.
6. A client with diabetes is sweating, confused, and shaky. What is
the likely condition?
Hypoglycemia
Classic signs of low blood glucose.
7. Which isolation is required for tuberculosis?
Airborne precautions
TB spreads via droplet nuclei suspended in air.
8. A client with chest pain unrelieved by rest should receive which
medication first?
Nitroglycerin
First-line treatment for angina.
9. A newborn with a heart rate of 80 bpm after birth requires what
action?
Initiate positive pressure ventilation
Normal newborn HR is >100 bpm.
, 10. A client with stroke has difficulty swallowing. What diet is
safest?
Thickened liquids
Reduces aspiration risk.
11. A nurse notes unilateral leg swelling and pain. What
condition is suspected?
Deep vein thrombosis
Classic signs of DVT.
12. A client with COPD should receive oxygen at what level?
Low-flow oxygen (1–2 L/min)
High oxygen can suppress respiratory drive.
13. Which electrolyte imbalance causes muscle weakness and
arrhythmias?
Hypokalemia
Low potassium disrupts muscle and cardiac function.
14. A client on warfarin has INR of 5.0. What is the priority
action?
Hold the medication and notify provider
High INR indicates bleeding risk.
15. A pregnant client at 38 weeks reports painless vaginal
bleeding. What is suspected?
Placenta previa
Bright red bleeding without pain is characteristic.
16. A client with bacterial meningitis requires which isolation?
Droplet precautions
Meningitis spreads via respiratory droplets.
