NCLEX RN READINESS EXAM PACK NEWEST 2026 UPDATE FAST
REVIWED FROM ACTUAL TEST 100 QUESTIONS AND 100%
VERIFIED ANSWERS| A+ GRADE Q&A | INSTANT DOWNLOAD PDF
Question 1
A client with heart failure is prescribed furosemide. Which assessment finding requires
immediate intervention?
A. Urine output of 45 mL/hr
B. Blood pressure 118/76 mmHg
C. Potassium level of 2.8 mEq/L
D. Mild ankle swelling
Explanation: Furosemide is a loop diuretic that can cause hypokalemia. A potassium level of 2.8
mEq/L is critically low and increases risk for life-threatening dysrhythmias.
Question 2
A nurse is caring for a postoperative client. Which action best prevents pulmonary embolism?
A. Encourage coughing and deep breathing every 4 hours
B. Maintain bed rest for 24 hours
C. Apply oxygen at 2 L/min via nasal cannula
D. Encourage early ambulation as tolerated
Explanation: Early ambulation promotes venous return and prevents venous stasis, the primary
cause of deep vein thrombosis and pulmonary embolism.
Question 3
A client with diabetes mellitus reports shakiness, sweating, and confusion. What is the nurse’s
first action?
A. Administer insulin
B. Check blood pressure
C. Check blood glucose level
D. Give long-acting carbohydrate
Explanation: Symptoms suggest hypoglycemia; the priority is to confirm blood glucose before
intervention.
Question 4
Which client is at highest risk for pressure injury?
,A. Ambulatory client with pneumonia
B. Client receiving intermittent IV antibiotics
C. Client with spinal cord injury and immobility
D. Client with controlled hypertension
Explanation: Immobility and impaired sensation significantly increase risk for pressure injuries.
Question 5
A nurse is teaching a client about warfarin therapy. Which statement indicates correct
understanding?
A. “I will increase green leafy vegetables in my diet.”
B. “I will use an electric razor when shaving.”
C. “I will take aspirin for headaches.”
D. “I will double my dose if I miss one.”
Explanation: Warfarin increases bleeding risk; using an electric razor reduces risk of cuts and
bleeding.
Question 6
A client receiving morphine has a respiratory rate of 8 breaths/min. What is the priority action?
A. Document findings
B. Raise side rails
C. Administer naloxone
D. Encourage fluids
Explanation: Respiratory depression is a life-threatening opioid adverse effect requiring
immediate reversal with naloxone.
Question 7
Which lab value is expected in a client with chronic kidney disease?
A. Increased hemoglobin
B. Increased creatinine
C. Decreased blood urea nitrogen
D. Decreased potassium
Explanation: Kidney dysfunction leads to impaired clearance of creatinine, causing elevated
levels.
, Question 8
A nurse is caring for a client with chest pain. Which finding is most concerning?
A. Pain relieved with rest
B. ST elevation on ECG
C. Mild anxiety
D. Blood pressure 130/80 mmHg
Explanation: ST elevation indicates myocardial infarction requiring immediate intervention.
Question 9
A postpartum client is at risk for hemorrhage. Which assessment finding is most concerning?
A. Fundus firm and midline
B. Lochia rubra moderate
C. Boggy uterus displaced to the right
D. Mild cramping during breastfeeding
Explanation: A boggy, displaced uterus indicates uterine atony and risk for hemorrhage.
Question 10
A nurse is preparing to administer blood transfusion. What is the first priority action?
A. Start transfusion at full rate
B. Verify IV patency
C. Confirm patient identity with second nurse
D. Administer antihistamine premedication
Explanation: Patient identification verification is the most critical safety step before blood
administration.
11-50
NCLEX RN Readiness Exam Pack
Question 11
A client with asthma is experiencing an acute attack. Which medication should the nurse
administer first?
A. Inhaled corticosteroid
B. Short-acting beta agonist (albuterol)
C. Oral leukotriene inhibitor
D. Anticholinergic inhaler
Explanation: Albuterol is a rescue medication that rapidly dilates airways and is the first-line
treatment in acute asthma exacerbations.
REVIWED FROM ACTUAL TEST 100 QUESTIONS AND 100%
VERIFIED ANSWERS| A+ GRADE Q&A | INSTANT DOWNLOAD PDF
Question 1
A client with heart failure is prescribed furosemide. Which assessment finding requires
immediate intervention?
A. Urine output of 45 mL/hr
B. Blood pressure 118/76 mmHg
C. Potassium level of 2.8 mEq/L
D. Mild ankle swelling
Explanation: Furosemide is a loop diuretic that can cause hypokalemia. A potassium level of 2.8
mEq/L is critically low and increases risk for life-threatening dysrhythmias.
Question 2
A nurse is caring for a postoperative client. Which action best prevents pulmonary embolism?
A. Encourage coughing and deep breathing every 4 hours
B. Maintain bed rest for 24 hours
C. Apply oxygen at 2 L/min via nasal cannula
D. Encourage early ambulation as tolerated
Explanation: Early ambulation promotes venous return and prevents venous stasis, the primary
cause of deep vein thrombosis and pulmonary embolism.
Question 3
A client with diabetes mellitus reports shakiness, sweating, and confusion. What is the nurse’s
first action?
A. Administer insulin
B. Check blood pressure
C. Check blood glucose level
D. Give long-acting carbohydrate
Explanation: Symptoms suggest hypoglycemia; the priority is to confirm blood glucose before
intervention.
Question 4
Which client is at highest risk for pressure injury?
,A. Ambulatory client with pneumonia
B. Client receiving intermittent IV antibiotics
C. Client with spinal cord injury and immobility
D. Client with controlled hypertension
Explanation: Immobility and impaired sensation significantly increase risk for pressure injuries.
Question 5
A nurse is teaching a client about warfarin therapy. Which statement indicates correct
understanding?
A. “I will increase green leafy vegetables in my diet.”
B. “I will use an electric razor when shaving.”
C. “I will take aspirin for headaches.”
D. “I will double my dose if I miss one.”
Explanation: Warfarin increases bleeding risk; using an electric razor reduces risk of cuts and
bleeding.
Question 6
A client receiving morphine has a respiratory rate of 8 breaths/min. What is the priority action?
A. Document findings
B. Raise side rails
C. Administer naloxone
D. Encourage fluids
Explanation: Respiratory depression is a life-threatening opioid adverse effect requiring
immediate reversal with naloxone.
Question 7
Which lab value is expected in a client with chronic kidney disease?
A. Increased hemoglobin
B. Increased creatinine
C. Decreased blood urea nitrogen
D. Decreased potassium
Explanation: Kidney dysfunction leads to impaired clearance of creatinine, causing elevated
levels.
, Question 8
A nurse is caring for a client with chest pain. Which finding is most concerning?
A. Pain relieved with rest
B. ST elevation on ECG
C. Mild anxiety
D. Blood pressure 130/80 mmHg
Explanation: ST elevation indicates myocardial infarction requiring immediate intervention.
Question 9
A postpartum client is at risk for hemorrhage. Which assessment finding is most concerning?
A. Fundus firm and midline
B. Lochia rubra moderate
C. Boggy uterus displaced to the right
D. Mild cramping during breastfeeding
Explanation: A boggy, displaced uterus indicates uterine atony and risk for hemorrhage.
Question 10
A nurse is preparing to administer blood transfusion. What is the first priority action?
A. Start transfusion at full rate
B. Verify IV patency
C. Confirm patient identity with second nurse
D. Administer antihistamine premedication
Explanation: Patient identification verification is the most critical safety step before blood
administration.
11-50
NCLEX RN Readiness Exam Pack
Question 11
A client with asthma is experiencing an acute attack. Which medication should the nurse
administer first?
A. Inhaled corticosteroid
B. Short-acting beta agonist (albuterol)
C. Oral leukotriene inhibitor
D. Anticholinergic inhaler
Explanation: Albuterol is a rescue medication that rapidly dilates airways and is the first-line
treatment in acute asthma exacerbations.
