NCLEX Computer
Adaptive Test (CAT)
Practice TEST BANK
LATEST UPDATE 2025-
2026 WITH QUALIFIED
QUESTIONS AND
ANSWERS
1. A patient with heart failure is prescribed furosemide. Which lab
value should the nurse monitor closely?
A. Sodium
B. Potassium
C. Calcium
,D. Glucose
Answer: B. Potassium
Furosemide is a loop diuretic that can cause potassium loss, leading to
hypokalemia and dysrhythmias.
2. Which action is the priority when a client develops sudden
shortness of breath?
A. Take vital signs
B. Elevate head of bed
C. Call the provider
D. Obtain oxygen saturation
Answer: B. Elevate head of bed
Positioning improves airway expansion immediately, making it the first
priority.
3. A client is receiving morphine. What is the priority assessment?
A. Bowel sounds
B. Respiratory rate
C. Pupillary response
D. Urine output
Answer: B. Respiratory rate
Opioids can cause respiratory depression, the most dangerous adverse
effect.
4. Which symptom indicates hypoglycemia?
,A. Fruity breath
B. Tremors
C. Polyuria
D. Deep respirations
Answer: B. Tremors
Hypoglycemia causes sympathetic activation such as tremors and
sweating.
5. A nurse is caring for a client with tuberculosis. What isolation is
required?
A. Droplet
B. Contact
C. Airborne
D. Protective
Answer: C. Airborne
TB spreads through airborne particles requiring N95 respirator use.
6. What is the first action when a fire alarm sounds in a hospital?
A. Evacuate patients
B. Extinguish fire
C. Remove patients from danger
D. Activate alarm system
Answer: D. Activate alarm system
RACE protocol begins with Rescue, then Alarm, Contain, Extinguish.
, 7. Which finding suggests dehydration?
A. Bradycardia
B. Hypertension
C. Dry mucous membranes
D. Jugular vein distention
Answer: C. Dry mucous membranes
Dehydration leads to decreased fluid volume and dry tissues.
8. A client post-thyroidectomy reports hoarseness. What is the priority
action?
A. Document finding
B. Assess airway
C. Give pain medication
D. Encourage fluids
Answer: B. Assess airway
Hoarseness may indicate airway compromise from swelling or bleeding.
9. Which medication requires monitoring for toxicity in older adults?
A. Acetaminophen
B. Digoxin
C. Amoxicillin
D. Metformin
Answer: B. Digoxin
Older adults are at higher risk for digoxin toxicity due to decreased renal
clearance.
Adaptive Test (CAT)
Practice TEST BANK
LATEST UPDATE 2025-
2026 WITH QUALIFIED
QUESTIONS AND
ANSWERS
1. A patient with heart failure is prescribed furosemide. Which lab
value should the nurse monitor closely?
A. Sodium
B. Potassium
C. Calcium
,D. Glucose
Answer: B. Potassium
Furosemide is a loop diuretic that can cause potassium loss, leading to
hypokalemia and dysrhythmias.
2. Which action is the priority when a client develops sudden
shortness of breath?
A. Take vital signs
B. Elevate head of bed
C. Call the provider
D. Obtain oxygen saturation
Answer: B. Elevate head of bed
Positioning improves airway expansion immediately, making it the first
priority.
3. A client is receiving morphine. What is the priority assessment?
A. Bowel sounds
B. Respiratory rate
C. Pupillary response
D. Urine output
Answer: B. Respiratory rate
Opioids can cause respiratory depression, the most dangerous adverse
effect.
4. Which symptom indicates hypoglycemia?
,A. Fruity breath
B. Tremors
C. Polyuria
D. Deep respirations
Answer: B. Tremors
Hypoglycemia causes sympathetic activation such as tremors and
sweating.
5. A nurse is caring for a client with tuberculosis. What isolation is
required?
A. Droplet
B. Contact
C. Airborne
D. Protective
Answer: C. Airborne
TB spreads through airborne particles requiring N95 respirator use.
6. What is the first action when a fire alarm sounds in a hospital?
A. Evacuate patients
B. Extinguish fire
C. Remove patients from danger
D. Activate alarm system
Answer: D. Activate alarm system
RACE protocol begins with Rescue, then Alarm, Contain, Extinguish.
, 7. Which finding suggests dehydration?
A. Bradycardia
B. Hypertension
C. Dry mucous membranes
D. Jugular vein distention
Answer: C. Dry mucous membranes
Dehydration leads to decreased fluid volume and dry tissues.
8. A client post-thyroidectomy reports hoarseness. What is the priority
action?
A. Document finding
B. Assess airway
C. Give pain medication
D. Encourage fluids
Answer: B. Assess airway
Hoarseness may indicate airway compromise from swelling or bleeding.
9. Which medication requires monitoring for toxicity in older adults?
A. Acetaminophen
B. Digoxin
C. Amoxicillin
D. Metformin
Answer: B. Digoxin
Older adults are at higher risk for digoxin toxicity due to decreased renal
clearance.
