PRO TEST NCLEX
Readiness Practice
LATEST UPDATE 2025-
2026 WITH VERRIFIED
QUESTIONS AND
ANSWERS
1. A nurse is caring for a client with hypokalemia. Which finding is
expected?
A. Bradycardia
B. Muscle weakness
C. Hyperactive reflexes
D. Diarrhea
,Answer: B. Muscle weakness
Hypokalemia decreases neuromuscular excitability, leading to weakness
and fatigue.
2. Which action should the nurse take first for a client with chest pain?
A. Administer oxygen
B. Obtain ECG
C. Assess pain level
D. Call physician
Answer: C. Assess pain level
Assessment is always the first step in the nursing process.
3. A client is receiving heparin therapy. Which lab value should the
nurse monitor?
A. INR
B. PT
C. aPTT
D. Platelets
Answer: C. aPTT
aPTT is used to monitor heparin effectiveness.
4. Which symptom indicates hyperglycemia?
A. Sweating
B. Confusion
,C. Polyuria
D. Tremors
Answer: C. Polyuria
Hyperglycemia causes osmotic diuresis, leading to frequent urination.
5. A nurse is caring for a client with COPD. Which oxygen delivery is
best?
A. Non-rebreather mask
B. Nasal cannula 1–2 L/min
C. Venturi mask 60%
D. Simple mask 10 L
Answer: B. Nasal cannula 1–2 L/min
COPD clients require low oxygen to prevent suppression of respiratory
drive.
6. Which position improves breathing in a dyspneic client?
A. Supine
B. Trendelenburg
C. High Fowler’s
D. Sims
Answer: C. High Fowler’s
This position maximizes lung expansion.
, 7. A client has a potassium level of 6.2 mEq/L. What is the priority
action?
A. Give potassium supplements
B. Monitor ECG
C. Restrict fluids
D. Administer insulin
Answer: B. Monitor ECG
Hyperkalemia can cause life-threatening arrhythmias.
8. Which finding suggests infection?
A. WBC 4,000
B. WBC 12,000
C. Hemoglobin 13
D. Platelets 200,000
Answer: B. WBC 12,000
Elevated WBC indicates infection or inflammation.
9. Which client should the nurse see first?
A. Stable angina
B. Post-op day 2
C. New chest pain
D. Chronic back pain
Answer: C. New chest pain
New chest pain may indicate myocardial infarction and is priority.
Readiness Practice
LATEST UPDATE 2025-
2026 WITH VERRIFIED
QUESTIONS AND
ANSWERS
1. A nurse is caring for a client with hypokalemia. Which finding is
expected?
A. Bradycardia
B. Muscle weakness
C. Hyperactive reflexes
D. Diarrhea
,Answer: B. Muscle weakness
Hypokalemia decreases neuromuscular excitability, leading to weakness
and fatigue.
2. Which action should the nurse take first for a client with chest pain?
A. Administer oxygen
B. Obtain ECG
C. Assess pain level
D. Call physician
Answer: C. Assess pain level
Assessment is always the first step in the nursing process.
3. A client is receiving heparin therapy. Which lab value should the
nurse monitor?
A. INR
B. PT
C. aPTT
D. Platelets
Answer: C. aPTT
aPTT is used to monitor heparin effectiveness.
4. Which symptom indicates hyperglycemia?
A. Sweating
B. Confusion
,C. Polyuria
D. Tremors
Answer: C. Polyuria
Hyperglycemia causes osmotic diuresis, leading to frequent urination.
5. A nurse is caring for a client with COPD. Which oxygen delivery is
best?
A. Non-rebreather mask
B. Nasal cannula 1–2 L/min
C. Venturi mask 60%
D. Simple mask 10 L
Answer: B. Nasal cannula 1–2 L/min
COPD clients require low oxygen to prevent suppression of respiratory
drive.
6. Which position improves breathing in a dyspneic client?
A. Supine
B. Trendelenburg
C. High Fowler’s
D. Sims
Answer: C. High Fowler’s
This position maximizes lung expansion.
, 7. A client has a potassium level of 6.2 mEq/L. What is the priority
action?
A. Give potassium supplements
B. Monitor ECG
C. Restrict fluids
D. Administer insulin
Answer: B. Monitor ECG
Hyperkalemia can cause life-threatening arrhythmias.
8. Which finding suggests infection?
A. WBC 4,000
B. WBC 12,000
C. Hemoglobin 13
D. Platelets 200,000
Answer: B. WBC 12,000
Elevated WBC indicates infection or inflammation.
9. Which client should the nurse see first?
A. Stable angina
B. Post-op day 2
C. New chest pain
D. Chronic back pain
Answer: C. New chest pain
New chest pain may indicate myocardial infarction and is priority.
