NCLEX Practice TEST
BANK RATIFIED WITH
CORRECT QUESTIONS
AND ANSWERS
1.
A client with heart failure is prescribed furosemide. Which finding
requires immediate action?
A. Urine output 500 mL in 8 hours
B. Potassium 2.9 mEq/L
C. Blood pressure 110/70 mmHg
D. Weight loss of 1 kg
Answer: B
Rationale: Hypokalemia (2.9) is dangerous and can cause dysrhythmias,
especially with diuretics.
2.
Which action should the nurse take first for a client experiencing chest
pain?
,A. Obtain ECG
B. Administer oxygen
C. Give nitroglycerin
D. Check vital signs
Answer: B
Rationale: Oxygen improves myocardial oxygenation and is the priority
in acute chest pain.
3.
A client is receiving morphine. What is the priority assessment?
A. Bowel sounds
B. Respiratory rate
C. Blood pressure
D. Urine output
Answer: B
Rationale: Morphine can cause respiratory depression.
4.
Which symptom is most indicative of hypoglycemia?
A. Fruity breath
B. Deep rapid breathing
C. Diaphoresis
D. Hypertension
Answer: C
Rationale: Sweating is an early sign of hypoglycemia.
,5.
A post-op client suddenly develops dyspnea and chest pain. What is the
priority action?
A. Encourage deep breathing
B. Elevate legs
C. Notify provider immediately
D. Apply ice pack
Answer: C
Rationale: Possible pulmonary embolism requires urgent intervention.
6.
Which lab value indicates kidney failure?
A. Creatinine 0.8 mg/dL
B. BUN 12 mg/dL
C. Creatinine 3.5 mg/dL
D. Sodium 140 mEq/L
Answer: C
Rationale: Elevated creatinine indicates renal impairment.
7.
Which medication requires checking apical pulse before administration?
A. Digoxin
B. Ibuprofen
, C. Amoxicillin
D. Metformin
Answer: A
Rationale: Digoxin affects heart rate.
8.
What is the first action for a client in anaphylaxis?
A. Administer epinephrine
B. Start IV fluids
C. Give antihistamine
D. Apply oxygen
Answer: A
Rationale: Epinephrine is life-saving in anaphylaxis.
9.
Which position is best for a client with dyspnea?
A. Supine
B. Trendelenburg
C. High Fowler’s
D. Prone
Answer: C
Rationale: Upright position improves lung expansion.
10.
BANK RATIFIED WITH
CORRECT QUESTIONS
AND ANSWERS
1.
A client with heart failure is prescribed furosemide. Which finding
requires immediate action?
A. Urine output 500 mL in 8 hours
B. Potassium 2.9 mEq/L
C. Blood pressure 110/70 mmHg
D. Weight loss of 1 kg
Answer: B
Rationale: Hypokalemia (2.9) is dangerous and can cause dysrhythmias,
especially with diuretics.
2.
Which action should the nurse take first for a client experiencing chest
pain?
,A. Obtain ECG
B. Administer oxygen
C. Give nitroglycerin
D. Check vital signs
Answer: B
Rationale: Oxygen improves myocardial oxygenation and is the priority
in acute chest pain.
3.
A client is receiving morphine. What is the priority assessment?
A. Bowel sounds
B. Respiratory rate
C. Blood pressure
D. Urine output
Answer: B
Rationale: Morphine can cause respiratory depression.
4.
Which symptom is most indicative of hypoglycemia?
A. Fruity breath
B. Deep rapid breathing
C. Diaphoresis
D. Hypertension
Answer: C
Rationale: Sweating is an early sign of hypoglycemia.
,5.
A post-op client suddenly develops dyspnea and chest pain. What is the
priority action?
A. Encourage deep breathing
B. Elevate legs
C. Notify provider immediately
D. Apply ice pack
Answer: C
Rationale: Possible pulmonary embolism requires urgent intervention.
6.
Which lab value indicates kidney failure?
A. Creatinine 0.8 mg/dL
B. BUN 12 mg/dL
C. Creatinine 3.5 mg/dL
D. Sodium 140 mEq/L
Answer: C
Rationale: Elevated creatinine indicates renal impairment.
7.
Which medication requires checking apical pulse before administration?
A. Digoxin
B. Ibuprofen
, C. Amoxicillin
D. Metformin
Answer: A
Rationale: Digoxin affects heart rate.
8.
What is the first action for a client in anaphylaxis?
A. Administer epinephrine
B. Start IV fluids
C. Give antihistamine
D. Apply oxygen
Answer: A
Rationale: Epinephrine is life-saving in anaphylaxis.
9.
Which position is best for a client with dyspnea?
A. Supine
B. Trendelenburg
C. High Fowler’s
D. Prone
Answer: C
Rationale: Upright position improves lung expansion.
10.
