COMPREHENSIVE NCLEX PRACTICE
TEST: CARDIAC, RESPIRATORY,
RENAL, AND MENTAL HEALTH
2026/2027 WITH 90 QUESTIONS AND
CORRECT ANSWERS RATED A+
Which treatments should the nurse anticipate for a patient with an irregularly
irregular rhythm?
Diltiazem, Metoprolol, Warfarin, Cardioversion if unstable
What rhythm is indicated by a regular rhythm and prolonged but consistent PR
interval?
First-degree AV block
What should the nurse anticipate for a patient with complete heart block and
symptoms?
Permanent or temporary pacemaker
What should the nurse do if a patient with a permanent pacemaker has an apical
pulse of 52?
Call the provider
Which findings support cardiac tamponade?
JVD, Muffled heart sounds, Increased CVP, Tachycardia
What is the nurse's priority for a patient with an abdominal aortic aneurysm and
signs of rupture?
Notify provider/rapid response immediately
What should the nurse do for a patient at risk for ARDS who becomes restless and
dyspneic?
Assess oxygenation and notify provider
, Why is oxygen not fixing the patient's hypoxia in ARDS?
Blood is being shunted past alveoli that are not ventilated.
Which interventions help prevent ventilator-associated pneumonia?
Oral care every 2 hours, Suction mouth as needed, Keep cuff pressure
appropriate/inflated, Maintain hydration to thin secretions
What should the nurse suspect if a ventilated patient has decreased O2 saturation
and diminished breath sounds on the left?
Right mainstem intubation/misplaced ET tube
What should the nurse assess for if a ventilator high-pressure alarm sounds?
Mucus plug or kinked tubing
What does a low-pressure alarm on a ventilator indicate?
Disconnection or leak.
What should a nurse do when a patient has sudden dyspnea and pink frothy
sputum?
Suspect pulmonary edema.
What therapy may be added for a patient with ARDS on FiO2 70%?
PEEP.
What is the best dietary plan for a child with cystic fibrosis?
High calorie with fat-soluble vitamins.
What electrolyte pattern is a patient with acute kidney injury most at risk for?
Hyperkalemia, hyponatremia, and hypocalcemia.
What should the nurse do if a patient taking warfarin reports new hematuria?
Notify the provider.
What is oliguria?
Very low urine output.
TEST: CARDIAC, RESPIRATORY,
RENAL, AND MENTAL HEALTH
2026/2027 WITH 90 QUESTIONS AND
CORRECT ANSWERS RATED A+
Which treatments should the nurse anticipate for a patient with an irregularly
irregular rhythm?
Diltiazem, Metoprolol, Warfarin, Cardioversion if unstable
What rhythm is indicated by a regular rhythm and prolonged but consistent PR
interval?
First-degree AV block
What should the nurse anticipate for a patient with complete heart block and
symptoms?
Permanent or temporary pacemaker
What should the nurse do if a patient with a permanent pacemaker has an apical
pulse of 52?
Call the provider
Which findings support cardiac tamponade?
JVD, Muffled heart sounds, Increased CVP, Tachycardia
What is the nurse's priority for a patient with an abdominal aortic aneurysm and
signs of rupture?
Notify provider/rapid response immediately
What should the nurse do for a patient at risk for ARDS who becomes restless and
dyspneic?
Assess oxygenation and notify provider
, Why is oxygen not fixing the patient's hypoxia in ARDS?
Blood is being shunted past alveoli that are not ventilated.
Which interventions help prevent ventilator-associated pneumonia?
Oral care every 2 hours, Suction mouth as needed, Keep cuff pressure
appropriate/inflated, Maintain hydration to thin secretions
What should the nurse suspect if a ventilated patient has decreased O2 saturation
and diminished breath sounds on the left?
Right mainstem intubation/misplaced ET tube
What should the nurse assess for if a ventilator high-pressure alarm sounds?
Mucus plug or kinked tubing
What does a low-pressure alarm on a ventilator indicate?
Disconnection or leak.
What should a nurse do when a patient has sudden dyspnea and pink frothy
sputum?
Suspect pulmonary edema.
What therapy may be added for a patient with ARDS on FiO2 70%?
PEEP.
What is the best dietary plan for a child with cystic fibrosis?
High calorie with fat-soluble vitamins.
What electrolyte pattern is a patient with acute kidney injury most at risk for?
Hyperkalemia, hyponatremia, and hypocalcemia.
What should the nurse do if a patient taking warfarin reports new hematuria?
Notify the provider.
What is oliguria?
Very low urine output.
