WEST VIRGINIA NCLEX RN PRACTICE QUESTIONS WITH RATIONALES – EXAM PRACTICE
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026
Q&A | INSTANT DOWNLOAD PDF
*CORE DOMAINS*
Medical-Surgical Nursing
Pharmacology and Medication Safety
Maternal and Newborn Nursing
Pediatric Nursing
Mental Health Nursing
Nursing Ethics and Legal Issues
Infection Control and Safety
Physiological Adaptation
Health Promotion and Maintenance
*INTRODUCTION*
,This comprehensive NCLEX RN practice examination is designed to evaluate the candidate’s
readiness for entry-level nursing practice. It assesses critical thinking, clinical judgment, and
the ability to apply nursing knowledge in real-world healthcare settings. Questions reflect a
blend of theoretical concepts and scenario-based decision-making, covering adult health,
pediatrics, mental health, pharmacology, and safety principles. Each item requires analysis of
patient conditions, prioritization of care, and application of evidence-based practice. This
assessment emphasizes safe, effective nursing interventions aligned with professional
standards and patient-centered care across diverse healthcare environments.
SECTION ONE: QUESTIONS 1–50
Question 1
A nurse is caring for a patient with heart failure. Which finding requires immediate
intervention?
A. Weight gain of 2 lbs in 24 hours
B. Bilateral ankle edema
C. Blood pressure 118/76 mmHg
D. Heart rate 88 bpm
,🟢 Correct Answer: A. Weight gain of 2 lbs in 24 hours
🔴 Explanation: Sudden weight gain indicates fluid retention and worsening heart failure
requiring prompt action.
Question 2
Which action is the priority when administering IV potassium?
A. Give as IV push
B. Monitor urine output
C. Dilute and infuse slowly
D. Administer with dextrose only
🟢 Correct Answer: C. Dilute and infuse slowly
🔴 Explanation: Potassium must be diluted and infused slowly to prevent cardiac
dysrhythmias.
Question 3
A patient is experiencing hypoglycemia. What is the first action?
A. Administer insulin
B. Give 15g fast-acting carbohydrate
, C. Check blood pressure
D. Start IV fluids
🟢 Correct Answer: B. Give 15g fast-acting carbohydrate
🔴 Explanation: Immediate glucose replacement is required to prevent neurologic
complications.
Question 4
Which infection control precaution is required for C. difficile?
A. Droplet
B. Airborne
C. Contact
D. Protective isolation
🟢 Correct Answer: C. Contact
🔴 Explanation: C. difficile spreads via contact; handwashing with soap and gloves are
essential.
Question 5
A post-op patient reports sudden chest pain and dyspnea. What is the nurse’s priority
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026
Q&A | INSTANT DOWNLOAD PDF
*CORE DOMAINS*
Medical-Surgical Nursing
Pharmacology and Medication Safety
Maternal and Newborn Nursing
Pediatric Nursing
Mental Health Nursing
Nursing Ethics and Legal Issues
Infection Control and Safety
Physiological Adaptation
Health Promotion and Maintenance
*INTRODUCTION*
,This comprehensive NCLEX RN practice examination is designed to evaluate the candidate’s
readiness for entry-level nursing practice. It assesses critical thinking, clinical judgment, and
the ability to apply nursing knowledge in real-world healthcare settings. Questions reflect a
blend of theoretical concepts and scenario-based decision-making, covering adult health,
pediatrics, mental health, pharmacology, and safety principles. Each item requires analysis of
patient conditions, prioritization of care, and application of evidence-based practice. This
assessment emphasizes safe, effective nursing interventions aligned with professional
standards and patient-centered care across diverse healthcare environments.
SECTION ONE: QUESTIONS 1–50
Question 1
A nurse is caring for a patient with heart failure. Which finding requires immediate
intervention?
A. Weight gain of 2 lbs in 24 hours
B. Bilateral ankle edema
C. Blood pressure 118/76 mmHg
D. Heart rate 88 bpm
,🟢 Correct Answer: A. Weight gain of 2 lbs in 24 hours
🔴 Explanation: Sudden weight gain indicates fluid retention and worsening heart failure
requiring prompt action.
Question 2
Which action is the priority when administering IV potassium?
A. Give as IV push
B. Monitor urine output
C. Dilute and infuse slowly
D. Administer with dextrose only
🟢 Correct Answer: C. Dilute and infuse slowly
🔴 Explanation: Potassium must be diluted and infused slowly to prevent cardiac
dysrhythmias.
Question 3
A patient is experiencing hypoglycemia. What is the first action?
A. Administer insulin
B. Give 15g fast-acting carbohydrate
, C. Check blood pressure
D. Start IV fluids
🟢 Correct Answer: B. Give 15g fast-acting carbohydrate
🔴 Explanation: Immediate glucose replacement is required to prevent neurologic
complications.
Question 4
Which infection control precaution is required for C. difficile?
A. Droplet
B. Airborne
C. Contact
D. Protective isolation
🟢 Correct Answer: C. Contact
🔴 Explanation: C. difficile spreads via contact; handwashing with soap and gloves are
essential.
Question 5
A post-op patient reports sudden chest pain and dyspnea. What is the nurse’s priority
