NCLEX EXIT EXAM LATEST 2026 ACTUAL EXAM
TEST BANK| COMPLETE REAL EXAM QUESTIONS
AND ANSWERS
**1. A nurse is caring for four clients. Which client should be assessed first?**
A. Client with a BP of 138/88 mm Hg after antihypertensive medication
B. Client with diabetes whose glucose is 210 mg/dL
C. Client reporting sudden shortness of breath and chest pain
D. Client requesting pain medication for chronic back pain
**Answer:** C
**2. Which finding requires immediate intervention?**
A. Potassium 4.2 mEq/L
B. Oxygen saturation 84% on room air
C. Temperature 99.1°F (37.3°C)
D. Blood glucose 130 mg/dL
**Answer:** B
**3. Which task may the RN delegate to an experienced UAP?**
A. Initial admission assessment
B. Teaching insulin administration
C. Obtaining routine vital signs
D. Evaluating pain medication effectiveness
**Answer:** C
**4. A client receiving morphine becomes difficult to arouse. What is the
priority action?**
,A. Check respiratory rate
B. Document findings
C. Notify family
D. Administer acetaminophen
**Answer:** A
**5. Which client can be assigned to an LPN/LVN?**
A. Newly admitted chest pain client
B. Stable postoperative client needing dressing change
C. Client requiring discharge teaching
D. Client with unstable blood glucose levels
**Answer:** B
**6. A nurse notes unilateral leg swelling and calf pain. Which complication is
suspected?**
A. Pneumonia
B. Deep vein thrombosis
C. Heart failure
D. Stroke
**Answer:** B
**7. Which laboratory value should be reported immediately?**
A. Sodium 139 mEq/L
B. Hemoglobin 13 g/dL
C. Potassium 2.8 mEq/L
D. WBC 8,000/mm³
**Answer:** C
, **8. Which isolation precaution is required for pulmonary tuberculosis?**
A. Contact
B. Droplet
C. Airborne
D. Protective
**Answer:** C
**9. The best indication that a client understands warfarin teaching is:**
A. “I will take aspirin daily.”
B. “I will report unusual bleeding.”
C. “I can stop the medication when I feel better.”
D. “I will double the dose if I miss one.”
**Answer:** B
**10. Which finding suggests digoxin toxicity?**
A. Bradycardia and visual disturbances
B. Hypertension
C. Increased appetite
D. Tachycardia only
**Answer:** A
**11. A client with anaphylaxis should receive which medication first?**
A. Diphenhydramine
B. Epinephrine
C. Prednisone
D. Acetaminophen
**Answer:** B
TEST BANK| COMPLETE REAL EXAM QUESTIONS
AND ANSWERS
**1. A nurse is caring for four clients. Which client should be assessed first?**
A. Client with a BP of 138/88 mm Hg after antihypertensive medication
B. Client with diabetes whose glucose is 210 mg/dL
C. Client reporting sudden shortness of breath and chest pain
D. Client requesting pain medication for chronic back pain
**Answer:** C
**2. Which finding requires immediate intervention?**
A. Potassium 4.2 mEq/L
B. Oxygen saturation 84% on room air
C. Temperature 99.1°F (37.3°C)
D. Blood glucose 130 mg/dL
**Answer:** B
**3. Which task may the RN delegate to an experienced UAP?**
A. Initial admission assessment
B. Teaching insulin administration
C. Obtaining routine vital signs
D. Evaluating pain medication effectiveness
**Answer:** C
**4. A client receiving morphine becomes difficult to arouse. What is the
priority action?**
,A. Check respiratory rate
B. Document findings
C. Notify family
D. Administer acetaminophen
**Answer:** A
**5. Which client can be assigned to an LPN/LVN?**
A. Newly admitted chest pain client
B. Stable postoperative client needing dressing change
C. Client requiring discharge teaching
D. Client with unstable blood glucose levels
**Answer:** B
**6. A nurse notes unilateral leg swelling and calf pain. Which complication is
suspected?**
A. Pneumonia
B. Deep vein thrombosis
C. Heart failure
D. Stroke
**Answer:** B
**7. Which laboratory value should be reported immediately?**
A. Sodium 139 mEq/L
B. Hemoglobin 13 g/dL
C. Potassium 2.8 mEq/L
D. WBC 8,000/mm³
**Answer:** C
, **8. Which isolation precaution is required for pulmonary tuberculosis?**
A. Contact
B. Droplet
C. Airborne
D. Protective
**Answer:** C
**9. The best indication that a client understands warfarin teaching is:**
A. “I will take aspirin daily.”
B. “I will report unusual bleeding.”
C. “I can stop the medication when I feel better.”
D. “I will double the dose if I miss one.”
**Answer:** B
**10. Which finding suggests digoxin toxicity?**
A. Bradycardia and visual disturbances
B. Hypertension
C. Increased appetite
D. Tachycardia only
**Answer:** A
**11. A client with anaphylaxis should receive which medication first?**
A. Diphenhydramine
B. Epinephrine
C. Prednisone
D. Acetaminophen
**Answer:** B
