1
NCLEX-RN Comprehensive Examination –
National Council of State Boards of Nursing
(NCSBN) – 2026/2027 Academic Year
Questions 1–200 | 200 Questions and Answers
Covering Five Core Domains | Complete Solutions |
100% Pass Guaranteed | Graded A+
1. A nurse is assessing a client who is 2 hours postoperative
following a total knee arthroplasty. Which of the following
findings should the nurse report to the provider immediately?
A. Pain level of 4 on a scale of 0 to 10
B. Urine output of 30 mL/hr
C. Oxygen saturation of 89% on room air
D. Heart rate of 92 beats per minute
ANS: C
Explanation: An oxygen saturation of 89% on room air indicates
hypoxemia and requires immediate intervention. This may indicate
atelectasis, pulmonary embolism, or other postoperative
complications. Pain level of 4 (A) is manageable. Urine output of 30
mL/hr (B) is within acceptable limits. Heart rate of 92 bpm (D) is within
normal range .
2. A nurse is caring for a client who has heart failure and a new
prescription for furosemide. Which of the following findings
indicates the medication is effective?
A. Decreased urine output
B. Weight loss of 1 kg in 24 hours
, 2
C. Increased peripheral edema
D. Decreased blood pressure
ANS: B
Explanation: Furosemide is a loop diuretic that promotes fluid
excretion. Weight loss of 1 kg in 24 hours indicates effective diuresis
and fluid removal. Decreased urine output (A) would indicate
ineffectiveness. Increased edema (C) indicates worsening fluid
retention. Decreased blood pressure (D) may occur but is not the
primary indicator of effectiveness .
3. A nurse is assessing a client who has a new diagnosis of type 1
diabetes mellitus. Which of the following findings should the
nurse expect?
A. Weight gain
B. Polyuria
C. Hypertension
D. Bradycardia
ANS: B
Explanation: Polyuria is a classic finding in type 1 diabetes due to
osmotic diuresis from hyperglycemia. Clients typically experience
weight loss, not gain (A). Hypotension may occur due to dehydration,
and tachycardia may occur as compensation (C, D) .
4. A nurse is providing discharge teaching to a client who has a
new prescription for warfarin. Which of the following statements
by the client indicates an understanding of the teaching?
A. "I will take aspirin for headaches."
B. "I will use an electric razor to shave."
, 3
C. "I will increase my intake of leafy green vegetables."
D. "I will double my dose if I miss a dose."
ANS: B
Explanation: Clients on warfarin should use an electric razor to
reduce the risk of bleeding from cuts. Aspirin (A) increases bleeding
risk. Leafy green vegetables (C) are high in vitamin K and can interfere
with warfarin. Doubling doses (D) is dangerous .
5. A nurse is caring for a client who is receiving a blood transfusion
and develops chills, fever, and low back pain. Which of the
following actions should the nurse take first?
A. Administer acetaminophen
B. Stop the transfusion
C. Obtain a urine specimen
D. Notify the provider
ANS: B
Explanation: Chills, fever, and low back pain indicate a hemolytic
transfusion reaction. The first action is to stop the transfusion
immediately to prevent further hemolysis. Then the nurse should notify
the provider, obtain a urine specimen, and administer treatments as
ordered .
6. A nurse is assessing a client who has a new onset of confusion
and agitation. The client's blood glucose is 50 mg/dL. Which of
the following actions should the nurse take first?
A. Administer oral glucose
B. Administer intravenous dextrose
, 4
C. Notify the provider
D. Recheck the blood glucose in 15 minutes
ANS: A
Explanation: For a conscious client with hypoglycemia, oral
glucose is the first-line treatment. IV dextrose (B) is used if the client
is unconscious or unable to swallow. Notifying the provider (C) can
follow. Rechecking (D) delays treatment .
7. A nurse is caring for a client who has a pressure injury on the
sacrum. Which of the following findings indicates that the wound
is healing?
A. The wound bed is pale and moist
B. The wound edges are rolled and undermined
C. The wound has a beefy red appearance with granulation tissue
D. The wound has purulent drainage and foul odor
ANS: C
Explanation: A beefy red appearance with granulation tissue is a
sign of healing. Pale, moist (A) indicates poor perfusion. Rolled edges
and undermining (B) indicate chronicity. Purulent drainage and foul
odor (D) indicate infection .
8. A nurse is providing teaching to a client who has a new diagnosis
of hypertension. Which of the following statements by the client
indicates an understanding of lifestyle modifications?
A. "I will reduce my sodium intake to 3,000 mg per day."
B. "I will exercise for at least 30 minutes most days of the week."
C. "I will limit my alcohol intake to 4 drinks per day."
D. "I will monitor my blood pressure once a month."
NCLEX-RN Comprehensive Examination –
National Council of State Boards of Nursing
(NCSBN) – 2026/2027 Academic Year
Questions 1–200 | 200 Questions and Answers
Covering Five Core Domains | Complete Solutions |
100% Pass Guaranteed | Graded A+
1. A nurse is assessing a client who is 2 hours postoperative
following a total knee arthroplasty. Which of the following
findings should the nurse report to the provider immediately?
A. Pain level of 4 on a scale of 0 to 10
B. Urine output of 30 mL/hr
C. Oxygen saturation of 89% on room air
D. Heart rate of 92 beats per minute
ANS: C
Explanation: An oxygen saturation of 89% on room air indicates
hypoxemia and requires immediate intervention. This may indicate
atelectasis, pulmonary embolism, or other postoperative
complications. Pain level of 4 (A) is manageable. Urine output of 30
mL/hr (B) is within acceptable limits. Heart rate of 92 bpm (D) is within
normal range .
2. A nurse is caring for a client who has heart failure and a new
prescription for furosemide. Which of the following findings
indicates the medication is effective?
A. Decreased urine output
B. Weight loss of 1 kg in 24 hours
, 2
C. Increased peripheral edema
D. Decreased blood pressure
ANS: B
Explanation: Furosemide is a loop diuretic that promotes fluid
excretion. Weight loss of 1 kg in 24 hours indicates effective diuresis
and fluid removal. Decreased urine output (A) would indicate
ineffectiveness. Increased edema (C) indicates worsening fluid
retention. Decreased blood pressure (D) may occur but is not the
primary indicator of effectiveness .
3. A nurse is assessing a client who has a new diagnosis of type 1
diabetes mellitus. Which of the following findings should the
nurse expect?
A. Weight gain
B. Polyuria
C. Hypertension
D. Bradycardia
ANS: B
Explanation: Polyuria is a classic finding in type 1 diabetes due to
osmotic diuresis from hyperglycemia. Clients typically experience
weight loss, not gain (A). Hypotension may occur due to dehydration,
and tachycardia may occur as compensation (C, D) .
4. A nurse is providing discharge teaching to a client who has a
new prescription for warfarin. Which of the following statements
by the client indicates an understanding of the teaching?
A. "I will take aspirin for headaches."
B. "I will use an electric razor to shave."
, 3
C. "I will increase my intake of leafy green vegetables."
D. "I will double my dose if I miss a dose."
ANS: B
Explanation: Clients on warfarin should use an electric razor to
reduce the risk of bleeding from cuts. Aspirin (A) increases bleeding
risk. Leafy green vegetables (C) are high in vitamin K and can interfere
with warfarin. Doubling doses (D) is dangerous .
5. A nurse is caring for a client who is receiving a blood transfusion
and develops chills, fever, and low back pain. Which of the
following actions should the nurse take first?
A. Administer acetaminophen
B. Stop the transfusion
C. Obtain a urine specimen
D. Notify the provider
ANS: B
Explanation: Chills, fever, and low back pain indicate a hemolytic
transfusion reaction. The first action is to stop the transfusion
immediately to prevent further hemolysis. Then the nurse should notify
the provider, obtain a urine specimen, and administer treatments as
ordered .
6. A nurse is assessing a client who has a new onset of confusion
and agitation. The client's blood glucose is 50 mg/dL. Which of
the following actions should the nurse take first?
A. Administer oral glucose
B. Administer intravenous dextrose
, 4
C. Notify the provider
D. Recheck the blood glucose in 15 minutes
ANS: A
Explanation: For a conscious client with hypoglycemia, oral
glucose is the first-line treatment. IV dextrose (B) is used if the client
is unconscious or unable to swallow. Notifying the provider (C) can
follow. Rechecking (D) delays treatment .
7. A nurse is caring for a client who has a pressure injury on the
sacrum. Which of the following findings indicates that the wound
is healing?
A. The wound bed is pale and moist
B. The wound edges are rolled and undermined
C. The wound has a beefy red appearance with granulation tissue
D. The wound has purulent drainage and foul odor
ANS: C
Explanation: A beefy red appearance with granulation tissue is a
sign of healing. Pale, moist (A) indicates poor perfusion. Rolled edges
and undermining (B) indicate chronicity. Purulent drainage and foul
odor (D) indicate infection .
8. A nurse is providing teaching to a client who has a new diagnosis
of hypertension. Which of the following statements by the client
indicates an understanding of lifestyle modifications?
A. "I will reduce my sodium intake to 3,000 mg per day."
B. "I will exercise for at least 30 minutes most days of the week."
C. "I will limit my alcohol intake to 4 drinks per day."
D. "I will monitor my blood pressure once a month."
