TEXAS NCLEX-RN LICENSING EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS LATEST UPDATE 2026
**1.** A nurse is assessing a client with suspected
hypovolemic shock. Which finding is most concerning?
A. Heart rate of 88/min
B. Blood pressure of 84/50 mm Hg
C. Respiratory rate of 18/min
D. Warm, dry skin
** Correct Answer: B. Blood pressure of 84/50 mm Hg**
**Rationale:** Severe hypotension indicates inadequate
circulating volume and impaired tissue perfusion, which are
characteristic of hypovolemic shock.
**2.** Which assessment finding should the nurse expect in a
client experiencing hypoglycemia?
A. Dry, flushed skin
,B. Bradycardia
C. Diaphoresis and tremors
D. Deep, rapid respirations
** Correct Answer: C. Diaphoresis and tremors**
**Rationale:** Hypoglycemia stimulates the sympathetic
nervous system, producing sweating, tremors, palpitations,
anxiety, and hunger.
**3.** A client with heart failure develops sudden severe
dyspnea and pink, frothy sputum. What is the priority nursing
action?
A. Encourage oral fluids
B. Place the client in high-Fowler's position
C. Place the client flat
D. Encourage ambulation
** Correct Answer: B. Place the client in high-Fowler's
position**
**Rationale:** Upright positioning decreases venous return
and improves lung expansion during acute pulmonary edema.
,**4.** Which finding is most characteristic of left-sided
heart failure?
A. Ascites
B. Peripheral edema
C. Pulmonary crackles
D. Enlarged liver
** Correct Answer: C. Pulmonary crackles**
**Rationale:** Left-sided heart failure causes pulmonary
congestion, producing crackles, dyspnea, and orthopnea.
**5.** A nurse is caring for a client after thyroidectomy.
Which finding requires immediate intervention?
A. Mild incisional discomfort
B. Hoarse voice immediately after surgery
C. Stridor
D. Difficulty swallowing
** Correct Answer: C. Stridor**
**Rationale:** Stridor can indicate airway obstruction from
swelling or bleeding and requires immediate attention.
, **6.** Which electrolyte imbalance is commonly associated
with prolonged vomiting?
A. Hyperkalemia
B. Hypokalemia
C. Hypermagnesemia
D. Hyperphosphatemia
** Correct Answer: B. Hypokalemia**
**Rationale:** Prolonged vomiting causes gastrointestinal
potassium losses and can lead to hypokalemia.
**7.** A client taking warfarin should be monitored using
which laboratory test?
A. aPTT
B. INR
C. Troponin
D. Serum sodium
** Correct Answer: B. INR**
QUESTIONS AND CORRECT DETAILED
ANSWERS LATEST UPDATE 2026
**1.** A nurse is assessing a client with suspected
hypovolemic shock. Which finding is most concerning?
A. Heart rate of 88/min
B. Blood pressure of 84/50 mm Hg
C. Respiratory rate of 18/min
D. Warm, dry skin
** Correct Answer: B. Blood pressure of 84/50 mm Hg**
**Rationale:** Severe hypotension indicates inadequate
circulating volume and impaired tissue perfusion, which are
characteristic of hypovolemic shock.
**2.** Which assessment finding should the nurse expect in a
client experiencing hypoglycemia?
A. Dry, flushed skin
,B. Bradycardia
C. Diaphoresis and tremors
D. Deep, rapid respirations
** Correct Answer: C. Diaphoresis and tremors**
**Rationale:** Hypoglycemia stimulates the sympathetic
nervous system, producing sweating, tremors, palpitations,
anxiety, and hunger.
**3.** A client with heart failure develops sudden severe
dyspnea and pink, frothy sputum. What is the priority nursing
action?
A. Encourage oral fluids
B. Place the client in high-Fowler's position
C. Place the client flat
D. Encourage ambulation
** Correct Answer: B. Place the client in high-Fowler's
position**
**Rationale:** Upright positioning decreases venous return
and improves lung expansion during acute pulmonary edema.
,**4.** Which finding is most characteristic of left-sided
heart failure?
A. Ascites
B. Peripheral edema
C. Pulmonary crackles
D. Enlarged liver
** Correct Answer: C. Pulmonary crackles**
**Rationale:** Left-sided heart failure causes pulmonary
congestion, producing crackles, dyspnea, and orthopnea.
**5.** A nurse is caring for a client after thyroidectomy.
Which finding requires immediate intervention?
A. Mild incisional discomfort
B. Hoarse voice immediately after surgery
C. Stridor
D. Difficulty swallowing
** Correct Answer: C. Stridor**
**Rationale:** Stridor can indicate airway obstruction from
swelling or bleeding and requires immediate attention.
, **6.** Which electrolyte imbalance is commonly associated
with prolonged vomiting?
A. Hyperkalemia
B. Hypokalemia
C. Hypermagnesemia
D. Hyperphosphatemia
** Correct Answer: B. Hypokalemia**
**Rationale:** Prolonged vomiting causes gastrointestinal
potassium losses and can lead to hypokalemia.
**7.** A client taking warfarin should be monitored using
which laboratory test?
A. aPTT
B. INR
C. Troponin
D. Serum sodium
** Correct Answer: B. INR**
