Nursing Prometric Practice Exam: Questio g g g g
ns & Rationale for NCLEX and Board Prep
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2025/2026
Prometric Exam Practice Question For Nurses g g g g g
1. The client presented with complaints of body weakness, dizziness
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and chest pain. Upon careful assessment, the nurse suspects Angina
g g g g g g g g g g
Pectoris. Which of the following statements made by the client can c
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onfirm this? g
a. “I suddenly felt a pain on my chest which radiates to my back and ar
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ms”.
b. “I suddenly felt a sharp pain on my lower abdomen”.
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c. “The pain does not subside even if I rest”.
g g g g g g g g g
d. “The pain goes all the way down to my stomach”.
g g g g g g g g g g
2. The client from the OR is transferred to the post-
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anesthesia care unit after surgical repair of abdominal aortic aneury
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sm. Which of the following assessment findings would indicate that t
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he repair was successful?
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a. Urine output of 50 mL/hr.
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b. Presence of non-pitting, peripheral edema.
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c. Clear sclera.
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d. Presence of carotid bruit.
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3. The client is scheduled for cardiac catheterization because the ph
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ysician wants to view the right side of the heart. Which of the followin
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g would the nurse expect to see in this procedure?
g g g g g g g g g
a. A dye is injected to facilitate the viewing of the heart
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,b. Thallium is injected to facilitate the scintillation camera
g g g g g g g g
c. A probe with a transducer tip is swallowed by the client.
g g g g g g g g g g g
d. A tiny ultrasound probe is inserted into the coronary artery
g g g g g g g g g g
g
4. The client is being treated for hypovolemia. To assess the effective
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ness of the treatment, the Central Venous Pressure (CVP) of the clien
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t is being monitored. Which of the following is TRUE about CVP?
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a. The CVP is measured with a central venous line in the inferior vena
g g g g g g g g g g g g g g
cava.
b. The normal CVP is 7 to 9 mmHg.
g g g g g g g g
c. The zero point on the transducer needs to be at the level of the left a
g g g g g g g g g g g g g g g g
trium.
d. The client needs to be supine, with the head of the bed elevated at 4
g g g g g g g g g g g g g g g
5 degrees.
g
g
5. The client’s ECG tracing shows ventricular tachycardia secondary
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to low magnesium level. Which of the following electrocardiogram t
g g g g g g g g g g
racing results is consistent with this finding?
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a. The appearance of a U wave
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b. Shortened ST segment and a widened T wave.
g g g g g g g g
c. Tall, peaked T waves
g g g g
d. Tall T waves and depressed ST segment
g g g g g g g
6. The nurse is teaching the client how to use a dry powder inhaler (D
g g g g g g g g g g g g g g
PI). Which of the following are correct instructions given by the nurs
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e? Select All That Apply.
g g g g
a. Load the drug first by turning to the next dose of drug, or inserting
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the capsule into the device, or inserting the disk or compartment into
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the device.
g g
b. Never wash or place the inhaler in water.
g g g g g g g g
c. Shake your inhaler prior to use.
g g g g g g
, d. The drug is a dry powder that is why you will taste the drug as you i
g g g g g g g g g g g g g g g g g
nhale.
e. Never exhale into the inhaler.
g g g g g
f. Do not remove the inhaler from your mouth as soon as you have bre
g g g g g g g g g g g g g g
athe in. g
7. The nurse is assigned to render care for a client who has a chest tu
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be drainage system. Which of the following are appropriate nursing
g g g g g g g g g g
actions? Select All That Apply. g g g g
a. Strip the chest tube.
g g g g
b. Empty collection chamber when the drainage makes contact to th
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e bottom of the tube.
g g g g
c. Keep the chest tube as straight as possible.
g g g g g g g g
d. Notify the physician of drainage is greater than 70mL/hr.
g g g g g g g g g
e. Assess bubbling in the water seal chamber.
g g g g g g g
f. Keep the drainage system at the level of the client’s chest
g g g g g g g g g g g
8. The client with DKA is receiving bicarbonate IV infusion for the tre
g g g g g g g g g g g g
atment of severe metabolic acidosis. The nurse notes that the latest
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ABG shows a pH of 7.0. What should the nurse keep in mind in giving t
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he drug? g
a. Check vital signs before giving the drug and monitor serum sodiu
g g g g g g g g g g g
m levels.
g
b. Perform a sensitivity test prior to drug administration.
g g g g g g g g
c. Mix the drug with D10W 500 ml IV fluid and infuse for over 4 to 8 ho
g g g g g g g g g g g g g g g g g
urs.
d. Administer the drug slowly and monitor the potassium level
g g g g g g g g g
9. The client with a gunshot wound on the abdomen starts to get letha
g g g g g g g g g g g g g
rgic, is breathing heavily, and the wound dressing is fully soaked wit
g g g g g g g g g g g
h blood. The nurse is expected to immediately perform which of the f
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ollowing actions? g
ns & Rationale for NCLEX and Board Prep
g g g g g g g
2025/2026
Prometric Exam Practice Question For Nurses g g g g g
1. The client presented with complaints of body weakness, dizziness
g g g g g g g g g g
and chest pain. Upon careful assessment, the nurse suspects Angina
g g g g g g g g g g
Pectoris. Which of the following statements made by the client can c
g g g g g g g g g g g
onfirm this? g
a. “I suddenly felt a pain on my chest which radiates to my back and ar
g g g g g g g g g g g g g g g
ms”.
b. “I suddenly felt a sharp pain on my lower abdomen”.
g g g g g g g g g g
c. “The pain does not subside even if I rest”.
g g g g g g g g g
d. “The pain goes all the way down to my stomach”.
g g g g g g g g g g
2. The client from the OR is transferred to the post-
g g g g g g g g g g
anesthesia care unit after surgical repair of abdominal aortic aneury
g g g g g g g g g
sm. Which of the following assessment findings would indicate that t
g g g g g g g g g g
he repair was successful?
g g g
a. Urine output of 50 mL/hr.
g g g g g
b. Presence of non-pitting, peripheral edema.
g g g g g
c. Clear sclera.
g g
d. Presence of carotid bruit.
g g g g
3. The client is scheduled for cardiac catheterization because the ph
g g g g g g g g g g
ysician wants to view the right side of the heart. Which of the followin
g g g g g g g g g g g g g
g would the nurse expect to see in this procedure?
g g g g g g g g g
a. A dye is injected to facilitate the viewing of the heart
g g g g g g g g g g g
,b. Thallium is injected to facilitate the scintillation camera
g g g g g g g g
c. A probe with a transducer tip is swallowed by the client.
g g g g g g g g g g g
d. A tiny ultrasound probe is inserted into the coronary artery
g g g g g g g g g g
g
4. The client is being treated for hypovolemia. To assess the effective
g g g g g g g g g g g
ness of the treatment, the Central Venous Pressure (CVP) of the clien
g g g g g g g g g g g
t is being monitored. Which of the following is TRUE about CVP?
g g g g g g g g g g g
a. The CVP is measured with a central venous line in the inferior vena
g g g g g g g g g g g g g g
cava.
b. The normal CVP is 7 to 9 mmHg.
g g g g g g g g
c. The zero point on the transducer needs to be at the level of the left a
g g g g g g g g g g g g g g g g
trium.
d. The client needs to be supine, with the head of the bed elevated at 4
g g g g g g g g g g g g g g g
5 degrees.
g
g
5. The client’s ECG tracing shows ventricular tachycardia secondary
g g g g g g g g
to low magnesium level. Which of the following electrocardiogram t
g g g g g g g g g g
racing results is consistent with this finding?
g g g g g g
a. The appearance of a U wave
g g g g g g
b. Shortened ST segment and a widened T wave.
g g g g g g g g
c. Tall, peaked T waves
g g g g
d. Tall T waves and depressed ST segment
g g g g g g g
6. The nurse is teaching the client how to use a dry powder inhaler (D
g g g g g g g g g g g g g g
PI). Which of the following are correct instructions given by the nurs
g g g g g g g g g g g
e? Select All That Apply.
g g g g
a. Load the drug first by turning to the next dose of drug, or inserting
g g g g g g g g g g g g g g g
the capsule into the device, or inserting the disk or compartment into
g g g g g g g g g g g
the device.
g g
b. Never wash or place the inhaler in water.
g g g g g g g g
c. Shake your inhaler prior to use.
g g g g g g
, d. The drug is a dry powder that is why you will taste the drug as you i
g g g g g g g g g g g g g g g g g
nhale.
e. Never exhale into the inhaler.
g g g g g
f. Do not remove the inhaler from your mouth as soon as you have bre
g g g g g g g g g g g g g g
athe in. g
7. The nurse is assigned to render care for a client who has a chest tu
g g g g g g g g g g g g g g g
be drainage system. Which of the following are appropriate nursing
g g g g g g g g g g
actions? Select All That Apply. g g g g
a. Strip the chest tube.
g g g g
b. Empty collection chamber when the drainage makes contact to th
g g g g g g g g g g
e bottom of the tube.
g g g g
c. Keep the chest tube as straight as possible.
g g g g g g g g
d. Notify the physician of drainage is greater than 70mL/hr.
g g g g g g g g g
e. Assess bubbling in the water seal chamber.
g g g g g g g
f. Keep the drainage system at the level of the client’s chest
g g g g g g g g g g g
8. The client with DKA is receiving bicarbonate IV infusion for the tre
g g g g g g g g g g g g
atment of severe metabolic acidosis. The nurse notes that the latest
g g g g g g g g g g g
ABG shows a pH of 7.0. What should the nurse keep in mind in giving t
g g g g g g g g g g g g g g g
he drug? g
a. Check vital signs before giving the drug and monitor serum sodiu
g g g g g g g g g g g
m levels.
g
b. Perform a sensitivity test prior to drug administration.
g g g g g g g g
c. Mix the drug with D10W 500 ml IV fluid and infuse for over 4 to 8 ho
g g g g g g g g g g g g g g g g g
urs.
d. Administer the drug slowly and monitor the potassium level
g g g g g g g g g
9. The client with a gunshot wound on the abdomen starts to get letha
g g g g g g g g g g g g g
rgic, is breathing heavily, and the wound dressing is fully soaked wit
g g g g g g g g g g g
h blood. The nurse is expected to immediately perform which of the f
g g g g g g g g g g g g
ollowing actions? g