FINAL EXAM NCLEX QUESTIONS WITH CORRECT ANSWERS GRADED A+ FOR ASSURED

FINAL EXAM NCLEX QUESTIONS
WITH CORRECT ANSWERS
GRADED A+ FOR 2026-2027
ASSURED EXCEL!
Ad38-year-
olddfemaledisdbroughtdtodthedEmergencydDepartmentdwithdcomplaintsdofdherd"heartdbeatingdoutdo
fdherdchest".dShedisddiaphoretic,dtachypneicdanddherdBPdisd70/40.dThedcardiacdmonitordshowsdsupr
aventriculardtachycardia.dValsalvadmaneuversdanddthreeddosesdofdAdenosinedhavednotdbeendsucce
ssful.dThednursedshoulddimmediately:



a.)dpreparedthedpatientdfordsynchronizeddcardioversion.

b.)dgivedEpinephrined1dmgdIVdanddrepeatdind3dminutes.

c.)dgivedAdenosined6dmgdIVdperdprotocol.

d.)dperformdunilateraldcarotiddmassage.d-
ddCORRECTdANSWERSa.)dpreparedthedpatientdfordsynchronizeddcardioversion.




Adpatientdarrivesdatdthedemergencyddepartmentdcomplainingdofdmid-
sternaldchestdpain.dWhichdofdthedfollowingdnursingdactiondshoulddtakedpriority?



A.dAdcompletedhistorydwithdemphasisdondprecedingdevents.d

B.dAndelectrocardiogram.d

C.dCarefuldassessmentdofdvitaldsigns.d

D.dChestdexamdwithdauscultation.d-ddCORRECTdANSWERSAnswer:dC



ThedprioritydnursingdactiondfordadpatientdarrivingdatdthedEDdinddistressdisdalwaysdassessmentdofdvita
ldsigns.dThisdindicatesdthedextentdofdphysicaldcompromisedanddprovidesdadbaselinedbydwhichdtodpla
ndfurtherdassessmentdanddtreatment.dAdthoroughdmedicaldhistory,dincludingdonsetdofdsymptoms,d

,willdbednecessarydandditdisdlikelydthatdandelectrocardiogramdwilldbedperformeddasdwell,dbutdtheseda
rednotdthedfirstdpriority.dSimilarly,dchestdexamdwithdauscultationdmaydofferdusefuldinformationdafter
dvitaldsignsdaredassessed.




Adnursedisdcaringdfordadpatientdwhodhasdhaddhipdreplacement.dThednursedshoulddbedmostdconcerne
ddaboutdwhichdofdthedfollowingdfindings?



A.dComplaintsdofdpaindduringdrepositioning.d

B.dScantdbloodyddischargedondthedsurgicalddressing.d

C.dComplaintsdofdpaindfollowingdphysicaldtherapy.d

D.dTemperaturedofd101.8dFd(38.7dC).d-ddCORRECTdANSWERSAnswer:dD



Post-
surgicaldnursingdassessmentdafterdhipdreplacementdshoulddbedprincipallydconcerneddwithdthedriskd
ofdneurovasculardcomplicationsdanddtheddevelopmentdofdinfection.dAdtemperaturedofd101.8dFd(38.
7dC)dpostoperativelydisdhigherdthandthedlowdgradedthatdisdtodbedexpecteddanddshoulddraisedconcern
.dSomedpaindduringdrepositioningdanddfollowingdphysicaldtherapydisdtodbedexpecteddanddcandbedma
nageddwithdanalgesics.dAdsmalldamountdofdbloodyddrainagedondthedsurgicalddressingdisdadresultdofd
normaldhealing.



Emergencyddepartmentdtriagedisdandimportantdnursingdfunction.dAdnursedworkingdthedeveningdshif
tdisdpresenteddwithdfourdpatientsdatdthedsamedtime.dWhichdofdthedfollowingdpatientsdshoulddbedass
igneddthedhighestdpriority?



A.dAdpatientdwithdlow-gradedfever,dheadache,danddmyalgiasdfordthedpastd72dhours.d

B.dAdpatientdwhodisdunabledtodbeardweightdondthedleftdfoot,dwithdswellingdanddbruisingdfollowingdad
runningdaccident.d

C.dAdpatientdwithdabdominaldanddchestdpaindfollowingdadlarge,dspicydmeal.d

,D.dAdchilddwithdadone-
inchdbleedingdlacerationdondthedchindbutdotherwisedwelldafterdfallingdwhiledjumpingdondhisdbed.d-
ddCORRECTdANSWERSAnswer:dC




Emergencydtriagedinvolvesdquickdpatientdassessmentdtodprioritizedthedneeddfordfurtherdevaluationd
anddcare.dPatientsdwithdtrauma,dchestdpain,drespiratoryddistress,dordacutedneurologicaldchangesdar
edalwaysdclassifieddnumberdonedpriority.dThoughdthedpatientdwithdchestdpaindpresenteddindthedque
stiondrecentlydatedadspicydmealdanddmaydbedsufferingdfromdheartburn,dhedalsodmaydbedhavingdanda
cutedmyocardialdinfarctiondanddrequiredurgentdattention.dThedpatientdwithdfever,dheadachedanddm
uscledachesd(classicdfludsymptoms)dshoulddbedclassifieddasdnon-
urgent.dThedpatientdwithdthedfootdinjurydmaydhavedsustaineddadspraindordfracture,danddthedlimbdsh
oulddbedx-
rayeddasdsoondasdisdpractical,dbutdtheddamagedisdunlikelydtodworsendifdtheredisdaddelay.dThedchild'sdc
hindlacerationdmaydneeddtodbedsutureddbutdisdalsodnon-urgent.



Adnursedcaresdfordadpatientdwhodhasdadnasogastricdtubedattacheddtodlowdsuctiondbecausedofdadsusp
ecteddboweldobstruction.dWhichdofdthedfollowingdarterialdblooddgasdresultsdmightdbedexpecteddindt
hisdpatient?



A.dpHd7.52,dPCO2d54dmmdHg.d

B.dpHd7.42,dPCO2d40dmmdHg.d

C.dpHd7.25,dPCO2d25dmmdHg.d

D.dpHd7.38,dPCO2d36dmmdHg.d-ddCORRECTdANSWERSAnswer:dA



Adpatientdondnasogastricdsuctiondisdatdriskdofdmetabolicdalkalosisdasdadresultdofdlossdofdhydrochloric
daciddindgastricdfluid.dOfdthedanswersdgiven,donlydanswerdAd(pHd7.52,dPCO2d54dmmdHg)drepresentsd


alkalosis.dAnswerdBdisdadnormaldblooddgas.dAnswerdCdrepresentsdrespiratorydacidosis.dAnswerdDdisd
borderlinednormaldwithdslightlydlowdPCO2.



Adpatientdisdadmitteddtodthedemergencyddepartmentdafterdsustainingdabdominaldinjuriesdanddadbr
okendfemurdfromdadmotordvehicledaccident.dThedpatientdisdpale,ddiaphoretic,danddisdnotdtalkingdco
herently.dVitaldsignsdupondadmissiondaredtemperatured98dFd(36dC),dheartdrated130dbeats/minute,dr

, espiratorydrated34dbreaths/minute,dblooddpressured50/40dmmHg.dThedhealthcaredproviderdsuspec
tsdwhichdtypedofdshock?



a.)dHypovolemic

b.)dCardiogenic

c.)dNeurogenicd

d.)dSepticd-ddCORRECTdANSWERSa.)dHypovolemic



Thedhealthcaredproviderdisdcaringdfordadpatientdwhodhasdsepticdshock.dWhichdofdthesedshoulddthed
healthcaredproviderdadministerdtodthedpatientdfirst?



a.)dAntibioticsdtodtreatdthedunderlyingdinfection.

b.)dCorticosteroidsdtodreducedinflammation.

c.)dIVdfluidsdtodincreasedintravasculardvolume.

d.)dVasopressorsdtodincreasedblooddpressure.d-
ddCORRECTdANSWERSc.)dIVdfluidsdtodincreasedintravasculardvolume.




Rationale:

CirculationdanddperfusiondaredaddresseddfirstdsodIVdfluidsdwilldbedstarteddimmediately.dAfterdbloodd
culturesdaredobtained,dbroad-
spectrumdantibioticsdshoulddbedadministereddwithoutddelay.dVasopressorsdaredadministereddifdthe
dpatientdisdnotdrespondingdtodthedfluiddchallenge.dCorticosteroidsdmaydbedconsidereddtodaddressdt


hedinflammatory-induceddvasodilationdanddcapillarydleakage



Whichdofdthedfollowingdassessmentdfindingsdisdandearlydindicationdofdhypovolemicdshock?d



a.)dDiminisheddboweldsounds

b.)dIncreaseddurinarydoutput