1|Page
Final Exam NCLEX Questions (2026) ||Verified Exam!!||
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A nurse cares for a patient who has a nasogastric tube
attached to low suction because of a suspected bowel
obstruction. Which of the following arterial blood gas
results might be expected in this patient?
A. pH 7.52, PCO2 54 mm Hg.
B. pH 7.42, PCO2 40 mm Hg.
C. pH 7.25, PCO2 25 mm Hg.
D. pH 7.38, PCO2 36 mm Hg. - Answer-Answer: A
A patient on nasogastric suction is at risk of metabolic
alkalosis as a result of loss of hydrochloric acid in gastric
fluid. Of the answers given, only answer A (pH 7.52, PCO2
54 mm Hg) represents alkalosis. Answer B is a normal
blood gas. Answer C represents respiratory acidosis.
Answer D is borderline normal with slightly low PCO2.
,2|Page
A patient is admitted to the emergency department after
sustaining abdominal injuries and a broken femur from a
motor vehicle accident. The patient is pale, diaphoretic,
and is not talking coherently. Vital signs upon admission
are temperature 98 F (36 C), heart rate 130 beats/minute,
respiratory rate 34 breaths/minute, blood pressure 50/40
mmHg. The healthcare provider suspects which type of
shock?
a.) Hypovolemic
b.) Cardiogenic
c.) Neurogenic
d.) Septic - Answer-a.) Hypovolemic
The healthcare provider is caring for a patient who has
septic shock. Which of these should the healthcare
provider administer to the patient first?
a.) Antibiotics to treat the underlying infection.
b.) Corticosteroids to reduce inflammation.
c.) IV fluids to increase intravascular volume.
d.) Vasopressors to increase blood pressure. - Answer-c.)
IV fluids to increase intravascular volume.
,3|Page
Rationale:
Circulation and perfusion are addressed first so IV fluids
will be started immediately. After blood cultures are
obtained, broad-spectrum antibiotics should be
administered without delay. Vasopressors are
administered if the patient is not responding to the fluid
challenge. Corticosteroids may be considered to address
the inflammatory-induced vasodilation and capillary
leakage
Which of the following assessment findings is an early
indication of hypovolemic shock?
a.) Diminished bowel sounds
b.) Increased urinary output
c.) Tachycardia
d.) Hypertension - Answer-c.) Tachycardia
Rationale:
Tachycardia is an early symptom as the body
compensates for a declining blood pressure the heart rate
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increases to circulate the blood faster to prevent tissue
hypoxia.
When compensatory mechanisms for hypovolemic shock
are activated, the nurse would expect which two patient
findings to normalize?
a.) Intensity of peripheral pulses and body temperature.
b.) Peripheral pulses and heart rate (HR).
c.) Metabolic alkalosis and oxygen saturation.
d.) Cardiac output (CO) and blood pressure (BP). -
Answer-d.) Cardiac output (CO) and blood pressure (BP).
A client is progressing into the third stage of shock. The
nurse will expect this client to demonstrate:
Choose all that apply:
a.) Intractable circulatory failure.
b.) Neuroendocrine responses.
c.) Demonstrating MODS.
Final Exam NCLEX Questions (2026) ||Verified Exam!!||
Most Recent Exam Actual Complete Real Exam
Questions And Correct Answers (Verified Answers)
Already Graded A+ | Guaranteed Success!! Newest
Exam!!!
A nurse cares for a patient who has a nasogastric tube
attached to low suction because of a suspected bowel
obstruction. Which of the following arterial blood gas
results might be expected in this patient?
A. pH 7.52, PCO2 54 mm Hg.
B. pH 7.42, PCO2 40 mm Hg.
C. pH 7.25, PCO2 25 mm Hg.
D. pH 7.38, PCO2 36 mm Hg. - Answer-Answer: A
A patient on nasogastric suction is at risk of metabolic
alkalosis as a result of loss of hydrochloric acid in gastric
fluid. Of the answers given, only answer A (pH 7.52, PCO2
54 mm Hg) represents alkalosis. Answer B is a normal
blood gas. Answer C represents respiratory acidosis.
Answer D is borderline normal with slightly low PCO2.
,2|Page
A patient is admitted to the emergency department after
sustaining abdominal injuries and a broken femur from a
motor vehicle accident. The patient is pale, diaphoretic,
and is not talking coherently. Vital signs upon admission
are temperature 98 F (36 C), heart rate 130 beats/minute,
respiratory rate 34 breaths/minute, blood pressure 50/40
mmHg. The healthcare provider suspects which type of
shock?
a.) Hypovolemic
b.) Cardiogenic
c.) Neurogenic
d.) Septic - Answer-a.) Hypovolemic
The healthcare provider is caring for a patient who has
septic shock. Which of these should the healthcare
provider administer to the patient first?
a.) Antibiotics to treat the underlying infection.
b.) Corticosteroids to reduce inflammation.
c.) IV fluids to increase intravascular volume.
d.) Vasopressors to increase blood pressure. - Answer-c.)
IV fluids to increase intravascular volume.
,3|Page
Rationale:
Circulation and perfusion are addressed first so IV fluids
will be started immediately. After blood cultures are
obtained, broad-spectrum antibiotics should be
administered without delay. Vasopressors are
administered if the patient is not responding to the fluid
challenge. Corticosteroids may be considered to address
the inflammatory-induced vasodilation and capillary
leakage
Which of the following assessment findings is an early
indication of hypovolemic shock?
a.) Diminished bowel sounds
b.) Increased urinary output
c.) Tachycardia
d.) Hypertension - Answer-c.) Tachycardia
Rationale:
Tachycardia is an early symptom as the body
compensates for a declining blood pressure the heart rate
, 4|Page
increases to circulate the blood faster to prevent tissue
hypoxia.
When compensatory mechanisms for hypovolemic shock
are activated, the nurse would expect which two patient
findings to normalize?
a.) Intensity of peripheral pulses and body temperature.
b.) Peripheral pulses and heart rate (HR).
c.) Metabolic alkalosis and oxygen saturation.
d.) Cardiac output (CO) and blood pressure (BP). -
Answer-d.) Cardiac output (CO) and blood pressure (BP).
A client is progressing into the third stage of shock. The
nurse will expect this client to demonstrate:
Choose all that apply:
a.) Intractable circulatory failure.
b.) Neuroendocrine responses.
c.) Demonstrating MODS.
