Hard Nclex Questions and answers revised version 2026

A patient with potassium level of 6.2 mmol/L is at highest risk for which complication A. Seizures B. Cardiac arrhythmias ️️ C. Hypertension D. Hyperthermia A postoperative patient suddenly becomes restless and confused. What is the priority action A. Reorient patient B. Assess oxygenation ️️ C. Administer sedative D. Call family A patient with head injury shows unequal pupils. What does this indicate A. Dehydration B. Increased intracranial pressure ️️ C. Infection D. Hypoglycemia A patient receiving heparin develops bleeding gums. What is the priority A. Continue medication B. Stop infusion and notify provider ️️ C. Give more heparin D. Ignore A diabetic patient becomes diaphoretic and shaky. What is the priority A. Give insulin B. Administer glucose ️️ C. Restrict fluids D. Delay A patient with chest pain and ST elevation should receive which priority treatment A. Oxygen and aspirin ️️ B. Antibiotics C. Insulin D. Diuretics A patient suddenly becomes short of breath after surgery. What is the priority concern A. Anxiety B. Pulmonary embolism ️️ C. Infection D. Fever A patient with severe burns has decreased urine output. What does this indicate A. Recovery B. Kidney failure ️️ C. Hydration D. Healing A patient with COPD has oxygen saturation of 88%. What is the priority action A. Increase oxygen cautiously ️️ B. Remove oxygen C. Ignore D. Delay A patient with sepsis has low blood pressure. What is the first intervention A. Restrict fluids B. Administer IV fluids ️️ C. Give sedatives D. Delay A patient with stroke has difficulty swallowing. What is priority A. Feed normally B. Keep NPO ️️ C. Give fluids D. Encourage eating A patient with suspected meningitis requires which isolation A. Contact B. Droplet ️️ C. Airborne D. None A patient with anemia shows fatigue and pallor. What is priority A. Encourage exercise B. Assess hemoglobin ️️ C. Delay care D. Ignore A patient with hypertension has BP 180/110. What is priority A. Ignore B. Administer antihypertensives ️️ C. Delay D. Give fluids A patient with asthma attack is wheezing severely. What is first action A. Antibiotics B. Bronchodilator ️️ C. Sedative D. Delay A patient with spinal injury loses sensation below waist. What is priority A. Encourage movement B. Immobilize spine ️️ C. Massage D. Delay A patient receiving blood transfusion develops fever. What is priority A. Continue transfusion B. Stop transfusion ️️ C. Ignore D. Delay A patient with renal failure has fluid overload. What is priority A. Increase fluids B. Restrict fluids ️️ C. Ignore D. Delay A patient with hypokalemia is at risk for A. Hypertension B. Arrhythmias ️️ C. Fever D. Infection A patient with fracture complains of severe pain and numbness. What is concern A. Healing B. Compartment syndrome ️️ C. Infection D. Dehydration A patient with pneumonia has crackles and low oxygen. What is priority A. Give oxygen ️️ B. Delay C. Ignore D. Restrict fluids A patient with liver failure has confusion. What is cause A. Infection B. Ammonia buildup C. Dehydration D. Fever A patient with heart failure has edema and shortness of breath. What is priority A. Increase fluids B. Administer diuretics C. Delay D. Ignore A patient with diabetic ketoacidosis has high glucose. What is first treatment A. Insulin B. Antibiotics C. Sedatives D. Delay A patient with hypoxia shows restlessness. What is priority A. Oxygen B. Delay C. Ignore D. Sedative A patient with GI bleeding has black stool. What is priority A. Monitor hemoglobin B. Ignore C. Delay D. Feed A patient with sepsis shows high lactate. What does this mean A. Recovery B. Tissue hypoxia C. Hydration D. Healing A patient with hypercalcemia may experience A. Tetany B. Weakness C. Seizures D. Spasms A patient with hypocalcemia is at risk for A. Weakness B. Tetany C. Fatigue D. Dehydration A patient with cardiac tamponade shows A. Hypertension B. Hypotension C. Fever D. Tachypnea A patient with pulmonary edema has pink frothy sputum. What is priority A. Oxygen B. Delay C. Ignore D. Fluids A patient with dehydration has low BP. What is priority A. Restrict fluids B. Give IV fluids C. Delay D. Ignore A patient with hypoglycemia is unconscious. What is first action A. Insulin B. IV glucose C. Delay D. Ignore A patient with stroke has facial droop. What is priority