NCLEX Review
PROCTORED EXAM
2025-2026 UPDATE
WITH 100% CORRECT
QUESTIONS AND
ANSWERS
1. A nurse is caring for a patient with hypokalemia. Which ECG change
is expected?
A. Peaked T waves
B. Wide QRS complex
C. U waves
D. ST elevation
,Answer: C. U waves
Rationale: Hypokalemia commonly presents with U waves, flattened T
waves, and ST depression due to delayed ventricular repolarization.
2. A patient is receiving morphine. Which finding requires immediate
action?
A. Respiratory rate 10/min
B. Constipation
C. Drowsiness
D. Itching
Answer: A. Respiratory rate 10/min
Rationale: Opioids can cause respiratory depression; RR <12 requires
urgent intervention.
3. Which action prevents pressure ulcers?
A. Massage bony prominences
B. Reposition every 2 hours
C. Keep head of bed at 90°
D. Use hot water for cleansing
Answer: B. Reposition every 2 hours
Rationale: Regular repositioning reduces prolonged pressure and tissue
ischemia.
4. Normal adult urine output is:
,A. 10 mL/hr
B. 20 mL/hr
C. 30 mL/hr
D. 60 mL/hr
Answer: C. 30 mL/hr
Rationale: Minimum normal urine output is ≥30 mL/hr in adults.
5. Which sign indicates fluid volume overload?
A. Dry mucous membranes
B. Hypotension
C. Crackles in lungs
D. Tachycardia only
Answer: C. Crackles in lungs
Rationale: Fluid overload causes pulmonary congestion and crackles.
6. A patient with diabetes has blood glucose of 50 mg/dL. First action?
A. Give insulin
B. Give orange juice
C. Recheck in 1 hour
D. Call provider
Answer: B. Give orange juice
Rationale: Hypoglycemia requires immediate fast-acting carbohydrates.
7. Which isolation is needed for tuberculosis?
, A. Contact
B. Droplet
C. Airborne
D. Protective
Answer: C. Airborne
Rationale: TB spreads via airborne particles; N95 mask required.
8. Which lab indicates kidney failure?
A. Low creatinine
B. Elevated BUN
C. Low potassium
D. High hemoglobin
Answer: B. Elevated BUN
Rationale: Increased BUN indicates impaired renal function.
9. First action when chest pain occurs?
A. Call family
B. Obtain ECG
C. Give food
D. Raise head of bed
Answer: B. Obtain ECG
Rationale: ECG is priority to assess myocardial ischemia.
10. Which is a sign of infection?
PROCTORED EXAM
2025-2026 UPDATE
WITH 100% CORRECT
QUESTIONS AND
ANSWERS
1. A nurse is caring for a patient with hypokalemia. Which ECG change
is expected?
A. Peaked T waves
B. Wide QRS complex
C. U waves
D. ST elevation
,Answer: C. U waves
Rationale: Hypokalemia commonly presents with U waves, flattened T
waves, and ST depression due to delayed ventricular repolarization.
2. A patient is receiving morphine. Which finding requires immediate
action?
A. Respiratory rate 10/min
B. Constipation
C. Drowsiness
D. Itching
Answer: A. Respiratory rate 10/min
Rationale: Opioids can cause respiratory depression; RR <12 requires
urgent intervention.
3. Which action prevents pressure ulcers?
A. Massage bony prominences
B. Reposition every 2 hours
C. Keep head of bed at 90°
D. Use hot water for cleansing
Answer: B. Reposition every 2 hours
Rationale: Regular repositioning reduces prolonged pressure and tissue
ischemia.
4. Normal adult urine output is:
,A. 10 mL/hr
B. 20 mL/hr
C. 30 mL/hr
D. 60 mL/hr
Answer: C. 30 mL/hr
Rationale: Minimum normal urine output is ≥30 mL/hr in adults.
5. Which sign indicates fluid volume overload?
A. Dry mucous membranes
B. Hypotension
C. Crackles in lungs
D. Tachycardia only
Answer: C. Crackles in lungs
Rationale: Fluid overload causes pulmonary congestion and crackles.
6. A patient with diabetes has blood glucose of 50 mg/dL. First action?
A. Give insulin
B. Give orange juice
C. Recheck in 1 hour
D. Call provider
Answer: B. Give orange juice
Rationale: Hypoglycemia requires immediate fast-acting carbohydrates.
7. Which isolation is needed for tuberculosis?
, A. Contact
B. Droplet
C. Airborne
D. Protective
Answer: C. Airborne
Rationale: TB spreads via airborne particles; N95 mask required.
8. Which lab indicates kidney failure?
A. Low creatinine
B. Elevated BUN
C. Low potassium
D. High hemoglobin
Answer: B. Elevated BUN
Rationale: Increased BUN indicates impaired renal function.
9. First action when chest pain occurs?
A. Call family
B. Obtain ECG
C. Give food
D. Raise head of bed
Answer: B. Obtain ECG
Rationale: ECG is priority to assess myocardial ischemia.
10. Which is a sign of infection?
