NCLEX-RN EXAM PAPER 3 (ADVANCED LEVEL) – 40
QUESTIONS WITH VERIFIED ANSWERS & DETAILED
EXPLANATIONS | TEST BANK 2026
COURSE NAME
NCLEX-RN Nursing Examination Preparation
LEVEL
Advanced Level
SHORT INTRODUCTION
This advanced-level NCLEX-RN exam paper is designed to evaluate
higher-level clinical judgment, prioritization, delegation, leadership,
pharmacology, and complex patient care. It contains 40 comprehensive
exam-style questions that reflect the cognitive level expected on the
NCLEX-RN examination. Each question includes a verified answer
followed by a detailed Explanation written in italics to strengthen
clinical reasoning and support successful examination preparation.
INSTRUCTIONS
Answer all 40 questions.
Section A: Multiple Choice Questions.
Section B: Short Answer Questions.
Section C: Clinical Scenario Questions.
Section D: Higher-Order Thinking Questions.
, Each question includes an answer followed by an Explanation
written in italics.
Suggested time: 2 hours.
Use this paper for advanced revision, mock examinations, and
NCLEX-RN preparation.
SECTION A: MULTIPLE CHOICE QUESTIONS (1–15)
1. Which patient should the nurse assess first?
A. Patient awaiting discharge instructions
B. Patient with chest pain and diaphoresis
C. Patient requesting pain medication
D. Patient scheduled for diagnostic testing
Answer: B
Explanation: Chest pain accompanied by diaphoresis may indicate an
acute myocardial infarction requiring immediate assessment.
2. Which electrolyte imbalance is most likely to cause life-threatening
cardiac dysrhythmias?
A. Hypernatremia
B. Hypokalemia
C. Hypercalcemia
D. Hyperphosphatemia
Answer: B
Explanation: Low potassium levels significantly affect cardiac
conduction and increase the risk of dysrhythmias.
3. Which patient should be placed in airborne isolation?
A. Influenza
B. Tuberculosis
QUESTIONS WITH VERIFIED ANSWERS & DETAILED
EXPLANATIONS | TEST BANK 2026
COURSE NAME
NCLEX-RN Nursing Examination Preparation
LEVEL
Advanced Level
SHORT INTRODUCTION
This advanced-level NCLEX-RN exam paper is designed to evaluate
higher-level clinical judgment, prioritization, delegation, leadership,
pharmacology, and complex patient care. It contains 40 comprehensive
exam-style questions that reflect the cognitive level expected on the
NCLEX-RN examination. Each question includes a verified answer
followed by a detailed Explanation written in italics to strengthen
clinical reasoning and support successful examination preparation.
INSTRUCTIONS
Answer all 40 questions.
Section A: Multiple Choice Questions.
Section B: Short Answer Questions.
Section C: Clinical Scenario Questions.
Section D: Higher-Order Thinking Questions.
, Each question includes an answer followed by an Explanation
written in italics.
Suggested time: 2 hours.
Use this paper for advanced revision, mock examinations, and
NCLEX-RN preparation.
SECTION A: MULTIPLE CHOICE QUESTIONS (1–15)
1. Which patient should the nurse assess first?
A. Patient awaiting discharge instructions
B. Patient with chest pain and diaphoresis
C. Patient requesting pain medication
D. Patient scheduled for diagnostic testing
Answer: B
Explanation: Chest pain accompanied by diaphoresis may indicate an
acute myocardial infarction requiring immediate assessment.
2. Which electrolyte imbalance is most likely to cause life-threatening
cardiac dysrhythmias?
A. Hypernatremia
B. Hypokalemia
C. Hypercalcemia
D. Hyperphosphatemia
Answer: B
Explanation: Low potassium levels significantly affect cardiac
conduction and increase the risk of dysrhythmias.
3. Which patient should be placed in airborne isolation?
A. Influenza
B. Tuberculosis
