NCLEX-RN Comprehensive
Practice Exam 007 Questions
And Correct Answers (Verified
Answers) Plus Rationales 2026
Q&A Instant Download Pdf
1. A nurse is caring for a client with acute pulmonary edema. Which
finding requires immediate intervention?
A. Mild anxiety
B. Pink, frothy sputum
C. Respiratory rate of 22/min
D. Blood pressure of 138/84 mm Hg
Answer: Pink, frothy sputum
Rationale: Pink, frothy sputum is a classic sign of severe pulmonary
edema and impaired gas exchange requiring immediate intervention.
2. Which assessment finding is most concerning in a client receiving
morphine?
A. Constipation
B. Nausea
C. Respiratory rate of 8/min
D. Mild drowsiness
Answer: Respiratory rate of 8/min
,Rationale: Opioids can cause life-threatening respiratory depression. A
markedly decreased respiratory rate requires immediate intervention.
3. A client with diabetes mellitus is diaphoretic, shaky, and confused.
Which action should the nurse take first?
A. Administer long-acting insulin
B. Check the blood glucose level
C. Encourage exercise
D. Administer glucagon immediately
Answer: Check the blood glucose level
Rationale: The symptoms suggest hypoglycemia. Blood glucose should
be checked promptly, while treatment follows based on the client's
condition.
4. Which food should a nurse recommend to a client with iron-
deficiency anemia?
A. White rice
B. Applesauce
C. Lean red meat
D. Cream cheese
Answer: Lean red meat
Rationale: Lean red meat is rich in heme iron, which is readily absorbed.
5. A client with heart failure should report which finding
immediately?
A. Increased appetite
B. Weight gain of 2 kg in 2 days
C. Heart rate of 72/min
D. Occasional fatigue
Answer: Weight gain of 2 kg in 2 days
,Rationale: Rapid weight gain indicates fluid retention and worsening
heart failure.
6. Which position is best for a client experiencing severe dyspnea?
A. Supine
B. High-Fowler's
C. Trendelenburg
D. Prone
Answer: High-Fowler's
Rationale: High-Fowler's positioning promotes maximum lung
expansion and improves ventilation.
7. A nurse is assessing a client with suspected appendicitis. Which
finding is expected?
A. Left upper-quadrant pain
B. Right lower-quadrant tenderness
C. Painless abdominal distention
D. Severe flank bruising
Answer: Right lower-quadrant tenderness
Rationale: Appendicitis classically produces localized right lower-
quadrant abdominal pain and tenderness.
8. Which electrolyte imbalance is most associated with muscle
weakness and cardiac dysrhythmias?
A. Hypokalemia
B. Hypernatremia
C. Hypercalcemia
D. Hypermagnesemia
Answer: Hypokalemia
, Rationale: Low potassium can cause muscle weakness and potentially
dangerous cardiac dysrhythmias.
9. A nurse is caring for a client with a chest tube. Which finding
requires immediate attention?
A. Tidaling in the water-seal chamber
B. Small amount of drainage
C. Continuous bubbling in the water-seal chamber
D. Mild discomfort at the insertion site
Answer: Continuous bubbling in the water-seal chamber
Rationale: Continuous bubbling may indicate an air leak in the system
and requires assessment.
10. Which intervention is appropriate for a client with
neutropenia?
A. Place fresh flowers in the room
B. Encourage visitors with respiratory infections
C. Perform meticulous hand hygiene
D. Serve raw vegetables
Answer: Perform meticulous hand hygiene
Rationale: Neutropenic clients are highly susceptible to infection,
making strict infection prevention essential.
11. A client taking warfarin should be monitored using which
laboratory test?
A. aPTT
B. INR
C. Troponin
D. Hemoglobin A1c
Answer: INR
Practice Exam 007 Questions
And Correct Answers (Verified
Answers) Plus Rationales 2026
Q&A Instant Download Pdf
1. A nurse is caring for a client with acute pulmonary edema. Which
finding requires immediate intervention?
A. Mild anxiety
B. Pink, frothy sputum
C. Respiratory rate of 22/min
D. Blood pressure of 138/84 mm Hg
Answer: Pink, frothy sputum
Rationale: Pink, frothy sputum is a classic sign of severe pulmonary
edema and impaired gas exchange requiring immediate intervention.
2. Which assessment finding is most concerning in a client receiving
morphine?
A. Constipation
B. Nausea
C. Respiratory rate of 8/min
D. Mild drowsiness
Answer: Respiratory rate of 8/min
,Rationale: Opioids can cause life-threatening respiratory depression. A
markedly decreased respiratory rate requires immediate intervention.
3. A client with diabetes mellitus is diaphoretic, shaky, and confused.
Which action should the nurse take first?
A. Administer long-acting insulin
B. Check the blood glucose level
C. Encourage exercise
D. Administer glucagon immediately
Answer: Check the blood glucose level
Rationale: The symptoms suggest hypoglycemia. Blood glucose should
be checked promptly, while treatment follows based on the client's
condition.
4. Which food should a nurse recommend to a client with iron-
deficiency anemia?
A. White rice
B. Applesauce
C. Lean red meat
D. Cream cheese
Answer: Lean red meat
Rationale: Lean red meat is rich in heme iron, which is readily absorbed.
5. A client with heart failure should report which finding
immediately?
A. Increased appetite
B. Weight gain of 2 kg in 2 days
C. Heart rate of 72/min
D. Occasional fatigue
Answer: Weight gain of 2 kg in 2 days
,Rationale: Rapid weight gain indicates fluid retention and worsening
heart failure.
6. Which position is best for a client experiencing severe dyspnea?
A. Supine
B. High-Fowler's
C. Trendelenburg
D. Prone
Answer: High-Fowler's
Rationale: High-Fowler's positioning promotes maximum lung
expansion and improves ventilation.
7. A nurse is assessing a client with suspected appendicitis. Which
finding is expected?
A. Left upper-quadrant pain
B. Right lower-quadrant tenderness
C. Painless abdominal distention
D. Severe flank bruising
Answer: Right lower-quadrant tenderness
Rationale: Appendicitis classically produces localized right lower-
quadrant abdominal pain and tenderness.
8. Which electrolyte imbalance is most associated with muscle
weakness and cardiac dysrhythmias?
A. Hypokalemia
B. Hypernatremia
C. Hypercalcemia
D. Hypermagnesemia
Answer: Hypokalemia
, Rationale: Low potassium can cause muscle weakness and potentially
dangerous cardiac dysrhythmias.
9. A nurse is caring for a client with a chest tube. Which finding
requires immediate attention?
A. Tidaling in the water-seal chamber
B. Small amount of drainage
C. Continuous bubbling in the water-seal chamber
D. Mild discomfort at the insertion site
Answer: Continuous bubbling in the water-seal chamber
Rationale: Continuous bubbling may indicate an air leak in the system
and requires assessment.
10. Which intervention is appropriate for a client with
neutropenia?
A. Place fresh flowers in the room
B. Encourage visitors with respiratory infections
C. Perform meticulous hand hygiene
D. Serve raw vegetables
Answer: Perform meticulous hand hygiene
Rationale: Neutropenic clients are highly susceptible to infection,
making strict infection prevention essential.
11. A client taking warfarin should be monitored using which
laboratory test?
A. aPTT
B. INR
C. Troponin
D. Hemoglobin A1c
Answer: INR
