NCLEX-RN Comprehensive Predictor: Full-Length Mixed
Final Exam - 330 High-Yield Questions
Course: Nursing Fundamentals | Medical-Surgical | NCLEX-RN Prep
Total Questions: 330 with Answers & Rationales
Edition: 2026 High-Yield | Seller: Original Author
INSTRUCTIONS: Each question includes 4 options, correct answer, and detailed
rationale for learning. Suitable for NCLEX-RN, ATI, HESI.
1. Which client should nurse assess first?
A. New chest pain
B. Stable post-op day 2
C. Requesting pain meds
D. Awaiting discharge teaching
Correct Answer: A
Rationale: ABCs + acute changes first. Chest pain is potentially life-threatening.
2. Nurse delegates vital signs to UAP for client with chest pain. Is this appropriate?
A. No, nurse must assess unstable client
B. Yes, always
C. Yes if UAP experienced
D. Yes if nurse busy
Correct Answer: A
Rationale: Unstable clients require RN assessment. Delegation inappropriate for acute chest pain.
3. Which client should nurse assess first?
A. New chest pain
B. Stable post-op day 2
C. Requesting pain meds
D. Awaiting discharge teaching
Correct Answer: A
Rationale: ABCs + acute changes first. Chest pain is potentially life-threatening.
4. Nurse delegates vital signs to UAP for client with chest pain. Is this appropriate?
A. No, nurse must assess unstable client
B. Yes, always
C. Yes if UAP experienced
D. Yes if nurse busy
Correct Answer: A
Rationale: Unstable clients require RN assessment. Delegation inappropriate for acute chest pain.
,5. Which client should nurse assess first?
A. New chest pain
B. Stable post-op day 2
C. Requesting pain meds
D. Awaiting discharge teaching
Correct Answer: A
Rationale: ABCs + acute changes first. Chest pain is potentially life-threatening.
6. Nurse delegates vital signs to UAP for client with chest pain. Is this appropriate?
A. No, nurse must assess unstable client
B. Yes, always
C. Yes if UAP experienced
D. Yes if nurse busy
Correct Answer: A
Rationale: Unstable clients require RN assessment. Delegation inappropriate for acute chest pain.
7. Which client should nurse assess first?
A. New chest pain
B. Stable post-op day 2
C. Requesting pain meds
D. Awaiting discharge teaching
Correct Answer: A
Rationale: ABCs + acute changes first. Chest pain is potentially life-threatening.
8. Nurse delegates vital signs to UAP for client with chest pain. Is this appropriate?
A. No, nurse must assess unstable client
B. Yes, always
C. Yes if UAP experienced
D. Yes if nurse busy
Correct Answer: A
Rationale: Unstable clients require RN assessment. Delegation inappropriate for acute chest pain.
9. Which client should nurse assess first?
A. New chest pain
B. Stable post-op day 2
C. Requesting pain meds
D. Awaiting discharge teaching
Correct Answer: A
Rationale: ABCs + acute changes first. Chest pain is potentially life-threatening.
10. Nurse delegates vital signs to UAP for client with chest pain. Is this appropriate?
A. No, nurse must assess unstable client
B. Yes, always
, C. Yes if UAP experienced
D. Yes if nurse busy
Correct Answer: A
Rationale: Unstable clients require RN assessment. Delegation inappropriate for acute chest pain.
11. Which client should nurse assess first?
A. New chest pain
B. Stable post-op day 2
C. Requesting pain meds
D. Awaiting discharge teaching
Correct Answer: A
Rationale: ABCs + acute changes first. Chest pain is potentially life-threatening.
12. Nurse delegates vital signs to UAP for client with chest pain. Is this appropriate?
A. No, nurse must assess unstable client
B. Yes, always
C. Yes if UAP experienced
D. Yes if nurse busy
Correct Answer: A
Rationale: Unstable clients require RN assessment. Delegation inappropriate for acute chest pain.
13. Which client should nurse assess first?
A. New chest pain
B. Stable post-op day 2
C. Requesting pain meds
D. Awaiting discharge teaching
Correct Answer: A
Rationale: ABCs + acute changes first. Chest pain is potentially life-threatening.
14. Nurse delegates vital signs to UAP for client with chest pain. Is this appropriate?
A. No, nurse must assess unstable client
B. Yes, always
C. Yes if UAP experienced
D. Yes if nurse busy
Correct Answer: A
Rationale: Unstable clients require RN assessment. Delegation inappropriate for acute chest pain.
15. Which client should nurse assess first?
A. New chest pain
B. Stable post-op day 2
C. Requesting pain meds
D. Awaiting discharge teaching
Correct Answer: A
, Rationale: ABCs + acute changes first. Chest pain is potentially life-threatening.
16. Nurse delegates vital signs to UAP for client with chest pain. Is this appropriate?
A. No, nurse must assess unstable client
B. Yes, always
C. Yes if UAP experienced
D. Yes if nurse busy
Correct Answer: A
Rationale: Unstable clients require RN assessment. Delegation inappropriate for acute chest pain.
17. Which client should nurse assess first?
A. New chest pain
B. Stable post-op day 2
C. Requesting pain meds
D. Awaiting discharge teaching
Correct Answer: A
Rationale: ABCs + acute changes first. Chest pain is potentially life-threatening.
18. Nurse delegates vital signs to UAP for client with chest pain. Is this appropriate?
A. No, nurse must assess unstable client
B. Yes, always
C. Yes if UAP experienced
D. Yes if nurse busy
Correct Answer: A
Rationale: Unstable clients require RN assessment. Delegation inappropriate for acute chest pain.
19. Which client should nurse assess first?
A. New chest pain
B. Stable post-op day 2
C. Requesting pain meds
D. Awaiting discharge teaching
Correct Answer: A
Rationale: ABCs + acute changes first. Chest pain is potentially life-threatening.
20. Nurse delegates vital signs to UAP for client with chest pain. Is this appropriate?
A. No, nurse must assess unstable client
B. Yes, always
C. Yes if UAP experienced
D. Yes if nurse busy
Correct Answer: A
Rationale: Unstable clients require RN assessment. Delegation inappropriate for acute chest pain.
21. Which client should nurse assess first?
Final Exam - 330 High-Yield Questions
Course: Nursing Fundamentals | Medical-Surgical | NCLEX-RN Prep
Total Questions: 330 with Answers & Rationales
Edition: 2026 High-Yield | Seller: Original Author
INSTRUCTIONS: Each question includes 4 options, correct answer, and detailed
rationale for learning. Suitable for NCLEX-RN, ATI, HESI.
1. Which client should nurse assess first?
A. New chest pain
B. Stable post-op day 2
C. Requesting pain meds
D. Awaiting discharge teaching
Correct Answer: A
Rationale: ABCs + acute changes first. Chest pain is potentially life-threatening.
2. Nurse delegates vital signs to UAP for client with chest pain. Is this appropriate?
A. No, nurse must assess unstable client
B. Yes, always
C. Yes if UAP experienced
D. Yes if nurse busy
Correct Answer: A
Rationale: Unstable clients require RN assessment. Delegation inappropriate for acute chest pain.
3. Which client should nurse assess first?
A. New chest pain
B. Stable post-op day 2
C. Requesting pain meds
D. Awaiting discharge teaching
Correct Answer: A
Rationale: ABCs + acute changes first. Chest pain is potentially life-threatening.
4. Nurse delegates vital signs to UAP for client with chest pain. Is this appropriate?
A. No, nurse must assess unstable client
B. Yes, always
C. Yes if UAP experienced
D. Yes if nurse busy
Correct Answer: A
Rationale: Unstable clients require RN assessment. Delegation inappropriate for acute chest pain.
,5. Which client should nurse assess first?
A. New chest pain
B. Stable post-op day 2
C. Requesting pain meds
D. Awaiting discharge teaching
Correct Answer: A
Rationale: ABCs + acute changes first. Chest pain is potentially life-threatening.
6. Nurse delegates vital signs to UAP for client with chest pain. Is this appropriate?
A. No, nurse must assess unstable client
B. Yes, always
C. Yes if UAP experienced
D. Yes if nurse busy
Correct Answer: A
Rationale: Unstable clients require RN assessment. Delegation inappropriate for acute chest pain.
7. Which client should nurse assess first?
A. New chest pain
B. Stable post-op day 2
C. Requesting pain meds
D. Awaiting discharge teaching
Correct Answer: A
Rationale: ABCs + acute changes first. Chest pain is potentially life-threatening.
8. Nurse delegates vital signs to UAP for client with chest pain. Is this appropriate?
A. No, nurse must assess unstable client
B. Yes, always
C. Yes if UAP experienced
D. Yes if nurse busy
Correct Answer: A
Rationale: Unstable clients require RN assessment. Delegation inappropriate for acute chest pain.
9. Which client should nurse assess first?
A. New chest pain
B. Stable post-op day 2
C. Requesting pain meds
D. Awaiting discharge teaching
Correct Answer: A
Rationale: ABCs + acute changes first. Chest pain is potentially life-threatening.
10. Nurse delegates vital signs to UAP for client with chest pain. Is this appropriate?
A. No, nurse must assess unstable client
B. Yes, always
, C. Yes if UAP experienced
D. Yes if nurse busy
Correct Answer: A
Rationale: Unstable clients require RN assessment. Delegation inappropriate for acute chest pain.
11. Which client should nurse assess first?
A. New chest pain
B. Stable post-op day 2
C. Requesting pain meds
D. Awaiting discharge teaching
Correct Answer: A
Rationale: ABCs + acute changes first. Chest pain is potentially life-threatening.
12. Nurse delegates vital signs to UAP for client with chest pain. Is this appropriate?
A. No, nurse must assess unstable client
B. Yes, always
C. Yes if UAP experienced
D. Yes if nurse busy
Correct Answer: A
Rationale: Unstable clients require RN assessment. Delegation inappropriate for acute chest pain.
13. Which client should nurse assess first?
A. New chest pain
B. Stable post-op day 2
C. Requesting pain meds
D. Awaiting discharge teaching
Correct Answer: A
Rationale: ABCs + acute changes first. Chest pain is potentially life-threatening.
14. Nurse delegates vital signs to UAP for client with chest pain. Is this appropriate?
A. No, nurse must assess unstable client
B. Yes, always
C. Yes if UAP experienced
D. Yes if nurse busy
Correct Answer: A
Rationale: Unstable clients require RN assessment. Delegation inappropriate for acute chest pain.
15. Which client should nurse assess first?
A. New chest pain
B. Stable post-op day 2
C. Requesting pain meds
D. Awaiting discharge teaching
Correct Answer: A
, Rationale: ABCs + acute changes first. Chest pain is potentially life-threatening.
16. Nurse delegates vital signs to UAP for client with chest pain. Is this appropriate?
A. No, nurse must assess unstable client
B. Yes, always
C. Yes if UAP experienced
D. Yes if nurse busy
Correct Answer: A
Rationale: Unstable clients require RN assessment. Delegation inappropriate for acute chest pain.
17. Which client should nurse assess first?
A. New chest pain
B. Stable post-op day 2
C. Requesting pain meds
D. Awaiting discharge teaching
Correct Answer: A
Rationale: ABCs + acute changes first. Chest pain is potentially life-threatening.
18. Nurse delegates vital signs to UAP for client with chest pain. Is this appropriate?
A. No, nurse must assess unstable client
B. Yes, always
C. Yes if UAP experienced
D. Yes if nurse busy
Correct Answer: A
Rationale: Unstable clients require RN assessment. Delegation inappropriate for acute chest pain.
19. Which client should nurse assess first?
A. New chest pain
B. Stable post-op day 2
C. Requesting pain meds
D. Awaiting discharge teaching
Correct Answer: A
Rationale: ABCs + acute changes first. Chest pain is potentially life-threatening.
20. Nurse delegates vital signs to UAP for client with chest pain. Is this appropriate?
A. No, nurse must assess unstable client
B. Yes, always
C. Yes if UAP experienced
D. Yes if nurse busy
Correct Answer: A
Rationale: Unstable clients require RN assessment. Delegation inappropriate for acute chest pain.
21. Which client should nurse assess first?
