RN Adult Medical Exam with Correct
Answers – 2025/2026 Edition
Section 1: Introduction
This document contains verified and 100% correct answers for the RN Adult Medical Exam,
updated for the 2025/2026 academic cycle.
It covers clinical scenarios, patient assessments, disease management, and nursing
interventions related to adult health.
Graded A+ and aligned with NCLEX standards to ensure high-quality preparation.
Section 2: Exam Questions and Answers
Format: 100 multiple-choice questions with four answer choices (A–D). Correct answers
highlighted. Includes rationales based on NCLEX standards.
Question 1
A patient with chest pain is admitted to the emergency department. What is the priority
nursing assessment?
A) Obtain a detailed dietary history
B) Assess airway, breathing, and circulation
C) Review the patient’s social history
D) Perform a neurological exam
Correct Answer: B) Assess airway, breathing, and circulation
Rationale: ABCs are the priority in emergencies to ensure patient stability. NCLEX
Standard: Prioritization.
Question 2
A patient with suspected myocardial infarction (MI) is receiving oxygen. What is the
appropriate flow rate?
A) 1 L/min via nasal cannula
B) 2–4 L/min via nasal cannula
C) 6–8 L/min via face mask
D) 10 L/min via non-rebreather mask
Correct Answer: B) 2–4 L/min via nasal cannula
Rationale: 2–4 L/min is standard for MI to improve oxygenation. NCLEX Standard: Oxygen
Therapy.
Question 3
A patient with diabetes mellitus reports nausea and sweating. What is the priority nursing
action?
A) Administer insulin
B) Check blood glucose level
C) Offer a snack
D) Encourage rest
Correct Answer: B) Check blood glucose level
,Rationale: Symptoms suggest hypoglycemia; checking glucose guides intervention. NCLEX
Standard: Assessment.
Question 4
A patient with hypertension is prescribed lisinopril. What should the nurse monitor?
A) Blood glucose levels
B) Blood pressure and potassium levels
C) Respiratory rate
D) Liver function tests
Correct Answer: B) Blood pressure and potassium levels
Rationale: Lisinopril, an ACE inhibitor, can cause hypotension and hyperkalemia. NCLEX
Standard: Pharmacology.
Question 5
A patient with COPD is experiencing dyspnea. What is the best position for the patient?
A) Supine
B) Prone
C) Fowler’s position
D) Lateral recumbent
Correct Answer: C) Fowler’s position
Rationale: Fowler’s position improves lung expansion and breathing. NCLEX Standard:
Respiratory Management.
Question 6
A patient with heart failure is prescribed furosemide. What is a key nursing intervention?
A) Monitor for dehydration and electrolyte imbalances
B) Encourage high-sodium diet
C) Administer at bedtime
D) Restrict fluid intake to 500 mL/day
Correct Answer: A) Monitor for dehydration and electrolyte imbalances
Rationale: Furosemide can cause hypokalemia and dehydration. NCLEX Standard:
Medication Management.
Question 7
A patient with pneumonia has a fever of 102°F. What is the priority nursing action?
A) Administer antibiotics immediately
B) Apply a cooling blanket
C) Assess respiratory status
D) Encourage fluid restriction
Correct Answer: C) Assess respiratory status
Rationale: Respiratory status is critical in pneumonia to ensure oxygenation. NCLEX
Standard: Prioritization.
Question 8
A patient with a history of stroke presents with dysphagia. What is the priority intervention?
A) Initiate tube feeding
B) Consult speech therapy for swallowing evaluation
C) Offer thickened liquids
D) Restrict all oral intake
, Correct Answer: B) Consult speech therapy for swallowing evaluation
Rationale: A swallowing evaluation prevents aspiration. NCLEX Standard: Patient Safety.
Question 9
A patient with chronic kidney disease is on a low-potassium diet. Which food should the
nurse advise against?
A) Apples
B) Bananas
C) Carrots
D) White rice
Correct Answer: B) Bananas
Rationale: Bananas are high in potassium, which is restricted in CKD. NCLEX Standard:
Dietary Management.
Question 10
A patient is receiving heparin for a pulmonary embolism. What lab value should the nurse
monitor?
A) INR
B) aPTT
C) Platelet count
D) Hemoglobin
Correct Answer: B) aPTT
Rationale: aPTT monitors heparin’s therapeutic effect. NCLEX Standard: Pharmacology.
Question 11
A patient with type 2 diabetes is prescribed metformin. What should the nurse teach the
patient?
A) Take with meals to reduce GI upset
B) Monitor for weight gain
C) Avoid all carbohydrates
D) Expect frequent hypoglycemia
Correct Answer: A) Take with meals to reduce GI upset
Rationale: Metformin is taken with food to minimize GI side effects. NCLEX Standard:
Patient Education.
Question 12
A patient with a new colostomy reports leakage. What should the nurse assess first?
A) Skin integrity around the stoma
B) Dietary intake
C) Fluid intake
D) Bowel sounds
Correct Answer: A) Skin integrity around the stoma
Rationale: Leakage can cause skin breakdown, requiring immediate assessment. NCLEX
Standard: Ostomy Care.
Question 13
A patient with atrial fibrillation is prescribed warfarin. What is the therapeutic INR range?
A) 1.0–1.5
B) 2.0–3.0
C) 3.5–4.5
Answers – 2025/2026 Edition
Section 1: Introduction
This document contains verified and 100% correct answers for the RN Adult Medical Exam,
updated for the 2025/2026 academic cycle.
It covers clinical scenarios, patient assessments, disease management, and nursing
interventions related to adult health.
Graded A+ and aligned with NCLEX standards to ensure high-quality preparation.
Section 2: Exam Questions and Answers
Format: 100 multiple-choice questions with four answer choices (A–D). Correct answers
highlighted. Includes rationales based on NCLEX standards.
Question 1
A patient with chest pain is admitted to the emergency department. What is the priority
nursing assessment?
A) Obtain a detailed dietary history
B) Assess airway, breathing, and circulation
C) Review the patient’s social history
D) Perform a neurological exam
Correct Answer: B) Assess airway, breathing, and circulation
Rationale: ABCs are the priority in emergencies to ensure patient stability. NCLEX
Standard: Prioritization.
Question 2
A patient with suspected myocardial infarction (MI) is receiving oxygen. What is the
appropriate flow rate?
A) 1 L/min via nasal cannula
B) 2–4 L/min via nasal cannula
C) 6–8 L/min via face mask
D) 10 L/min via non-rebreather mask
Correct Answer: B) 2–4 L/min via nasal cannula
Rationale: 2–4 L/min is standard for MI to improve oxygenation. NCLEX Standard: Oxygen
Therapy.
Question 3
A patient with diabetes mellitus reports nausea and sweating. What is the priority nursing
action?
A) Administer insulin
B) Check blood glucose level
C) Offer a snack
D) Encourage rest
Correct Answer: B) Check blood glucose level
,Rationale: Symptoms suggest hypoglycemia; checking glucose guides intervention. NCLEX
Standard: Assessment.
Question 4
A patient with hypertension is prescribed lisinopril. What should the nurse monitor?
A) Blood glucose levels
B) Blood pressure and potassium levels
C) Respiratory rate
D) Liver function tests
Correct Answer: B) Blood pressure and potassium levels
Rationale: Lisinopril, an ACE inhibitor, can cause hypotension and hyperkalemia. NCLEX
Standard: Pharmacology.
Question 5
A patient with COPD is experiencing dyspnea. What is the best position for the patient?
A) Supine
B) Prone
C) Fowler’s position
D) Lateral recumbent
Correct Answer: C) Fowler’s position
Rationale: Fowler’s position improves lung expansion and breathing. NCLEX Standard:
Respiratory Management.
Question 6
A patient with heart failure is prescribed furosemide. What is a key nursing intervention?
A) Monitor for dehydration and electrolyte imbalances
B) Encourage high-sodium diet
C) Administer at bedtime
D) Restrict fluid intake to 500 mL/day
Correct Answer: A) Monitor for dehydration and electrolyte imbalances
Rationale: Furosemide can cause hypokalemia and dehydration. NCLEX Standard:
Medication Management.
Question 7
A patient with pneumonia has a fever of 102°F. What is the priority nursing action?
A) Administer antibiotics immediately
B) Apply a cooling blanket
C) Assess respiratory status
D) Encourage fluid restriction
Correct Answer: C) Assess respiratory status
Rationale: Respiratory status is critical in pneumonia to ensure oxygenation. NCLEX
Standard: Prioritization.
Question 8
A patient with a history of stroke presents with dysphagia. What is the priority intervention?
A) Initiate tube feeding
B) Consult speech therapy for swallowing evaluation
C) Offer thickened liquids
D) Restrict all oral intake
, Correct Answer: B) Consult speech therapy for swallowing evaluation
Rationale: A swallowing evaluation prevents aspiration. NCLEX Standard: Patient Safety.
Question 9
A patient with chronic kidney disease is on a low-potassium diet. Which food should the
nurse advise against?
A) Apples
B) Bananas
C) Carrots
D) White rice
Correct Answer: B) Bananas
Rationale: Bananas are high in potassium, which is restricted in CKD. NCLEX Standard:
Dietary Management.
Question 10
A patient is receiving heparin for a pulmonary embolism. What lab value should the nurse
monitor?
A) INR
B) aPTT
C) Platelet count
D) Hemoglobin
Correct Answer: B) aPTT
Rationale: aPTT monitors heparin’s therapeutic effect. NCLEX Standard: Pharmacology.
Question 11
A patient with type 2 diabetes is prescribed metformin. What should the nurse teach the
patient?
A) Take with meals to reduce GI upset
B) Monitor for weight gain
C) Avoid all carbohydrates
D) Expect frequent hypoglycemia
Correct Answer: A) Take with meals to reduce GI upset
Rationale: Metformin is taken with food to minimize GI side effects. NCLEX Standard:
Patient Education.
Question 12
A patient with a new colostomy reports leakage. What should the nurse assess first?
A) Skin integrity around the stoma
B) Dietary intake
C) Fluid intake
D) Bowel sounds
Correct Answer: A) Skin integrity around the stoma
Rationale: Leakage can cause skin breakdown, requiring immediate assessment. NCLEX
Standard: Ostomy Care.
Question 13
A patient with atrial fibrillation is prescribed warfarin. What is the therapeutic INR range?
A) 1.0–1.5
B) 2.0–3.0
C) 3.5–4.5
