FINAL EXAM NCLEX QUESTIONS
WITH CORRECT ANSWERS
GRADED A+ FOR 2026-2027
ASSURED EXCEL!
Ad38-year-
olddfemaledisdbroughtdtodthedEmergencydDepartmentdwithdcomplaintsdofdherd"heartdbeatingdoutdo
fdherdchest".dShedisddiaphoretic,dtachypneicdanddherdBPdisd70/40.dThedcardiacdmonitordshowsdsupr
aventriculardtachycardia.dValsalvadmaneuversdanddthreeddosesdofdAdenosinedhavednotdbeendsucce
ssful.dThednursedshoulddimmediately:
a.)dpreparedthedpatientdfordsynchronizeddcardioversion.
b.)dgivedEpinephrined1dmgdIVdanddrepeatdind3dminutes.
c.)dgivedAdenosined6dmgdIVdperdprotocol.
d.)dperformdunilateraldcarotiddmassage.d-
ddCORRECTdANSWERSa.)dpreparedthedpatientdfordsynchronizeddcardioversion.
Adpatientdarrivesdatdthedemergencyddepartmentdcomplainingdofdmid-
sternaldchestdpain.dWhichdofdthedfollowingdnursingdactiondshoulddtakedpriority?
A.dAdcompletedhistorydwithdemphasisdondprecedingdevents.d
B.dAndelectrocardiogram.d
C.dCarefuldassessmentdofdvitaldsigns.d
D.dChestdexamdwithdauscultation.d-ddCORRECTdANSWERSAnswer:dC
ThedprioritydnursingdactiondfordadpatientdarrivingdatdthedEDdinddistressdisdalwaysdassessmentdofdvita
ldsigns.dThisdindicatesdthedextentdofdphysicaldcompromisedanddprovidesdadbaselinedbydwhichdtodpla
ndfurtherdassessmentdanddtreatment.dAdthoroughdmedicaldhistory,dincludingdonsetdofdsymptoms,d
,willdbednecessarydandditdisdlikelydthatdandelectrocardiogramdwilldbedperformeddasdwell,dbutdtheseda
rednotdthedfirstdpriority.dSimilarly,dchestdexamdwithdauscultationdmaydofferdusefuldinformationdafter
dvitaldsignsdaredassessed.
Adnursedisdcaringdfordadpatientdwhodhasdhaddhipdreplacement.dThednursedshoulddbedmostdconcerne
ddaboutdwhichdofdthedfollowingdfindings?
A.dComplaintsdofdpaindduringdrepositioning.d
B.dScantdbloodyddischargedondthedsurgicalddressing.d
C.dComplaintsdofdpaindfollowingdphysicaldtherapy.d
D.dTemperaturedofd101.8dFd(38.7dC).d-ddCORRECTdANSWERSAnswer:dD
Post-
surgicaldnursingdassessmentdafterdhipdreplacementdshoulddbedprincipallydconcerneddwithdthedriskd
ofdneurovasculardcomplicationsdanddtheddevelopmentdofdinfection.dAdtemperaturedofd101.8dFd(38.
7dC)dpostoperativelydisdhigherdthandthedlowdgradedthatdisdtodbedexpecteddanddshoulddraisedconcern
.dSomedpaindduringdrepositioningdanddfollowingdphysicaldtherapydisdtodbedexpecteddanddcandbedma
nageddwithdanalgesics.dAdsmalldamountdofdbloodyddrainagedondthedsurgicalddressingdisdadresultdofd
normaldhealing.
Emergencyddepartmentdtriagedisdandimportantdnursingdfunction.dAdnursedworkingdthedeveningdshif
tdisdpresenteddwithdfourdpatientsdatdthedsamedtime.dWhichdofdthedfollowingdpatientsdshoulddbedass
igneddthedhighestdpriority?
A.dAdpatientdwithdlow-gradedfever,dheadache,danddmyalgiasdfordthedpastd72dhours.d
B.dAdpatientdwhodisdunabledtodbeardweightdondthedleftdfoot,dwithdswellingdanddbruisingdfollowingdad
runningdaccident.d
C.dAdpatientdwithdabdominaldanddchestdpaindfollowingdadlarge,dspicydmeal.d
,D.dAdchilddwithdadone-
inchdbleedingdlacerationdondthedchindbutdotherwisedwelldafterdfallingdwhiledjumpingdondhisdbed.d-
ddCORRECTdANSWERSAnswer:dC
Emergencydtriagedinvolvesdquickdpatientdassessmentdtodprioritizedthedneeddfordfurtherdevaluationd
anddcare.dPatientsdwithdtrauma,dchestdpain,drespiratoryddistress,dordacutedneurologicaldchangesdar
edalwaysdclassifieddnumberdonedpriority.dThoughdthedpatientdwithdchestdpaindpresenteddindthedque
stiondrecentlydatedadspicydmealdanddmaydbedsufferingdfromdheartburn,dhedalsodmaydbedhavingdanda
cutedmyocardialdinfarctiondanddrequiredurgentdattention.dThedpatientdwithdfever,dheadachedanddm
uscledachesd(classicdfludsymptoms)dshoulddbedclassifieddasdnon-
urgent.dThedpatientdwithdthedfootdinjurydmaydhavedsustaineddadspraindordfracture,danddthedlimbdsh
oulddbedx-
rayeddasdsoondasdisdpractical,dbutdtheddamagedisdunlikelydtodworsendifdtheredisdaddelay.dThedchild'sdc
hindlacerationdmaydneeddtodbedsutureddbutdisdalsodnon-urgent.
Adnursedcaresdfordadpatientdwhodhasdadnasogastricdtubedattacheddtodlowdsuctiondbecausedofdadsusp
ecteddboweldobstruction.dWhichdofdthedfollowingdarterialdblooddgasdresultsdmightdbedexpecteddindt
hisdpatient?
A.dpHd7.52,dPCO2d54dmmdHg.d
B.dpHd7.42,dPCO2d40dmmdHg.d
C.dpHd7.25,dPCO2d25dmmdHg.d
D.dpHd7.38,dPCO2d36dmmdHg.d-ddCORRECTdANSWERSAnswer:dA
Adpatientdondnasogastricdsuctiondisdatdriskdofdmetabolicdalkalosisdasdadresultdofdlossdofdhydrochloric
daciddindgastricdfluid.dOfdthedanswersdgiven,donlydanswerdAd(pHd7.52,dPCO2d54dmmdHg)drepresentsd
alkalosis.dAnswerdBdisdadnormaldblooddgas.dAnswerdCdrepresentsdrespiratorydacidosis.dAnswerdDdisd
borderlinednormaldwithdslightlydlowdPCO2.
Adpatientdisdadmitteddtodthedemergencyddepartmentdafterdsustainingdabdominaldinjuriesdanddadbr
okendfemurdfromdadmotordvehicledaccident.dThedpatientdisdpale,ddiaphoretic,danddisdnotdtalkingdco
herently.dVitaldsignsdupondadmissiondaredtemperatured98dFd(36dC),dheartdrated130dbeats/minute,dr
, espiratorydrated34dbreaths/minute,dblooddpressured50/40dmmHg.dThedhealthcaredproviderdsuspec
tsdwhichdtypedofdshock?
a.)dHypovolemic
b.)dCardiogenic
c.)dNeurogenicd
d.)dSepticd-ddCORRECTdANSWERSa.)dHypovolemic
Thedhealthcaredproviderdisdcaringdfordadpatientdwhodhasdsepticdshock.dWhichdofdthesedshoulddthed
healthcaredproviderdadministerdtodthedpatientdfirst?
a.)dAntibioticsdtodtreatdthedunderlyingdinfection.
b.)dCorticosteroidsdtodreducedinflammation.
c.)dIVdfluidsdtodincreasedintravasculardvolume.
d.)dVasopressorsdtodincreasedblooddpressure.d-
ddCORRECTdANSWERSc.)dIVdfluidsdtodincreasedintravasculardvolume.
Rationale:
CirculationdanddperfusiondaredaddresseddfirstdsodIVdfluidsdwilldbedstarteddimmediately.dAfterdbloodd
culturesdaredobtained,dbroad-
spectrumdantibioticsdshoulddbedadministereddwithoutddelay.dVasopressorsdaredadministereddifdthe
dpatientdisdnotdrespondingdtodthedfluiddchallenge.dCorticosteroidsdmaydbedconsidereddtodaddressdt
hedinflammatory-induceddvasodilationdanddcapillarydleakage
Whichdofdthedfollowingdassessmentdfindingsdisdandearlydindicationdofdhypovolemicdshock?d
a.)dDiminisheddboweldsounds
b.)dIncreaseddurinarydoutput
WITH CORRECT ANSWERS
GRADED A+ FOR 2026-2027
ASSURED EXCEL!
Ad38-year-
olddfemaledisdbroughtdtodthedEmergencydDepartmentdwithdcomplaintsdofdherd"heartdbeatingdoutdo
fdherdchest".dShedisddiaphoretic,dtachypneicdanddherdBPdisd70/40.dThedcardiacdmonitordshowsdsupr
aventriculardtachycardia.dValsalvadmaneuversdanddthreeddosesdofdAdenosinedhavednotdbeendsucce
ssful.dThednursedshoulddimmediately:
a.)dpreparedthedpatientdfordsynchronizeddcardioversion.
b.)dgivedEpinephrined1dmgdIVdanddrepeatdind3dminutes.
c.)dgivedAdenosined6dmgdIVdperdprotocol.
d.)dperformdunilateraldcarotiddmassage.d-
ddCORRECTdANSWERSa.)dpreparedthedpatientdfordsynchronizeddcardioversion.
Adpatientdarrivesdatdthedemergencyddepartmentdcomplainingdofdmid-
sternaldchestdpain.dWhichdofdthedfollowingdnursingdactiondshoulddtakedpriority?
A.dAdcompletedhistorydwithdemphasisdondprecedingdevents.d
B.dAndelectrocardiogram.d
C.dCarefuldassessmentdofdvitaldsigns.d
D.dChestdexamdwithdauscultation.d-ddCORRECTdANSWERSAnswer:dC
ThedprioritydnursingdactiondfordadpatientdarrivingdatdthedEDdinddistressdisdalwaysdassessmentdofdvita
ldsigns.dThisdindicatesdthedextentdofdphysicaldcompromisedanddprovidesdadbaselinedbydwhichdtodpla
ndfurtherdassessmentdanddtreatment.dAdthoroughdmedicaldhistory,dincludingdonsetdofdsymptoms,d
,willdbednecessarydandditdisdlikelydthatdandelectrocardiogramdwilldbedperformeddasdwell,dbutdtheseda
rednotdthedfirstdpriority.dSimilarly,dchestdexamdwithdauscultationdmaydofferdusefuldinformationdafter
dvitaldsignsdaredassessed.
Adnursedisdcaringdfordadpatientdwhodhasdhaddhipdreplacement.dThednursedshoulddbedmostdconcerne
ddaboutdwhichdofdthedfollowingdfindings?
A.dComplaintsdofdpaindduringdrepositioning.d
B.dScantdbloodyddischargedondthedsurgicalddressing.d
C.dComplaintsdofdpaindfollowingdphysicaldtherapy.d
D.dTemperaturedofd101.8dFd(38.7dC).d-ddCORRECTdANSWERSAnswer:dD
Post-
surgicaldnursingdassessmentdafterdhipdreplacementdshoulddbedprincipallydconcerneddwithdthedriskd
ofdneurovasculardcomplicationsdanddtheddevelopmentdofdinfection.dAdtemperaturedofd101.8dFd(38.
7dC)dpostoperativelydisdhigherdthandthedlowdgradedthatdisdtodbedexpecteddanddshoulddraisedconcern
.dSomedpaindduringdrepositioningdanddfollowingdphysicaldtherapydisdtodbedexpecteddanddcandbedma
nageddwithdanalgesics.dAdsmalldamountdofdbloodyddrainagedondthedsurgicalddressingdisdadresultdofd
normaldhealing.
Emergencyddepartmentdtriagedisdandimportantdnursingdfunction.dAdnursedworkingdthedeveningdshif
tdisdpresenteddwithdfourdpatientsdatdthedsamedtime.dWhichdofdthedfollowingdpatientsdshoulddbedass
igneddthedhighestdpriority?
A.dAdpatientdwithdlow-gradedfever,dheadache,danddmyalgiasdfordthedpastd72dhours.d
B.dAdpatientdwhodisdunabledtodbeardweightdondthedleftdfoot,dwithdswellingdanddbruisingdfollowingdad
runningdaccident.d
C.dAdpatientdwithdabdominaldanddchestdpaindfollowingdadlarge,dspicydmeal.d
,D.dAdchilddwithdadone-
inchdbleedingdlacerationdondthedchindbutdotherwisedwelldafterdfallingdwhiledjumpingdondhisdbed.d-
ddCORRECTdANSWERSAnswer:dC
Emergencydtriagedinvolvesdquickdpatientdassessmentdtodprioritizedthedneeddfordfurtherdevaluationd
anddcare.dPatientsdwithdtrauma,dchestdpain,drespiratoryddistress,dordacutedneurologicaldchangesdar
edalwaysdclassifieddnumberdonedpriority.dThoughdthedpatientdwithdchestdpaindpresenteddindthedque
stiondrecentlydatedadspicydmealdanddmaydbedsufferingdfromdheartburn,dhedalsodmaydbedhavingdanda
cutedmyocardialdinfarctiondanddrequiredurgentdattention.dThedpatientdwithdfever,dheadachedanddm
uscledachesd(classicdfludsymptoms)dshoulddbedclassifieddasdnon-
urgent.dThedpatientdwithdthedfootdinjurydmaydhavedsustaineddadspraindordfracture,danddthedlimbdsh
oulddbedx-
rayeddasdsoondasdisdpractical,dbutdtheddamagedisdunlikelydtodworsendifdtheredisdaddelay.dThedchild'sdc
hindlacerationdmaydneeddtodbedsutureddbutdisdalsodnon-urgent.
Adnursedcaresdfordadpatientdwhodhasdadnasogastricdtubedattacheddtodlowdsuctiondbecausedofdadsusp
ecteddboweldobstruction.dWhichdofdthedfollowingdarterialdblooddgasdresultsdmightdbedexpecteddindt
hisdpatient?
A.dpHd7.52,dPCO2d54dmmdHg.d
B.dpHd7.42,dPCO2d40dmmdHg.d
C.dpHd7.25,dPCO2d25dmmdHg.d
D.dpHd7.38,dPCO2d36dmmdHg.d-ddCORRECTdANSWERSAnswer:dA
Adpatientdondnasogastricdsuctiondisdatdriskdofdmetabolicdalkalosisdasdadresultdofdlossdofdhydrochloric
daciddindgastricdfluid.dOfdthedanswersdgiven,donlydanswerdAd(pHd7.52,dPCO2d54dmmdHg)drepresentsd
alkalosis.dAnswerdBdisdadnormaldblooddgas.dAnswerdCdrepresentsdrespiratorydacidosis.dAnswerdDdisd
borderlinednormaldwithdslightlydlowdPCO2.
Adpatientdisdadmitteddtodthedemergencyddepartmentdafterdsustainingdabdominaldinjuriesdanddadbr
okendfemurdfromdadmotordvehicledaccident.dThedpatientdisdpale,ddiaphoretic,danddisdnotdtalkingdco
herently.dVitaldsignsdupondadmissiondaredtemperatured98dFd(36dC),dheartdrated130dbeats/minute,dr
, espiratorydrated34dbreaths/minute,dblooddpressured50/40dmmHg.dThedhealthcaredproviderdsuspec
tsdwhichdtypedofdshock?
a.)dHypovolemic
b.)dCardiogenic
c.)dNeurogenicd
d.)dSepticd-ddCORRECTdANSWERSa.)dHypovolemic
Thedhealthcaredproviderdisdcaringdfordadpatientdwhodhasdsepticdshock.dWhichdofdthesedshoulddthed
healthcaredproviderdadministerdtodthedpatientdfirst?
a.)dAntibioticsdtodtreatdthedunderlyingdinfection.
b.)dCorticosteroidsdtodreducedinflammation.
c.)dIVdfluidsdtodincreasedintravasculardvolume.
d.)dVasopressorsdtodincreasedblooddpressure.d-
ddCORRECTdANSWERSc.)dIVdfluidsdtodincreasedintravasculardvolume.
Rationale:
CirculationdanddperfusiondaredaddresseddfirstdsodIVdfluidsdwilldbedstarteddimmediately.dAfterdbloodd
culturesdaredobtained,dbroad-
spectrumdantibioticsdshoulddbedadministereddwithoutddelay.dVasopressorsdaredadministereddifdthe
dpatientdisdnotdrespondingdtodthedfluiddchallenge.dCorticosteroidsdmaydbedconsidereddtodaddressdt
hedinflammatory-induceddvasodilationdanddcapillarydleakage
Whichdofdthedfollowingdassessmentdfindingsdisdandearlydindicationdofdhypovolemicdshock?d
a.)dDiminisheddboweldsounds
b.)dIncreaseddurinarydoutput
