Final Exam NCLEX Questions
(2026) Comprehensive
Questions and Verified Detailed
Solutions ( MULTIPLE CHOICES)
|100% CORRECT!!
A 38-year-old female is brought to the Emergency Department with
complaints of her "heart beating out of her chest". She is diaphoretic,
tachypneic and her BP is 70/40. The cardiac monitor shows
supraventricular tachycardia. Valsalva maneuvers and three doses of
Adenosine have not been successful. The nurse should immediately:
,a.) prepare the patient for synchronized cardioversion.
b.) give Epinephrine 1 mg IV and repeat in 3 minutes.
c.) give Adenosine 6 mg IV per protocol.
d.) perform unilateral carotid massage. - 🧠 ANSWER ✔✔a.) prepare the
patient for synchronized cardioversion.
A patient arrives at the emergency department complaining of mid-sternal
chest pain. Which of the following nursing action should take priority?
A. A complete history with emphasis on preceding events.
B. An electrocardiogram.
C. Careful assessment of vital signs.
D. Chest exam with auscultation. - 🧠 ANSWER ✔✔Answer: C
The priority nursing action for a patient arriving at the ED in distress is
always assessment of vital signs. This indicates the extent of physical
compromise and provides a baseline by which to plan further assessment
,and treatment. A thorough medical history, including onset of symptoms,
will be necessary and it is likely that an electrocardiogram will be performed
as well, but these are not the first priority. Similarly, chest exam with
auscultation may offer useful information after vital signs are assessed.
A nurse is caring for a patient who has had hip replacement. The nurse
should be most concerned about which of the following findings?
A. Complaints of pain during repositioning.
B. Scant bloody discharge on the surgical dressing.
C. Complaints of pain following physical therapy.
D. Temperature of 101.8 F (38.7 C). - 🧠 ANSWER ✔✔Answer: D
Post-surgical nursing assessment after hip replacement should be
principally concerned with the risk of neurovascular complications and the
development of infection. A temperature of 101.8 F (38.7 C) postoperatively
is higher than the low grade that is to be expected and should raise
concern. Some pain during repositioning and following physical therapy is
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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, to be expected and can be managed with analgesics. A small amount of
bloody drainage on the surgical dressing is a result of normal healing.
Emergency department triage is an important nursing function. A nurse
working the evening shift is presented with four patients at the same time.
Which of the following patients should be assigned the highest priority?
A. A patient with low-grade fever, headache, and myalgias for the past 72
hours.
B. A patient who is unable to bear weight on the left foot, with swelling and
bruising following a running accident.
C. A patient with abdominal and chest pain following a large, spicy meal.
D. A child with a one-inch bleeding laceration on the chin but otherwise well
after falling while jumping on his bed. - 🧠 ANSWER ✔✔Answer: C
Emergency triage involves quick patient assessment to prioritize the need
for further evaluation and care. Patients with trauma, chest pain, respiratory
distress, or acute neurological changes are always classified number one
priority. Though the patient with chest pain presented in the question
(2026) Comprehensive
Questions and Verified Detailed
Solutions ( MULTIPLE CHOICES)
|100% CORRECT!!
A 38-year-old female is brought to the Emergency Department with
complaints of her "heart beating out of her chest". She is diaphoretic,
tachypneic and her BP is 70/40. The cardiac monitor shows
supraventricular tachycardia. Valsalva maneuvers and three doses of
Adenosine have not been successful. The nurse should immediately:
,a.) prepare the patient for synchronized cardioversion.
b.) give Epinephrine 1 mg IV and repeat in 3 minutes.
c.) give Adenosine 6 mg IV per protocol.
d.) perform unilateral carotid massage. - 🧠 ANSWER ✔✔a.) prepare the
patient for synchronized cardioversion.
A patient arrives at the emergency department complaining of mid-sternal
chest pain. Which of the following nursing action should take priority?
A. A complete history with emphasis on preceding events.
B. An electrocardiogram.
C. Careful assessment of vital signs.
D. Chest exam with auscultation. - 🧠 ANSWER ✔✔Answer: C
The priority nursing action for a patient arriving at the ED in distress is
always assessment of vital signs. This indicates the extent of physical
compromise and provides a baseline by which to plan further assessment
,and treatment. A thorough medical history, including onset of symptoms,
will be necessary and it is likely that an electrocardiogram will be performed
as well, but these are not the first priority. Similarly, chest exam with
auscultation may offer useful information after vital signs are assessed.
A nurse is caring for a patient who has had hip replacement. The nurse
should be most concerned about which of the following findings?
A. Complaints of pain during repositioning.
B. Scant bloody discharge on the surgical dressing.
C. Complaints of pain following physical therapy.
D. Temperature of 101.8 F (38.7 C). - 🧠 ANSWER ✔✔Answer: D
Post-surgical nursing assessment after hip replacement should be
principally concerned with the risk of neurovascular complications and the
development of infection. A temperature of 101.8 F (38.7 C) postoperatively
is higher than the low grade that is to be expected and should raise
concern. Some pain during repositioning and following physical therapy is
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, to be expected and can be managed with analgesics. A small amount of
bloody drainage on the surgical dressing is a result of normal healing.
Emergency department triage is an important nursing function. A nurse
working the evening shift is presented with four patients at the same time.
Which of the following patients should be assigned the highest priority?
A. A patient with low-grade fever, headache, and myalgias for the past 72
hours.
B. A patient who is unable to bear weight on the left foot, with swelling and
bruising following a running accident.
C. A patient with abdominal and chest pain following a large, spicy meal.
D. A child with a one-inch bleeding laceration on the chin but otherwise well
after falling while jumping on his bed. - 🧠 ANSWER ✔✔Answer: C
Emergency triage involves quick patient assessment to prioritize the need
for further evaluation and care. Patients with trauma, chest pain, respiratory
distress, or acute neurological changes are always classified number one
priority. Though the patient with chest pain presented in the question
