NCLEX RN ACTUAL EXAM TEST BANK WITH REAL AND EXACT EXAM QUESTIONS & ANSWERS 2025/2026
NCLEX RN
ACTUAL EXAM TEST BANK
WITH REAL AND EXACT EXAM
QUESTIONS & CORRECT ANSWERS
NCLEX 2025/2026 UPDATE NCLEX
EXAM 860+ |
A+ GRADE
1|Page
,NCLEX RN ACTUAL EXAM TEST BANK WITH REAL AND EXACT EXAM QUESTIONS & ANSWERS 2025/2026
A nurse is teaching a client who has restrictive cardiomyopathy. Which of the following statements should the
nurse include in the client teaching to explain this condition?
a. "Your heart condition is caused from stiffening of the walls of the ventricles."
b. "Your heart condition is caused by thickening of the ventricular walls and septum."
c. "Your heart condition is caused by excessive stretching of the ventricles."
d. "Your heart condition is caused when the ventricular tissue becomes fibrous and fatty."
a. "Your heart condition is caused from stiffening of the walls of the ventricles."
The nurse is caring for a client who receives furosemide to treat heart failure. Which of the following
laboratory values should the nurse monitor for this client due to this medication?
a. Albumin
b. Cortisol
c. Potassium
d. Bicarbonate
c. Potassium
A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the
following instructions should the nurse include in the teaching?
a. Exercise at least three times per week.
b. Take diuretics early in the morning and before bedtime.
c. Notify provider of a weight gain of 0.5kg (1 lb) in a week.
d. Take naproxen for generalized discomfort.
a. Exercise at least three times per week.
A nurse is providing discharge teaching to a patient who has heart failure. Which of the following lifestyle
modifications should the nurse include in the discharge teaching?
a. Cessation of hormonal supplements.
b. Encouraging increase mobility.
c. Dietary and fluid restrictions.
d. Cessation of intravenous (IV) drug use.
c. Dietary and fluid restrictions.
2|Page
,NCLEX RN ACTUAL EXAM TEST BANK WITH REAL AND EXACT EXAM QUESTIONS & ANSWERS 2025/2026
A nurse is teaching a client who has cardiomyopathy about the side effects of their new prescription beta
blocker, carvedilol. Which of the following client statements should indicate to the nurse that the client
understands the teaching? Select all that apply.
a. This medication can make me have mood swings.
b. I may have frequent hiccups while taking this medication.
c. I may have urinary incontinence.
d. This medication may decrease my sex drive.
a. This medication can make me have mood swings.
c. I may have urinary incontinence.
d. This medication may decrease my sex drive.
A nurse is teaching a client who has hypertrophic cardiomyopathy about the risk for sudden cardiac death.
Which of the following statements indicates to the nurse and understanding of the teaching?
a. I am aware I may develop hiccups.
b. I should refrain from competitive reactional sports.
c. I should ask my son to drive me to the grocery store.
d. I may become easily constipated.
b. I should refrain from competitive reactional sports.
A nurse is planning care for a client who has worsening heart failure, and is experiencing arrhythmias. Which
of the following procedures should the nurse anticipate the client will require to regulate the rhythm?
a. Synchronized electrical cardioversion
b. Cardiac synchronization therapy (CRT)
c. Echocardiogram
d. Heart catheterization with percutaneous intervention
b. Cardiac synchronization therapy (CRT)
A nurse in the ER is caring for a client who has cardiogenic pulmonary edema. The client assessments include
anxiousness, dyspnea at rest, crackles, bp 110/79, and apical heart rate 112/min. Which of the following
interventions is the nurses priority?
a. Provide supplemental oxygen.
b. Client in a high fowlers position with legs dependent.
c. Give the client sublingual nitro.
d. Administer morphine sulfate IV.
a. Provide supplemental oxygen.
3|Page
, NCLEX RN ACTUAL EXAM TEST BANK WITH REAL AND EXACT EXAM QUESTIONS & ANSWERS 2025/2026
A nurse is teaching a group of clients about risk factors for developing hypertrophic cardiomyopathy (HCM).
Which of the following following clients should the nurse understand is at most risk for developing HCM?
a. Client whose mother and uncle were diagnosed with the same condition.
b. Client who uses oxygen at night to treat OSA.
c. Client who is out of work and experiences increased stress.
d. Recovering from a recent illness that caused N/V.
a. Client whose mother and uncle were diagnosed with the same condition.
A nurse is caring for a client who has fluid volume excess (FVE) due to HF. Which of the following
manifestations should the nurse associate with FVE? Select all that apply.
a. Flat neck veins
b. Elevated BP
c. Weight gain
d. Pedal edema
e. Thready pulse
f. Dizziness
b. Elevated BP
c. Weight gain
d. Pedal edema
A nurse is teaching a client who has dilated cardiomyopathy about this condition. Which of the following
statements by the nurse should be included in the teaching?
a. Your condition is caused when ventricular tissue becomes fibrous and fatty.
b. Your condition is caused by excessive stretching of the ventricles.
c. Your condition is caused by stiff ventricular the walls.
d. Your condition is caused by thickening of the ventricular walls and septum.
b. Your condition is caused by excessive stretching of the ventricles.
A nurse is planning care for a client who has hypertrophic cardiomyopathy that has not improved after
pharmacologic treatment. Which of the following procedures should the nurse anticipate the healthcare
provider ordering?
a. Pericardioentesis
b. Septal myectomy
4|Page
NCLEX RN
ACTUAL EXAM TEST BANK
WITH REAL AND EXACT EXAM
QUESTIONS & CORRECT ANSWERS
NCLEX 2025/2026 UPDATE NCLEX
EXAM 860+ |
A+ GRADE
1|Page
,NCLEX RN ACTUAL EXAM TEST BANK WITH REAL AND EXACT EXAM QUESTIONS & ANSWERS 2025/2026
A nurse is teaching a client who has restrictive cardiomyopathy. Which of the following statements should the
nurse include in the client teaching to explain this condition?
a. "Your heart condition is caused from stiffening of the walls of the ventricles."
b. "Your heart condition is caused by thickening of the ventricular walls and septum."
c. "Your heart condition is caused by excessive stretching of the ventricles."
d. "Your heart condition is caused when the ventricular tissue becomes fibrous and fatty."
a. "Your heart condition is caused from stiffening of the walls of the ventricles."
The nurse is caring for a client who receives furosemide to treat heart failure. Which of the following
laboratory values should the nurse monitor for this client due to this medication?
a. Albumin
b. Cortisol
c. Potassium
d. Bicarbonate
c. Potassium
A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. Which of the
following instructions should the nurse include in the teaching?
a. Exercise at least three times per week.
b. Take diuretics early in the morning and before bedtime.
c. Notify provider of a weight gain of 0.5kg (1 lb) in a week.
d. Take naproxen for generalized discomfort.
a. Exercise at least three times per week.
A nurse is providing discharge teaching to a patient who has heart failure. Which of the following lifestyle
modifications should the nurse include in the discharge teaching?
a. Cessation of hormonal supplements.
b. Encouraging increase mobility.
c. Dietary and fluid restrictions.
d. Cessation of intravenous (IV) drug use.
c. Dietary and fluid restrictions.
2|Page
,NCLEX RN ACTUAL EXAM TEST BANK WITH REAL AND EXACT EXAM QUESTIONS & ANSWERS 2025/2026
A nurse is teaching a client who has cardiomyopathy about the side effects of their new prescription beta
blocker, carvedilol. Which of the following client statements should indicate to the nurse that the client
understands the teaching? Select all that apply.
a. This medication can make me have mood swings.
b. I may have frequent hiccups while taking this medication.
c. I may have urinary incontinence.
d. This medication may decrease my sex drive.
a. This medication can make me have mood swings.
c. I may have urinary incontinence.
d. This medication may decrease my sex drive.
A nurse is teaching a client who has hypertrophic cardiomyopathy about the risk for sudden cardiac death.
Which of the following statements indicates to the nurse and understanding of the teaching?
a. I am aware I may develop hiccups.
b. I should refrain from competitive reactional sports.
c. I should ask my son to drive me to the grocery store.
d. I may become easily constipated.
b. I should refrain from competitive reactional sports.
A nurse is planning care for a client who has worsening heart failure, and is experiencing arrhythmias. Which
of the following procedures should the nurse anticipate the client will require to regulate the rhythm?
a. Synchronized electrical cardioversion
b. Cardiac synchronization therapy (CRT)
c. Echocardiogram
d. Heart catheterization with percutaneous intervention
b. Cardiac synchronization therapy (CRT)
A nurse in the ER is caring for a client who has cardiogenic pulmonary edema. The client assessments include
anxiousness, dyspnea at rest, crackles, bp 110/79, and apical heart rate 112/min. Which of the following
interventions is the nurses priority?
a. Provide supplemental oxygen.
b. Client in a high fowlers position with legs dependent.
c. Give the client sublingual nitro.
d. Administer morphine sulfate IV.
a. Provide supplemental oxygen.
3|Page
, NCLEX RN ACTUAL EXAM TEST BANK WITH REAL AND EXACT EXAM QUESTIONS & ANSWERS 2025/2026
A nurse is teaching a group of clients about risk factors for developing hypertrophic cardiomyopathy (HCM).
Which of the following following clients should the nurse understand is at most risk for developing HCM?
a. Client whose mother and uncle were diagnosed with the same condition.
b. Client who uses oxygen at night to treat OSA.
c. Client who is out of work and experiences increased stress.
d. Recovering from a recent illness that caused N/V.
a. Client whose mother and uncle were diagnosed with the same condition.
A nurse is caring for a client who has fluid volume excess (FVE) due to HF. Which of the following
manifestations should the nurse associate with FVE? Select all that apply.
a. Flat neck veins
b. Elevated BP
c. Weight gain
d. Pedal edema
e. Thready pulse
f. Dizziness
b. Elevated BP
c. Weight gain
d. Pedal edema
A nurse is teaching a client who has dilated cardiomyopathy about this condition. Which of the following
statements by the nurse should be included in the teaching?
a. Your condition is caused when ventricular tissue becomes fibrous and fatty.
b. Your condition is caused by excessive stretching of the ventricles.
c. Your condition is caused by stiff ventricular the walls.
d. Your condition is caused by thickening of the ventricular walls and septum.
b. Your condition is caused by excessive stretching of the ventricles.
A nurse is planning care for a client who has hypertrophic cardiomyopathy that has not improved after
pharmacologic treatment. Which of the following procedures should the nurse anticipate the healthcare
provider ordering?
a. Pericardioentesis
b. Septal myectomy
4|Page
