MARYVILLE UNIVERSITY NUR 405 NCLEX EXAM
2|QUESTIONS AND VERIFIED ANSWERS|GRADED
A+|2026 UPDATE
Questions 1–10
1. Patient with DVT prescribed enoxaparin. Nursing priority?
o A) Monitor for signs of bleeding
o B) Encourage high-fiber diet
o C) Administer with food
o D) Restrict fluids
More Information: LMWH increases bleeding risk; watch for bruising, hematuria, and
hematomas.
2. Patient with hypoglycemia, blood glucose 45 mg/dL. First action?
o A) Administer 15 g fast-acting carbohydrate
o B) Monitor only
o C) Encourage exercise
o D) Give high-protein snack
More Information: Rapid carbohydrate intake restores blood glucose and prevents neurological
compromise.
3. Child with dehydration: lethargy, tachycardia, dry mucous membranes. IV fluid of
choice?
o A) Isotonic saline
o B) Dextrose 5% only
o C) Hypotonic saline
o D) Oral fluids only
More Information: Isotonic fluids restore intravascular volume safely.
4. Patient with CHF reports 3 lb weight gain in 2 days. Nursing action?
, o A) Notify provider
o B) Encourage exercise
o C) Monitor only
o D) Apply warm compress
More Information: Rapid weight gain indicates fluid retention and worsening HF.
5. Patient with hyperkalemia. ECG shows peaked T waves. Priority action?
o A) Administer insulin and glucose
o B) Monitor only
o C) Encourage oral potassium
o D) Restrict fluids only
More Information: Rapid intervention prevents life-threatening arrhythmias.
6. Newborn with hypoglycemia (<40 mg/dL). Priority intervention?
o A) Feed immediately
o B) Monitor only
o C) Apply heat
o D) Give water
More Information: Early feeding prevents neurological damage.
7. Patient with asthma attack, RR 35, accessory muscle use. Priority intervention?
o A) Administer nebulized short-acting bronchodilator
o B) Encourage deep breathing
o C) Provide oral corticosteroid only
o D) High-protein diet
More Information: Immediate bronchodilation relieves airway obstruction.
8. Patient on digoxin reports nausea, vomiting, and visual halos. Nursing action?
o A) Hold digoxin and notify provider
o B) Encourage fluids
, o C) Continue as prescribed
o D) Administer antacid
More Information: Signs indicate digoxin toxicity.
9. Patient with COPD, PaCO₂ 60 mmHg, pH 7.28. Diagnosis?
o A) Respiratory acidosis
o B) Metabolic alkalosis
o C) Respiratory alkalosis
o D) Metabolic acidosis
More Information: High CO₂ with low pH confirms respiratory acidosis.
10. Patient with preeclampsia has severe headache and visual disturbances. Priority
action?
o A) Administer magnesium sulfate
o B) Encourage ambulation
o C) Apply warm compress
o D) Provide oral fluids
More Information: Magnesium sulfate prevents seizures in preeclampsia.
Questions 11–20
11. Patient with acute MI develops bradycardia and hypotension. Next action?
o A) Prepare for atropine administration
o B) Administer morphine
o C) Encourage ambulation
o D) Monitor only
More Information: Bradycardia may indicate heart block requiring urgent intervention.
12. Patient with hypokalemia from furosemide. Nursing priority?
o A) Administer potassium supplements
2|QUESTIONS AND VERIFIED ANSWERS|GRADED
A+|2026 UPDATE
Questions 1–10
1. Patient with DVT prescribed enoxaparin. Nursing priority?
o A) Monitor for signs of bleeding
o B) Encourage high-fiber diet
o C) Administer with food
o D) Restrict fluids
More Information: LMWH increases bleeding risk; watch for bruising, hematuria, and
hematomas.
2. Patient with hypoglycemia, blood glucose 45 mg/dL. First action?
o A) Administer 15 g fast-acting carbohydrate
o B) Monitor only
o C) Encourage exercise
o D) Give high-protein snack
More Information: Rapid carbohydrate intake restores blood glucose and prevents neurological
compromise.
3. Child with dehydration: lethargy, tachycardia, dry mucous membranes. IV fluid of
choice?
o A) Isotonic saline
o B) Dextrose 5% only
o C) Hypotonic saline
o D) Oral fluids only
More Information: Isotonic fluids restore intravascular volume safely.
4. Patient with CHF reports 3 lb weight gain in 2 days. Nursing action?
, o A) Notify provider
o B) Encourage exercise
o C) Monitor only
o D) Apply warm compress
More Information: Rapid weight gain indicates fluid retention and worsening HF.
5. Patient with hyperkalemia. ECG shows peaked T waves. Priority action?
o A) Administer insulin and glucose
o B) Monitor only
o C) Encourage oral potassium
o D) Restrict fluids only
More Information: Rapid intervention prevents life-threatening arrhythmias.
6. Newborn with hypoglycemia (<40 mg/dL). Priority intervention?
o A) Feed immediately
o B) Monitor only
o C) Apply heat
o D) Give water
More Information: Early feeding prevents neurological damage.
7. Patient with asthma attack, RR 35, accessory muscle use. Priority intervention?
o A) Administer nebulized short-acting bronchodilator
o B) Encourage deep breathing
o C) Provide oral corticosteroid only
o D) High-protein diet
More Information: Immediate bronchodilation relieves airway obstruction.
8. Patient on digoxin reports nausea, vomiting, and visual halos. Nursing action?
o A) Hold digoxin and notify provider
o B) Encourage fluids
, o C) Continue as prescribed
o D) Administer antacid
More Information: Signs indicate digoxin toxicity.
9. Patient with COPD, PaCO₂ 60 mmHg, pH 7.28. Diagnosis?
o A) Respiratory acidosis
o B) Metabolic alkalosis
o C) Respiratory alkalosis
o D) Metabolic acidosis
More Information: High CO₂ with low pH confirms respiratory acidosis.
10. Patient with preeclampsia has severe headache and visual disturbances. Priority
action?
o A) Administer magnesium sulfate
o B) Encourage ambulation
o C) Apply warm compress
o D) Provide oral fluids
More Information: Magnesium sulfate prevents seizures in preeclampsia.
Questions 11–20
11. Patient with acute MI develops bradycardia and hypotension. Next action?
o A) Prepare for atropine administration
o B) Administer morphine
o C) Encourage ambulation
o D) Monitor only
More Information: Bradycardia may indicate heart block requiring urgent intervention.
12. Patient with hypokalemia from furosemide. Nursing priority?
o A) Administer potassium supplements
