COMPREHENSIVE NCLEX-RN
PRACTICE EXAM WITH 200 Questions
and Answers ALREADY GRADED A+
Adult Health Nursing (1–50)
1. A client with COPD is receiving oxygen. Which finding requires immediate
intervention?
Answer: Oxygen saturation of 84%.
2. Which electrolyte imbalance is associated with peaked T waves?
Answer: Hyperkalemia.
3. A client reports chest pain radiating to the left arm. Priority action?
Answer: Obtain ECG.
4. Which assessment finding suggests hypoglycemia?
Answer: Diaphoresis and confusion.
5. What is the antidote for opioid overdose?
Answer: Naloxone.
6. A postoperative client has absent bowel sounds. Priority?
Answer: Continue assessment and monitor.
7. Which laboratory value indicates therapeutic warfarin level?
Answer: INR 2–3.
8. What is the priority intervention for anaphylaxis?
Answer: Administer epinephrine.
,9. Which finding indicates fluid overload?
Answer: Crackles in lungs.
10. What is the first sign of hypoxia?
Answer: Restlessness.
11. Which diet is recommended for hypertension?
Answer: Low-sodium diet.
12. A client has unilateral leg swelling and pain. Suspected condition?
Answer: Deep vein thrombosis.
13. Which assessment finding suggests stroke?
Answer: Facial droop.
14. Priority action for seizure activity?
Answer: Protect airway.
15. Which symptom is common with heart failure?
Answer: Dyspnea on exertion.
16. Which medication treats bradycardia?
Answer: Atropine.
17. What complication is associated with immobility?
Answer: Pressure injuries.
18. Which finding indicates increased intracranial pressure?
Answer: Decreased LOC.
19. A client with pancreatitis should avoid:
Answer: Alcohol.
20. Which finding indicates GI bleeding?
, Answer: Black tarry stools.
21. What is the priority for a tension pneumothorax?
Answer: Needle decompression.
22. Which medication is used for rapid atrial fibrillation?
Answer: Diltiazem.
23. Which symptom suggests pulmonary embolism?
Answer: Sudden dyspnea.
24. What is the priority for diabetic ketoacidosis?
Answer: IV fluids.
25. Which medication requires potassium monitoring?
Answer: Furosemide.
26. A client with liver disease develops confusion. Cause?
Answer: Elevated ammonia.
27. Which symptom is expected with hyperthyroidism?
Answer: Weight loss.
28. Which finding suggests hypocalcemia?
Answer: Positive Chvostek sign.
29. Which condition causes barrel chest?
Answer: Emphysema.
30. Which assessment is priority before digoxin administration?
Answer: Apical pulse.
31. Which intervention prevents aspiration?
Answer: Elevate head of bed.
PRACTICE EXAM WITH 200 Questions
and Answers ALREADY GRADED A+
Adult Health Nursing (1–50)
1. A client with COPD is receiving oxygen. Which finding requires immediate
intervention?
Answer: Oxygen saturation of 84%.
2. Which electrolyte imbalance is associated with peaked T waves?
Answer: Hyperkalemia.
3. A client reports chest pain radiating to the left arm. Priority action?
Answer: Obtain ECG.
4. Which assessment finding suggests hypoglycemia?
Answer: Diaphoresis and confusion.
5. What is the antidote for opioid overdose?
Answer: Naloxone.
6. A postoperative client has absent bowel sounds. Priority?
Answer: Continue assessment and monitor.
7. Which laboratory value indicates therapeutic warfarin level?
Answer: INR 2–3.
8. What is the priority intervention for anaphylaxis?
Answer: Administer epinephrine.
,9. Which finding indicates fluid overload?
Answer: Crackles in lungs.
10. What is the first sign of hypoxia?
Answer: Restlessness.
11. Which diet is recommended for hypertension?
Answer: Low-sodium diet.
12. A client has unilateral leg swelling and pain. Suspected condition?
Answer: Deep vein thrombosis.
13. Which assessment finding suggests stroke?
Answer: Facial droop.
14. Priority action for seizure activity?
Answer: Protect airway.
15. Which symptom is common with heart failure?
Answer: Dyspnea on exertion.
16. Which medication treats bradycardia?
Answer: Atropine.
17. What complication is associated with immobility?
Answer: Pressure injuries.
18. Which finding indicates increased intracranial pressure?
Answer: Decreased LOC.
19. A client with pancreatitis should avoid:
Answer: Alcohol.
20. Which finding indicates GI bleeding?
, Answer: Black tarry stools.
21. What is the priority for a tension pneumothorax?
Answer: Needle decompression.
22. Which medication is used for rapid atrial fibrillation?
Answer: Diltiazem.
23. Which symptom suggests pulmonary embolism?
Answer: Sudden dyspnea.
24. What is the priority for diabetic ketoacidosis?
Answer: IV fluids.
25. Which medication requires potassium monitoring?
Answer: Furosemide.
26. A client with liver disease develops confusion. Cause?
Answer: Elevated ammonia.
27. Which symptom is expected with hyperthyroidism?
Answer: Weight loss.
28. Which finding suggests hypocalcemia?
Answer: Positive Chvostek sign.
29. Which condition causes barrel chest?
Answer: Emphysema.
30. Which assessment is priority before digoxin administration?
Answer: Apical pulse.
31. Which intervention prevents aspiration?
Answer: Elevate head of bed.
