NCLEX-RN (MAINE NURSING LICENSE) EXAM – QUESTIONS AND ANSWERS | VERIFIED
AND WELL DETAILED ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST
EXAM UPDATE
CORE DOMAINS *
- Medical-Surgical Nursing
- Pharmacology and Medication Administration
- Pediatric Nursing
- Maternal and Newborn Nursing
- Mental Health Nursing
- Nursing Leadership and Management
- Infection Control and Safety
- Ethical and Legal Nursing Practice
- Health Assessment and Patient Care
- Community and Public Health Nursing
INTRODUCTION *
The NCLEX-RN examination evaluates the competency, judgment, and clinical decision-
making skills required for safe and effective entry-level nursing practice. Candidates are
assessed on foundational nursing knowledge, patient safety, pharmacology, infection control,
,ethical responsibilities, leadership principles, and evidence-based patient care. The
examination uses multiple-choice and scenario-based questions to measure the nurse’s
ability to apply theoretical concepts in real-world healthcare environments. Emphasis is
placed on prioritization, communication, patient education, delegation, and clinical
reasoning across diverse patient populations and healthcare settings. Successful performance
demonstrates readiness to practice professional nursing safely, ethically, and competently.
SECTION ONE: QUESTIONS 1–50
1. A nurse is caring for a postoperative patient who suddenly develops shortness of
breath and chest pain. What is the nurse’s priority action?
A. Administer prescribed pain medication
B. Elevate the patient’s legs
C. Assess oxygen saturation and apply oxygen
D. Encourage the patient to cough deeply
🟢 Correct Answer: C. Assess oxygen saturation and apply oxygen
🔴 Explanation: Sudden chest pain and dyspnea may indicate pulmonary embolism.
Airway and oxygenation are the priority according to ABC principles.
2. Which electrolyte imbalance is most commonly associated with cardiac dysrhythmias?
,A. Hyperkalemia
B. Hypercalcemia
C. Hypermagnesemia
D. Hypernatremia
🟢 Correct Answer: A. Hyperkalemia
🔴 Explanation: Elevated potassium levels can significantly affect cardiac conduction and
may lead to life-threatening dysrhythmias.
3. A nurse is teaching a patient about insulin administration. Which statement indicates
correct understanding?
A. “I will inject insulin into the same site every day.”
B. “I should rotate injection sites regularly.”
C. “I should massage the injection site after injection.”
D. “I can skip meals after taking insulin.”
🟢 Correct Answer: B. “I should rotate injection sites regularly.”
🔴 Explanation: Rotating injection sites prevents lipodystrophy and promotes consistent
insulin absorption.
4. A patient with heart failure is prescribed furosemide. Which assessment finding
requires immediate attention?
, A. Weight gain of 1 pound in a week
B. Potassium level of 2.9 mEq/L
C. Blood pressure of 130/78 mmHg
D. Respiratory rate of 18 breaths/minute
🟢 Correct Answer: B. Potassium level of 2.9 mEq/L
🔴 Explanation: Furosemide can cause hypokalemia, increasing the risk for dangerous
cardiac dysrhythmias.
5. Which action by the nurse best prevents healthcare-associated infections?
A. Wearing gloves during procedures
B. Administering antibiotics promptly
C. Performing proper hand hygiene
D. Isolating all febrile patients
🟢 Correct Answer: C. Performing proper hand hygiene
🔴 Explanation: Hand hygiene is the single most effective method to prevent transmission
of infections.
6. A nurse is caring for a patient receiving blood transfusion therapy. Which sign
indicates a transfusion reaction?
AND WELL DETAILED ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST
EXAM UPDATE
CORE DOMAINS *
- Medical-Surgical Nursing
- Pharmacology and Medication Administration
- Pediatric Nursing
- Maternal and Newborn Nursing
- Mental Health Nursing
- Nursing Leadership and Management
- Infection Control and Safety
- Ethical and Legal Nursing Practice
- Health Assessment and Patient Care
- Community and Public Health Nursing
INTRODUCTION *
The NCLEX-RN examination evaluates the competency, judgment, and clinical decision-
making skills required for safe and effective entry-level nursing practice. Candidates are
assessed on foundational nursing knowledge, patient safety, pharmacology, infection control,
,ethical responsibilities, leadership principles, and evidence-based patient care. The
examination uses multiple-choice and scenario-based questions to measure the nurse’s
ability to apply theoretical concepts in real-world healthcare environments. Emphasis is
placed on prioritization, communication, patient education, delegation, and clinical
reasoning across diverse patient populations and healthcare settings. Successful performance
demonstrates readiness to practice professional nursing safely, ethically, and competently.
SECTION ONE: QUESTIONS 1–50
1. A nurse is caring for a postoperative patient who suddenly develops shortness of
breath and chest pain. What is the nurse’s priority action?
A. Administer prescribed pain medication
B. Elevate the patient’s legs
C. Assess oxygen saturation and apply oxygen
D. Encourage the patient to cough deeply
🟢 Correct Answer: C. Assess oxygen saturation and apply oxygen
🔴 Explanation: Sudden chest pain and dyspnea may indicate pulmonary embolism.
Airway and oxygenation are the priority according to ABC principles.
2. Which electrolyte imbalance is most commonly associated with cardiac dysrhythmias?
,A. Hyperkalemia
B. Hypercalcemia
C. Hypermagnesemia
D. Hypernatremia
🟢 Correct Answer: A. Hyperkalemia
🔴 Explanation: Elevated potassium levels can significantly affect cardiac conduction and
may lead to life-threatening dysrhythmias.
3. A nurse is teaching a patient about insulin administration. Which statement indicates
correct understanding?
A. “I will inject insulin into the same site every day.”
B. “I should rotate injection sites regularly.”
C. “I should massage the injection site after injection.”
D. “I can skip meals after taking insulin.”
🟢 Correct Answer: B. “I should rotate injection sites regularly.”
🔴 Explanation: Rotating injection sites prevents lipodystrophy and promotes consistent
insulin absorption.
4. A patient with heart failure is prescribed furosemide. Which assessment finding
requires immediate attention?
, A. Weight gain of 1 pound in a week
B. Potassium level of 2.9 mEq/L
C. Blood pressure of 130/78 mmHg
D. Respiratory rate of 18 breaths/minute
🟢 Correct Answer: B. Potassium level of 2.9 mEq/L
🔴 Explanation: Furosemide can cause hypokalemia, increasing the risk for dangerous
cardiac dysrhythmias.
5. Which action by the nurse best prevents healthcare-associated infections?
A. Wearing gloves during procedures
B. Administering antibiotics promptly
C. Performing proper hand hygiene
D. Isolating all febrile patients
🟢 Correct Answer: C. Performing proper hand hygiene
🔴 Explanation: Hand hygiene is the single most effective method to prevent transmission
of infections.
6. A nurse is caring for a patient receiving blood transfusion therapy. Which sign
indicates a transfusion reaction?
