NCLEX-RN – QUESTIONS AND ANSWERS | VERIFIED AND
WELL DETAILED ANSWERS | PLUS RATIONALES MUST BE IN
IT | GUARANTEED PASS | LATEST EXAM UPDATE
*CORE DOMAINS*
• Fundamentals of Nursing
• Medical-Surgical Nursing
• Pharmacology
• Maternal and Newborn Nursing
• Pediatric Nursing
• Mental Health Nursing
• Community Health Nursing
• Infection Control and Safety
• Nursing Ethics and Legal Issues
• Physiological Adaptation
*INTRODUCTION*
The NCLEX-RN examination evaluates the readiness of nursing candidates to practice safely and
effectively as entry-level registered nurses. It assesses clinical judgment, prioritization,
pharmacological knowledge, and patient-centered care across diverse healthcare settings. The exam
uses scenario-based multiple-choice questions that require application of knowledge rather than
memorization. Candidates must demonstrate competency in safety, infection control, physiological
adaptation, pharmacology, ethics, and critical decision-making. This assessment reflects real-world
nursing responsibilities, emphasizing accurate assessment, timely intervention, and evidence-based
practice to ensure optimal patient outcomes in complex clinical environments.
SECTION ONE (QUESTIONS 1–80)
Question 1
A patient shows signs of fluid volume deficit. Which finding is expected?
A. Crackles in lungs
B. Edema
C. Dry mucous membranes
D. Hypertension
, Correct Answer: C. Dry mucous membranes
Explanation: Fluid deficit reduces secretions leading to dry mucous membranes.
Question 2
First action for chest pain?
A. Give morphine
B. Check vital signs
C. Apply oxygen
D. Obtain ECG
Correct Answer: C. Apply oxygen
Explanation: Oxygen improves myocardial oxygen supply immediately.
Question 3
IV site swollen and cool. What should nurse do?
A. Slow infusion
B. Flush line
C. Discontinue IV
D. Apply pressure
Correct Answer: C. Discontinue IV
Explanation: Infiltration requires immediate removal of IV to prevent tissue injury.
Question 4
Normal potassium level?
A. 2.5 mEq/L
B. 3.0 mEq/L
C. 4.2 mEq/L
D. 6.0 mEq/L
Correct Answer: C. 4.2 mEq/L
Explanation: Normal potassium range is 3.5–5.0 mEq/L.
Question 5
Priority drug in anaphylaxis?
A. Diphenhydramine
B. Epinephrine
C. Albuterol
D. Steroids
Correct Answer: B. Epinephrine
Explanation: Epinephrine rapidly reverses airway swelling and hypotension.
, Question 6
Post-op sudden dyspnea. First action?
A. Notify provider
B. Check wound
C. Apply oxygen
D. Encourage fluids
Correct Answer: C. Apply oxygen
Explanation: Airway and breathing take highest priority.
Question 7
Ototoxic medication?
A. Furosemide
B. Metformin
C. Lisinopril
D. Ibuprofen
Correct Answer: A. Furosemide
Explanation: Loop diuretics may damage hearing.
Question 8
Breaks sterile field?
A. Keeping field dry
B. Reaching over field
C. Wearing sterile gloves
D. Using sterile tools
Correct Answer: B. Reaching over field
Explanation: Reaching contaminates sterile area.
Question 9
Hypoglycemia symptom?
A. Polyuria
B. Sweating
C. Dry skin
D. Bradycardia
Correct Answer: B. Sweating
Explanation: Adrenergic response causes sweating.
WELL DETAILED ANSWERS | PLUS RATIONALES MUST BE IN
IT | GUARANTEED PASS | LATEST EXAM UPDATE
*CORE DOMAINS*
• Fundamentals of Nursing
• Medical-Surgical Nursing
• Pharmacology
• Maternal and Newborn Nursing
• Pediatric Nursing
• Mental Health Nursing
• Community Health Nursing
• Infection Control and Safety
• Nursing Ethics and Legal Issues
• Physiological Adaptation
*INTRODUCTION*
The NCLEX-RN examination evaluates the readiness of nursing candidates to practice safely and
effectively as entry-level registered nurses. It assesses clinical judgment, prioritization,
pharmacological knowledge, and patient-centered care across diverse healthcare settings. The exam
uses scenario-based multiple-choice questions that require application of knowledge rather than
memorization. Candidates must demonstrate competency in safety, infection control, physiological
adaptation, pharmacology, ethics, and critical decision-making. This assessment reflects real-world
nursing responsibilities, emphasizing accurate assessment, timely intervention, and evidence-based
practice to ensure optimal patient outcomes in complex clinical environments.
SECTION ONE (QUESTIONS 1–80)
Question 1
A patient shows signs of fluid volume deficit. Which finding is expected?
A. Crackles in lungs
B. Edema
C. Dry mucous membranes
D. Hypertension
, Correct Answer: C. Dry mucous membranes
Explanation: Fluid deficit reduces secretions leading to dry mucous membranes.
Question 2
First action for chest pain?
A. Give morphine
B. Check vital signs
C. Apply oxygen
D. Obtain ECG
Correct Answer: C. Apply oxygen
Explanation: Oxygen improves myocardial oxygen supply immediately.
Question 3
IV site swollen and cool. What should nurse do?
A. Slow infusion
B. Flush line
C. Discontinue IV
D. Apply pressure
Correct Answer: C. Discontinue IV
Explanation: Infiltration requires immediate removal of IV to prevent tissue injury.
Question 4
Normal potassium level?
A. 2.5 mEq/L
B. 3.0 mEq/L
C. 4.2 mEq/L
D. 6.0 mEq/L
Correct Answer: C. 4.2 mEq/L
Explanation: Normal potassium range is 3.5–5.0 mEq/L.
Question 5
Priority drug in anaphylaxis?
A. Diphenhydramine
B. Epinephrine
C. Albuterol
D. Steroids
Correct Answer: B. Epinephrine
Explanation: Epinephrine rapidly reverses airway swelling and hypotension.
, Question 6
Post-op sudden dyspnea. First action?
A. Notify provider
B. Check wound
C. Apply oxygen
D. Encourage fluids
Correct Answer: C. Apply oxygen
Explanation: Airway and breathing take highest priority.
Question 7
Ototoxic medication?
A. Furosemide
B. Metformin
C. Lisinopril
D. Ibuprofen
Correct Answer: A. Furosemide
Explanation: Loop diuretics may damage hearing.
Question 8
Breaks sterile field?
A. Keeping field dry
B. Reaching over field
C. Wearing sterile gloves
D. Using sterile tools
Correct Answer: B. Reaching over field
Explanation: Reaching contaminates sterile area.
Question 9
Hypoglycemia symptom?
A. Polyuria
B. Sweating
C. Dry skin
D. Bradycardia
Correct Answer: B. Sweating
Explanation: Adrenergic response causes sweating.
