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NCLEX-PN Examination 2026: Comprehensive Test for Registered Nurse Licensure

HEAL100 Health Care — exam and revision material · Other

Updated today

Health Care exam material, 70 pages. Originally published on StudyMerit.

Pages
70
Academic year
2025/2026
Language
English

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NCLEX - PN 2025 /2026 COMPREHENSIVE EXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONALES GRADED A+ LATEST 1. A patient with COPD reports increased shortness of breath while ambulating. Which nursing action is priority? A. Encourage deep breathing exercises B. Administer oxygen per protocol C. Assist patient to sit upright D. Call respiratory therapy Answer: C. Assist patient to sit upright Rationale: Upright positioning improves lung expansion and gas exchange immediately. Oxygen may be needed, bu t positioning is the fastest and safest initial intervention. 2. A patient with type 1 diabetes has blood glucose of 320 mg/dL and reports nausea. Which intervention is priority? A. Administer insulin as ordered B. Encourage oral fluids C. Assess for ket ones in urine D. Notify provider Answer: C. Assess for ketones in urine Rationale: Hyperglycemia with nausea may indicate diabetic ketoacidosis (DKA). Early identification of ketones is crucial for prioritizing treatment.

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3. A patient is receiving digox in. Which assessment finding requires immediate intervention? A. Heart rate 88 bpm B. BP 120/70 mmHg C. Heart rate 48 bpm D. Mild fatigue Answer: C. Heart rate 48 bpm Rationale: Bradycardia (<60 bpm) may indicate digoxin toxicity. Hold medication and notif y provider. 4. A postoperative patient reports sudden shortness of breath, chest pain, and anxiety. Which is the priority nursing action? A. Administer morphine B. Assess vital signs and oxygen saturation C. Encourage deep breathing D. Reposition for com fort Answer: B. Assess vital signs and oxygen saturation Rationale: These symptoms may indicate a pulmonary embolism. Immediate assessment and oxygen support are critical. 5. A patient with heart failure has 3+ pitting edema of lower extremities. Which i ntervention is most appropriate? A. Encourage ambulation B. Elevate legs and monitor daily weight C. Restrict fluids completely D. Apply heat to legs Answer: B. Elevate legs and monitor daily weight

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Rationale: Elevation promotes venous return; monitoring w eight helps detect fluid retention. Fluid restriction may be ordered but is not the initial intervention without provider orders. 6. A patient with a nasogastric tube reports nausea and abdominal distention. Which is the priority? A. Irrigate the tube wi th water B. Assess tube placement and patency C. Notify provider D. Administer antiemetic Answer: B. Assess tube placement and patency Rationale: Obstruction or malposition can cause nausea and distention. Correct placement and patency should be verified b efore interventions. 7. A patient with a new tracheostomy begins to develop respiratory distress. Which action is immediate? A. Suction the tracheostomy B. Remove inner cannula and assess airway C. Increase oxygen flow D. Call respiratory therapy Answer: B. Remove inner cannula and assess airway Rationale: Immediate assessment and clearance of airway obstruction are critical; suctioning may follow if obstruction persists.

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