✨ 100% Free NCLEX-RN Practice Questions with Answers & Rationales — No Signup Required

    Adult Health NCLEX-RN Practice Exam — Set 1

    10 NCLEX-style questions across cardiovascular, endocrine, GI, and hematologic systems. Submit when finished to see your score, correct answers, and full rationales.

    10 questions · Free · Rationales after submit

    Question 1

    Cardiovascular

    The nurse is caring for a client admitted with acute decompensated heart failure. Which assessment finding would the nurse identify as a priority concern?

    Question 2

    Cardiovascular

    The nurse is preparing to administer digoxin 0.125 mg PO to a client with heart failure and atrial fibrillation. Which assessment finding should prompt the nurse to hold the medication and notify the provider?

    Question 3

    Cardiovascular

    The nurse is educating a client newly diagnosed with peripheral artery disease (PAD). Which statement by the client indicates a need for further teaching?

    Question 4

    Endocrine

    The nurse is caring for a client with type 1 diabetes who is unresponsive and diaphoretic. The client's blood glucose is 38 mg/dL. Which intervention should the nurse perform first?

    Question 5

    Endocrine

    The nurse is teaching a client newly diagnosed with hypothyroidism who has been prescribed levothyroxine. Which client statement indicates correct understanding?

    Question 6

    Endocrine

    The nurse is caring for a client admitted with Addisonian crisis. Which finding is the nurse's priority concern?

    Question 7

    Gastrointestinal

    The nurse is caring for a client 24 hours post-appendectomy. Which finding should prompt the nurse to notify the healthcare provider immediately?

    Question 8

    Gastrointestinal

    The nurse is caring for a client with liver cirrhosis being treated for hepatic encephalopathy. Which medication should the nurse anticipate administering?

    Question 9

    Gastrointestinal

    The nurse is teaching a client with newly diagnosed Crohn's disease. Which statement by the client demonstrates an understanding of dietary management?

    Question 10

    Hematologic

    The nurse is caring for a client receiving a blood transfusion who suddenly develops fever, chills, and back pain 15 minutes after the infusion begins. Which action should the nurse take first?