Adult Health NCLEX-RN Practice Exam — Set 2

The nurse assesses a 72-year-old client admitted with decompensated heart failure. The client's ankles are swollen, and the nurse notes pitting edema. Which additional assessment finding would the nurse expect to find?

A 58-year-old client with hypertension is started on lisinopril. Three days later, the client reports a dry, persistent cough. Which response by the nurse is most appropriate?

The nurse on a cardiac step-down unit receives report on four clients. Which client should the nurse assess first?

A client with peripheral venous insufficiency asks why the nurse keeps asking about walking. Which response is most accurate?

The nurse notes: HR 48, regular rhythm, P wave before every QRS, PR interval 0.16 sec. Which action should the nurse take first?

A client receiving heparin for DVT develops new abdominal pain and hypotension. Which action should the nurse take first?

Which food choice indicates the client with hypertension understands sodium restriction?

A client with atrial fibrillation taking digoxin shows which finding requiring immediate action?

A type 1 diabetic with 24 hours of vomiting has Kussmaul respirations and fruity breath. First action?

A client with hyperthyroidism reports insomnia, irritability, and palpitations. Which instruction should the nurse include?

A client with SIADH on fluid restriction. Which finding indicates effective treatment?

Which statement by a type 2 diabetic indicates correct sick-day understanding?

A client with Addison disease has BP 90/58 supine, 78/50 standing, with nausea/dizziness. First action?

Suspected DI after pituitary surgery. Which finding is most consistent?

Most important metformin teaching?

Hyperparathyroidism — which finding requires immediate intervention?

Client with cirrhotic ascites — which finding indicates a complication?

UC flare with 10–12 bloody stools/day and severe cramping. Most appropriate intervention?

4 hours post-colonoscopy — which finding requires immediate intervention?

Pancreatic enzyme supplements — which instruction is correct?

NG tube to low intermittent suction. Which finding suggests occlusion?

GERD client still has heartburn on omeprazole daily. Which question first?

Most indicative finding of appendicitis?

Cirrhosis client develops asterixis and lethargy. Most important lab?

Iron deficiency anemia — most consistent finding?

Hemophilia client after a fall — which finding requires immediate intervention?

CKD labs: Hgb 9.8, Plt 150,000, WBC 5,000, Hct 30%. Most concerning?

Polycythemia vera with itching after warm showers. Which instruction?