NCLEX-RN — Practice Questions, Part 2 flashcards
6 of 75 questions free to study here · 24 topics · the whole deck is built into Willys
Multiple-choice practice questions, one best answer each, on diabetes, thyroid, adrenal and kidney care, GI bleeding, liver, neuro, orthopedics, chemotherapy, oncologic emergencies and transfusion.
Practice deck · part of NCLEX-RN · written against: NCSBN 2026 NCLEX-RN Test Plan, in effect from 1 April 2026 (Next Generation NCLEX; client-needs categories and percentages unchanged from 2023, fact-checked 2026-10-11). Updated 2026-10-10.
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The 6 sample questions as a list
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A client with type 1 diabetes is admitted in diabetic ketoacidosis with deep, rapid respirations, dry mucous membranes and a low blood pressure. The provider has ordered IV fluids, an IV insulin infusion and potassium replacement. Which order should the nurse implement first?
A) Hang the IV potassium replacement
B) Start the continuous IV insulin infusion
C) Send a urine specimen for ketone testing
D) Start the IV isotonic saline infusionD) Start the IV isotonic saline infusionDiabetes Emergencies
The osmotic diuresis of DKA leaves the client severely dehydrated, so restoring circulating volume with isotonic saline comes first. Insulin follows, and only once the potassium level is known, because insulin drives potassium into the cells. -
During morning assessment, the nurse cannot feel a thrill or hear a bruit over a client's arteriovenous fistula. Which action should the nurse take?
A) Apply a warm pack and massage over the site
B) Notify the provider immediately
C) Elevate the arm and recheck it in 4 hours
D) Take a blood pressure in that arm to check flowB) Notify the provider immediatelyDialysis
A thrill and bruit show blood moving through the access; their absence suggests the fistula has clotted, which needs prompt treatment to save it. Blood pressures are never taken in the access arm. -
A client arrives with sudden facial droop and arm weakness that began 1 hour ago. A thrombolytic is being considered. Which test must be completed before it is given?
A) A transthoracic echocardiogram
B) A bedside swallow screen
C) A non-contrast CT scan of the head
D) A lumbar puncture for a cerebrospinal fluid cell countC) A non-contrast CT scan of the headStroke
Hemorrhagic stroke must be ruled out first, because a clot-dissolving drug would worsen bleeding in the brain. The swallow screen is required before anything by mouth but does not decide whether thrombolysis is safe. -
A client after a total hip replacement feels a pop, has sudden severe hip pain, and the leg looks shorter and rotated. Which action should the nurse take?
A) Apply ice and reassess the pain in one hour
B) Turn the leg back to midline to realign it
C) Help the client walk a few steps to test the hip
D) Keep the client still and notify the surgeonD) Keep the client still and notify the surgeonHip & Joint Replacement
These findings suggest dislocation of the prosthesis; the nurse keeps the client still, checks neurovascular status and calls the surgeon. Trying to realign the leg can damage nerves, vessels or the implant. -
During a vesicant chemotherapy infusion, the client reports burning at the IV site, which is swelling. Which action should the nurse take first?
A) Apply a warm compress
B) Flush the line with saline
C) Stop the infusion
D) Slow the infusion rateC) Stop the infusionChemotherapy Effects
A vesicant can destroy tissue, so stopping further leakage comes first; the extravasation protocol for that drug then guides aspiration, the antidote and compresses. Flushing pushes more drug into the tissue. -
Minutes into a unit of packed red blood cells, the client has chills, low back pain, chest tightness and a falling blood pressure. Which action should the nurse take first?
A) Slow the transfusion rate
B) Give the ordered antipyretic
C) Stop the transfusion
D) Call the blood bankC) Stop the transfusionBlood Transfusion
These signs suggest an acute hemolytic reaction, which is life-threatening, so no more donor blood is given. The line is then kept open with normal saline through new tubing, and the provider and blood bank are notified.
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About these cards
Review status: Second-reader reviewed, with corrections applied.
Checked against:
- Topic outline follows the NCSBN 2026 NCLEX-RN Test Plan, in effect from 1 April 2026 (no text copied).
- Checked against Open RN Health Alterations and Open RN Nursing Pharmacology, 2e (Chippewa Valley Technical College, CC BY 4.0) and MedlinePlus (U.S. National Library of Medicine); reference only, no text copied.
- OpenStax Anatomy and Physiology 2e and OpenStax Medical-Surgical Nursing, consulted as references; no text copied.
- Diabetes emergency and sick-day principles cross-checked against American Diabetes Association patient guidance; stroke screening against American Stroke Association public guidance; hepatitis transmission against CDC viral hepatitis pages (public domain); reference only.
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