NCLEX Practice Test 2 | Free Practice Questions

The second test also contains multiple MCQ questions covering a variety of NCLEX topics. Each question includes step-by-step explanations, so you can learn from your mistakes and strengthen your exam readiness.

Working through these practice test questions is the most effective way to prepare for your real exam.

NCLEX Practice Test 2

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Question 1

A client with pancreatitis reports severe abdominal pain and restlessness. BP drops to 86/50.

Priority?

A
Pain medication
B
Check O₂ sat
C
Rapid IV fluids
D
Position supine
Question 1 Explanation: 
Possible shock.
Question 2

A 72-year-old client with a history of heart failure is admitted for pneumonia. During the night shift, the nurse notes the client is restless, coughing, and has new crackles. IV fluids are infusing at 125 mL/hr. BP 168/92, HR 112, RR 28, SpO₂ 90% on 2 L nasal cannula.

What is the nurse’s priority action?

A
Increase oxygen to 6 L
B
Stop the IV fluids
C
Administer prescribed antibiotic
D
Assist the client to the bathroom
Question 2 Explanation: 
This is likely fluid overload → pulmonary edema. The IV fluids are worsening the problem. Remove the cause first.
Question 3

A postoperative abdominal surgery client suddenly reports severe incisional pain, nausea, and a “popping” sensation when coughing. The nurse observes serosanguineous drainage on the dressing and loops of bowel visible at the incision.

What should the nurse do first?

A
Apply an abdominal binder
B
Cover the wound with sterile saline-soaked dressings
C
Call the provider
D
Place the client in high Fowler’s
Question 3 Explanation: 
This is wound evisceration. Protect organs from drying and infection immediately.
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