VIP Exclusive
Healthcare and Nursing VIP Certification Practice Exam (NCLEX-RN Style)
Healthcare and Nursing — This exam mirrors the NCLEX-RN (National Council Licensure Examination for Registered Nurses), administered by the National Council of State Boards of Nursing (NCSBN). The Next Generation NCLEX (NGN) uses computerized adaptive testing with 70–135 scored items across four client needs categories: Safe and Effective Care Environment, Health Promotion and Maintenance, Psychosocial Integrity, and Physiological Integrity. The real exam has a 5-hour time limit and uses a pass/fail standard based on logistic ability estimation rather than a fixed percentage.
30
Questions
90m
Time Limit
75.00%
To Pass
Question 1 of 30👑 VIP
A 68-year-old male patient with a history of heart failure is admitted with shortness of breath. His vital signs are: BP 158/94 mmHg, HR 112 bpm, RR 26 breaths/min, SpO2 88% on room air. On auscultation, the nurse notes bilateral crackles in the lung bases and the patient is using accessory muscles to breathe. The physician orders furosemide 40 mg IV push. Which assessment finding should the nurse evaluate FIRST after administering the medication?
Questions 2–30 and full explanations are VIP-exclusive.