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NCLEX-RN VIP Practice Exam II — Advanced Clinical Scenarios

NCLEX — The NCLEX-RN is administered by the National Council of State Boards of Nursing (NCSBN) using Computerized Adaptive Testing (CAT); the Next Generation NCLEX (NGN), launched April 2023, runs 85–150 questions over 5 hours with no fixed pass percentage — a logistic regression competency threshold determines pass/fail across eight client needs categories.

30
Questions
300m
Time Limit
75.00%
To Pass
Question 1 of 30👑 VIP

A 68-year-old male with atrial fibrillation is prescribed warfarin 5 mg PO daily. His morning INR result is 4.8. He denies any active bleeding, bruising, or hematuria. His vital signs are: BP 138/82 mmHg, HR 74 bpm (irregular), RR 16, SpO2 97%. Which action should the nurse take FIRST?

Questions 2–30 and full explanations are VIP-exclusive.