NCLEX-RN · full test
NCLEX-RN case study 2: short of breath after running out of a water pill
One unfolding case study in the Next Generation format: an older man admitted with worsening heart failure. Six items follow the six clinical judgment steps in order, and one of them is a dosage calculation. Open every tab of the chart before you answer. Select-all and highlight items are scored by the NCSBN plus/minus rule: a point for each correct choice, a point off for each wrong one, never below zero. Matrix items, where each row has one stated answer, earn a point for each correct row with no deduction, and the paired drop-down item scores its point only when both parts are right. Content follows the 2026 NCLEX-RN Test Plan (effective April 1, 2026).
The real NCLEX-RN is computer-adaptive: 85 to 150 items in up to five hours, and it stops when it is 95% certain you are above or below the passing standard. This is fixed-length practice of the same item types, so it gives a percentage and a client-needs breakdown, not a pass or fail.
Exam mode: timed, answers at the end, like the real test. Practice mode: untimed, the answer and explanation after each question.
What is in this test
Covers: clinical judgment (6)
A sample question
Generate solutions. Which interventions should the nurse include in this client's plan of care for the first 24 hours? Select all that apply.
- Keep the head of the bed in high Fowler's position
- Titrate oxygen to keep the SpO2 at 92% or above
- Weigh the client at 0600 each day on the same scale
- Encourage 3 L of oral fluids a day to protect the kidneys
- Raise both legs on pillows above heart level
- Record strict intake and output
- Provide the prescribed 2 g sodium diet
- Hold carvedilol until the client is back to his dry weight
Marked when you take the test; the explanation appears in your review.