75 NCLEX QUESTIONS WITH CORRECT ANSWERS.LATEST 2026 UPDATE.

75 NCLEX QUESTIONS WITHCORRECT
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ANSWERS n




The nurse is taking the health history of a patient being treated for Emphysema and Chronic B
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ronchitis. After being told the patient has been smoking cigarettes for 30 years, the nurse exp ects
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to note which assessment finding?
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1. Increase in Forced Vital Capacity (FVC) n n n n n




2. A narrowed chest cavity
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3. Clubbed fingers n




4. An increased risk of cardiac failure - CORRECT ANSWER -
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1. Increase in Forced Vital Capacity (FVC) n n n n n




Forced Vital Capacity is the volume of air exhaled from full inhalation to full exhalation. A pati ent
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with COPD would have a decrease in FVC. Incorrect.
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2. A narrowed chest cavity
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A patient with COPD often presents with a 'barrel chest,' which is seen as a widened chest cav ity.
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Incorrect.
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3. Clubbed fingers - CORRECT n n n




Clubbed fingers are a sign of a long-term, or chronic, decrease in oxygen levels.
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4. An increased risk of cardiac failure
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Although a patient with these conditions would indeed be at an increased risk for cardiac failu re,
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this is a potential complication and not an assessment finding. Incorrect.
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,The nurse is taking the health history of a 70-year-
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old patient being treated for a Duodenal Ulcer. After being told the patient is complaining of e
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pigastric pain, the nurse expects to note which assessment finding?
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1. Melena

2. Nausea

3. Hernia

4. Hyperthermia - CORRECT ANSWER -1. Melena - CORRECT n n n n n n n




Melena is the finding that there are traces of blood in the stool which presents as black, tarry
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feces. This is a common manifestation of Duodenal Ulcers, since the Duodenum is further dow n
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the gastric anatomy.
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2. Nausea

Nausea may be present, but is a generalized symptom and by itself doesn't indicate a Duoden al
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Ulcer. Incorrect.
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3. Hernia

A Hernia is a protrusion of a segment of the abdomen through another abdominal structure. I t
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is not associated with an Ulcer and is a condition, not an assessment finding. Incorrect.
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4. Hyperthermia

Hyperthermia, a high temperature, is not an assessment finding of a Duodenal Ulcer. Incorrect n n n n n n n n n n n n n




A nurse is providing discharge teaching for a patient with severe Gastroesophogeal Reflux Dise
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ase. Which of these statements by the patient indicates a need for more teaching?
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1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
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,2. "I'm going to make sure to remain upright after meals and elevate my head when I sleep"
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3. "I won't be drinking tea or coffee or eating chocolate any more."
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4. "I'm going to start trying to lose some weight." - CORRECT ANSWER -
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1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
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CORRECT - n




Large meals increase the volume and pressure in the stomach and delay gastric emptying. It's
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recommended instead to eat 4-6 small meals a day.
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2. "I'm going to make sure to remain upright after meals and elevate my head when I sleep"
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Incorrect - This is a correct verbalization of health promotion for GERD.
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3. "I won't be drinking tea or coffee or eating chocolate any more."
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Incorrect - This is a correct verbalization of health promotion for GERD.
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4. "I'm going to start trying to lose some weight."
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Incorrect - This is a correct verbalization of health promotion for GERD.
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The nurse in the Emergency Room is treating a patient suspected to have a Peptic Ulcer. On as
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sessing lab results, the nurse finds that the patient's blood pressure is 95/60, pulse is 110 beat s
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per minute, and the patient reports epigastric pain. What is the PRIORITY intervention?
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1. Start a large-bore IV in the patient's arm
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2. Ask the patient for a stool sample
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3. Prepare to insert an NG Tube n n n n n




4. Administer intramuscular morphine sulphate as ordered - CORRECT ANSWER -
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1. Start a large-bore IV in the patient's arm
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, CORRECT - n




The nurse should suspect that the patient is haemorrhaging and will need need a fluid replac
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ement therapy, which requires a large bore IV.
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2. Ask the patient for a stool sample
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Incorrect -
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While this is useful in the diagnosis and assessment of Peptic Ulcer Disease, it is not the prior ity
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intervention.
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3. Prepare to insert an NG Tube n n n n n




Incorrect -
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While this intervention may be used in the later stages of Peptic Ulcer Disease, it is not the fir st
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and priority intervention.
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4. Administer intramuscular morphine sulphate as ordered n n n n n




Incorrect -
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While this is an important intervention to manage pain, it is not the priority intervention.
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A female patient with atrial fibrillation has the following lab results: Hemoglobin of 11 g/dl, a
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platelet count of 150,000, an INR of 2.5, and potassium of 2.7 mEq/L. Which result is critical a nd
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should be reported to the physician immediately?
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1. Hemoglobin 11 g/dl n n




2. Platelet of 150,000 n n




3. INR of 2.5 n n




4. Potassium of 2.7 mEq/L - CORRECT ANSWER -1. Hemoglobin 11 g/dl
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This is below normal, but a normal female hemoglobin is 12-
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14. There is a more critical lab result.
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