75 Free NCLEX Questions with Verified Answers
1. Increase in Forced Vital Capacity (FVC)
Forced Vital Capacity is the volume of air exhaled from full
inhalation to full exhalation. A patient with COPD would
The nurse is taking the health history of a patient be- have a decrease in FVC. Incorrect.
ing treated for Emphysema and Chronic Bronchitis. After
2. A narrowed chest cavity
being told the patient has been smoking cigarettes for
A patient with COPD often presents with a 'barrel chest,'
30 years, the nurse expects to note which assessment
which is seen as a widened chest cavity. Incorrect.
finding?
3. Clubbed fingers - CORRECT
1. Increase in Forced Vital Capacity (FVC)
Clubbed fingers are a sign of a long-term, or chronic,
2. A narrowed chest cavity
decrease in oxygen levels.
3. Clubbed fingers
4. An increased risk of cardiac failure 4. An increased risk of cardiac failure
Although a patient with these conditions would indeed be
at an increased risk for cardiac failure, this is a potential
complication and not an assessment finding. Incorrect.
1. Melena - CORRECT
Melena is the finding that there are traces of blood in the
stool which presents as black, tarry feces. This is a common
The nurse is taking the health history of a 70-year-old manifestation of Duodenal Ulcers, since the Duodenum is
patient being treated for a Duodenal Ulcer. After being further down the gastric anatomy.
told the patient is complaining of epigastric pain, the
nurse expects to note which assessment finding? 2. Nausea
Nausea may be present, but is a generalized symptom and
1. Melena by itself doesn't indicate a Duodenal Ulcer. Incorrect.
2. Nausea
3. Hernia 3. Hernia
4. Hyperthermia A Hernia is a protrusion of a segment of the abdomen
through another abdominal structure. It is not associated
with an Ulcer and is a condition, not an assessment find-
ing. Incorrect.
, 75 Free NCLEX Questions with Verified Answers
4. Hyperthermia
Hyperthermia, a high temperature, is not an assessment
finding of a Duodenal Ulcer. Incorrect
1. "I'm going to limit my meals to 2-3 per day to reduce
acid secretion."
A nurse is providing discharge teaching for a patient with CORRECT - Large meals increase the volume and pressure
severe Gastroesophogeal Reflux Disease. Which of these in the stomach and delay gastric emptying. It's recom-
statements by the patient indicates a need for more teach- mended instead to eat 4-6 small meals a day.
ing?
2. "I'm going to make sure to remain upright after meals
1. "I'm going to limit my meals to 2-3 per day to reduce and elevate my head when I sleep"
acid secretion." Incorrect - This is a correct verbalization of health promo-
tion for GERD.
2. "I'm going to make sure to remain upright after meals
and elevate my head when I sleep" 3. "I won't be drinking tea or cottee or eating chocolate
any more."
3. "I won't be drinking tea or cottee or eating chocolate Incorrect - This is a correct verbalization of health promo-
any more." tion for GERD.
4. "I'm going to start trying to lose some weight." 4. "I'm going to start trying to lose some weight."
Incorrect - This is a correct verbalization of health promo-
tion for GERD.
1. Start a large-bore IV in the patient's arm
CORRECT - The nurse should suspect that the patient is
The nurse in the Emergency Room is treating a patient haemorrhaging and will need need a fluid replacement
suspected to have a Peptic Ulcer. On assessing lab results, therapy, which requires a large bore IV.
the nurse finds that the patient's blood pressure is 95/60,
pulse is 110 beats per minute, and the patient reports 2. Ask the patient for a stool sample
epigastric pain. What is the PRIORITY intervention? Incorrect - While this is useful in the diagnosis and as-
sessment of Peptic Ulcer Disease, it is not the priority
intervention.
, 75 Free NCLEX Questions with Verified Answers
3. Prepare to insert an NG Tube
Incorrect - While this intervention may be used in the later
1. Start a large-bore IV in the patient's arm stages of Peptic Ulcer Disease, it is not the first and priority
2. Ask the patient for a stool sample intervention.
3. Prepare to insert an NG Tube
4. Administer intramuscular morphine sulphate as or- 4. Administer intramuscular morphine sulphate as or-
dered dered
Incorrect - While this is an important intervention to man-
age pain, it is not the priority intervention.
1. Hemoglobin 11 g/dl
This is below normal, but a normal female hemoglobin is
12-14. There is a more critical lab result.
A female patient with atrial fibrillation has the following
lab results: Hemoglobin of 11 g/dl, a platelet count of 2. Platelet of 150,000
150,000, an INR of 2.5, and potassium of 2.7 mEq/L. This is also below the normal values, but is not the most
Which result is critical and should be reported to the critical lab result.
physician immediately?
3. INR of 2.5
1. Hemoglobin 11 g/dl This is a therapeutic range for a patient who is taking an
2. Platelet of 150,000 anticoagulant for atrial fibrillation
3. INR of 2.5
4. Potassium of 2.7 mEq/L 4. Potassium of 2.7 mEq/L
CORRECT - A potassium imbalance for a patient with a
history of dysrhythmia can be life-threatening and can
lead to cardiac distress.
1. Stop the saline infusion immediately
While receiving normal saline infusions to treat a GI bleed, CORRECT - the patient has a fluid volume overload as a
the nurse notes that the patient's lower legs have become result of overly rapid fluid replacement. The nurse should
edematous and auscultates crackles in the lungs. What stop the infusion and notify the physician.
should the nurse do first?
2. Notify Physician
, 75 Free NCLEX Questions with Verified Answers
This is not the first action the nurse should take.
1. Stop the saline infusion immediately 3. Elevate the patient's legs
2. Notify Physician This would help with the edema, but is not a priority
3. Elevate the patient's legs
4. Continue the infusion, since these are normal findings 4. Continue the infusion, since these are normal findings
This is not a normal finding
1. They must inform household members of their condi-
tion
Incorrect - Each patient has a right to privacy of their
medical condition. It is their choice whether they inform
household members.
The nurse is working in a support group for clients with
2. They must take their medications exactly as prescribed
HIV. Which point is most important for the nurse to
CORRECT - Antiretrovirals must be taken exactly as pre-
stress?
scribed to prevent drug-resistant strains. Even missed
1. They must inform household members of their condi- doses can reduce the ettectiveness of future treatment.
tion
3. They must abstain from substance use
2. They must take their medications exactly as prescribed
Incorrect - While substance use should be discouraged,
3. They must abstain from substance use
using safe practices with needles can prevent transmission
4. They must avoid large crowds
of HIV.
4. They must avoid large crowds
Incorrect - Avoiding large crowds to prevent infection is
a priority in the later stages of HIV, when the patient has
AIDS.
1. Initiate cardiopulmonary resuscitation
Incorrect - CPR is premature at this point, and there is
another action that can be taken first.
2. Check for a pulse
1. Increase in Forced Vital Capacity (FVC)
Forced Vital Capacity is the volume of air exhaled from full
inhalation to full exhalation. A patient with COPD would
The nurse is taking the health history of a patient be- have a decrease in FVC. Incorrect.
ing treated for Emphysema and Chronic Bronchitis. After
2. A narrowed chest cavity
being told the patient has been smoking cigarettes for
A patient with COPD often presents with a 'barrel chest,'
30 years, the nurse expects to note which assessment
which is seen as a widened chest cavity. Incorrect.
finding?
3. Clubbed fingers - CORRECT
1. Increase in Forced Vital Capacity (FVC)
Clubbed fingers are a sign of a long-term, or chronic,
2. A narrowed chest cavity
decrease in oxygen levels.
3. Clubbed fingers
4. An increased risk of cardiac failure 4. An increased risk of cardiac failure
Although a patient with these conditions would indeed be
at an increased risk for cardiac failure, this is a potential
complication and not an assessment finding. Incorrect.
1. Melena - CORRECT
Melena is the finding that there are traces of blood in the
stool which presents as black, tarry feces. This is a common
The nurse is taking the health history of a 70-year-old manifestation of Duodenal Ulcers, since the Duodenum is
patient being treated for a Duodenal Ulcer. After being further down the gastric anatomy.
told the patient is complaining of epigastric pain, the
nurse expects to note which assessment finding? 2. Nausea
Nausea may be present, but is a generalized symptom and
1. Melena by itself doesn't indicate a Duodenal Ulcer. Incorrect.
2. Nausea
3. Hernia 3. Hernia
4. Hyperthermia A Hernia is a protrusion of a segment of the abdomen
through another abdominal structure. It is not associated
with an Ulcer and is a condition, not an assessment find-
ing. Incorrect.
, 75 Free NCLEX Questions with Verified Answers
4. Hyperthermia
Hyperthermia, a high temperature, is not an assessment
finding of a Duodenal Ulcer. Incorrect
1. "I'm going to limit my meals to 2-3 per day to reduce
acid secretion."
A nurse is providing discharge teaching for a patient with CORRECT - Large meals increase the volume and pressure
severe Gastroesophogeal Reflux Disease. Which of these in the stomach and delay gastric emptying. It's recom-
statements by the patient indicates a need for more teach- mended instead to eat 4-6 small meals a day.
ing?
2. "I'm going to make sure to remain upright after meals
1. "I'm going to limit my meals to 2-3 per day to reduce and elevate my head when I sleep"
acid secretion." Incorrect - This is a correct verbalization of health promo-
tion for GERD.
2. "I'm going to make sure to remain upright after meals
and elevate my head when I sleep" 3. "I won't be drinking tea or cottee or eating chocolate
any more."
3. "I won't be drinking tea or cottee or eating chocolate Incorrect - This is a correct verbalization of health promo-
any more." tion for GERD.
4. "I'm going to start trying to lose some weight." 4. "I'm going to start trying to lose some weight."
Incorrect - This is a correct verbalization of health promo-
tion for GERD.
1. Start a large-bore IV in the patient's arm
CORRECT - The nurse should suspect that the patient is
The nurse in the Emergency Room is treating a patient haemorrhaging and will need need a fluid replacement
suspected to have a Peptic Ulcer. On assessing lab results, therapy, which requires a large bore IV.
the nurse finds that the patient's blood pressure is 95/60,
pulse is 110 beats per minute, and the patient reports 2. Ask the patient for a stool sample
epigastric pain. What is the PRIORITY intervention? Incorrect - While this is useful in the diagnosis and as-
sessment of Peptic Ulcer Disease, it is not the priority
intervention.
, 75 Free NCLEX Questions with Verified Answers
3. Prepare to insert an NG Tube
Incorrect - While this intervention may be used in the later
1. Start a large-bore IV in the patient's arm stages of Peptic Ulcer Disease, it is not the first and priority
2. Ask the patient for a stool sample intervention.
3. Prepare to insert an NG Tube
4. Administer intramuscular morphine sulphate as or- 4. Administer intramuscular morphine sulphate as or-
dered dered
Incorrect - While this is an important intervention to man-
age pain, it is not the priority intervention.
1. Hemoglobin 11 g/dl
This is below normal, but a normal female hemoglobin is
12-14. There is a more critical lab result.
A female patient with atrial fibrillation has the following
lab results: Hemoglobin of 11 g/dl, a platelet count of 2. Platelet of 150,000
150,000, an INR of 2.5, and potassium of 2.7 mEq/L. This is also below the normal values, but is not the most
Which result is critical and should be reported to the critical lab result.
physician immediately?
3. INR of 2.5
1. Hemoglobin 11 g/dl This is a therapeutic range for a patient who is taking an
2. Platelet of 150,000 anticoagulant for atrial fibrillation
3. INR of 2.5
4. Potassium of 2.7 mEq/L 4. Potassium of 2.7 mEq/L
CORRECT - A potassium imbalance for a patient with a
history of dysrhythmia can be life-threatening and can
lead to cardiac distress.
1. Stop the saline infusion immediately
While receiving normal saline infusions to treat a GI bleed, CORRECT - the patient has a fluid volume overload as a
the nurse notes that the patient's lower legs have become result of overly rapid fluid replacement. The nurse should
edematous and auscultates crackles in the lungs. What stop the infusion and notify the physician.
should the nurse do first?
2. Notify Physician
, 75 Free NCLEX Questions with Verified Answers
This is not the first action the nurse should take.
1. Stop the saline infusion immediately 3. Elevate the patient's legs
2. Notify Physician This would help with the edema, but is not a priority
3. Elevate the patient's legs
4. Continue the infusion, since these are normal findings 4. Continue the infusion, since these are normal findings
This is not a normal finding
1. They must inform household members of their condi-
tion
Incorrect - Each patient has a right to privacy of their
medical condition. It is their choice whether they inform
household members.
The nurse is working in a support group for clients with
2. They must take their medications exactly as prescribed
HIV. Which point is most important for the nurse to
CORRECT - Antiretrovirals must be taken exactly as pre-
stress?
scribed to prevent drug-resistant strains. Even missed
1. They must inform household members of their condi- doses can reduce the ettectiveness of future treatment.
tion
3. They must abstain from substance use
2. They must take their medications exactly as prescribed
Incorrect - While substance use should be discouraged,
3. They must abstain from substance use
using safe practices with needles can prevent transmission
4. They must avoid large crowds
of HIV.
4. They must avoid large crowds
Incorrect - Avoiding large crowds to prevent infection is
a priority in the later stages of HIV, when the patient has
AIDS.
1. Initiate cardiopulmonary resuscitation
Incorrect - CPR is premature at this point, and there is
another action that can be taken first.
2. Check for a pulse
