NCLEX EXAM ms ms
Exam Solution ms
75 Free NCLEX Questions c/o BrilliantNurse.com 2026
ms ms ms ms ms ms ms
A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERI
ms ms ms ms ms ms
FIED ANSWERS (9DE57) ms ms
QUESTION 1 ms
The nurse is taking the health history of a patient being treated for Emphysema and C
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
hronic Bronchitis. After being told the patient has been smoking cigarettes for 30 year
ms ms ms ms ms ms ms ms ms ms ms ms ms
s, the nurse expects to note which assessment finding? 1. Increase in Forced Vital Cap
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
acity (FVC) 2. A narrowed chest cavity 3. Clubbed fingers 4. An increased risk of cardi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ac failurems
ANSWER
1. Increase in Forced Vital Capacity (FVC) Forced Vital Capacity is the volume of air exhaled from fu
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ll inhalation to full exhalation. A patient with COPD would have a decrease in FVC. Incorrect. 2. A na
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
rrowed chest cavity A patient with COPD often presents with a 'barrel chest,' which is seen as a wid
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ened chest cavity. Incorrect. 3. Clubbed fingers - CORRECT Clubbed fingers are a sign of a long-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
term, or chronic, decrease in oxygen levels. 4. An increased risk of cardiac failure Although a patient
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
with these conditions would indeed be at an increased risk for cardiac failure, this is a potential co
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
mplication and not an assessment finding. Incorrect.
ms ms ms ms ms ms
QUESTION 2 ms
The nurse is taking the health history of a 70-year-
ms ms ms ms ms ms ms ms ms
old patient being treated for a Duodenal Ulcer. After being told the patient is complai
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ning of epigastric pain, the nurse expects to note which assessment finding? 1. Melena
ms ms ms ms ms ms ms ms ms ms ms ms ms
2. Nausea 3. Hernia 4. Hyperthermia
ms ms ms ms ms ms
ANSWER
1. Melena -
ms ms
CORRECT Melena is the finding that there are traces of blood in the stool which presents as black,
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
tarry feces. This is a common manifestation of Duodenal Ulcers, since the Duodenum is further dow
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
n the gastric anatomy. 2. Nausea Nausea may be present, but is a generalized symptom and by itself
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
doesn't indicate a Duodenal Ulcer. Incorrect. 3. Hernia A Hernia is a protrusion of a segment of the
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
abdomen through another abdominal structure. It is not associated with an Ulcer and is a condition,
s ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
, not an assessment finding. Incorrect. 4. Hyperthermia Hyperthermia, a high temperature, is not an a
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ssessment finding of a Duodenal Ulcer. Incorrect
ms ms ms ms ms ms
QUESTION 3 ms
A female patient with atrial fibrillation has the following lab results: Hemoglobin of 1
ms ms ms ms ms ms ms ms ms ms ms ms ms
1 g/dl, a platelet count of 150,000, an INR of 2.5, and potassium of 2.7 mEq/L. Which
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
result is critical and should be reported to the physician immediately? 1. Hemoglobin
ms ms ms ms ms ms ms ms ms ms ms ms ms
11 g/dl 2. Platelet of 150,000 3. INR of 2.5 4. Potassium of 2.7 mEq/L
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ANSWER
1. Hemoglobin 11 g/dl This is below normal, but a normal female hemoglobin is 12-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
14. There is a more critical lab result. 2. Platelet of 150,000 This is also below the normal values, b
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ut is not the most critical lab result. 3. INR of 2.5 This is a therapeutic range for a patient who is ta
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
king an anticoagulant for atrial fibrillation 4. Potassium of 2.7 mEq/L CORRECT -
ms ms ms ms ms ms ms ms ms ms ms ms
A potassium imbalance for a patient with a history of dysrhythmia can be life-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
threatening and can lead to cardiac distress. ms ms ms ms ms ms
QUESTION 4 ms
While receiving normal saline infusions to treat a GI bleed, the nurse notes that the p
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
atient's lower legs have become edematous and auscultates crackles in the lungs. Wha
ms ms ms ms ms ms ms ms ms ms ms ms
t should the nurse do first? 1. Stop the saline infusion immediately 2. Notify Physician
ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
3. Elevate the patient's legs 4. Continue the infusion, since these are normal findings
s ms ms ms ms ms ms ms ms ms ms ms ms ms
ANSWER
1. Stop the saline infusion immediately CORRECT -
ms ms ms ms ms ms ms
the patient has a fluid volume overload as a result of overly rapid fluid replacement. The nurse sho
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
uld stop the infusion and notify the physician. 2. Notify Physician This is not the first action the nur
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
se should take. 3. Elevate the patient's legs This would help with the edema, but is not a priority 4.
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
Continue the infusion, since these are normal findings This is not a normal finding
ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 5 ms
The nurse is working in a support group for clients with HIV. Which point is most im
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
portant for the nurse to stress? 1. They must inform household members of their con
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
dition 2. They must take their medications exactly as prescribed 3. They must abstain
ms ms ms ms ms ms ms ms ms ms ms ms ms m
from substance use 4. They must avoid large crowds
s ms ms ms ms ms ms ms ms
ANSWER
1. They must inform household members of their condition Incorrect -
ms ms ms ms ms ms ms ms ms ms
Each patient has a right to privacy of their medical condition. It is their choice whether they infor
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
m household members. 2. They must take their medications exactly as prescribed CORRECT -
ms ms ms ms ms ms ms ms ms ms ms ms ms
Antiretrovirals must be taken exactly as prescribed to prevent drug-
ms ms ms ms ms ms ms ms ms ms
resistant strains. Even missed doses can reduce the effectiveness of future treatment. 3. They must a
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
bstain from substance use Incorrect -
ms ms ms ms ms
Exam Solution ms
75 Free NCLEX Questions c/o BrilliantNurse.com 2026
ms ms ms ms ms ms ms
A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERI
ms ms ms ms ms ms
FIED ANSWERS (9DE57) ms ms
QUESTION 1 ms
The nurse is taking the health history of a patient being treated for Emphysema and C
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
hronic Bronchitis. After being told the patient has been smoking cigarettes for 30 year
ms ms ms ms ms ms ms ms ms ms ms ms ms
s, the nurse expects to note which assessment finding? 1. Increase in Forced Vital Cap
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
acity (FVC) 2. A narrowed chest cavity 3. Clubbed fingers 4. An increased risk of cardi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ac failurems
ANSWER
1. Increase in Forced Vital Capacity (FVC) Forced Vital Capacity is the volume of air exhaled from fu
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ll inhalation to full exhalation. A patient with COPD would have a decrease in FVC. Incorrect. 2. A na
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
rrowed chest cavity A patient with COPD often presents with a 'barrel chest,' which is seen as a wid
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ened chest cavity. Incorrect. 3. Clubbed fingers - CORRECT Clubbed fingers are a sign of a long-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
term, or chronic, decrease in oxygen levels. 4. An increased risk of cardiac failure Although a patient
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
with these conditions would indeed be at an increased risk for cardiac failure, this is a potential co
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
mplication and not an assessment finding. Incorrect.
ms ms ms ms ms ms
QUESTION 2 ms
The nurse is taking the health history of a 70-year-
ms ms ms ms ms ms ms ms ms
old patient being treated for a Duodenal Ulcer. After being told the patient is complai
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ning of epigastric pain, the nurse expects to note which assessment finding? 1. Melena
ms ms ms ms ms ms ms ms ms ms ms ms ms
2. Nausea 3. Hernia 4. Hyperthermia
ms ms ms ms ms ms
ANSWER
1. Melena -
ms ms
CORRECT Melena is the finding that there are traces of blood in the stool which presents as black,
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
tarry feces. This is a common manifestation of Duodenal Ulcers, since the Duodenum is further dow
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
n the gastric anatomy. 2. Nausea Nausea may be present, but is a generalized symptom and by itself
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
doesn't indicate a Duodenal Ulcer. Incorrect. 3. Hernia A Hernia is a protrusion of a segment of the
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
abdomen through another abdominal structure. It is not associated with an Ulcer and is a condition,
s ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
, not an assessment finding. Incorrect. 4. Hyperthermia Hyperthermia, a high temperature, is not an a
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ssessment finding of a Duodenal Ulcer. Incorrect
ms ms ms ms ms ms
QUESTION 3 ms
A female patient with atrial fibrillation has the following lab results: Hemoglobin of 1
ms ms ms ms ms ms ms ms ms ms ms ms ms
1 g/dl, a platelet count of 150,000, an INR of 2.5, and potassium of 2.7 mEq/L. Which
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
result is critical and should be reported to the physician immediately? 1. Hemoglobin
ms ms ms ms ms ms ms ms ms ms ms ms ms
11 g/dl 2. Platelet of 150,000 3. INR of 2.5 4. Potassium of 2.7 mEq/L
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ANSWER
1. Hemoglobin 11 g/dl This is below normal, but a normal female hemoglobin is 12-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
14. There is a more critical lab result. 2. Platelet of 150,000 This is also below the normal values, b
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ut is not the most critical lab result. 3. INR of 2.5 This is a therapeutic range for a patient who is ta
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
king an anticoagulant for atrial fibrillation 4. Potassium of 2.7 mEq/L CORRECT -
ms ms ms ms ms ms ms ms ms ms ms ms
A potassium imbalance for a patient with a history of dysrhythmia can be life-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
threatening and can lead to cardiac distress. ms ms ms ms ms ms
QUESTION 4 ms
While receiving normal saline infusions to treat a GI bleed, the nurse notes that the p
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
atient's lower legs have become edematous and auscultates crackles in the lungs. Wha
ms ms ms ms ms ms ms ms ms ms ms ms
t should the nurse do first? 1. Stop the saline infusion immediately 2. Notify Physician
ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
3. Elevate the patient's legs 4. Continue the infusion, since these are normal findings
s ms ms ms ms ms ms ms ms ms ms ms ms ms
ANSWER
1. Stop the saline infusion immediately CORRECT -
ms ms ms ms ms ms ms
the patient has a fluid volume overload as a result of overly rapid fluid replacement. The nurse sho
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
uld stop the infusion and notify the physician. 2. Notify Physician This is not the first action the nur
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
se should take. 3. Elevate the patient's legs This would help with the edema, but is not a priority 4.
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
Continue the infusion, since these are normal findings This is not a normal finding
ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 5 ms
The nurse is working in a support group for clients with HIV. Which point is most im
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
portant for the nurse to stress? 1. They must inform household members of their con
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
dition 2. They must take their medications exactly as prescribed 3. They must abstain
ms ms ms ms ms ms ms ms ms ms ms ms ms m
from substance use 4. They must avoid large crowds
s ms ms ms ms ms ms ms ms
ANSWER
1. They must inform household members of their condition Incorrect -
ms ms ms ms ms ms ms ms ms ms
Each patient has a right to privacy of their medical condition. It is their choice whether they infor
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
m household members. 2. They must take their medications exactly as prescribed CORRECT -
ms ms ms ms ms ms ms ms ms ms ms ms ms
Antiretrovirals must be taken exactly as prescribed to prevent drug-
ms ms ms ms ms ms ms ms ms ms
resistant strains. Even missed doses can reduce the effectiveness of future treatment. 3. They must a
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
bstain from substance use Incorrect -
ms ms ms ms ms
