NCLEX EXAM vc
Exam Solution vc
Nclex questions for Fundamentals of Nursing with ratio vc vc vc vc vc vc vc
nale 2026 A+ GRADE ASSURED COMPLETE SOLUTIONS vc vc vc vc vc vc vc
AND VERIFIED ANSWERS (96909) vc vc vc
QUESTION 1 vc
A 73-year-
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old patient who sustained a right hip fracture in a fall requests pain medication from the
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nurse. Based on his injury, which type of pain is this patient most likely experiencing? 1)
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Phantom 2) Visceral 3) Deep somatic 4) Referred
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ANSWER
Answer: 3) Deep somatic Rationale: Deep somatic pain originates in ligaments, tendons, nerves, blood v
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essels, and bones. Therefore, a hip fracture causes deep somatic pain. Phantom pain is pain that is perce
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ived to originate from a part that was removed during surgery. Visceral pain is caused by deep internal
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pain receptors and commonly occurs in the abdominal cavity, cranium, and thorax. Referred pain occurs
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in an area that is distant to the original site.
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QUESTION 2 vc
Which pain management task can the nurse safely delegate to nursing assistive personne
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l? 1) Asking about pain during vital signs 2) Evaluating the effectiveness of pain medicati
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on 3) Developing a plan of care involving nonpharmacologic interventions 4) Administer
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ing over-the-counter pain medications
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ANSWER
Answer: 1) Asking about pain during vital signs Rationale: The nurse can delegate the task of asking abo
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ut pain when nursing assistive personnel (NAP) obtain vital signs. The NAP must be instructed to report
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findings to the nurse without delay. The nurse should evaluate the effectiveness of pain medications an
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d develop the plan of care. Administering over-the-
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counter and prescription medications is the responsibility of the registered nurse or licensed practical n
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urse.
QUESTION 3 vc
,Which factor in the patient's past medical history dictates that the nurse exercise cautio
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n when administering acetaminophen (Tylenol)? 1) Hepatitis B 2) Occasional alcohol use
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3) Allergy to aspirin 4) Gastric irritation with bleeding
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ANSWER
Answer: 1) Hepatitis B Rationale: Even in recommended doses, acetaminophen can cause severe hepatot
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oxicity in patients with liver disease, such as hepatitis
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B. Patients who consume alcohol regularly should also use acetaminophen cautiously. Those allergic to a
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spirin or other nonsteroidal anti-
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inflammatory drugs (NSAIDs) can use acetaminophen safely. Acetaminophen rarely causes gastrointesti
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nal (GI) problems; therefore, it can be used for those with a history of gastric irritation and bleeding.
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QUESTION 4 vc
Which action should the nurse take before administering morphine 4.0 mg intravenousl
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y to a patient complaining of incisional pain? 1) Assess the patient's incision. 2) Clarify th
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e order with the prescriber. 3) Assess the patient's respiratory status. 4) Monitor the pat
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ient's heart rate. vc vc
ANSWER
Answer: 3) Assess the patient's respiratory status. Rationale: Before administering an opioid analgesic, s
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uch as morphine, the nurse should assess the patient's respiratory status because opioid analgesics can
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cause respiratory depression. It is not necessary to clarify the order with the physician because morphi
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ne 4 mg IV is an appropriate dose. It is not necessary to monitor the patient's heart rate.
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QUESTION 5 vc
The nurse administers codeine sulfate 30 mg orally to a patient who underwent cranioto
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my 3 days ago for a brain tumor. How soon after administration should the nurse reasse
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ss the patient's pain? 1) Immediately 2) In 10 minutes 3) In 15 minutes 4) In 60 minutes
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ANSWER
Answer: 4) In 60 minutes Rationale: Codeine administered by the oral route reaches peak concentration
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in 60 minutes; therefore, the nurse should reassess the patient's pain 60 minutes after administration. T
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he nurse should reassess pain after 10 minutes when administering codeine by the intramuscular or su
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bcutaneous routes. Drugs administered by the intravenous (IV) route are effective almost immediately;
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however, codeine is not recommended for IV administration.
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QUESTION 6 vc
Which nonsteroidal anti- vc vc
inflammatory drug might be administered to inhibit platelet aggregation in a patient at r
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isk for thrombophlebitis? 1) Ibuprofen (Motrin) 2) Celecoxib (Celebrex) 3) Aspirin (Ecot
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rin) 4) Indomethacin (Indocin)
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ANSWER
, Answer: 3) Aspirin (Ecotrin) Rationale: Aspirin is a unique NSAID that inhibits platelet aggregation. Low
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-
dose aspirin therapy is commonly administered to decrease the risk of thrombophlebitis, myocardial inf
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arction, and stroke. Ibuprofen, celecoxib, and indomethacin are NSAIDs, but they do not inhibit platelet
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aggregation.
QUESTION 7 vc
The nurse assesses clients' breath sounds. Which one requires immediate medical attent
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ion? A client who has: 1) Crackles 2) Rhonchi 3) Stridor 4) Wheezes
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ANSWER
Answer: 3) Stridor Rationale: Stridor is a sign of respiratory distress, possibly airway obstruction. Crack
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les and rhonchi indicate fluid in the lung; wheezes are caused by narrowing of the airway. Crackles, rho
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nchi, and wheezes indicate respiratory illness and are potentially serious but do not necessarily indicate
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respiratory distress that requires immediate medical attention.
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QUESTION 8 vc
The nurse assesses the client's pedal pulses as having a pulse volume of 1 on a scale of 0
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to 3. Based on this assessment finding, it would be important for the nurse to also assess
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the: 1) Pulse deficit 2) Blood pressure 3) Apical pulse 4) Pulse pressure
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ANSWER
Answer: 2) Blood pressure Rationale: If the leg pulses are weak, the nurse should assess the blood press
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ure in order to further explore the reason for the low pulse volume. If the blood pressure is low, then a
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low pulse volume would be expected. The pulse deficit is the difference between the apical and radial p
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ulse. The apical pulse would not be helpful to assess peripheral circulation. The pulse pressure is the dif
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ference between the systolic and diastolic pressures.
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QUESTION 9 vc
Which of the following clients has indications of orthostatic hypotension? A client whose
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blood pressure is: 1) 118/68 when standing and 110/72 when lying down 2) 140/80, HR
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82 bpm when sitting and 136/76, HR 98 bpm when standing 3) 126/72 lying down and
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133/80 when sitting, and reports shortness of breath 4) 146/88 when lying down and 13
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0/78 when standing, and reports feeling dizzy
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ANSWER
Answer: 4) 146/88 when lying down and 130/78 when standing, and reports feeling dizzy Rationale: Or
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thostatic hypotension is a drop of 10 mm Hg or more in blood pressure upon moving to a standing posit
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ion, with complaints of feeling dizzy and/or faint.
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QUESTION 10 vc
Exam Solution vc
Nclex questions for Fundamentals of Nursing with ratio vc vc vc vc vc vc vc
nale 2026 A+ GRADE ASSURED COMPLETE SOLUTIONS vc vc vc vc vc vc vc
AND VERIFIED ANSWERS (96909) vc vc vc
QUESTION 1 vc
A 73-year-
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old patient who sustained a right hip fracture in a fall requests pain medication from the
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nurse. Based on his injury, which type of pain is this patient most likely experiencing? 1)
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Phantom 2) Visceral 3) Deep somatic 4) Referred
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ANSWER
Answer: 3) Deep somatic Rationale: Deep somatic pain originates in ligaments, tendons, nerves, blood v
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essels, and bones. Therefore, a hip fracture causes deep somatic pain. Phantom pain is pain that is perce
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ived to originate from a part that was removed during surgery. Visceral pain is caused by deep internal
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pain receptors and commonly occurs in the abdominal cavity, cranium, and thorax. Referred pain occurs
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in an area that is distant to the original site.
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QUESTION 2 vc
Which pain management task can the nurse safely delegate to nursing assistive personne
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l? 1) Asking about pain during vital signs 2) Evaluating the effectiveness of pain medicati
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
on 3) Developing a plan of care involving nonpharmacologic interventions 4) Administer
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ing over-the-counter pain medications
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ANSWER
Answer: 1) Asking about pain during vital signs Rationale: The nurse can delegate the task of asking abo
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ut pain when nursing assistive personnel (NAP) obtain vital signs. The NAP must be instructed to report
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findings to the nurse without delay. The nurse should evaluate the effectiveness of pain medications an
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
d develop the plan of care. Administering over-the-
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counter and prescription medications is the responsibility of the registered nurse or licensed practical n
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urse.
QUESTION 3 vc
,Which factor in the patient's past medical history dictates that the nurse exercise cautio
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n when administering acetaminophen (Tylenol)? 1) Hepatitis B 2) Occasional alcohol use
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3) Allergy to aspirin 4) Gastric irritation with bleeding
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ANSWER
Answer: 1) Hepatitis B Rationale: Even in recommended doses, acetaminophen can cause severe hepatot
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oxicity in patients with liver disease, such as hepatitis
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B. Patients who consume alcohol regularly should also use acetaminophen cautiously. Those allergic to a
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spirin or other nonsteroidal anti-
vc vc vc vc
inflammatory drugs (NSAIDs) can use acetaminophen safely. Acetaminophen rarely causes gastrointesti
vc vc vc vc vc vc vc vc vc vc
nal (GI) problems; therefore, it can be used for those with a history of gastric irritation and bleeding.
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 4 vc
Which action should the nurse take before administering morphine 4.0 mg intravenousl
vc vc vc vc vc vc vc vc vc vc vc
y to a patient complaining of incisional pain? 1) Assess the patient's incision. 2) Clarify th
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e order with the prescriber. 3) Assess the patient's respiratory status. 4) Monitor the pat
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ient's heart rate. vc vc
ANSWER
Answer: 3) Assess the patient's respiratory status. Rationale: Before administering an opioid analgesic, s
vc vc vc vc vc vc vc vc vc vc vc vc vc
uch as morphine, the nurse should assess the patient's respiratory status because opioid analgesics can
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
cause respiratory depression. It is not necessary to clarify the order with the physician because morphi
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ne 4 mg IV is an appropriate dose. It is not necessary to monitor the patient's heart rate.
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QUESTION 5 vc
The nurse administers codeine sulfate 30 mg orally to a patient who underwent cranioto
vc vc vc vc vc vc vc vc vc vc vc vc vc
my 3 days ago for a brain tumor. How soon after administration should the nurse reasse
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ss the patient's pain? 1) Immediately 2) In 10 minutes 3) In 15 minutes 4) In 60 minutes
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ANSWER
Answer: 4) In 60 minutes Rationale: Codeine administered by the oral route reaches peak concentration
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in 60 minutes; therefore, the nurse should reassess the patient's pain 60 minutes after administration. T
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he nurse should reassess pain after 10 minutes when administering codeine by the intramuscular or su
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bcutaneous routes. Drugs administered by the intravenous (IV) route are effective almost immediately;
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however, codeine is not recommended for IV administration.
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QUESTION 6 vc
Which nonsteroidal anti- vc vc
inflammatory drug might be administered to inhibit platelet aggregation in a patient at r
vc vc vc vc vc vc vc vc vc vc vc vc vc
isk for thrombophlebitis? 1) Ibuprofen (Motrin) 2) Celecoxib (Celebrex) 3) Aspirin (Ecot
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rin) 4) Indomethacin (Indocin)
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ANSWER
, Answer: 3) Aspirin (Ecotrin) Rationale: Aspirin is a unique NSAID that inhibits platelet aggregation. Low
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-
dose aspirin therapy is commonly administered to decrease the risk of thrombophlebitis, myocardial inf
vc vc vc vc vc vc vc vc vc vc vc vc vc
arction, and stroke. Ibuprofen, celecoxib, and indomethacin are NSAIDs, but they do not inhibit platelet
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aggregation.
QUESTION 7 vc
The nurse assesses clients' breath sounds. Which one requires immediate medical attent
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ion? A client who has: 1) Crackles 2) Rhonchi 3) Stridor 4) Wheezes
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ANSWER
Answer: 3) Stridor Rationale: Stridor is a sign of respiratory distress, possibly airway obstruction. Crack
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les and rhonchi indicate fluid in the lung; wheezes are caused by narrowing of the airway. Crackles, rho
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nchi, and wheezes indicate respiratory illness and are potentially serious but do not necessarily indicate
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respiratory distress that requires immediate medical attention.
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QUESTION 8 vc
The nurse assesses the client's pedal pulses as having a pulse volume of 1 on a scale of 0
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to 3. Based on this assessment finding, it would be important for the nurse to also assess
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the: 1) Pulse deficit 2) Blood pressure 3) Apical pulse 4) Pulse pressure
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ANSWER
Answer: 2) Blood pressure Rationale: If the leg pulses are weak, the nurse should assess the blood press
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ure in order to further explore the reason for the low pulse volume. If the blood pressure is low, then a
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
low pulse volume would be expected. The pulse deficit is the difference between the apical and radial p
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ulse. The apical pulse would not be helpful to assess peripheral circulation. The pulse pressure is the dif
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ference between the systolic and diastolic pressures.
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QUESTION 9 vc
Which of the following clients has indications of orthostatic hypotension? A client whose
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blood pressure is: 1) 118/68 when standing and 110/72 when lying down 2) 140/80, HR
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82 bpm when sitting and 136/76, HR 98 bpm when standing 3) 126/72 lying down and
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133/80 when sitting, and reports shortness of breath 4) 146/88 when lying down and 13
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0/78 when standing, and reports feeling dizzy
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ANSWER
Answer: 4) 146/88 when lying down and 130/78 when standing, and reports feeling dizzy Rationale: Or
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thostatic hypotension is a drop of 10 mm Hg or more in blood pressure upon moving to a standing posit
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ion, with complaints of feeling dizzy and/or faint.
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QUESTION 10 vc
