75 FREE NCLEX QUESTIONS – C O
BRILLIANTNURSE.COM QUESTIONS
WITH CORRECT ANSWERS
The ggnurse ggis ggtaking ggthe gghealth gghistory ggof gga ggpatient ggbeing ggtreated ggfor
ggEmphysema ggand ggChronic ggBronchitis. ggAfter ggbeing ggtold ggthe ggpatient gghas
ggbeen ggsmoking ggcigarettes ggfor gg30 ggyears, ggthe ggnurse ggexpects ggto ggnote ggwhich
ggassessment ggfinding?
1. ggIncrease ggin ggForced ggVital ggCapacity gg(FVC)
2. ggA ggnarrowed ggchest ggcavity
3. ggClubbed ggfingers gg
4. ggAn ggincreased ggrisk ggof ggcardiac ggfailure gg- ggAnswer gg1. ggIncrease ggin ggForced
ggVital ggCapacity gg(FVC)
Forced ggVital ggCapacity ggis ggthe ggvolume ggof ggair ggexhaled ggfrom ggfull gginhalation
ggto ggfull ggexhalation. ggA ggpatient ggwith ggCOPD ggwould gghave gga ggdecrease ggin
ggFVC. ggIncorrect.
2. ggA ggnarrowed ggchest ggcavity
A ggpatient ggwith ggCOPD ggoften ggpresents ggwith gga gg'barrel ggchest,' ggwhich ggis ggseen
ggas gga ggwidened ggchest ggcavity. ggIncorrect.
3. ggClubbed ggfingers gg- ggCORRECT
Clubbed ggfingers ggare gga ggsign ggof gga gglong-term, ggor ggchronic, ggdecrease ggin
ggoxygen gglevels.
4. ggAn ggincreased ggrisk ggof ggcardiac ggfailure
Although gga ggpatient ggwith ggthese ggconditions ggwould ggindeed ggbe ggat ggan
ggincreased ggrisk ggfor ggcardiac ggfailure, ggthis ggis gga ggpotential ggcomplication ggand
ggnot ggan ggassessment ggfinding. ggIncorrect.
The ggnurse ggis ggtaking ggthe gghealth gghistory ggof gga gg70-year-old ggpatient ggbeing
ggtreated ggfor gga ggDuodenal ggUlcer. ggAfter ggbeing ggtold ggthe ggpatient ggis
ggcomplaining ggof ggepigastric ggpain, ggthe ggnurse ggexpects ggto ggnote ggwhich
ggassessment ggfinding?
1. ggMelena
2. ggNausea
,3. ggHernia
4. ggHyperthermia gg- ggAnswer gg1. ggMelena gg- ggCORRECT
Melena ggis ggthe ggfinding ggthat ggthere ggare ggtraces ggof ggblood ggin ggthe ggstool ggwhich
ggpresents ggas ggblack, ggtarry ggfeces. ggThis ggis gga ggcommon ggmanifestation ggof
ggDuodenal ggUlcers, ggsince ggthe ggDuodenum ggis ggfurther ggdown ggthe gggastric
gganatomy.
2. ggNausea
Nausea ggmay ggbe ggpresent, ggbut ggis gga gggeneralized ggsymptom ggand ggby ggitself
ggdoesn't ggindicate gga ggDuodenal ggUlcer. ggIncorrect.
3. ggHernia
A ggHernia ggis gga ggprotrusion ggof gga ggsegment ggof ggthe ggabdomen ggthrough gganother
ggabdominal ggstructure. ggIt ggis ggnot ggassociated ggwith ggan ggUlcer ggand ggis gga
ggcondition, ggnot ggan ggassessment ggfinding. ggIncorrect.
4. ggHyperthermia
Hyperthermia, gga gghigh ggtemperature, ggis ggnot ggan ggassessment ggfinding ggof gga
ggDuodenal ggUlcer. ggIncorrect
A ggnurse ggis ggproviding ggdischarge ggteaching ggfor gga ggpatient ggwith ggsevere
ggGastroesophogeal ggReflux ggDisease. ggWhich ggof ggthese ggstatements ggby ggthe
ggpatient ggindicates gga ggneed ggfor ggmore ggteaching?
1. gg"I'm gggoing ggto gglimit ggmy ggmeals ggto gg2-3 ggper ggday ggto ggreduce ggacid
ggsecretion."
2. gg"I'm gggoing ggto ggmake ggsure ggto ggremain ggupright ggafter ggmeals ggand ggelevate
ggmy gghead ggwhen ggI ggsleep"
3. gg"I ggwon't ggbe ggdrinking ggtea ggor ggcoffee ggor ggeating ggchocolate ggany ggmore."
4. gg"I'm gggoing ggto ggstart ggtrying ggto gglose ggsome ggweight." gg- ggAnswer gg1. gg"I'm
gggoing ggto gglimit ggmy ggmeals ggto gg2-3 ggper ggday ggto ggreduce ggacid ggsecretion."
CORRECT gg- ggLarge ggmeals ggincrease ggthe ggvolume ggand ggpressure ggin ggthe
ggstomach ggand ggdelay gggastric ggemptying. ggIt's ggrecommended gginstead ggto ggeat
gg4-6 ggsmall ggmeals gga ggday.
2. gg"I'm gggoing ggto ggmake ggsure ggto ggremain ggupright ggafter ggmeals ggand ggelevate
ggmy gghead ggwhen ggI ggsleep"
Incorrect gg- ggThis ggis gga ggcorrect ggverbalization ggof gghealth ggpromotion ggfor ggGERD.
3. gg"I ggwon't ggbe ggdrinking ggtea ggor ggcoffee ggor ggeating ggchocolate ggany ggmore."
Incorrect gg- ggThis ggis gga ggcorrect ggverbalization ggof gghealth ggpromotion ggfor ggGERD.
4. gg"I'm gggoing ggto ggstart ggtrying ggto gglose ggsome ggweight."
,Incorrect gg- ggThis ggis gga ggcorrect ggverbalization ggof gghealth ggpromotion ggfor ggGERD.
The ggnurse ggin ggthe ggEmergency ggRoom ggis ggtreating gga ggpatient ggsuspected ggto
gghave gga ggPeptic ggUlcer. ggOn ggassessing gglab ggresults, ggthe ggnurse ggfinds ggthat
ggthe ggpatient's ggblood ggpressure ggis gg95/60, ggpulse ggis gg110 ggbeats ggper ggminute,
ggand ggthe ggpatient ggreports ggepigastric ggpain. ggWhat ggis ggthe ggPRIORITY
ggintervention?
1. ggStart gga gglarge-bore ggIV ggin ggthe ggpatient's ggarm
2. ggAsk ggthe ggpatient ggfor gga ggstool ggsample
3. ggPrepare ggto gginsert ggan ggNG ggTube
4. ggAdminister ggintramuscular ggmorphine ggsulphate ggas ggordered gg- ggAnswer gg1.
ggStart gga gglarge-bore ggIV ggin ggthe ggpatient's ggarm
CORRECT gg- ggThe ggnurse ggshould ggsuspect ggthat ggthe ggpatient ggis gghaemorrhaging
ggand ggwill ggneed ggneed gga ggfluid ggreplacement ggtherapy, ggwhich ggrequires gga gglarge
ggbore ggIV.
2. ggAsk ggthe ggpatient ggfor gga ggstool ggsample
Incorrect gg- ggWhile ggthis ggis gguseful ggin ggthe ggdiagnosis ggand ggassessment ggof
ggPeptic ggUlcer ggDisease, ggit ggis ggnot ggthe ggpriority ggintervention.
3. ggPrepare ggto gginsert ggan ggNG ggTube
Incorrect gg- ggWhile ggthis ggintervention ggmay ggbe ggused ggin ggthe gglater ggstages ggof
ggPeptic ggUlcer ggDisease, ggit ggis ggnot ggthe ggfirst ggand ggpriority ggintervention.
4. ggAdminister ggintramuscular ggmorphine ggsulphate ggas ggordered
Incorrect gg- ggWhile ggthis ggis ggan ggimportant ggintervention ggto ggmanage ggpain, ggit ggis
ggnot ggthe ggpriority ggintervention.
A ggfemale ggpatient ggwith ggatrial ggfibrillation gghas ggthe ggfollowing gglab ggresults:
ggHemoglobin ggof gg11 ggg/dl, gga ggplatelet ggcount ggof gg150,000, ggan ggINR ggof gg2.5,
ggand ggpotassium ggof gg2.7 ggmEq/L. ggWhich ggresult ggis ggcritical ggand ggshould ggbe
ggreported ggto ggthe ggphysician ggimmediately?
1. ggHemoglobin gg11 ggg/dl
2. ggPlatelet ggof gg150,000
3. ggINR ggof gg2.5
4. ggPotassium ggof gg2.7 ggmEq/L gg- ggAnswer gg1. ggHemoglobin gg11 ggg/dl
This ggis ggbelow ggnormal, ggbut gga ggnormal ggfemale gghemoglobin ggis gg12-14. ggThere
ggis gga ggmore ggcritical gglab ggresult.
2. ggPlatelet ggof gg150,000
This ggis ggalso ggbelow ggthe ggnormal ggvalues, ggbut ggis ggnot ggthe ggmost ggcritical gglab
ggresult.
3. ggINR ggof gg2.5
, This ggis gga ggtherapeutic ggrange ggfor gga ggpatient ggwho ggis ggtaking ggan gganticoagulant
ggfor ggatrial ggfibrillation
4. ggPotassium ggof gg2.7 ggmEq/L
CORRECT gg- ggA ggpotassium ggimbalance ggfor gga ggpatient ggwith gga gghistory ggof
ggdysrhythmia ggcan ggbe gglife-threatening ggand ggcan gglead ggto ggcardiac ggdistress.
While ggreceiving ggnormal ggsaline gginfusions ggto ggtreat gga ggGI ggbleed, ggthe ggnurse
ggnotes ggthat ggthe ggpatient's gglower gglegs gghave ggbecome ggedematous ggand
ggauscultates ggcrackles ggin ggthe gglungs. ggWhat ggshould ggthe ggnurse ggdo ggfirst?
1. ggStop ggthe ggsaline gginfusion ggimmediately
2. ggNotify ggPhysician
3. ggElevate ggthe ggpatient's gglegs
4. ggContinue ggthe gginfusion, ggsince ggthese ggare ggnormal ggfindings gg- ggAnswer gg1.
ggStop ggthe ggsaline gginfusion ggimmediately
CORRECT gg- ggthe ggpatient gghas gga ggfluid ggvolume ggoverload ggas gga ggresult ggof
ggoverly ggrapid ggfluid ggreplacement. ggThe ggnurse ggshould ggstop ggthe gginfusion ggand
ggnotify ggthe ggphysician.
2. ggNotify ggPhysician
This ggis ggnot ggthe ggfirst ggaction ggthe ggnurse ggshould ggtake.
3. ggElevate ggthe ggpatient's gglegs
This ggwould gghelp ggwith ggthe ggedema, ggbut ggis ggnot gga ggpriority
4. ggContinue ggthe gginfusion, ggsince ggthese ggare ggnormal ggfindings
This ggis ggnot gga ggnormal ggfinding
The ggnurse ggis ggworking ggin gga ggsupport gggroup ggfor ggclients ggwith ggHIV. ggWhich
ggpoint ggis ggmost ggimportant ggfor ggthe ggnurse ggto ggstress?
1. ggThey ggmust gginform gghousehold ggmembers ggof ggtheir ggcondition
2. ggThey ggmust ggtake ggtheir ggmedications ggexactly ggas ggprescribed
3. ggThey ggmust ggabstain ggfrom ggsubstance gguse
4. ggThey ggmust ggavoid gglarge ggcrowds gg- ggAnswer gg1. ggThey ggmust gginform
gghousehold ggmembers ggof ggtheir ggcondition
Incorrect gg- ggEach ggpatient gghas gga ggright ggto ggprivacy ggof ggtheir ggmedical
ggcondition. ggIt ggis ggtheir ggchoice ggwhether ggthey gginform gghousehold ggmembers.
2. ggThey ggmust ggtake ggtheir ggmedications ggexactly ggas ggprescribed
CORRECT gg- ggAntiretrovirals ggmust ggbe ggtaken ggexactly ggas ggprescribed ggto
ggprevent ggdrug-resistant ggstrains. ggEven ggmissed ggdoses ggcan ggreduce ggthe
ggeffectiveness ggof ggfuture ggtreatment.
3. ggThey ggmust ggabstain ggfrom ggsubstance gguse
BRILLIANTNURSE.COM QUESTIONS
WITH CORRECT ANSWERS
The ggnurse ggis ggtaking ggthe gghealth gghistory ggof gga ggpatient ggbeing ggtreated ggfor
ggEmphysema ggand ggChronic ggBronchitis. ggAfter ggbeing ggtold ggthe ggpatient gghas
ggbeen ggsmoking ggcigarettes ggfor gg30 ggyears, ggthe ggnurse ggexpects ggto ggnote ggwhich
ggassessment ggfinding?
1. ggIncrease ggin ggForced ggVital ggCapacity gg(FVC)
2. ggA ggnarrowed ggchest ggcavity
3. ggClubbed ggfingers gg
4. ggAn ggincreased ggrisk ggof ggcardiac ggfailure gg- ggAnswer gg1. ggIncrease ggin ggForced
ggVital ggCapacity gg(FVC)
Forced ggVital ggCapacity ggis ggthe ggvolume ggof ggair ggexhaled ggfrom ggfull gginhalation
ggto ggfull ggexhalation. ggA ggpatient ggwith ggCOPD ggwould gghave gga ggdecrease ggin
ggFVC. ggIncorrect.
2. ggA ggnarrowed ggchest ggcavity
A ggpatient ggwith ggCOPD ggoften ggpresents ggwith gga gg'barrel ggchest,' ggwhich ggis ggseen
ggas gga ggwidened ggchest ggcavity. ggIncorrect.
3. ggClubbed ggfingers gg- ggCORRECT
Clubbed ggfingers ggare gga ggsign ggof gga gglong-term, ggor ggchronic, ggdecrease ggin
ggoxygen gglevels.
4. ggAn ggincreased ggrisk ggof ggcardiac ggfailure
Although gga ggpatient ggwith ggthese ggconditions ggwould ggindeed ggbe ggat ggan
ggincreased ggrisk ggfor ggcardiac ggfailure, ggthis ggis gga ggpotential ggcomplication ggand
ggnot ggan ggassessment ggfinding. ggIncorrect.
The ggnurse ggis ggtaking ggthe gghealth gghistory ggof gga gg70-year-old ggpatient ggbeing
ggtreated ggfor gga ggDuodenal ggUlcer. ggAfter ggbeing ggtold ggthe ggpatient ggis
ggcomplaining ggof ggepigastric ggpain, ggthe ggnurse ggexpects ggto ggnote ggwhich
ggassessment ggfinding?
1. ggMelena
2. ggNausea
,3. ggHernia
4. ggHyperthermia gg- ggAnswer gg1. ggMelena gg- ggCORRECT
Melena ggis ggthe ggfinding ggthat ggthere ggare ggtraces ggof ggblood ggin ggthe ggstool ggwhich
ggpresents ggas ggblack, ggtarry ggfeces. ggThis ggis gga ggcommon ggmanifestation ggof
ggDuodenal ggUlcers, ggsince ggthe ggDuodenum ggis ggfurther ggdown ggthe gggastric
gganatomy.
2. ggNausea
Nausea ggmay ggbe ggpresent, ggbut ggis gga gggeneralized ggsymptom ggand ggby ggitself
ggdoesn't ggindicate gga ggDuodenal ggUlcer. ggIncorrect.
3. ggHernia
A ggHernia ggis gga ggprotrusion ggof gga ggsegment ggof ggthe ggabdomen ggthrough gganother
ggabdominal ggstructure. ggIt ggis ggnot ggassociated ggwith ggan ggUlcer ggand ggis gga
ggcondition, ggnot ggan ggassessment ggfinding. ggIncorrect.
4. ggHyperthermia
Hyperthermia, gga gghigh ggtemperature, ggis ggnot ggan ggassessment ggfinding ggof gga
ggDuodenal ggUlcer. ggIncorrect
A ggnurse ggis ggproviding ggdischarge ggteaching ggfor gga ggpatient ggwith ggsevere
ggGastroesophogeal ggReflux ggDisease. ggWhich ggof ggthese ggstatements ggby ggthe
ggpatient ggindicates gga ggneed ggfor ggmore ggteaching?
1. gg"I'm gggoing ggto gglimit ggmy ggmeals ggto gg2-3 ggper ggday ggto ggreduce ggacid
ggsecretion."
2. gg"I'm gggoing ggto ggmake ggsure ggto ggremain ggupright ggafter ggmeals ggand ggelevate
ggmy gghead ggwhen ggI ggsleep"
3. gg"I ggwon't ggbe ggdrinking ggtea ggor ggcoffee ggor ggeating ggchocolate ggany ggmore."
4. gg"I'm gggoing ggto ggstart ggtrying ggto gglose ggsome ggweight." gg- ggAnswer gg1. gg"I'm
gggoing ggto gglimit ggmy ggmeals ggto gg2-3 ggper ggday ggto ggreduce ggacid ggsecretion."
CORRECT gg- ggLarge ggmeals ggincrease ggthe ggvolume ggand ggpressure ggin ggthe
ggstomach ggand ggdelay gggastric ggemptying. ggIt's ggrecommended gginstead ggto ggeat
gg4-6 ggsmall ggmeals gga ggday.
2. gg"I'm gggoing ggto ggmake ggsure ggto ggremain ggupright ggafter ggmeals ggand ggelevate
ggmy gghead ggwhen ggI ggsleep"
Incorrect gg- ggThis ggis gga ggcorrect ggverbalization ggof gghealth ggpromotion ggfor ggGERD.
3. gg"I ggwon't ggbe ggdrinking ggtea ggor ggcoffee ggor ggeating ggchocolate ggany ggmore."
Incorrect gg- ggThis ggis gga ggcorrect ggverbalization ggof gghealth ggpromotion ggfor ggGERD.
4. gg"I'm gggoing ggto ggstart ggtrying ggto gglose ggsome ggweight."
,Incorrect gg- ggThis ggis gga ggcorrect ggverbalization ggof gghealth ggpromotion ggfor ggGERD.
The ggnurse ggin ggthe ggEmergency ggRoom ggis ggtreating gga ggpatient ggsuspected ggto
gghave gga ggPeptic ggUlcer. ggOn ggassessing gglab ggresults, ggthe ggnurse ggfinds ggthat
ggthe ggpatient's ggblood ggpressure ggis gg95/60, ggpulse ggis gg110 ggbeats ggper ggminute,
ggand ggthe ggpatient ggreports ggepigastric ggpain. ggWhat ggis ggthe ggPRIORITY
ggintervention?
1. ggStart gga gglarge-bore ggIV ggin ggthe ggpatient's ggarm
2. ggAsk ggthe ggpatient ggfor gga ggstool ggsample
3. ggPrepare ggto gginsert ggan ggNG ggTube
4. ggAdminister ggintramuscular ggmorphine ggsulphate ggas ggordered gg- ggAnswer gg1.
ggStart gga gglarge-bore ggIV ggin ggthe ggpatient's ggarm
CORRECT gg- ggThe ggnurse ggshould ggsuspect ggthat ggthe ggpatient ggis gghaemorrhaging
ggand ggwill ggneed ggneed gga ggfluid ggreplacement ggtherapy, ggwhich ggrequires gga gglarge
ggbore ggIV.
2. ggAsk ggthe ggpatient ggfor gga ggstool ggsample
Incorrect gg- ggWhile ggthis ggis gguseful ggin ggthe ggdiagnosis ggand ggassessment ggof
ggPeptic ggUlcer ggDisease, ggit ggis ggnot ggthe ggpriority ggintervention.
3. ggPrepare ggto gginsert ggan ggNG ggTube
Incorrect gg- ggWhile ggthis ggintervention ggmay ggbe ggused ggin ggthe gglater ggstages ggof
ggPeptic ggUlcer ggDisease, ggit ggis ggnot ggthe ggfirst ggand ggpriority ggintervention.
4. ggAdminister ggintramuscular ggmorphine ggsulphate ggas ggordered
Incorrect gg- ggWhile ggthis ggis ggan ggimportant ggintervention ggto ggmanage ggpain, ggit ggis
ggnot ggthe ggpriority ggintervention.
A ggfemale ggpatient ggwith ggatrial ggfibrillation gghas ggthe ggfollowing gglab ggresults:
ggHemoglobin ggof gg11 ggg/dl, gga ggplatelet ggcount ggof gg150,000, ggan ggINR ggof gg2.5,
ggand ggpotassium ggof gg2.7 ggmEq/L. ggWhich ggresult ggis ggcritical ggand ggshould ggbe
ggreported ggto ggthe ggphysician ggimmediately?
1. ggHemoglobin gg11 ggg/dl
2. ggPlatelet ggof gg150,000
3. ggINR ggof gg2.5
4. ggPotassium ggof gg2.7 ggmEq/L gg- ggAnswer gg1. ggHemoglobin gg11 ggg/dl
This ggis ggbelow ggnormal, ggbut gga ggnormal ggfemale gghemoglobin ggis gg12-14. ggThere
ggis gga ggmore ggcritical gglab ggresult.
2. ggPlatelet ggof gg150,000
This ggis ggalso ggbelow ggthe ggnormal ggvalues, ggbut ggis ggnot ggthe ggmost ggcritical gglab
ggresult.
3. ggINR ggof gg2.5
, This ggis gga ggtherapeutic ggrange ggfor gga ggpatient ggwho ggis ggtaking ggan gganticoagulant
ggfor ggatrial ggfibrillation
4. ggPotassium ggof gg2.7 ggmEq/L
CORRECT gg- ggA ggpotassium ggimbalance ggfor gga ggpatient ggwith gga gghistory ggof
ggdysrhythmia ggcan ggbe gglife-threatening ggand ggcan gglead ggto ggcardiac ggdistress.
While ggreceiving ggnormal ggsaline gginfusions ggto ggtreat gga ggGI ggbleed, ggthe ggnurse
ggnotes ggthat ggthe ggpatient's gglower gglegs gghave ggbecome ggedematous ggand
ggauscultates ggcrackles ggin ggthe gglungs. ggWhat ggshould ggthe ggnurse ggdo ggfirst?
1. ggStop ggthe ggsaline gginfusion ggimmediately
2. ggNotify ggPhysician
3. ggElevate ggthe ggpatient's gglegs
4. ggContinue ggthe gginfusion, ggsince ggthese ggare ggnormal ggfindings gg- ggAnswer gg1.
ggStop ggthe ggsaline gginfusion ggimmediately
CORRECT gg- ggthe ggpatient gghas gga ggfluid ggvolume ggoverload ggas gga ggresult ggof
ggoverly ggrapid ggfluid ggreplacement. ggThe ggnurse ggshould ggstop ggthe gginfusion ggand
ggnotify ggthe ggphysician.
2. ggNotify ggPhysician
This ggis ggnot ggthe ggfirst ggaction ggthe ggnurse ggshould ggtake.
3. ggElevate ggthe ggpatient's gglegs
This ggwould gghelp ggwith ggthe ggedema, ggbut ggis ggnot gga ggpriority
4. ggContinue ggthe gginfusion, ggsince ggthese ggare ggnormal ggfindings
This ggis ggnot gga ggnormal ggfinding
The ggnurse ggis ggworking ggin gga ggsupport gggroup ggfor ggclients ggwith ggHIV. ggWhich
ggpoint ggis ggmost ggimportant ggfor ggthe ggnurse ggto ggstress?
1. ggThey ggmust gginform gghousehold ggmembers ggof ggtheir ggcondition
2. ggThey ggmust ggtake ggtheir ggmedications ggexactly ggas ggprescribed
3. ggThey ggmust ggabstain ggfrom ggsubstance gguse
4. ggThey ggmust ggavoid gglarge ggcrowds gg- ggAnswer gg1. ggThey ggmust gginform
gghousehold ggmembers ggof ggtheir ggcondition
Incorrect gg- ggEach ggpatient gghas gga ggright ggto ggprivacy ggof ggtheir ggmedical
ggcondition. ggIt ggis ggtheir ggchoice ggwhether ggthey gginform gghousehold ggmembers.
2. ggThey ggmust ggtake ggtheir ggmedications ggexactly ggas ggprescribed
CORRECT gg- ggAntiretrovirals ggmust ggbe ggtaken ggexactly ggas ggprescribed ggto
ggprevent ggdrug-resistant ggstrains. ggEven ggmissed ggdoses ggcan ggreduce ggthe
ggeffectiveness ggof ggfuture ggtreatment.
3. ggThey ggmust ggabstain ggfrom ggsubstance gguse
