NCLEX RN Fundamentals EXAM NEWEST ACTUAL EXAM
NCLEX RN FUNDAMENTALS EXAM NEWEST ACTUAL EXAM
COMPLETE 150 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!!
A patient is admitted to the emergency room complaining of shortness of breath.
The nurse knows the patient will be evaluated for hypoxia and anticipates the
healthcare provider ordering which test?
a. Complete blood cell count (CBC)
b. Sputum culture
c. Hemoglobin (Hgb)
d. Arterial blood gas (ABG) - Correct Answer-d. Arterial blood gas (ABG)
An ABG evaluates gas exchange in the lungs, which will provide the needed
information regarding oxygenation status. An arterial blood gas reveals pH,
carbon dioxide and oxygen partial pressures, bicarbonate level (HCO3-), and pH.
Emergency medical services brings an unconscious adult in to the emergency
room. When the nurse performs a rapid assessment, the location to check the
pulse is:
a. Radial
b. Brachial
c. Femoral
d. Carotid - Correct Answer-d. Carotid
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, NCLEX RN Fundamentals EXAM NEWEST ACTUAL EXAM
Rapid assessment of an unconscious adult patient begins with checking
circulation, which is checked at the carotid artery. If a patient is hypotensive
(decreased blood pressure), the most likely place to be able to feel a pulse is the
carotid artery.
A patient is admitted to the medical-surgical unit with methicillin-resistant
staphylococcus aureus (MRSA) of a wound. The nurse initiates contact
precautions, which includes use of which of the following?
a. Clean gown and gloves
b. N-95 respirator
c. Biohazard bin placed in the room
d. Negative airflow room - Correct Answer-a. Clean gown and gloves
Contact isolation requires all people entering the room to follow standard
precautions in addition to wearing a clean (not sterile) gown and gloves. Other
diseases that require contact precautions include the following: norovirus,
rotavirus, and Clostridium difficile. Additionally, patients with draining wounds,
uncontrolled secretions, pressure ulcers, generalized rash, and ostomy
bags/tubes also warrant contact precautions.
C is incorrect because linen and trash for this patient are not considered
biohazardous.
A patient in the medical-surgical unit tells the nurse they haven't had a bowel
movement in two days. What is the first intervention the nurse should
implement?
a. Review the patient's medical record to determine normal bowel pattern
b. Offer prune juice with every meal
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, NCLEX RN Fundamentals EXAM NEWEST ACTUAL EXAM
c. Call the healthcare provider to request an order for stool softener
d. Increase the patient's oral fluid intake - Correct Answer-a. Review the patient's
medical record to determine normal bowel pattern
Bowel patterns can vary greatly in adults: three BMs weekly up to three BMs
daily is considered within normal range. Several factors can influence normal
bowel patterns, including surgery, stress, and opioid medications. The nurse
should review the medical record to determine the patient's normal bowel
patterns prior to hospitalization.
A 40-year-old patient in the clinic tells the nurse they have frequent constipation.
The patient has taken steps to remedy the constipation but would like to prevent
it with a bowel-training program. Which of the following is of greatest concern to
the nurse?
a. The patient does not eat any fruits and vegetables
b. The patient drinks 2 liters of water daily
c. The patient exercises 3 to 4 days per week
d. The patient's home recently tested positive for lead - Correct Answer-d. The
patient's home recently tested positive for lead
Lead poisoning can cause constipation. This is the greatest concern for the nurse
at this time. The patient will need their blood to be tested for lead, and other
people living in the home will need to be assessed as well.
A patient appears anxious about an upcoming procedure. Which of the following
responses by the nurse will reduce this patient's anxiety?
a. "Don't worry. It will be fine."
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, NCLEX RN Fundamentals EXAM NEWEST ACTUAL EXAM
b. "Read this pamphlet about the procedure and let me know if you have
questions."
c. "I will turn on some music for you."
d. "Would you like to talk about what's bothering you?" - Correct Answer-d.
"Would you like to talk about what's bothering you?"
Anxiety is common before medical procedures. The patient may feel helpless,
isolated, or insecure. Encouraging the patient to talk about their feelings can
reduce anxiety and helps the nurse be supportive by developing goals with the
patient for some sense of control. This is the response that displays therapeutic
communication.
A patient is admitted to the cardiac unit after myocardial infarction (MI). The
patient tells the nurse they don't want their spouse to know what happened.
What is the best response by the nurse?
a. "I have to tell your spouse what happened."
b. "I will need you to fill out paperwork preventing anyone from telling your
spouse."
c. "Why don't you want me to tell your spouse?"
d. "Is there someone else you would like listed as an appropriate person with
whom we can discuss your care?" - Correct Answer-d. "Is there someone else you
would like listed as an appropriate person with whom we can discuss your care?"
Patients have the right to decide what information regarding their condition is
shared with whom. It is the responsibility of the nurse to obtain this information
from the patient and document it in the medical record so others following in
4|Page
NCLEX RN FUNDAMENTALS EXAM NEWEST ACTUAL EXAM
COMPLETE 150 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!!
A patient is admitted to the emergency room complaining of shortness of breath.
The nurse knows the patient will be evaluated for hypoxia and anticipates the
healthcare provider ordering which test?
a. Complete blood cell count (CBC)
b. Sputum culture
c. Hemoglobin (Hgb)
d. Arterial blood gas (ABG) - Correct Answer-d. Arterial blood gas (ABG)
An ABG evaluates gas exchange in the lungs, which will provide the needed
information regarding oxygenation status. An arterial blood gas reveals pH,
carbon dioxide and oxygen partial pressures, bicarbonate level (HCO3-), and pH.
Emergency medical services brings an unconscious adult in to the emergency
room. When the nurse performs a rapid assessment, the location to check the
pulse is:
a. Radial
b. Brachial
c. Femoral
d. Carotid - Correct Answer-d. Carotid
1|Page
, NCLEX RN Fundamentals EXAM NEWEST ACTUAL EXAM
Rapid assessment of an unconscious adult patient begins with checking
circulation, which is checked at the carotid artery. If a patient is hypotensive
(decreased blood pressure), the most likely place to be able to feel a pulse is the
carotid artery.
A patient is admitted to the medical-surgical unit with methicillin-resistant
staphylococcus aureus (MRSA) of a wound. The nurse initiates contact
precautions, which includes use of which of the following?
a. Clean gown and gloves
b. N-95 respirator
c. Biohazard bin placed in the room
d. Negative airflow room - Correct Answer-a. Clean gown and gloves
Contact isolation requires all people entering the room to follow standard
precautions in addition to wearing a clean (not sterile) gown and gloves. Other
diseases that require contact precautions include the following: norovirus,
rotavirus, and Clostridium difficile. Additionally, patients with draining wounds,
uncontrolled secretions, pressure ulcers, generalized rash, and ostomy
bags/tubes also warrant contact precautions.
C is incorrect because linen and trash for this patient are not considered
biohazardous.
A patient in the medical-surgical unit tells the nurse they haven't had a bowel
movement in two days. What is the first intervention the nurse should
implement?
a. Review the patient's medical record to determine normal bowel pattern
b. Offer prune juice with every meal
2|Page
, NCLEX RN Fundamentals EXAM NEWEST ACTUAL EXAM
c. Call the healthcare provider to request an order for stool softener
d. Increase the patient's oral fluid intake - Correct Answer-a. Review the patient's
medical record to determine normal bowel pattern
Bowel patterns can vary greatly in adults: three BMs weekly up to three BMs
daily is considered within normal range. Several factors can influence normal
bowel patterns, including surgery, stress, and opioid medications. The nurse
should review the medical record to determine the patient's normal bowel
patterns prior to hospitalization.
A 40-year-old patient in the clinic tells the nurse they have frequent constipation.
The patient has taken steps to remedy the constipation but would like to prevent
it with a bowel-training program. Which of the following is of greatest concern to
the nurse?
a. The patient does not eat any fruits and vegetables
b. The patient drinks 2 liters of water daily
c. The patient exercises 3 to 4 days per week
d. The patient's home recently tested positive for lead - Correct Answer-d. The
patient's home recently tested positive for lead
Lead poisoning can cause constipation. This is the greatest concern for the nurse
at this time. The patient will need their blood to be tested for lead, and other
people living in the home will need to be assessed as well.
A patient appears anxious about an upcoming procedure. Which of the following
responses by the nurse will reduce this patient's anxiety?
a. "Don't worry. It will be fine."
3|Page
, NCLEX RN Fundamentals EXAM NEWEST ACTUAL EXAM
b. "Read this pamphlet about the procedure and let me know if you have
questions."
c. "I will turn on some music for you."
d. "Would you like to talk about what's bothering you?" - Correct Answer-d.
"Would you like to talk about what's bothering you?"
Anxiety is common before medical procedures. The patient may feel helpless,
isolated, or insecure. Encouraging the patient to talk about their feelings can
reduce anxiety and helps the nurse be supportive by developing goals with the
patient for some sense of control. This is the response that displays therapeutic
communication.
A patient is admitted to the cardiac unit after myocardial infarction (MI). The
patient tells the nurse they don't want their spouse to know what happened.
What is the best response by the nurse?
a. "I have to tell your spouse what happened."
b. "I will need you to fill out paperwork preventing anyone from telling your
spouse."
c. "Why don't you want me to tell your spouse?"
d. "Is there someone else you would like listed as an appropriate person with
whom we can discuss your care?" - Correct Answer-d. "Is there someone else you
would like listed as an appropriate person with whom we can discuss your care?"
Patients have the right to decide what information regarding their condition is
shared with whom. It is the responsibility of the nurse to obtain this information
from the patient and document it in the medical record so others following in
4|Page
