1
75 FREE NCLEX EXAM LATEST UPDATE -2026- 100+ QUESTIONS
AND VERIFIED ANSWERS ALL THE BEST
The nurse is taking the health history of a 70-year-old patient being treated for a
Duodenal Ulcer. After being told the patient is complaining of epigastric pain, the
nurse expects to note which assessment finding?
1. Melena
2. Nausea
3. Hernia
4. Hyperthermia
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 manifestation of Duodenal Ulcers, since the
Duodenum is further down the gastric anatomy.
2. Nausea
Nausea may be present, but is a generalized symptom and by itself doesn't
indicate a Duodenal Ulcer. Incorrect.
3. Hernia
, 2
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
finding. Incorrect.
4. Hyperthermia
Hyperthermia, a high temperature, is not an assessment finding of a Duodenal
Ulcer. Incorrect
A nurse is providing discharge teaching for a patient with severe
Gastroesophogeal Reflux Disease. Which of these statements by the patient
indicates a need for more teaching?
1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
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 coffee or eating chocolate any more."
4. "I'm going to start trying to lose some weight."
1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
CORRECT - Large meals increase the volume and pressure in the stomach and
delay gastric emptying. It's recommended instead to eat 4-6 small meals a day.
2. "I'm going to make sure to remain upright after meals and elevate my head
when I sleep"
Incorrect - This is a correct verbalization of health promotion for GERD.
, 3
3. "I won't be drinking tea or coffee or eating chocolate any more."
Incorrect - This is a correct verbalization of health promotion for GERD.
4. "I'm going to start trying to lose some weight."
Incorrect - This is a correct verbalization of health promotion for GERD.
The nurse in the Emergency Room is treating a patient suspected to have a Peptic
Ulcer. On assessing lab results, the nurse finds that the patient's blood pressure is
95/60, pulse is 110 beats per minute, and the patient reports epigastric pain.
What is the PRIORITY intervention?
1. Start a large-bore IV in the patient's arm
2. Ask the patient for a stool sample
3. Prepare to insert an NG Tube
4. Administer intramuscular morphine sulphate as ordered
1. Start a large-bore IV in the patient's arm
CORRECT - The nurse should suspect that the patient is haemorrhaging and will
need need a fluid replacement therapy, which requires a large bore IV.
2. Ask the patient for a stool sample
Incorrect - While this is useful in the diagnosis and assessment of Peptic Ulcer
Disease, it is not the priority intervention.
3. Prepare to insert an NG Tube
, 4
Incorrect - While this intervention may be used in the later stages of Peptic Ulcer
Disease, it is not the first and priority intervention.
4. Administer intramuscular morphine sulphate as ordered
Incorrect - While this is an important intervention to manage pain, it is not the
priority intervention.
A female patient with atrial fibrillation has the following lab results: Hemoglobin
of 11 g/dl, a platelet count of 150,000, an INR of 2.5, and potassium of 2.7 mEq/L.
Which result is critical and should be reported to the physician immediately?
1. Hemoglobin 11 g/dl
2. Platelet of 150,000
3. INR of 2.5
4. Potassium of 2.7 mEq/L
1. Hemoglobin 11 g/dl
This is below normal, but a normal female hemoglobin is 12-14. There is a more
critical lab result.
2. Platelet of 150,000
This is also below the normal values, but is not the most critical lab result.
3. INR of 2.5
This is a therapeutic range for a patient who is taking an anticoagulant for atrial
fibrillation
75 FREE NCLEX EXAM LATEST UPDATE -2026- 100+ QUESTIONS
AND VERIFIED ANSWERS ALL THE BEST
The nurse is taking the health history of a 70-year-old patient being treated for a
Duodenal Ulcer. After being told the patient is complaining of epigastric pain, the
nurse expects to note which assessment finding?
1. Melena
2. Nausea
3. Hernia
4. Hyperthermia
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 manifestation of Duodenal Ulcers, since the
Duodenum is further down the gastric anatomy.
2. Nausea
Nausea may be present, but is a generalized symptom and by itself doesn't
indicate a Duodenal Ulcer. Incorrect.
3. Hernia
, 2
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
finding. Incorrect.
4. Hyperthermia
Hyperthermia, a high temperature, is not an assessment finding of a Duodenal
Ulcer. Incorrect
A nurse is providing discharge teaching for a patient with severe
Gastroesophogeal Reflux Disease. Which of these statements by the patient
indicates a need for more teaching?
1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
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 coffee or eating chocolate any more."
4. "I'm going to start trying to lose some weight."
1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
CORRECT - Large meals increase the volume and pressure in the stomach and
delay gastric emptying. It's recommended instead to eat 4-6 small meals a day.
2. "I'm going to make sure to remain upright after meals and elevate my head
when I sleep"
Incorrect - This is a correct verbalization of health promotion for GERD.
, 3
3. "I won't be drinking tea or coffee or eating chocolate any more."
Incorrect - This is a correct verbalization of health promotion for GERD.
4. "I'm going to start trying to lose some weight."
Incorrect - This is a correct verbalization of health promotion for GERD.
The nurse in the Emergency Room is treating a patient suspected to have a Peptic
Ulcer. On assessing lab results, the nurse finds that the patient's blood pressure is
95/60, pulse is 110 beats per minute, and the patient reports epigastric pain.
What is the PRIORITY intervention?
1. Start a large-bore IV in the patient's arm
2. Ask the patient for a stool sample
3. Prepare to insert an NG Tube
4. Administer intramuscular morphine sulphate as ordered
1. Start a large-bore IV in the patient's arm
CORRECT - The nurse should suspect that the patient is haemorrhaging and will
need need a fluid replacement therapy, which requires a large bore IV.
2. Ask the patient for a stool sample
Incorrect - While this is useful in the diagnosis and assessment of Peptic Ulcer
Disease, it is not the priority intervention.
3. Prepare to insert an NG Tube
, 4
Incorrect - While this intervention may be used in the later stages of Peptic Ulcer
Disease, it is not the first and priority intervention.
4. Administer intramuscular morphine sulphate as ordered
Incorrect - While this is an important intervention to manage pain, it is not the
priority intervention.
A female patient with atrial fibrillation has the following lab results: Hemoglobin
of 11 g/dl, a platelet count of 150,000, an INR of 2.5, and potassium of 2.7 mEq/L.
Which result is critical and should be reported to the physician immediately?
1. Hemoglobin 11 g/dl
2. Platelet of 150,000
3. INR of 2.5
4. Potassium of 2.7 mEq/L
1. Hemoglobin 11 g/dl
This is below normal, but a normal female hemoglobin is 12-14. There is a more
critical lab result.
2. Platelet of 150,000
This is also below the normal values, but is not the most critical lab result.
3. INR of 2.5
This is a therapeutic range for a patient who is taking an anticoagulant for atrial
fibrillation
