NCLEX-PN Review Questions
WITH Correct Answers 100%
PASS
The nurse is taking the health history of a patient being treated for Emphysema
and Chronic Bronchitis. After being told the patient has been smoking cigarettes
for 30 years, the nurse expects to note which assessment finding?
1. Increase in Forced Vital Capacity (FVC)
2. A narrowed chest cavity
3. Clubbed fingers
4. An increased risk of cardiac failure - CORRECT ANSWER-3. Clubbed fingers -
CORRECT
Clubbed fingers are a sign of a long-term, or chronic, decrease in oxygen levels.
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 - CORRECT ANSWER-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.
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."
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,4. "I'm going to start trying to lose some weight." - CORRECT ANSWER-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.
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 - CORRECT
ANSWER-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.
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 - CORRECT ANSWER-4. Potassium of 2.7 mEq/L
CORRECT - A potassium imbalance for a patient with a history of dysrhythmia
can be life-threatening and can lead to cardiac distress.
While receiving normal saline infusions to treat a GI bleed, the nurse notes that the
patient's lower legs have become edematous and auscultates crackles in the lungs.
What should the nurse do first?
1. Stop the saline infusion immediately
2. Notify Physician
3. Elevate the patient's legs
4. Continue the infusion, since these are normal findings - CORRECT ANSWER-
1. Stop the saline infusion immediately
CORRECT - the patient has a fluid volume overload as a result of overly rapid
fluid replacement. The nurse should stop the infusion and notify the physician.
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law
WITH Correct Answers 100%
PASS
The nurse is taking the health history of a patient being treated for Emphysema
and Chronic Bronchitis. After being told the patient has been smoking cigarettes
for 30 years, the nurse expects to note which assessment finding?
1. Increase in Forced Vital Capacity (FVC)
2. A narrowed chest cavity
3. Clubbed fingers
4. An increased risk of cardiac failure - CORRECT ANSWER-3. Clubbed fingers -
CORRECT
Clubbed fingers are a sign of a long-term, or chronic, decrease in oxygen levels.
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 - CORRECT ANSWER-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.
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."
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law
,4. "I'm going to start trying to lose some weight." - CORRECT ANSWER-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.
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 - CORRECT
ANSWER-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.
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 - CORRECT ANSWER-4. Potassium of 2.7 mEq/L
CORRECT - A potassium imbalance for a patient with a history of dysrhythmia
can be life-threatening and can lead to cardiac distress.
While receiving normal saline infusions to treat a GI bleed, the nurse notes that the
patient's lower legs have become edematous and auscultates crackles in the lungs.
What should the nurse do first?
1. Stop the saline infusion immediately
2. Notify Physician
3. Elevate the patient's legs
4. Continue the infusion, since these are normal findings - CORRECT ANSWER-
1. Stop the saline infusion immediately
CORRECT - the patient has a fluid volume overload as a result of overly rapid
fluid replacement. The nurse should stop the infusion and notify the physician.
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law
