NCLEX Practice Questions 2026 |
Complete Question Bank with Detailed
Rationales
Z
1. 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
3. Clubbed fingers - CORRECT
Clubbed fingers are a sign of a long-term, or
chronic, decrease in oxygen levels.
2. 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 assess ment finding?
1. Melena
2. Nausea
3. Hernia
4. Hyperthermia
1. Melena - CORRECT
Melena is 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.
3. A nurse is providing discharge teach ing for a patient with severe
Gastroe sophogeal Reflux Disease. Which of
these statements by the patient indi cates a need for more teaching?
1. "I'm going to limit my meals to 2-3 per
day to reduce acid secretion."
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.
,
z
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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."
4. 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 epigas tric pain. What is the PRIORITY
interven tion?
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 hemorrhaging and will need fluid re placement therapy,
which requires a large bore
IV.
5. A female patient with atrial fibrillation
has the following lab results: Hemo globin 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 im mediately?
4. Potassium of 2.7 mEq/L
CORRECT - A potassium imbalance for a patient
with a history of dysrhythmia can be life-threat ening and can lead to
cardiac distress.
z
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1. Hemoglobin 11 g/dl
2. Platelet of 150,000
3. INR of 2.5
4. Potassium of 2.7 mEq/L
Complete Question Bank with Detailed
Rationales
Z
1. 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
3. Clubbed fingers - CORRECT
Clubbed fingers are a sign of a long-term, or
chronic, decrease in oxygen levels.
2. 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 assess ment finding?
1. Melena
2. Nausea
3. Hernia
4. Hyperthermia
1. Melena - CORRECT
Melena is 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.
3. A nurse is providing discharge teach ing for a patient with severe
Gastroe sophogeal Reflux Disease. Which of
these statements by the patient indi cates a need for more teaching?
1. "I'm going to limit my meals to 2-3 per
day to reduce acid secretion."
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.
,
z
Study online at https://quizlet.com/_co7xou
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."
4. 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 epigas tric pain. What is the PRIORITY
interven tion?
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 hemorrhaging and will need fluid re placement therapy,
which requires a large bore
IV.
5. A female patient with atrial fibrillation
has the following lab results: Hemo globin 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 im mediately?
4. Potassium of 2.7 mEq/L
CORRECT - A potassium imbalance for a patient
with a history of dysrhythmia can be life-threat ening and can lead to
cardiac distress.
z
Study online at https://quizlet.com/_co7xou
1. Hemoglobin 11 g/dl
2. Platelet of 150,000
3. INR of 2.5
4. Potassium of 2.7 mEq/L
