1|Page
NCSBN NCLEX ACTUAL EXAM ||VERIFIED EXAM!!||
MOST RECENT EXAM ACTUAL COMLETE REAL
EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+
||NEWEST EXAM!!!
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
- 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.
2. Ask the patient for a stool sample
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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
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
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4. Potassium of 2.7 mEq/L - Answer-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
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?
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1. Stop the saline infusion immediately
2. Notify Physician
3. Elevate the patient's legs
4. Continue the infusion, since these are normal findings -
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.
2. Notify Physician
This is not the first action the nurse should take.
3. Elevate the patient's legs
This would help with the edema, but is not a priority
4. Continue the infusion, since these are normal findings
This is not a normal finding
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?
NCSBN NCLEX ACTUAL EXAM ||VERIFIED EXAM!!||
MOST RECENT EXAM ACTUAL COMLETE REAL
EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+
||NEWEST EXAM!!!
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
- 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.
2. Ask the patient for a stool sample
,2|Page
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
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
,3|Page
4. Potassium of 2.7 mEq/L - Answer-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
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?
, 4|Page
1. Stop the saline infusion immediately
2. Notify Physician
3. Elevate the patient's legs
4. Continue the infusion, since these are normal findings -
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.
2. Notify Physician
This is not the first action the nurse should take.
3. Elevate the patient's legs
This would help with the edema, but is not a priority
4. Continue the infusion, since these are normal findings
This is not a normal finding
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?
