NCLEX Questions
(Latest 2025-2026 Edition) 100% Verified Q&A + Answer
75+
Key Solutions
VERIFIED ANSWERS
Question 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
Correct Answer
1. Increase in Forced Vital Capacity (FVC)
Forced Vital Capacity is the volume of air exhaled from full inhalation to full exhalation. A patient with COPD would have a
decrease in FVC. Incorrect.
2. A narrowed chest cavity
A patient with COPD often presents with a 'barrel chest,' which is seen as a widened chest cavity. Incorrect.
3. Clubbed fingers - CORRECT
Clubbed fingers are a sign of a long-term, or chronic, decrease in oxygen levels.
4. An increased risk of cardiac failure
Although a patient with these conditions would indeed be at an increased risk for cardiac failure, this is a potential
complication and not an assessment finding. Incorrect.
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,Question 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 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.
2. Nausea
Nausea may be present, but is a generalized symptom and by itself doesn't indicate a Duodenal Ulcer. Incorrect.
3. Hernia
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
Question 3
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."
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.
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. "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.
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,Question 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 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.
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
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.
Question 5
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
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.
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, Question 6
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.
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
Question 7
The nurse is working in a support group for clients with HIV. Which point is most important for the nurse to stress?
1. They must inform household members of their condition
2. They must take their medications exactly as prescribed
3. They must abstain from substance use
4. They must avoid large crowds
Correct Answer
1. They must inform household members of their condition
Incorrect - Each patient has a right to privacy of their medical condition. It is their choice whether they inform household
members.
2. They must take their medications exactly as prescribed
CORRECT - Antiretrovirals must be taken exactly as prescribed to prevent drug-resistant strains. Even missed doses can
reduce the effectiveness of future treatment.
3. They must abstain from substance use
Incorrect - While substance use should be discouraged, using safe practices with needles can prevent transmission of HIV.
4. They must avoid large crowds
Incorrect - Avoiding large crowds to prevent infection is a priority in the later stages of HIV, when the patient has AIDS.
Trusted by thousands of students and professionals worldwide Page 4 of 41
(Latest 2025-2026 Edition) 100% Verified Q&A + Answer
75+
Key Solutions
VERIFIED ANSWERS
Question 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
Correct Answer
1. Increase in Forced Vital Capacity (FVC)
Forced Vital Capacity is the volume of air exhaled from full inhalation to full exhalation. A patient with COPD would have a
decrease in FVC. Incorrect.
2. A narrowed chest cavity
A patient with COPD often presents with a 'barrel chest,' which is seen as a widened chest cavity. Incorrect.
3. Clubbed fingers - CORRECT
Clubbed fingers are a sign of a long-term, or chronic, decrease in oxygen levels.
4. An increased risk of cardiac failure
Although a patient with these conditions would indeed be at an increased risk for cardiac failure, this is a potential
complication and not an assessment finding. Incorrect.
Trusted by thousands of students and professionals worldwide Page 1 of 41
,Question 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 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.
2. Nausea
Nausea may be present, but is a generalized symptom and by itself doesn't indicate a Duodenal Ulcer. Incorrect.
3. Hernia
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
Question 3
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."
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.
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. "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.
Trusted by thousands of students and professionals worldwide Page 2 of 41
,Question 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 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.
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
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.
Question 5
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
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.
Trusted by thousands of students and professionals worldwide Page 3 of 41
, Question 6
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.
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
Question 7
The nurse is working in a support group for clients with HIV. Which point is most important for the nurse to stress?
1. They must inform household members of their condition
2. They must take their medications exactly as prescribed
3. They must abstain from substance use
4. They must avoid large crowds
Correct Answer
1. They must inform household members of their condition
Incorrect - Each patient has a right to privacy of their medical condition. It is their choice whether they inform household
members.
2. They must take their medications exactly as prescribed
CORRECT - Antiretrovirals must be taken exactly as prescribed to prevent drug-resistant strains. Even missed doses can
reduce the effectiveness of future treatment.
3. They must abstain from substance use
Incorrect - While substance use should be discouraged, using safe practices with needles can prevent transmission of HIV.
4. They must avoid large crowds
Incorrect - Avoiding large crowds to prevent infection is a priority in the later stages of HIV, when the patient has AIDS.
Trusted by thousands of students and professionals worldwide Page 4 of 41
