» » »
NCLEX-PN Review Questions &
Answers 2026-2027 | Updated Nursing
Exam Preparation (Rationales)
Document Overview
This document provides 75 NCLEX-PN review questions, complete with correct answers
and detailed rationales. It covers essential nursing concepts for exam preparation and
review. This resource is ideal for students seeking to solidify their understanding and
prepare for their nursing certification.
100% Accurate Questions and Answers 100% Guarantee Pass - Verified by Experts
Expert-Verified
Verified Answers · Detailed Rationales · 75 Questions · September 2026
NCLEX-PN Review Questions & Answers 2026-2027 | Updated Nursing Exam Preparation (Rationales) - Practice Questions Page 0
, Topics Covered
Section 1: Gastrointestinal Disorders Q 1-14
Questions covering gastrointestinal Disorders concepts.
Section 2: Cardiovascular and Respiratory Systems Q 15-24
Questions covering cardiovascular and Respiratory Systems concepts.
Section 3: Infectious Diseases and Immune Response Q 25-31
Questions covering infectious Diseases and Immune Response concepts.
Section 4: Pharmacology and Medication Management Q 32-52
Questions covering pharmacology and Medication Management concepts.
Section 5: Psychiatric and Behavioral Health Q 53-55
Questions covering psychiatric and Behavioral Health concepts.
Section 6: Neurological and Musculoskeletal Conditions Q 56-75
Questions covering neurological and Musculoskeletal Conditions concepts.
Questions
QUESTION 1 OF 75
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.
Rationale: 3. Clubbed fingers - CORRECT Clubbed fingers are a sign of a long-term, or chronic, decrease in oxygen
levels., often resulting from conditions like emphysema and chronic bronchitis exacerbated by long-term smoking,
leads to peripheral tissue changes. Clubbing of the fingers is a physical manifestation of this chronic low oxygen
saturation, as it indicates prolonged deoxygenation of blood. Therefore, a patient with a 30-year smoking history and
these respiratory diagnoses is likely to present with clubbed fingers due to chronic hypoxemia.
NCLEX-PN Review Questions & Answers 2026-2027 | Updated Nursing Exam Preparation (Rationales) - Practice Questions Page 0
, QUESTION 2 OF 75
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.
Rationale: Duodenal ulcers can erode into blood vessels, causing gastrointestinal bleeding. This bleeding results in
the presence of altered blood in the stool, manifesting as melena, which is black, tarry feces, a common sign of upper GI
bleeding. Therefore, epigastric pain associated with a duodenal ulcer makes melena an expected assessment finding
due to potential occult or overt bleeding. This aligns with 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 and since the Duodenum
is further down the gastric anatomy..
QUESTION 3 OF 75
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.
Rationale: For patients with severe Gastroesophageal Reflux Disease (GERD), large meals can exacerbate symptoms
by increasing gastric volume and pressure, thus delaying gastric emptying. The patient's statement indicating a plan
to limit meals to 2-3 per day suggests a misunderstanding of optimal dietary management for GERD. Instead,
healthcare providers typically advise consuming 4-6 smaller meals daily to mitigate these effects and improve
symptom control. This aligns with 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. and 1. "I'm going to limit my meals to 2-3 per
day to reduce acid secretion.".
NCLEX-PN Review Questions & Answers 2026-2027 | Updated Nursing Exam Preparation (Rationales) - Practice Questions Page 0
, QUESTION 4 OF 75
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.
Rationale: The patient's presentation of hypotension (BP 95/60), tachycardia (pulse 110 bpm), and epigastric pain
strongly suggests active gastrointestinal bleeding, a potential complication of a peptic ulcer. Establishing a large-bore
intravenous line is the priority to rapidly administer intravenous fluids and potentially blood products for volume
resuscitation, addressing the hypovolemic state. This intervention directly manages the immediate life-threatening
consequence of hemorrhage, which is more critical than obtaining a stool sample, preparing for NG tube insertion, or
administering pain medication at this initial stage. This aligns with CORRECT - The nurse should suspect that the
patient is haemorrhaging and will need need a fluid replacement therapy, 1. Start a large-bore IV in the patient's arm
and which requires a large bore IV..
QUESTION 5 OF 75
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.
Rationale: A potassium level of 2.7 mEq/L represents significant hypokalemia, which is critical for a patient with
atrial fibrillation as it can precipitate serious cardiac dysrhythmias and cardiac distress. While the other lab values
are within or near normal ranges, a critical potassium imbalance directly impacts cardiac electrical stability.
Therefore, this finding necessitates immediate physician notification to prevent potentially life-threatening cardiac
complications. This aligns with CORRECT - A potassium imbalance for a patient with a history of dysrhythmia can be
life-threatening and can lead to cardiac distress. and 4. Potassium of 2.7 mEq/L.
NCLEX-PN Review Questions & Answers 2026-2027 | Updated Nursing Exam Preparation (Rationales) - Practice Questions Page 0
NCLEX-PN Review Questions &
Answers 2026-2027 | Updated Nursing
Exam Preparation (Rationales)
Document Overview
This document provides 75 NCLEX-PN review questions, complete with correct answers
and detailed rationales. It covers essential nursing concepts for exam preparation and
review. This resource is ideal for students seeking to solidify their understanding and
prepare for their nursing certification.
100% Accurate Questions and Answers 100% Guarantee Pass - Verified by Experts
Expert-Verified
Verified Answers · Detailed Rationales · 75 Questions · September 2026
NCLEX-PN Review Questions & Answers 2026-2027 | Updated Nursing Exam Preparation (Rationales) - Practice Questions Page 0
, Topics Covered
Section 1: Gastrointestinal Disorders Q 1-14
Questions covering gastrointestinal Disorders concepts.
Section 2: Cardiovascular and Respiratory Systems Q 15-24
Questions covering cardiovascular and Respiratory Systems concepts.
Section 3: Infectious Diseases and Immune Response Q 25-31
Questions covering infectious Diseases and Immune Response concepts.
Section 4: Pharmacology and Medication Management Q 32-52
Questions covering pharmacology and Medication Management concepts.
Section 5: Psychiatric and Behavioral Health Q 53-55
Questions covering psychiatric and Behavioral Health concepts.
Section 6: Neurological and Musculoskeletal Conditions Q 56-75
Questions covering neurological and Musculoskeletal Conditions concepts.
Questions
QUESTION 1 OF 75
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.
Rationale: 3. Clubbed fingers - CORRECT Clubbed fingers are a sign of a long-term, or chronic, decrease in oxygen
levels., often resulting from conditions like emphysema and chronic bronchitis exacerbated by long-term smoking,
leads to peripheral tissue changes. Clubbing of the fingers is a physical manifestation of this chronic low oxygen
saturation, as it indicates prolonged deoxygenation of blood. Therefore, a patient with a 30-year smoking history and
these respiratory diagnoses is likely to present with clubbed fingers due to chronic hypoxemia.
NCLEX-PN Review Questions & Answers 2026-2027 | Updated Nursing Exam Preparation (Rationales) - Practice Questions Page 0
, QUESTION 2 OF 75
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.
Rationale: Duodenal ulcers can erode into blood vessels, causing gastrointestinal bleeding. This bleeding results in
the presence of altered blood in the stool, manifesting as melena, which is black, tarry feces, a common sign of upper GI
bleeding. Therefore, epigastric pain associated with a duodenal ulcer makes melena an expected assessment finding
due to potential occult or overt bleeding. This aligns with 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 and since the Duodenum
is further down the gastric anatomy..
QUESTION 3 OF 75
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.
Rationale: For patients with severe Gastroesophageal Reflux Disease (GERD), large meals can exacerbate symptoms
by increasing gastric volume and pressure, thus delaying gastric emptying. The patient's statement indicating a plan
to limit meals to 2-3 per day suggests a misunderstanding of optimal dietary management for GERD. Instead,
healthcare providers typically advise consuming 4-6 smaller meals daily to mitigate these effects and improve
symptom control. This aligns with 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. and 1. "I'm going to limit my meals to 2-3 per
day to reduce acid secretion.".
NCLEX-PN Review Questions & Answers 2026-2027 | Updated Nursing Exam Preparation (Rationales) - Practice Questions Page 0
, QUESTION 4 OF 75
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.
Rationale: The patient's presentation of hypotension (BP 95/60), tachycardia (pulse 110 bpm), and epigastric pain
strongly suggests active gastrointestinal bleeding, a potential complication of a peptic ulcer. Establishing a large-bore
intravenous line is the priority to rapidly administer intravenous fluids and potentially blood products for volume
resuscitation, addressing the hypovolemic state. This intervention directly manages the immediate life-threatening
consequence of hemorrhage, which is more critical than obtaining a stool sample, preparing for NG tube insertion, or
administering pain medication at this initial stage. This aligns with CORRECT - The nurse should suspect that the
patient is haemorrhaging and will need need a fluid replacement therapy, 1. Start a large-bore IV in the patient's arm
and which requires a large bore IV..
QUESTION 5 OF 75
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.
Rationale: A potassium level of 2.7 mEq/L represents significant hypokalemia, which is critical for a patient with
atrial fibrillation as it can precipitate serious cardiac dysrhythmias and cardiac distress. While the other lab values
are within or near normal ranges, a critical potassium imbalance directly impacts cardiac electrical stability.
Therefore, this finding necessitates immediate physician notification to prevent potentially life-threatening cardiac
complications. This aligns with CORRECT - A potassium imbalance for a patient with a history of dysrhythmia can be
life-threatening and can lead to cardiac distress. and 4. Potassium of 2.7 mEq/L.
NCLEX-PN Review Questions & Answers 2026-2027 | Updated Nursing Exam Preparation (Rationales) - Practice Questions Page 0
