75 Free NCLEX Questions Exam Review:
Comprehensive Practice Questions, Rationales &
Essential Nursing Concept
C
Terms in this set (75)
The nurse is taking the health history of a 3
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
,The nurse is taking the health history of 1.
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
A nurse is providing discharge teaching for 1
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."
The nurse in the Emergency Room is 1
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
, A female patient with atrial fibrillation has 4
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
While receiving normal saline infusions to 1
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
The nurse is working in a support group for 2
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
A nurse finds a 30-year-old woman 3
experiencing anaphylaxis from a bee
sting. Emergency personnel have been
called. The nurse notes the woman is
breathing but
short of breath. Which of the following
interventions should the nurse do first?
1. Initiate cardiopulmonary resuscitation
2.Check for a pulse
3.Ask the woman if she carries
an emergency medical kit
4. Stay with the woman until help comes
Comprehensive Practice Questions, Rationales &
Essential Nursing Concept
C
Terms in this set (75)
The nurse is taking the health history of a 3
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
,The nurse is taking the health history of 1.
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
A nurse is providing discharge teaching for 1
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."
The nurse in the Emergency Room is 1
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
, A female patient with atrial fibrillation has 4
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
While receiving normal saline infusions to 1
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
The nurse is working in a support group for 2
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
A nurse finds a 30-year-old woman 3
experiencing anaphylaxis from a bee
sting. Emergency personnel have been
called. The nurse notes the woman is
breathing but
short of breath. Which of the following
interventions should the nurse do first?
1. Initiate cardiopulmonary resuscitation
2.Check for a pulse
3.Ask the woman if she carries
an emergency medical kit
4. Stay with the woman until help comes
