75 NCLEX EXAM 2026 UPDATE QUESTIONS
AND CORRECT VERIFIED ANSWERS ALREADY
GRADED A+ (BRAND NEW VISION)
The nurse is doing an intake screening for a patient with hypertension. They have been taking
ramapril for 4 weeks. Which statement made by the patient would be most important for the
nurse to pass on to the physician?
1. "I get dizzy when I get out of bed."
2. "I'm urinating much more than I used to."
3. "I've been running on the treadmill 10 minutes each day."
4. "I can't get rid of this cough." - ANS-1. "I get dizzy when I get out of bed."
Incorrect - This may require some medication teaching but is not the priority assessment
finding.
2. "I'm urinating much more than I used to."
Incorrect - ACE Inhibitors like ramapril work, in part, by increasing urine flow. This is a
necessary side effect of the medication and is not a priority.
3. "I've been running on the treadmill 10 minutes each day."
Incorrect - ACE Inhibitors like ramapril work, in part, by increasing urine flow. This is a
necessary side effect of the medication and is not a priority.
4. "I can't get rid of this cough."
Correct - A common adverse effect of ACE inhibitors is a persistent, dry cough. A medication
change to another class of antihypertensives, like an ARB, may be needed
,The nurse in the emergency room sees a patient who has been abusing alprazolam (Xanax). The
patient reports that he suddenly stopped taking Xanax about 24 hours ago. He presents with a
visible tremor, is pacing, expresses fear, and has impaired concentration and memory. Which of
these intervention takes priority?
1. Have the patient lie down on a stretcher with bedrails up
2. Give the patient a cup of water to drink and a small amount of food
3. Assure the patient that he will be okay
4. Alert the physician that the patient needs Xanax - ANS-1. Have the patient lie down on a
stretcher with bedrails up
Correct - The 1-4 day period after Xanax withdrawal is the most dangerous. Xanax is a
benzodiazepine and withdrawal symptoms include life-threatening seizures. Having the
patient lie down with bedrails up is part of seizure precautions and is the first priority
2. Give the patient a cup of water to drink and a small amount of food
Incorrect - This is not a priority intervention
3. Assure the patient that he will be okay
Incorrect - This is not a priority intervention
4. Alert the physician that the patient needs Xanax
Incorrect - This is not a priority intervention
A nurse cares for a child that is diagnosed with Hepatitis A. Which of these following
precautions would be most important to take to prevent transmission of this infectious disease?
1. Encourage the Hepatitis A vaccine for family members and siblings
,2. Use needleless systems if possible, otherwise use careful needle precautionary measures
3. Teach the child and enforce strict and frequent hand washing
4. Teach the child and family the dangers of contaminated food and water - ANS-1. Encourage
the Hepatitis A vaccine for family members and siblings
Incorrect - Although this is a valuable point for patient education, this does not take the
priority, since the patient is still at risk of transmitting Hepatitis A to others right now.
2. Use needleless systems if possible, otherwise use careful needle precautionary measures
Incorrect - Hepatitis A is transmitted through the fecal-oral route.
3. Teach the child and enforce strict and frequent hand washing
Correct - Hand washing is the single most effective way to prevent transmission of Hepatitis A.
Hepatitis A is a virus transmitted via the oral-fecal route and lives on human hands.
4. Teach the child and family the dangers of contaminated food and water
Incorrect - Although this is a valuable teaching point, it is not the priority intervention.
A nurse is treating a patient suspected to have Hepatitis. The nurse notes on assessment that
the patient's eyes are yellow-tinged. Which of these diagnostic results would further assist in
confirming this diagnosis?
1. Decreased serum Bilirubin
2. Elevated serum ALT levels
3. Low RBC and Hemoglobin with increased WBCs
4. Increased Blood Urea Nitrogen level - ANS-1. Decreased serum Bilirubin
Incorrect - Bilirubin levels correlate with the appearance of Jaundice. An increased serum
bilirubin would be the expected finding for this patient.
, 2. Elevated serum ALT levels
Correct - ALT is a liver enzyme, and hepatitis is a liver disease. Elevated liver enzymes will
often signal liver damage.
3. Low RBC and Hemoglobin with increased WBCs
Incorrect - This is not a common finding for Hepatitis patients
4. Increased Blood Urea Nitrogen level
Incorrect - BUN is an indicator of renal (kidney) health, not hepatic (liver) function.
Which of these patients would the nurse suspect as having the greatest risk of contracting
Hepatitis B?
1. A sexually active 45-year old man who has Type 1 Diabetes
2. A 75-year old woman who lives in a crowded nursing home
3. A child who lives in a country with poor sanitation and hygiene standards
4. A sexually active 23-year old man who works in a hospital - ANS-1. A sexually active 45-year
old man who has Type 1 Diabetes
Incorrect - This person is sexually active, but it is not specified with how many partners.
Having Type 1 Diabetes is not a risk factor for Hepatitis.
2. A 75-year old woman who lives in a crowded nursing home
Incorrect - Age is not a risk factor for Hepatitis B, and close living accommodations is a
stronger risk factor for Hepatitis A and E, which are oral-fecal transmissions.
3. A child who lives in a country with poor sanitation and hygiene standards
Incorrect - This is a relevant risk factor for Hepatitis A and E
AND CORRECT VERIFIED ANSWERS ALREADY
GRADED A+ (BRAND NEW VISION)
The nurse is doing an intake screening for a patient with hypertension. They have been taking
ramapril for 4 weeks. Which statement made by the patient would be most important for the
nurse to pass on to the physician?
1. "I get dizzy when I get out of bed."
2. "I'm urinating much more than I used to."
3. "I've been running on the treadmill 10 minutes each day."
4. "I can't get rid of this cough." - ANS-1. "I get dizzy when I get out of bed."
Incorrect - This may require some medication teaching but is not the priority assessment
finding.
2. "I'm urinating much more than I used to."
Incorrect - ACE Inhibitors like ramapril work, in part, by increasing urine flow. This is a
necessary side effect of the medication and is not a priority.
3. "I've been running on the treadmill 10 minutes each day."
Incorrect - ACE Inhibitors like ramapril work, in part, by increasing urine flow. This is a
necessary side effect of the medication and is not a priority.
4. "I can't get rid of this cough."
Correct - A common adverse effect of ACE inhibitors is a persistent, dry cough. A medication
change to another class of antihypertensives, like an ARB, may be needed
,The nurse in the emergency room sees a patient who has been abusing alprazolam (Xanax). The
patient reports that he suddenly stopped taking Xanax about 24 hours ago. He presents with a
visible tremor, is pacing, expresses fear, and has impaired concentration and memory. Which of
these intervention takes priority?
1. Have the patient lie down on a stretcher with bedrails up
2. Give the patient a cup of water to drink and a small amount of food
3. Assure the patient that he will be okay
4. Alert the physician that the patient needs Xanax - ANS-1. Have the patient lie down on a
stretcher with bedrails up
Correct - The 1-4 day period after Xanax withdrawal is the most dangerous. Xanax is a
benzodiazepine and withdrawal symptoms include life-threatening seizures. Having the
patient lie down with bedrails up is part of seizure precautions and is the first priority
2. Give the patient a cup of water to drink and a small amount of food
Incorrect - This is not a priority intervention
3. Assure the patient that he will be okay
Incorrect - This is not a priority intervention
4. Alert the physician that the patient needs Xanax
Incorrect - This is not a priority intervention
A nurse cares for a child that is diagnosed with Hepatitis A. Which of these following
precautions would be most important to take to prevent transmission of this infectious disease?
1. Encourage the Hepatitis A vaccine for family members and siblings
,2. Use needleless systems if possible, otherwise use careful needle precautionary measures
3. Teach the child and enforce strict and frequent hand washing
4. Teach the child and family the dangers of contaminated food and water - ANS-1. Encourage
the Hepatitis A vaccine for family members and siblings
Incorrect - Although this is a valuable point for patient education, this does not take the
priority, since the patient is still at risk of transmitting Hepatitis A to others right now.
2. Use needleless systems if possible, otherwise use careful needle precautionary measures
Incorrect - Hepatitis A is transmitted through the fecal-oral route.
3. Teach the child and enforce strict and frequent hand washing
Correct - Hand washing is the single most effective way to prevent transmission of Hepatitis A.
Hepatitis A is a virus transmitted via the oral-fecal route and lives on human hands.
4. Teach the child and family the dangers of contaminated food and water
Incorrect - Although this is a valuable teaching point, it is not the priority intervention.
A nurse is treating a patient suspected to have Hepatitis. The nurse notes on assessment that
the patient's eyes are yellow-tinged. Which of these diagnostic results would further assist in
confirming this diagnosis?
1. Decreased serum Bilirubin
2. Elevated serum ALT levels
3. Low RBC and Hemoglobin with increased WBCs
4. Increased Blood Urea Nitrogen level - ANS-1. Decreased serum Bilirubin
Incorrect - Bilirubin levels correlate with the appearance of Jaundice. An increased serum
bilirubin would be the expected finding for this patient.
, 2. Elevated serum ALT levels
Correct - ALT is a liver enzyme, and hepatitis is a liver disease. Elevated liver enzymes will
often signal liver damage.
3. Low RBC and Hemoglobin with increased WBCs
Incorrect - This is not a common finding for Hepatitis patients
4. Increased Blood Urea Nitrogen level
Incorrect - BUN is an indicator of renal (kidney) health, not hepatic (liver) function.
Which of these patients would the nurse suspect as having the greatest risk of contracting
Hepatitis B?
1. A sexually active 45-year old man who has Type 1 Diabetes
2. A 75-year old woman who lives in a crowded nursing home
3. A child who lives in a country with poor sanitation and hygiene standards
4. A sexually active 23-year old man who works in a hospital - ANS-1. A sexually active 45-year
old man who has Type 1 Diabetes
Incorrect - This person is sexually active, but it is not specified with how many partners.
Having Type 1 Diabetes is not a risk factor for Hepatitis.
2. A 75-year old woman who lives in a crowded nursing home
Incorrect - Age is not a risk factor for Hepatitis B, and close living accommodations is a
stronger risk factor for Hepatitis A and E, which are oral-fecal transmissions.
3. A child who lives in a country with poor sanitation and hygiene standards
Incorrect - This is a relevant risk factor for Hepatitis A and E
