75 NCLEX Questions and answers
2024/2025
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?
A. Increase in Forced Vital Capacity (FVC)
B. A narrowed chest cavity
C. Clubbing fingers
D. An increased risk of cardiac failure
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?
A. Melena
B. Nausea
C. Hernia
D. Hyperthermia
3) A nurse is providing discharge teaching for a patient with severe
Gastroesophageal Reflux Disease. Which of these statements by the patient
indicates a need for more teaching?
, A. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
B. "I'm going to make sure to remain upright after meals and elevate my head
when I sleep."
C. "I won't be drinking tea or coffee or eating chocolate anymore."
D. "I'm going to start trying to lose some weight."
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?
A. Start a large-bore IV in the patient's arm
B. Ask the patient for a stool sample
C. Prepare to insert an NG Tube
D. Administer intramuscular morphine sulphate as ordered
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?
A. Hemoglobin 11 g/dl
B. Platelet of 150,000
C. INR of 2.5
D. Potassium of 2.7 mEq/L
, 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?
A. Stop the saline infusion immediately
B. Notify Physician
C. Elevate the patient's legs
D. Continue the infusion, since these are normal findings
7) The nurse is working in a support group for clients with HIV. Which point is
most important for the nurse to stress?
A. They must inform household members of their condition
B. They must take their medications exactly as prescribed
C. They must abstain from substance use
D. They must avoid large crowds
8) A nurse finds a 30-year-old woman 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?
A. Initiate cardiopulmonary resuscitation
B. Check for a pulse
C. Ask the woman if she carries an emergency medical kit
D. Stay with the woman until help comes
2024/2025
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?
A. Increase in Forced Vital Capacity (FVC)
B. A narrowed chest cavity
C. Clubbing fingers
D. An increased risk of cardiac failure
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?
A. Melena
B. Nausea
C. Hernia
D. Hyperthermia
3) A nurse is providing discharge teaching for a patient with severe
Gastroesophageal Reflux Disease. Which of these statements by the patient
indicates a need for more teaching?
, A. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
B. "I'm going to make sure to remain upright after meals and elevate my head
when I sleep."
C. "I won't be drinking tea or coffee or eating chocolate anymore."
D. "I'm going to start trying to lose some weight."
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?
A. Start a large-bore IV in the patient's arm
B. Ask the patient for a stool sample
C. Prepare to insert an NG Tube
D. Administer intramuscular morphine sulphate as ordered
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?
A. Hemoglobin 11 g/dl
B. Platelet of 150,000
C. INR of 2.5
D. Potassium of 2.7 mEq/L
, 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?
A. Stop the saline infusion immediately
B. Notify Physician
C. Elevate the patient's legs
D. Continue the infusion, since these are normal findings
7) The nurse is working in a support group for clients with HIV. Which point is
most important for the nurse to stress?
A. They must inform household members of their condition
B. They must take their medications exactly as prescribed
C. They must abstain from substance use
D. They must avoid large crowds
8) A nurse finds a 30-year-old woman 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?
A. Initiate cardiopulmonary resuscitation
B. Check for a pulse
C. Ask the woman if she carries an emergency medical kit
D. Stay with the woman until help comes
