75 Free NCLEX Questions - c/o BrilliantNurse.com
NCLEX Questions Here are 75 completely free NCLEX
Review questions with complete rationales. They're
good practice, but they are difficult! 75 is the minimum
number of NCLEX exam questions nursing students have
to pass - so we thought it would be a nice round
number to give out for a free exam. Have fun! You can
get access to more NCLEX questions by following our
Brilliant Nurse Facebook Page. We post an NCLEX
question and rationale every weekday!
The nurse is taking the health history of a patient being treated for Emphysema and Chronic
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Bronchitis. After being told the patient has been smoking cigarettes for 30 years, the nurse
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
expects to note which assessment finding?
Il` Il` Il` Il` Il` Il`
1. Increase in Forced Vital Capacity (FVC)
Il` Il` Il` Il` Il` Il`
2. A narrowed chest cavity
Il` Il` Il` Il`
3. Clubbed fingers
Il` Il` Il`
4. An increased risk of cardiac failure - Correct Answers 1. Increase in Forced Vital Capacity (FVC)
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Forced Vital Capacity is the volume of air exhaled from full inhalation to full exhalation. A patient
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
with COPD would have a decrease in FVC. Incorrect.
Il` Il` Il` Il` Il` Il` Il` Il` Il`
2. A narrowed chest cavity
Il` Il` Il` Il`
A patient with COPD often presents with a 'barrel chest,' which is seen as a widened chest cavity.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Incorrect.
Il`
,3. Clubbed fingers - CORRECT
Il` Il` Il` Il`
Clubbed fingers are a sign of a long-term, or chronic, decrease in oxygen levels.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
4. An increased risk of cardiac failure
Il` Il` Il` Il` Il` Il`
Although a patient with these conditions would indeed be at an increased risk for cardiac failure,
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
this is a potential complication and not an assessment finding. Incorrect.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` The nurse is taking the health history of a 70-year-old patient being treated for a Duodenal Ulcer.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` After being told the patient is complaining of epigastric pain, the nurse expects to note which
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` assessment finding? Il`
1. Melena Il`
2. Nausea Il`
3. Hernia Il`
4. Hyperthermia - Correct Answers 1. Melena - CORRECT
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Melena is the finding that there are traces of blood in the stool which presents as black, tarry
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
feces. This is a common manifestation of Duodenal Ulcers, since the Duodenum is further down
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
the gastric anatomy.
Il` Il` Il`
2. Nausea Il`
Nausea may be present, but is a generalized symptom and by itself doesn't indicate a Duodenal
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Ulcer. Incorrect.
Il` Il`
3. Hernia Il`
A Hernia is a protrusion of a segment of the abdomen through another abdominal structure. It is
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
not associated with an Ulcer and is a condition, not an assessment finding. Incorrect.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
4. Hyperthermia
Il`
,Hyperthermia, a high temperature, is not an assessment finding of a Duodenal Ulcer. Incorrect
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse is providing discharge teaching for a patient with severe Gastroesophogeal Reflux
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` Disease. Which of these statements by the patient indicates a need for more teaching?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
2. "I'm going to make sure to remain upright after meals and elevate my head when I sleep"
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
3. "I won't be drinking tea or coffee or eating chocolate any more."
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
4. "I'm going to start trying to lose some weight." - Correct Answers 1. "I'm going to limit my
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
meals to 2-3 per day to reduce acid secretion."
Il` Il` Il` Il` Il` Il` Il` Il` Il`
CORRECT - Large meals increase the volume and pressure in the stomach and delay gastric
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
emptying. It's recommended instead to eat 4-6 small meals a day.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
2. "I'm going to make sure to remain upright after meals and elevate my head when I sleep"
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Incorrect - This is a correct verbalization of health promotion for GERD.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
3. "I won't be drinking tea or coffee or eating chocolate any more."
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Incorrect - This is a correct verbalization of health promotion for GERD.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
4. "I'm going to start trying to lose some weight."
Il` Il` Il` Il` Il` Il` Il` Il` Il`
Incorrect - This is a correct verbalization of health promotion for GERD.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
, Il` The nurse in the Emergency Room is treating a patient suspected to have a Peptic Ulcer. On
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` assessing lab results, the nurse finds that the patient's blood pressure is 95/60, pulse is 110 beats
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` per minute, and the patient reports epigastric pain. What is the PRIORITY intervention?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
1. Start a large-bore IV in the patient's arm
Il` Il` Il` Il` Il` Il` Il` Il`
2. Ask the patient for a stool sample
Il` Il` Il` Il` Il` Il` Il`
3. Prepare to insert an NG Tube
Il` Il` Il` Il` Il` Il`
4. Administer intramuscular morphine sulphate as ordered - Correct Answers 1. Start a large-
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
bore IV in the patient's arm
Il` Il` Il` Il` Il`
CORRECT - The nurse should suspect that the patient is haemorrhaging and will need need a fluid
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
replacement therapy, which requires a large bore IV.
Il` Il` Il` Il` Il` Il` Il` Il`
2. Ask the patient for a stool sample
Il` Il` Il` Il` Il` Il` Il`
Incorrect - While this is useful in the diagnosis and assessment of Peptic Ulcer Disease, it is not the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
priority intervention.
Il` Il`
3. Prepare to insert an NG Tube
Il` Il` Il` Il` Il` Il`
Incorrect - While this intervention may be used in the later stages of Peptic Ulcer Disease, it is not
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
the first and priority intervention.
Il` Il` Il` Il` Il`
4. Administer intramuscular morphine sulphate as ordered
Il` Il` Il` Il` Il` Il`
Incorrect - While this is an important intervention to manage pain, it is not the priority
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
intervention.
Il`
Il` A female patient with atrial fibrillation has the following lab results: Hemoglobin of 11 g/dl, a
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` platelet count of 150,000, an INR of 2.5, and potassium of 2.7 mEq/L. Which result is critical and
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` should be reported to the physician immediately?
Il` Il` Il` Il` Il` Il`
1. Hemoglobin 11 g/dl
Il` Il` Il`
NCLEX Questions Here are 75 completely free NCLEX
Review questions with complete rationales. They're
good practice, but they are difficult! 75 is the minimum
number of NCLEX exam questions nursing students have
to pass - so we thought it would be a nice round
number to give out for a free exam. Have fun! You can
get access to more NCLEX questions by following our
Brilliant Nurse Facebook Page. We post an NCLEX
question and rationale every weekday!
The nurse is taking the health history of a patient being treated for Emphysema and Chronic
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Bronchitis. After being told the patient has been smoking cigarettes for 30 years, the nurse
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
expects to note which assessment finding?
Il` Il` Il` Il` Il` Il`
1. Increase in Forced Vital Capacity (FVC)
Il` Il` Il` Il` Il` Il`
2. A narrowed chest cavity
Il` Il` Il` Il`
3. Clubbed fingers
Il` Il` Il`
4. An increased risk of cardiac failure - Correct Answers 1. Increase in Forced Vital Capacity (FVC)
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Forced Vital Capacity is the volume of air exhaled from full inhalation to full exhalation. A patient
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
with COPD would have a decrease in FVC. Incorrect.
Il` Il` Il` Il` Il` Il` Il` Il` Il`
2. A narrowed chest cavity
Il` Il` Il` Il`
A patient with COPD often presents with a 'barrel chest,' which is seen as a widened chest cavity.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Incorrect.
Il`
,3. Clubbed fingers - CORRECT
Il` Il` Il` Il`
Clubbed fingers are a sign of a long-term, or chronic, decrease in oxygen levels.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
4. An increased risk of cardiac failure
Il` Il` Il` Il` Il` Il`
Although a patient with these conditions would indeed be at an increased risk for cardiac failure,
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
this is a potential complication and not an assessment finding. Incorrect.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` The nurse is taking the health history of a 70-year-old patient being treated for a Duodenal Ulcer.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` After being told the patient is complaining of epigastric pain, the nurse expects to note which
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` assessment finding? Il`
1. Melena Il`
2. Nausea Il`
3. Hernia Il`
4. Hyperthermia - Correct Answers 1. Melena - CORRECT
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Melena is the finding that there are traces of blood in the stool which presents as black, tarry
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
feces. This is a common manifestation of Duodenal Ulcers, since the Duodenum is further down
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
the gastric anatomy.
Il` Il` Il`
2. Nausea Il`
Nausea may be present, but is a generalized symptom and by itself doesn't indicate a Duodenal
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Ulcer. Incorrect.
Il` Il`
3. Hernia Il`
A Hernia is a protrusion of a segment of the abdomen through another abdominal structure. It is
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
not associated with an Ulcer and is a condition, not an assessment finding. Incorrect.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
4. Hyperthermia
Il`
,Hyperthermia, a high temperature, is not an assessment finding of a Duodenal Ulcer. Incorrect
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` A nurse is providing discharge teaching for a patient with severe Gastroesophogeal Reflux
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` Disease. Which of these statements by the patient indicates a need for more teaching?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
2. "I'm going to make sure to remain upright after meals and elevate my head when I sleep"
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
3. "I won't be drinking tea or coffee or eating chocolate any more."
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
4. "I'm going to start trying to lose some weight." - Correct Answers 1. "I'm going to limit my
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
meals to 2-3 per day to reduce acid secretion."
Il` Il` Il` Il` Il` Il` Il` Il` Il`
CORRECT - Large meals increase the volume and pressure in the stomach and delay gastric
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
emptying. It's recommended instead to eat 4-6 small meals a day.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
2. "I'm going to make sure to remain upright after meals and elevate my head when I sleep"
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Incorrect - This is a correct verbalization of health promotion for GERD.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
3. "I won't be drinking tea or coffee or eating chocolate any more."
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Incorrect - This is a correct verbalization of health promotion for GERD.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
4. "I'm going to start trying to lose some weight."
Il` Il` Il` Il` Il` Il` Il` Il` Il`
Incorrect - This is a correct verbalization of health promotion for GERD.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
, Il` The nurse in the Emergency Room is treating a patient suspected to have a Peptic Ulcer. On
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` assessing lab results, the nurse finds that the patient's blood pressure is 95/60, pulse is 110 beats
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` per minute, and the patient reports epigastric pain. What is the PRIORITY intervention?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
1. Start a large-bore IV in the patient's arm
Il` Il` Il` Il` Il` Il` Il` Il`
2. Ask the patient for a stool sample
Il` Il` Il` Il` Il` Il` Il`
3. Prepare to insert an NG Tube
Il` Il` Il` Il` Il` Il`
4. Administer intramuscular morphine sulphate as ordered - Correct Answers 1. Start a large-
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
bore IV in the patient's arm
Il` Il` Il` Il` Il`
CORRECT - The nurse should suspect that the patient is haemorrhaging and will need need a fluid
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
replacement therapy, which requires a large bore IV.
Il` Il` Il` Il` Il` Il` Il` Il`
2. Ask the patient for a stool sample
Il` Il` Il` Il` Il` Il` Il`
Incorrect - While this is useful in the diagnosis and assessment of Peptic Ulcer Disease, it is not the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
priority intervention.
Il` Il`
3. Prepare to insert an NG Tube
Il` Il` Il` Il` Il` Il`
Incorrect - While this intervention may be used in the later stages of Peptic Ulcer Disease, it is not
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
the first and priority intervention.
Il` Il` Il` Il` Il`
4. Administer intramuscular morphine sulphate as ordered
Il` Il` Il` Il` Il` Il`
Incorrect - While this is an important intervention to manage pain, it is not the priority
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
intervention.
Il`
Il` A female patient with atrial fibrillation has the following lab results: Hemoglobin of 11 g/dl, a
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` platelet count of 150,000, an INR of 2.5, and potassium of 2.7 mEq/L. Which result is critical and
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` should be reported to the physician immediately?
Il` Il` Il` Il` Il` Il`
1. Hemoglobin 11 g/dl
Il` Il` Il`
