75 Free NCLEX Questions
BrilliantNurse.com with correct answers
ThenurseistakingthehealthhistoryofapatientbeingtreatedforEmphysemaandChronicBronchitis.Afterbein
gtoldthepatienthasbeensmokingcigarettesfor30years,thenurseexpectstonotewhichassessmentfinding?
1.IncreaseinForcedVitalCapacity(FVC)
2.Anarrowedchestcavity
3.Clubbedfingers
4.Anincreasedriskofcardiacfailure-VERIFIEDANSWER✔✔-1.IncreaseinForcedVitalCapacity(FVC)
ForcedVitalCapacityisthevolumeofairexhaledfromfullinhalationtofullexhalation.ApatientwithCOPDwould
haveadecreaseinFVC.Incorrect.
2.Anarrowedchestcavity
ApatientwithCOPDoftenpresentswitha'barrelchest,'whichisseenasawidenedchestcavity.Incorrect.
3.Clubbedfingers-CORRECT
Clubbedfingersareasignofalong-term,orchronic,decreaseinoxygenlevels.
4.Anincreasedriskofcardiacfailure
Althoughapatientwiththeseconditionswouldindeedbeatanincreasedriskforcardiacfailure,thisisapotentialc
omplicationandnotanassessmentfinding.Incorrect.
Thenurseistakingthehealthhistoryofa70-year-
oldpatientbeingtreatedforaDuodenalUlcer.Afterbeingtoldthepatientiscomplainingofepigastricpain,thenu
rseexpectstonotewhichassessmentfinding?
1.Melena
2.Nausea
3.Hernia
,4.Hyperthermia-VERIFIEDANSWER✔✔-1.Melena-CORRECT
Melenaisthefindingthattherearetracesofbloodinthestoolwhichpresentsasblack,tarryfeces.Thisisacommo
nmanifestationofDuodenalUlcers,sincetheDuodenumisfurtherdownthegastricanatomy.
2.Nausea
Nauseamaybepresent,butisageneralizedsymptomandbyitselfdoesn'tindicateaDuodenalUlcer.Incorrect.
3.Hernia
AHerniaisaprotrusionofasegmentoftheabdomenthroughanotherabdominalstructure.Itisnotassociatedwit
hanUlcerandisacondition,notanassessmentfinding.Incorrect.
4.Hyperthermia
Hyperthermia,ahightemperature,isnotanassessmentfindingofaDuodenalUlcer.Incorrect
AnurseisprovidingdischargeteachingforapatientwithsevereGastroesophogealRefluxDisease.Whichofthes
estatementsbythepatientindicatesaneedformoreteaching?
1."I'mgoingtolimitmymealsto2-3perdaytoreduceacidsecretion."
2."I'mgoingtomakesuretoremainuprightaftermealsandelevatemyheadwhenIsleep"
3."Iwon'tbedrinkingteaorcoffeeoreatingchocolateanymore."
4."I'mgoingtostarttryingtolosesomeweight."-VERIFIEDANSWER✔✔-1."I'mgoingtolimitmymealsto2-
3perdaytoreduceacidsecretion."
CORRECT-
Largemealsincreasethevolumeandpressureinthestomachanddelaygastricemptying.It'srecommendedinst
eadtoeat4-6smallmealsaday.
2."I'mgoingtomakesuretoremainuprightaftermealsandelevatemyheadwhenIsleep"
Incorrect-ThisisacorrectverbalizationofhealthpromotionforGERD.
,3."Iwon'tbedrinkingteaorcoffeeoreatingchocolateanymore."
Incorrect-ThisisacorrectverbalizationofhealthpromotionforGERD.
4."I'mgoingtostarttryingtolosesomeweight."
Incorrect-ThisisacorrectverbalizationofhealthpromotionforGERD.
ThenurseintheEmergencyRoomistreatingapatientsuspectedtohaveaPepticUlcer.Onassessinglabresults,th
enursefindsthatthepatient'sbloodpressureis95/60,pulseis110beatsperminute,andthepatientreportsepiga
stricpain.WhatisthePRIORITYintervention?
1.Startalarge-boreIVinthepatient'sarm
2.Askthepatientforastoolsample
3.PreparetoinsertanNGTube
4.Administerintramuscularmorphinesulphateasordered-VERIFIEDANSWER✔✔-1.Startalarge-
boreIVinthepatient'sarm
CORRECT-
Thenurseshouldsuspectthatthepatientishaemorrhagingandwillneedneedafluidreplacementtherapy,whic
hrequiresalargeboreIV.
2.Askthepatientforastoolsample
Incorrect-
WhilethisisusefulinthediagnosisandassessmentofPepticUlcerDisease,itisnotthepriorityintervention.
3.PreparetoinsertanNGTube
Incorrect-
WhilethisinterventionmaybeusedinthelaterstagesofPepticUlcerDisease,itisnotthefirstandpriorityinterven
tion.
4.Administerintramuscularmorphinesulphateasordered
Incorrect-Whilethisisanimportantinterventiontomanagepain,itisnotthepriorityintervention.
Afemalepatientwithatrialfibrillationhasthefollowinglabresults:Hemoglobinof11g/
dl,aplateletcountof150,000,anINRof2.5,andpotassiumof2.7mEq/
L.Whichresultiscriticalandshouldbereportedtothephysicianimmediately?
, 1.Hemoglobin11g/dl
2.Plateletof150,000
3.INRof2.5
4.Potassiumof2.7mEq/L-VERIFIEDANSWER✔✔-1.Hemoglobin11g/dl
Thisisbelownormal,butanormalfemalehemoglobinis12-14.Thereisamorecriticallabresult.
2.Plateletof150,000
Thisisalsobelowthenormalvalues,butisnotthemostcriticallabresult.
3.INRof2.5
Thisisatherapeuticrangeforapatientwhoistakingananticoagulantforatrialfibrillation
4.Potassiumof2.7mEq/L
CORRECT-Apotassiumimbalanceforapatientwithahistoryofdysrhythmiacanbelife-
threateningandcanleadtocardiacdistress.
WhilereceivingnormalsalineinfusionstotreataGIbleed,thenursenotesthatthepatient'slowerlegshavebeco
meedematousandauscultatescracklesinthelungs.Whatshouldthenursedofirst?
1.Stopthesalineinfusionimmediately
2.NotifyPhysician
3.Elevatethepatient'slegs
4.Continuetheinfusion,sincethesearenormalfindings-VERIFIEDANSWER✔✔-
1.Stopthesalineinfusionimmediately
CORRECT-
thepatienthasafluidvolumeoverloadasaresultofoverlyrapidfluidreplacement.Thenurseshouldstoptheinfu
sionandnotifythephysician.
2.NotifyPhysician
Thisisnotthefirstactionthenurseshouldtake.
BrilliantNurse.com with correct answers
ThenurseistakingthehealthhistoryofapatientbeingtreatedforEmphysemaandChronicBronchitis.Afterbein
gtoldthepatienthasbeensmokingcigarettesfor30years,thenurseexpectstonotewhichassessmentfinding?
1.IncreaseinForcedVitalCapacity(FVC)
2.Anarrowedchestcavity
3.Clubbedfingers
4.Anincreasedriskofcardiacfailure-VERIFIEDANSWER✔✔-1.IncreaseinForcedVitalCapacity(FVC)
ForcedVitalCapacityisthevolumeofairexhaledfromfullinhalationtofullexhalation.ApatientwithCOPDwould
haveadecreaseinFVC.Incorrect.
2.Anarrowedchestcavity
ApatientwithCOPDoftenpresentswitha'barrelchest,'whichisseenasawidenedchestcavity.Incorrect.
3.Clubbedfingers-CORRECT
Clubbedfingersareasignofalong-term,orchronic,decreaseinoxygenlevels.
4.Anincreasedriskofcardiacfailure
Althoughapatientwiththeseconditionswouldindeedbeatanincreasedriskforcardiacfailure,thisisapotentialc
omplicationandnotanassessmentfinding.Incorrect.
Thenurseistakingthehealthhistoryofa70-year-
oldpatientbeingtreatedforaDuodenalUlcer.Afterbeingtoldthepatientiscomplainingofepigastricpain,thenu
rseexpectstonotewhichassessmentfinding?
1.Melena
2.Nausea
3.Hernia
,4.Hyperthermia-VERIFIEDANSWER✔✔-1.Melena-CORRECT
Melenaisthefindingthattherearetracesofbloodinthestoolwhichpresentsasblack,tarryfeces.Thisisacommo
nmanifestationofDuodenalUlcers,sincetheDuodenumisfurtherdownthegastricanatomy.
2.Nausea
Nauseamaybepresent,butisageneralizedsymptomandbyitselfdoesn'tindicateaDuodenalUlcer.Incorrect.
3.Hernia
AHerniaisaprotrusionofasegmentoftheabdomenthroughanotherabdominalstructure.Itisnotassociatedwit
hanUlcerandisacondition,notanassessmentfinding.Incorrect.
4.Hyperthermia
Hyperthermia,ahightemperature,isnotanassessmentfindingofaDuodenalUlcer.Incorrect
AnurseisprovidingdischargeteachingforapatientwithsevereGastroesophogealRefluxDisease.Whichofthes
estatementsbythepatientindicatesaneedformoreteaching?
1."I'mgoingtolimitmymealsto2-3perdaytoreduceacidsecretion."
2."I'mgoingtomakesuretoremainuprightaftermealsandelevatemyheadwhenIsleep"
3."Iwon'tbedrinkingteaorcoffeeoreatingchocolateanymore."
4."I'mgoingtostarttryingtolosesomeweight."-VERIFIEDANSWER✔✔-1."I'mgoingtolimitmymealsto2-
3perdaytoreduceacidsecretion."
CORRECT-
Largemealsincreasethevolumeandpressureinthestomachanddelaygastricemptying.It'srecommendedinst
eadtoeat4-6smallmealsaday.
2."I'mgoingtomakesuretoremainuprightaftermealsandelevatemyheadwhenIsleep"
Incorrect-ThisisacorrectverbalizationofhealthpromotionforGERD.
,3."Iwon'tbedrinkingteaorcoffeeoreatingchocolateanymore."
Incorrect-ThisisacorrectverbalizationofhealthpromotionforGERD.
4."I'mgoingtostarttryingtolosesomeweight."
Incorrect-ThisisacorrectverbalizationofhealthpromotionforGERD.
ThenurseintheEmergencyRoomistreatingapatientsuspectedtohaveaPepticUlcer.Onassessinglabresults,th
enursefindsthatthepatient'sbloodpressureis95/60,pulseis110beatsperminute,andthepatientreportsepiga
stricpain.WhatisthePRIORITYintervention?
1.Startalarge-boreIVinthepatient'sarm
2.Askthepatientforastoolsample
3.PreparetoinsertanNGTube
4.Administerintramuscularmorphinesulphateasordered-VERIFIEDANSWER✔✔-1.Startalarge-
boreIVinthepatient'sarm
CORRECT-
Thenurseshouldsuspectthatthepatientishaemorrhagingandwillneedneedafluidreplacementtherapy,whic
hrequiresalargeboreIV.
2.Askthepatientforastoolsample
Incorrect-
WhilethisisusefulinthediagnosisandassessmentofPepticUlcerDisease,itisnotthepriorityintervention.
3.PreparetoinsertanNGTube
Incorrect-
WhilethisinterventionmaybeusedinthelaterstagesofPepticUlcerDisease,itisnotthefirstandpriorityinterven
tion.
4.Administerintramuscularmorphinesulphateasordered
Incorrect-Whilethisisanimportantinterventiontomanagepain,itisnotthepriorityintervention.
Afemalepatientwithatrialfibrillationhasthefollowinglabresults:Hemoglobinof11g/
dl,aplateletcountof150,000,anINRof2.5,andpotassiumof2.7mEq/
L.Whichresultiscriticalandshouldbereportedtothephysicianimmediately?
, 1.Hemoglobin11g/dl
2.Plateletof150,000
3.INRof2.5
4.Potassiumof2.7mEq/L-VERIFIEDANSWER✔✔-1.Hemoglobin11g/dl
Thisisbelownormal,butanormalfemalehemoglobinis12-14.Thereisamorecriticallabresult.
2.Plateletof150,000
Thisisalsobelowthenormalvalues,butisnotthemostcriticallabresult.
3.INRof2.5
Thisisatherapeuticrangeforapatientwhoistakingananticoagulantforatrialfibrillation
4.Potassiumof2.7mEq/L
CORRECT-Apotassiumimbalanceforapatientwithahistoryofdysrhythmiacanbelife-
threateningandcanleadtocardiacdistress.
WhilereceivingnormalsalineinfusionstotreataGIbleed,thenursenotesthatthepatient'slowerlegshavebeco
meedematousandauscultatescracklesinthelungs.Whatshouldthenursedofirst?
1.Stopthesalineinfusionimmediately
2.NotifyPhysician
3.Elevatethepatient'slegs
4.Continuetheinfusion,sincethesearenormalfindings-VERIFIEDANSWER✔✔-
1.Stopthesalineinfusionimmediately
CORRECT-
thepatienthasafluidvolumeoverloadasaresultofoverlyrapidfluidreplacement.Thenurseshouldstoptheinfu
sionandnotifythephysician.
2.NotifyPhysician
Thisisnotthefirstactionthenurseshouldtake.
