NCLEX RN FUNDAMENTALS LATEST 2025/2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
The nurse on the medical-surgical unit has just received a report
on four patients. Which of the following patients should the nurse
see first?
a. Patient who is one day post-op hysterectomy awaiting
discharge
b. Patient who is scheduled for dialysis in two hours, reports chills
c. Patient calling for pain medication
d. Patient who is two days post hip replacement surgery
complaining of shortness of breath - ANSWER-d. Patient who is
two days post hip replacement surgery complaining of shortness
of breath
Any patient who is complaining of shortness of breath takes
priority. The patient who has just had hip replacement
surgery is at risk for blood clots and could be experiencing a
pulmonary embolus (PE). The nurse needs to see this patient
first to determine what is happening.
,2|Page
The nurse working on the surgical unit knows the National Patient
Safety Goals as established by Joint Commission include (Select
all that apply):
a. Using side rails and bed alarms for fall prevention
b. Using the read-back procedure for verification of verbal and
phone orders
c. Memorizing all rules set forth by Joint Commission
d. Performing medication reconciliation for complete medication
lists and ensuring appropriate use throughout a patient's care
e. Keeping patients involved in care and encouraging them to
question their care - ANSWER-a. Using side rails and bed alarms
for fall prevention
b. Using the read-back procedure for verification of verbal and
phone orders
d. Performing medication reconciliation for complete medication
lists and ensuring appropriate use throughout a patient's care
National Patient Safety Goals are set forth by Joint
Commission and are modified yearly to correspond to
,3|Page
healthcare needs. Some goals are consistent, including use
of side rails and alarms to prevent falls, verification of verbal
and phone orders, and performing medication reconciliation.
Nurses need to be aware of these patient safety goals as they
are modified and updated to keep patients safe and meet
Joint Commission standards.
A patient is admitted to the medical unit for COPD exacerbation.
The nurse knows that chronic illnesses are characterized by
(Select all that apply):
a. Consistent and predictable course
b. Permanent deviation from what is normal
c. Stable and unstable phases
d. Begin with acute illness but progress slowly
e. Reversible pathologic changes - ANSWER-b. Permanent
deviation from what is normal
c. Stable and unstable phases
Chronic illnesses, like COPD, are characterized by
permanent deviation from what is normal, irreversible
, 4|Page
pathologic changes, residual disability, need for
rehabilitation, and need for long-term care.
The nurse on the medical-surgical floor is caring for a patient who
had open cardiac bypass surgery five days ago. The patient has a
surgical incision and requires a dressing change. The nurse
knows the way to prevent infection of the incision is (Select all
that apply):
a. Using hand sanitizer every time healthcare personnel enter or
leave the room
b. Administering antibiotics
c. Wearing gloves and a mask when changing the surgical
dressing
d. Changing the surgical dressing regularly
e. Preventing visitors from entering the room - ANSWER-c.
Wearing gloves and a mask when changing the surgical dressing
d. Changing the surgical dressing regularly
Hand hygiene is the number one way to prevent infection in
surgical incisions. However, the best way to prevent spread of