2023/2024 NCLEX PN REVIEWED QUE a a a a
STIONS AND ANSWERS a a
a
a
a
a
a
a
a
a
a
a
The nurse is taking the health history of a patient being treated for Emphysema and Chronic
a a a a a a a a a a a a a a a a
Bronchitis. After being told the patient has been smoking cigarettes for 30 years, the nurse e
a a a a a a a a a a a a a a a
xpects to note which assessment finding?
a a a a a a
a
1. Increase in Forced Vital Capacity (FVC) a a a a a a
2. A narrowed chest cavity
a a a a
3. Clubbed fingers a aa
4. An increased risk of cardiac failure - CORRECT ANSWER-3. Clubbed fingers -
a a a a a a a a a a a a
CORRECT a
Clubbed fingers are a sign of a long-term, or chronic, decrease in oxygen levels.
a a a a a a a a a a a a a a
a
The nurse is taking the health history of a 70-year-
a a a a a a a a a
old patient being treated for a Duodenal Ulcer. After being told the patient is complaining of e
a a a a a a a a a a a a a a a a
pigastric pain, the nurse expects to note which assessment finding?
a a a a a a a a a a
a
1. Melena a
2. Nausea a
3. Hernia a
4. Hyperthermia - CORRECT ANSWER-1. Melena - CORRECT
a a a a a a a a
Melena is the finding that there are traces of blood in the stool which presents as black, tarry f
a a a a a a a a a a a a a a a a a a
eces. This is a common manifestation of Duodenal Ulcers, since the Duodenum is further do
a a a a a a a a a a a a a a
wn the gastric anatomy.
a a a a
a
A nurse is providing discharge teaching for a patient with severe Gastroesophogeal
a a a a a a a a a a a a
Reflux Disease. Which of these statements by the patient indicates a need for more
a a a a a a a a a a a a a a
teaching?
a
a
1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
a a a a a a a a a a a a a a a
a
2. "I'm going to make sure to remain upright after meals and elevate my head when I
a a a a a a a a a a a a a a a a a
sleep"
a
a
3. "I won't be drinking tea or coffee or eating chocolate any more."
a a a a a a a a a a a a
a
4. "I'm going to start trying to lose some weight." - CORRECT ANSWER-
a a a a a a a a a a a
1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
a a a a a a a a a a a a a a a
CORRECT - a
Large meals increase the volume and pressure in the stomach and delay gastric emptying. I
a a a a a a a a a a a a a a a
t's recommended instead to eat 4-6 small meals a day.
a a a a a a a a a a
a
The nurse in the Emergency Room is treating a patient suspected to have a Peptic
a a a a a a a a a a a a a a a
,Ulcer. On assessing lab results, the nurse finds that the patient's blood pressure is 95/60, pul
a a a a a a a a a a a a a a a
se is 110 beats per minute, and the patient reports epigastric pain. What is the PRIORITY int
a a a a a a a a a a a a a a a a
ervention? a
a
1. Start a large-bore IV in the patient's arm
a a a a a a a a
2. Ask the patient for a stool sample
a a a a a a a
3. Prepare to insert an NG Tube a a a a a a
4. Administer intramuscular morphine sulphate as ordered - CORRECT ANSWER-1. a a a a a a a a a
Start a large-bore IV in the patient's arm
a a a a a a a a
CORRECT - a
The nurse should suspect that the patient is haemorrhaging and will need need a fluid replac
a a a a a a a a a a a a a a a a
ement therapy, which requires a large bore IV.
a a a a a a a a
a
A female patient with atrial fibrillation has the following lab results: Hemoglobin of 11 g/
a a a a a a a a a a a a a a
dl, a platelet count of 150,000, an INR of 2.5, and potassium of 2.7 mEq/
a a a a a a a a a a a a a a
L. Which result is critical and should be reported to the physician immediately?
a a a a a a a a a a a a a
a
1. Hemoglobin 11 g/dl a a a
2. Platelet of 150,000 a a a
3. INR of 2.5 a a a
4. Potassium of 2.7 mEq/L - CORRECT ANSWER-4. Potassium of 2.7 mEq/L CORRECT - a a a a a a a a a a a a
A potassium imbalance for a patient with a history of dysrhythmia can be life-
a a a a a a a a a a a a a a
threatening and can lead to cardiac distress. a a a a a a a
a
While receiving normal saline infusions to treat a GI bleed, the nurse notes that the patient's l
a a a a a a a a a a a a a a a a
ower legs have become edematous and auscultates crackles in the lungs. What should the
a a a a a a a a a a a a a a
nurse do first? a a a
a
1. Stop the saline infusion immediately a a a a a
2. Notify Physician a a
3. Elevate the patient's legs a a a a
4. Continue the infusion, since these are normal findings - CORRECT ANSWER- a a a a a a a a a a
1. Stop the saline infusion immediately
a a a a a a
CORRECT - a
the patient has a fluid volume overload as a result of overly rapid fluid replacement. The nurs
a a a a a a a a a a a a a a a a a
e should stop the infusion and notify the physician.
a a a a a a a a a
a
The nurse is working in a support group for clients with HIV. Which point is most
a a a a a a a a a a a a a a a a
important for the nurse to stress?
a
a a a a a
a
1. They must inform household members of their condition
a a a a a a a a a
2. They must take their medications exactly as prescribed
a
a a a a a a a a
3. They must abstain from substance use
a
a a a a a a
4. They must avoid large crowds - CORRECT ANSWER-2. They must take their
a
a a a a a a a a a a a a
medications exactly as prescribed
a
a a a
CORRECT - Antiretrovirals must be taken exactly as prescribed to prevent drug-
a a a a a a a a a a a
resistant strains. Even missed doses can reduce the effectiveness of future treatment.
a a a a a a a a a a a
a
, A nurse finds a 30-year-
a a a a
old woman experiencing anaphylaxis from a bee sting. Emergency personnel have been cal
a a a a a a a a a a a a
led. The nurse notes the woman is breathing but short of breath. Which of the following interv
a a a a a a a a a a a a a a a a
entions should the nurse do first? a a a a a a
a
1. Initiate cardiopulmonary resuscitation a a a
2. Check for a pulse a a a aa
3. Ask the woman if she carries an emergency medical kit
a a a a a a a a a a
4. Stay with the woman until help comes - CORRECT ANSWER-
a a a a a a a a a
3. Ask the woman if she carries an emergency medical kit
a a a a a a a a a a a
CORRECT - Many patients who have a known history of anaphylaxis carry epi- a a a a a a a a a a a a
pens in their pockets or belongings. This is the best way to stop a hypersensitivity reaction be
a a a a a a a a a a a a a a a a
fore it becomes life-threatening.
a a a a
a
A man is prescribed lithium to treat bipolar disorder. The nurse is most concerned about
a a a a a a a a a a a a a a
lithium toxicity when he notices which of these assessment findings?
a
a a a a a a a a a
a
1. The patient states he had a manic episode a week ago
a a a a a a a a a a a
2. The patient states he has been having diarrhea every day
a a a a a a a a a a
3. The patient has a rashy pruritis on his arms and legs
a a a a a a a a a a a
4. The patient presents as severely depressed
a a a a a a
5. The patient's lithium level is 1.3 mcg/L - CORRECT ANSWER-
a a a a a a a a a
2. The patient states he has been having diarrhea every day
a a a a a a a a a a a
Correct - a
Persistent diarrhea can lead to dehydration, which can increase the risk of lithium toxicity.
a a a a a a a a a a a a a a a
a
A 65 year old man is prescribed Flomax (Tamsulosin) for Benign Prostatic Hyperplasia.
a a a a a a a a a a a a a
The patient lives in an upstairs apartment. The nurse is most concerned about which
a
a a a a a a a a a a a a a
side effect of Flomax?
a
a a a
a
1. Hypotension
a
a
a
2. Tachycardia
a
3. Back Pain
a
a a
4. Difficulty Urinating - CORRECT ANSWER-1. Hypotension
a
a a a a a a
Correct - Hypotension can lead to dizziness and a risk for injury to the patient.
a a a a a a a a a a a a a a
a
A man is receiving heparin subcutaneously. The patient has dementia and lives at home
a a a a a a a a a a a a a a
with a part-time caretaker. The nurse is most concerned about which side effect of
a
a a a a a a a a a a a a a
heparin
a
?
a
1. Back Pain a a
2. Fever and Chills a a a
3. Risk for Bleeding a a a
4. Dizziness - CORRECT ANSWER-3. Risk for Bleeding a a a a a a a
Correct - a
A confused patient is at risk for injuring themselves and at risk for hemorrhage should an inju
a a a a a a a a a a a a a a a a a
ry occura a
a
STIONS AND ANSWERS a a
a
a
a
a
a
a
a
a
a
a
The nurse is taking the health history of a patient being treated for Emphysema and Chronic
a a a a a a a a a a a a a a a a
Bronchitis. After being told the patient has been smoking cigarettes for 30 years, the nurse e
a a a a a a a a a a a a a a a
xpects to note which assessment finding?
a a a a a a
a
1. Increase in Forced Vital Capacity (FVC) a a a a a a
2. A narrowed chest cavity
a a a a
3. Clubbed fingers a aa
4. An increased risk of cardiac failure - CORRECT ANSWER-3. Clubbed fingers -
a a a a a a a a a a a a
CORRECT a
Clubbed fingers are a sign of a long-term, or chronic, decrease in oxygen levels.
a a a a a a a a a a a a a a
a
The nurse is taking the health history of a 70-year-
a a a a a a a a a
old patient being treated for a Duodenal Ulcer. After being told the patient is complaining of e
a a a a a a a a a a a a a a a a
pigastric pain, the nurse expects to note which assessment finding?
a a a a a a a a a a
a
1. Melena a
2. Nausea a
3. Hernia a
4. Hyperthermia - CORRECT ANSWER-1. Melena - CORRECT
a a a a a a a a
Melena is the finding that there are traces of blood in the stool which presents as black, tarry f
a a a a a a a a a a a a a a a a a a
eces. This is a common manifestation of Duodenal Ulcers, since the Duodenum is further do
a a a a a a a a a a a a a a
wn the gastric anatomy.
a a a a
a
A nurse is providing discharge teaching for a patient with severe Gastroesophogeal
a a a a a a a a a a a a
Reflux Disease. Which of these statements by the patient indicates a need for more
a a a a a a a a a a a a a a
teaching?
a
a
1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
a a a a a a a a a a a a a a a
a
2. "I'm going to make sure to remain upright after meals and elevate my head when I
a a a a a a a a a a a a a a a a a
sleep"
a
a
3. "I won't be drinking tea or coffee or eating chocolate any more."
a a a a a a a a a a a a
a
4. "I'm going to start trying to lose some weight." - CORRECT ANSWER-
a a a a a a a a a a a
1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
a a a a a a a a a a a a a a a
CORRECT - a
Large meals increase the volume and pressure in the stomach and delay gastric emptying. I
a a a a a a a a a a a a a a a
t's recommended instead to eat 4-6 small meals a day.
a a a a a a a a a a
a
The nurse in the Emergency Room is treating a patient suspected to have a Peptic
a a a a a a a a a a a a a a a
,Ulcer. On assessing lab results, the nurse finds that the patient's blood pressure is 95/60, pul
a a a a a a a a a a a a a a a
se is 110 beats per minute, and the patient reports epigastric pain. What is the PRIORITY int
a a a a a a a a a a a a a a a a
ervention? a
a
1. Start a large-bore IV in the patient's arm
a a a a a a a a
2. Ask the patient for a stool sample
a a a a a a a
3. Prepare to insert an NG Tube a a a a a a
4. Administer intramuscular morphine sulphate as ordered - CORRECT ANSWER-1. a a a a a a a a a
Start a large-bore IV in the patient's arm
a a a a a a a a
CORRECT - a
The nurse should suspect that the patient is haemorrhaging and will need need a fluid replac
a a a a a a a a a a a a a a a a
ement therapy, which requires a large bore IV.
a a a a a a a a
a
A female patient with atrial fibrillation has the following lab results: Hemoglobin of 11 g/
a a a a a a a a a a a a a a
dl, a platelet count of 150,000, an INR of 2.5, and potassium of 2.7 mEq/
a a a a a a a a a a a a a a
L. Which result is critical and should be reported to the physician immediately?
a a a a a a a a a a a a a
a
1. Hemoglobin 11 g/dl a a a
2. Platelet of 150,000 a a a
3. INR of 2.5 a a a
4. Potassium of 2.7 mEq/L - CORRECT ANSWER-4. Potassium of 2.7 mEq/L CORRECT - a a a a a a a a a a a a
A potassium imbalance for a patient with a history of dysrhythmia can be life-
a a a a a a a a a a a a a a
threatening and can lead to cardiac distress. a a a a a a a
a
While receiving normal saline infusions to treat a GI bleed, the nurse notes that the patient's l
a a a a a a a a a a a a a a a a
ower legs have become edematous and auscultates crackles in the lungs. What should the
a a a a a a a a a a a a a a
nurse do first? a a a
a
1. Stop the saline infusion immediately a a a a a
2. Notify Physician a a
3. Elevate the patient's legs a a a a
4. Continue the infusion, since these are normal findings - CORRECT ANSWER- a a a a a a a a a a
1. Stop the saline infusion immediately
a a a a a a
CORRECT - a
the patient has a fluid volume overload as a result of overly rapid fluid replacement. The nurs
a a a a a a a a a a a a a a a a a
e should stop the infusion and notify the physician.
a a a a a a a a a
a
The nurse is working in a support group for clients with HIV. Which point is most
a a a a a a a a a a a a a a a a
important for the nurse to stress?
a
a a a a a
a
1. They must inform household members of their condition
a a a a a a a a a
2. They must take their medications exactly as prescribed
a
a a a a a a a a
3. They must abstain from substance use
a
a a a a a a
4. They must avoid large crowds - CORRECT ANSWER-2. They must take their
a
a a a a a a a a a a a a
medications exactly as prescribed
a
a a a
CORRECT - Antiretrovirals must be taken exactly as prescribed to prevent drug-
a a a a a a a a a a a
resistant strains. Even missed doses can reduce the effectiveness of future treatment.
a a a a a a a a a a a
a
, A nurse finds a 30-year-
a a a a
old woman experiencing anaphylaxis from a bee sting. Emergency personnel have been cal
a a a a a a a a a a a a
led. The nurse notes the woman is breathing but short of breath. Which of the following interv
a a a a a a a a a a a a a a a a
entions should the nurse do first? a a a a a a
a
1. Initiate cardiopulmonary resuscitation a a a
2. Check for a pulse a a a aa
3. Ask the woman if she carries an emergency medical kit
a a a a a a a a a a
4. Stay with the woman until help comes - CORRECT ANSWER-
a a a a a a a a a
3. Ask the woman if she carries an emergency medical kit
a a a a a a a a a a a
CORRECT - Many patients who have a known history of anaphylaxis carry epi- a a a a a a a a a a a a
pens in their pockets or belongings. This is the best way to stop a hypersensitivity reaction be
a a a a a a a a a a a a a a a a
fore it becomes life-threatening.
a a a a
a
A man is prescribed lithium to treat bipolar disorder. The nurse is most concerned about
a a a a a a a a a a a a a a
lithium toxicity when he notices which of these assessment findings?
a
a a a a a a a a a
a
1. The patient states he had a manic episode a week ago
a a a a a a a a a a a
2. The patient states he has been having diarrhea every day
a a a a a a a a a a
3. The patient has a rashy pruritis on his arms and legs
a a a a a a a a a a a
4. The patient presents as severely depressed
a a a a a a
5. The patient's lithium level is 1.3 mcg/L - CORRECT ANSWER-
a a a a a a a a a
2. The patient states he has been having diarrhea every day
a a a a a a a a a a a
Correct - a
Persistent diarrhea can lead to dehydration, which can increase the risk of lithium toxicity.
a a a a a a a a a a a a a a a
a
A 65 year old man is prescribed Flomax (Tamsulosin) for Benign Prostatic Hyperplasia.
a a a a a a a a a a a a a
The patient lives in an upstairs apartment. The nurse is most concerned about which
a
a a a a a a a a a a a a a
side effect of Flomax?
a
a a a
a
1. Hypotension
a
a
a
2. Tachycardia
a
3. Back Pain
a
a a
4. Difficulty Urinating - CORRECT ANSWER-1. Hypotension
a
a a a a a a
Correct - Hypotension can lead to dizziness and a risk for injury to the patient.
a a a a a a a a a a a a a a
a
A man is receiving heparin subcutaneously. The patient has dementia and lives at home
a a a a a a a a a a a a a a
with a part-time caretaker. The nurse is most concerned about which side effect of
a
a a a a a a a a a a a a a
heparin
a
?
a
1. Back Pain a a
2. Fever and Chills a a a
3. Risk for Bleeding a a a
4. Dizziness - CORRECT ANSWER-3. Risk for Bleeding a a a a a a a
Correct - a
A confused patient is at risk for injuring themselves and at risk for hemorrhage should an inju
a a a a a a a a a a a a a a a a a
ry occura a
a
