LATEST 2025 NCLEX RN EXAM WITH NGN QUESTIONS AND
100% VERIFIED ANSWERS
Questions An s w e r s
1. Increase in Forced Vital Capacity
(FVC)
Forced Vital Capacity is the volume of air
exhaled from full inhalation to full exhala-
tion. A patient with COPD would have a
decrease in FVC. Incorrect.
The nurse is taking the health history of
a patient being treated for Emphysema
2. A narrowed chest cavity
and Chronic Bronchitis. After being told
A patient with COPD often presents with
the patient has been smoking cigarettes
a 'barrel chest,' which is seen as a
for 30 years, the nurse expects to note
widened chest cavity. Incorrect.
which assessment finding?
3. Clubbed fingers - CORRECT
1. Increase in Forced Vital Capacity
Clubbed fingers are a sign of a
(FVC)
long-term, or chronic, decrease in oxy-
2. A narrowed chest cavity
gen levels.
3. Clubbed fingers
4. An increased risk of cardiac failure
4. An increased risk of cardiac failure
Although a patient with these conditions
would indeed be at an increased risk for
cardiac failure, this is a potential com-
plication and not an assessment finding.
Incorrect.
1. Melena - CORRECT
Melena is the finding that there are traces
of blood in the stool which presents as
black, tarry feces.This is a common man-
The nurse is taking the health history of
ifestation of Duodenal Ulcers, since the
a 70-year-old patient being treated for
Duodenum is further down the gastric
a Duodenal Ulcer. After being told the
anatomy.
patient is complaining of epigastric pain,
the nurse expects to note which assess- 2. Nausea
ment finding?
Nausea may be present, but is a gen-
eralized symptom and by itself doesn't
1. Melena
indicate a Duodenal Ulcer. Incorrect.
2. Nausea
3. Hernia
A Hernia is a protrusion of a segment of
the abdomen through another abdominal
, LATEST 2025 NCLEX RN EXAM WITH NGN QUESTIONS AND
100% VERIFIED ANSWERS
Questions An s w e r s
structure. It is not associated with an Ul-
cer and is a condition, not an assessment
finding. Incorrect.
3. Hernia
4. Hyperthermia 4. Hyperthermia
Hyperthermia, a high temperature, is not
an assessment finding of a Duodenal Ul-
cer. Incorrect
1. "I'm going to limit my meals to 2-3 per
day to reduce acid secretion."
A nurse is providing discharge teach- CORRECT - Large meals increase the
ing for a patient with severe Gastroe- volume and pressure in the stomach and
sophogeal Reflux Disease. Which of delay gastric emptying. It's recommend-
these statements by the patient indicates ed instead to eat 4-6 small meals a day.
a need for more teaching?
2. "I'm going to make sure to remain up-
1. "I'm going to limit my meals to 2-3 per right after meals and elevate my head
day to reduce acid secretion." when I sleep"
Incorrect - This is a correct verbalization
2. "I'm going to make sure to remain of health promotion for GERD.
upright after meals and elevate my head
when I sleep" 3. "I won't be drinking tea or coffee or
eating chocolate any more."
3. "I won't be drinking tea or coffee or Incorrect - This is a correct verbalization
eating chocolate any more." of health promotion for GERD.
4. "I'm going to start trying to lose some 4. "I'm going to start trying to lose some
weight." weight."
Incorrect - This is a correct verbalization
of health promotion for GERD.
1. Start a large-bore IV in the patient's
arm
The nurse in the Emergency Room is CORRECT - The nurse should suspect
treating a patient suspected to have a that the patient is haemorrhaging and will
Peptic Ulcer. On assessing lab results, need need a fluid replacement therapy,
the nurse finds that the patient's blood which requires a large bore IV.
2. Ask the patient for a stool sample
, LATEST 2025 NCLEX RN EXAM WITH NGN QUESTIONS AND
100% VERIFIED ANSWERS
Questions An s w e r s
Incorrect - While this is useful in the di-
agnosis and assessment of Peptic Ulcer
pressure is 95/60, pulse is 110 beats per Disease, it is not the priority intervention.
minute, and the patient reports epigastric
pain. What is the PRIORITY interven- 3. Prepare to insert an NG Tube
tion? Incorrect - While this intervention may be
used in the later stages of Peptic Ulcer
1. Start a large-bore IV in the patient's Disease, it is not the first and priority
arm intervention.
2. Ask the patient for a stool sample
3. Prepare to insert an NG Tube 4. Administer intramuscular morphine
4. Administer intramuscular morphine sulphate as ordered
sulphate as ordered Incorrect - While this is an important in-
tervention to manage pain, it is not the
priority intervention.
1. Hemoglobin 11 g/dl
This is below normal, but a normal fe-
male hemoglobin is 12-14. There is a
more critical lab result.
A female patient with atrial fibrillation has
the following lab results: Hemoglobin of 2. Platelet of 150,000
11 g/dl, a platelet count of 150,000, an This is also below the normal values, but
INR of 2.5, and potassium of 2.7 mEq/L. is not the most critical lab result.
Which result is critical and should be
reported to the physician immediately? 3. INR of 2.5
This is a therapeutic range for a patient
1. Hemoglobin 11 g/dl who is taking an anticoagulant for atrial
2. Platelet of 150,000 fibrillation
3. INR of 2.5
4. Potassium of 2.7 mEq/L 4. Potassium of 2.7 mEq/L
CORRECT - A potassium imbalance for
a patient with a history of dysrhythmia
can be life-threatening and can lead to
cardiac distress.
1. Stop the saline infusion immediately
While receiving normal saline infusions CORRECT - the patient has a fluid vol-
to treat a GI bleed, the nurse notes that ume overload as a result of overly rapid
fluid replacement. The nurse should stop
, LATEST 2025 NCLEX RN EXAM WITH NGN QUESTIONS AND
100% VERIFIED ANSWERS
Questions An s w e r s
the infusion and notify the physician.
the patient's lower legs have become
2. Notify Physician
edematous and auscultates crackles in
This is not the first action the nurse
the lungs. What should the nurse do
should take.
first?
3. Elevate the patient's legs
1. Stop the saline infusion immediately
This would help with the edema, but is
2. Notify Physician
not a priority
3. Elevate the patient's legs
4. Continue the infusion, since these are
4. Continue the infusion, since these are
normal findings
normal findings
This is not a normal finding
1. They must inform household members
of their condition
Incorrect - Each patient has a right to
privacy of their medical condition. It is
their choice whether they inform house-
hold members.
2. They must take their medications ex-
The nurse is working in a support group actly as prescribed
for clients with HIV. Which point is most CORRECT - Antiretrovirals must be tak-
important for the nurse to stress? en exactly as prescribed to prevent
drug-resistant strains. Even missed dos-
1. They must inform household members es can reduce the effectiveness of future
of their condition treatment.
2. They must take their medications ex-
actly as prescribed 3. They must abstain from substance use
3. They must abstain from substance use Incorrect - While substance use should
4. They must avoid large crowds be discouraged, using safe practices
with needles can prevent transmission of
HIV.
4. They must avoid large crowds
Incorrect - Avoiding large crowds to pre-
vent infection is a priority in the lat-
er stages of HIV, when the patient has
AIDS.
100% VERIFIED ANSWERS
Questions An s w e r s
1. Increase in Forced Vital Capacity
(FVC)
Forced Vital Capacity is the volume of air
exhaled from full inhalation to full exhala-
tion. A patient with COPD would have a
decrease in FVC. Incorrect.
The nurse is taking the health history of
a patient being treated for Emphysema
2. A narrowed chest cavity
and Chronic Bronchitis. After being told
A patient with COPD often presents with
the patient has been smoking cigarettes
a 'barrel chest,' which is seen as a
for 30 years, the nurse expects to note
widened chest cavity. Incorrect.
which assessment finding?
3. Clubbed fingers - CORRECT
1. Increase in Forced Vital Capacity
Clubbed fingers are a sign of a
(FVC)
long-term, or chronic, decrease in oxy-
2. A narrowed chest cavity
gen levels.
3. Clubbed fingers
4. An increased risk of cardiac failure
4. An increased risk of cardiac failure
Although a patient with these conditions
would indeed be at an increased risk for
cardiac failure, this is a potential com-
plication and not an assessment finding.
Incorrect.
1. Melena - CORRECT
Melena is the finding that there are traces
of blood in the stool which presents as
black, tarry feces.This is a common man-
The nurse is taking the health history of
ifestation of Duodenal Ulcers, since the
a 70-year-old patient being treated for
Duodenum is further down the gastric
a Duodenal Ulcer. After being told the
anatomy.
patient is complaining of epigastric pain,
the nurse expects to note which assess- 2. Nausea
ment finding?
Nausea may be present, but is a gen-
eralized symptom and by itself doesn't
1. Melena
indicate a Duodenal Ulcer. Incorrect.
2. Nausea
3. Hernia
A Hernia is a protrusion of a segment of
the abdomen through another abdominal
, LATEST 2025 NCLEX RN EXAM WITH NGN QUESTIONS AND
100% VERIFIED ANSWERS
Questions An s w e r s
structure. It is not associated with an Ul-
cer and is a condition, not an assessment
finding. Incorrect.
3. Hernia
4. Hyperthermia 4. Hyperthermia
Hyperthermia, a high temperature, is not
an assessment finding of a Duodenal Ul-
cer. Incorrect
1. "I'm going to limit my meals to 2-3 per
day to reduce acid secretion."
A nurse is providing discharge teach- CORRECT - Large meals increase the
ing for a patient with severe Gastroe- volume and pressure in the stomach and
sophogeal Reflux Disease. Which of delay gastric emptying. It's recommend-
these statements by the patient indicates ed instead to eat 4-6 small meals a day.
a need for more teaching?
2. "I'm going to make sure to remain up-
1. "I'm going to limit my meals to 2-3 per right after meals and elevate my head
day to reduce acid secretion." when I sleep"
Incorrect - This is a correct verbalization
2. "I'm going to make sure to remain of health promotion for GERD.
upright after meals and elevate my head
when I sleep" 3. "I won't be drinking tea or coffee or
eating chocolate any more."
3. "I won't be drinking tea or coffee or Incorrect - This is a correct verbalization
eating chocolate any more." of health promotion for GERD.
4. "I'm going to start trying to lose some 4. "I'm going to start trying to lose some
weight." weight."
Incorrect - This is a correct verbalization
of health promotion for GERD.
1. Start a large-bore IV in the patient's
arm
The nurse in the Emergency Room is CORRECT - The nurse should suspect
treating a patient suspected to have a that the patient is haemorrhaging and will
Peptic Ulcer. On assessing lab results, need need a fluid replacement therapy,
the nurse finds that the patient's blood which requires a large bore IV.
2. Ask the patient for a stool sample
, LATEST 2025 NCLEX RN EXAM WITH NGN QUESTIONS AND
100% VERIFIED ANSWERS
Questions An s w e r s
Incorrect - While this is useful in the di-
agnosis and assessment of Peptic Ulcer
pressure is 95/60, pulse is 110 beats per Disease, it is not the priority intervention.
minute, and the patient reports epigastric
pain. What is the PRIORITY interven- 3. Prepare to insert an NG Tube
tion? Incorrect - While this intervention may be
used in the later stages of Peptic Ulcer
1. Start a large-bore IV in the patient's Disease, it is not the first and priority
arm intervention.
2. Ask the patient for a stool sample
3. Prepare to insert an NG Tube 4. Administer intramuscular morphine
4. Administer intramuscular morphine sulphate as ordered
sulphate as ordered Incorrect - While this is an important in-
tervention to manage pain, it is not the
priority intervention.
1. Hemoglobin 11 g/dl
This is below normal, but a normal fe-
male hemoglobin is 12-14. There is a
more critical lab result.
A female patient with atrial fibrillation has
the following lab results: Hemoglobin of 2. Platelet of 150,000
11 g/dl, a platelet count of 150,000, an This is also below the normal values, but
INR of 2.5, and potassium of 2.7 mEq/L. is not the most critical lab result.
Which result is critical and should be
reported to the physician immediately? 3. INR of 2.5
This is a therapeutic range for a patient
1. Hemoglobin 11 g/dl who is taking an anticoagulant for atrial
2. Platelet of 150,000 fibrillation
3. INR of 2.5
4. Potassium of 2.7 mEq/L 4. Potassium of 2.7 mEq/L
CORRECT - A potassium imbalance for
a patient with a history of dysrhythmia
can be life-threatening and can lead to
cardiac distress.
1. Stop the saline infusion immediately
While receiving normal saline infusions CORRECT - the patient has a fluid vol-
to treat a GI bleed, the nurse notes that ume overload as a result of overly rapid
fluid replacement. The nurse should stop
, LATEST 2025 NCLEX RN EXAM WITH NGN QUESTIONS AND
100% VERIFIED ANSWERS
Questions An s w e r s
the infusion and notify the physician.
the patient's lower legs have become
2. Notify Physician
edematous and auscultates crackles in
This is not the first action the nurse
the lungs. What should the nurse do
should take.
first?
3. Elevate the patient's legs
1. Stop the saline infusion immediately
This would help with the edema, but is
2. Notify Physician
not a priority
3. Elevate the patient's legs
4. Continue the infusion, since these are
4. Continue the infusion, since these are
normal findings
normal findings
This is not a normal finding
1. They must inform household members
of their condition
Incorrect - Each patient has a right to
privacy of their medical condition. It is
their choice whether they inform house-
hold members.
2. They must take their medications ex-
The nurse is working in a support group actly as prescribed
for clients with HIV. Which point is most CORRECT - Antiretrovirals must be tak-
important for the nurse to stress? en exactly as prescribed to prevent
drug-resistant strains. Even missed dos-
1. They must inform household members es can reduce the effectiveness of future
of their condition treatment.
2. They must take their medications ex-
actly as prescribed 3. They must abstain from substance use
3. They must abstain from substance use Incorrect - While substance use should
4. They must avoid large crowds be discouraged, using safe practices
with needles can prevent transmission of
HIV.
4. They must avoid large crowds
Incorrect - Avoiding large crowds to pre-
vent infection is a priority in the lat-
er stages of HIV, when the patient has
AIDS.
