NCLEX Practice Questions 2026 |
Complete All-Topics Question Bank
with Answers & Detailed Rationales
l. M.J. calls the clinic and tells the nurse that her 85-year-old mother
has been nauseated all day and has vomited twice. Before the nurse
hangs up and calls the HCP, she should tell M.J. to - answer-Give her
mother sips of water and elevate the head of her bed to prevent
aspiration
2. Which instructions would the nurse include in a teaching pain for a
patient with mild gastroesophageal reflux disease (GERD)? - answer-
"Limit your intake of foods high in protein because they take longer to
digest.'
3. A patient who has undergone an esophagectomy for esophageal
cancer develops increasing pain, fever, and dyspnea when a full liquid
diet is started postoperatively. The nurse recognizes that these
symptoms are most indicative of - answer-leakage of fluids into the
mediastinum
4. The pemicious anemia that may accompany gastritis is due to -
answer-a lack of intrinsic factor normally produced by acid-secreting
cells of the gastric mucosa
,5. The nurse is teaching the patient and family that peptic ulcers are -
answer-Promoted by a combination of factors that may result in
erosion of the gastric mucosa, including certain drugs and alcohol
6. An optimal teaching plan for an outpatient with stomach cancer
receiving radiation therapy should include information about - answer-
Wound and skin care, nutrition, drugs, and community resources
7. The teaching plan for the patient being discharged after an acute
episode of upper GI bleeding includes information concerning the
importance of (Select all that apply) - answer-*Avoiding taking aspirin
and drugs containing aspirin * Only taking drugs prescribed by the HCP
8. Several patients are seen at an urgent care center with symptoms of
nausea vomiting, and diarrhea that began 2 hours ago while attending a
large family reunion potluck dinner. You question the patients
specifically, about foods they ingested containing - answer-Meat and
milk
9. The nurse is planning to teach a patient with gastroesophageal reflux
disease about substances to avoid. Which items should the nurse
include on this list? Select all that apply - answer-*Coffee *Chocolate
*Peppermint *Fried chicken
,10. A patient has undergone esophagogastroduodenoscopy. The nurse
should place highest priority on which item as part of the patient's care
plan? - answer-Assessing for return of the gag reflex
11. The nurse is caring for a patient with a diagnosis of chronic gastritis.
The nurse monitors the patient, knowing that this patient is at risk for
which vitamin deficiency? - answer-Vitamin B l2
12. The nurse is monitoring a patient with a diagnosis of peptic ulcer.
Which assessment finding would most likely indicate perforation of the
ulcer. - answer-A rigid, board like abdomen
13. The nurse is providing discharge instructions to a patient following
gastrectomy and should instruct the patient to take which measure to
assist in preventing dumping syndrome? - answer-Limit the fluids taken
with meals
l4. A patient with hiatal hernia chronically experiences heart burn
following meals. The nurse should plan to teach the patient to avoid
which action because it is contraindicated with a hiatal hernia? -
answer-Lying recumbent following meals
15. The nurse is monitoring a patient for the early signs and symptoms
of dumping syndrome. Which findings indicate this occurrence? -
answer-Sweating and pallor
, 16. A patient is admitted to the hospital with viral hepatitis,
complaining of "no appetite" and "losing my taste for food." What
instruction should the nurse give the patient to provide adequate
nutrition? - answer-Increase intake of fluids, including juices
17. A patient has developed hepatitis A after eating contaminated
oysters. The nurse assesses the patient for which expected assessment
finding? - answer-Malaise
18. The health care provider has determined that a patient with
hepatitis has contracted the infection from contaminated food. The
nurse understands that this patient is most likely experiencing what
type of hepatitis? - answer-Hepatitis A
19. A patient has a PRN prescription for loperamide hydrochloride
(lmmodium). For which condition should the nurse administer this
medication? - answer-An episode of diarrhea
20. A patient has a PRN prescription for ondansetron (Zofran). For
which condition should the nurse administer this medication to the
postoperative patient? - answer-Nausea and vomiting
21. A patient has been taking omeprazole (Prilosec) for 4 weeks. The
ambulatory care nurse evaluates that the patient is receiving the
optimal intended effect of the medication if the patient reports the
absence of which symptom? - answer-Heartburn
Complete All-Topics Question Bank
with Answers & Detailed Rationales
l. M.J. calls the clinic and tells the nurse that her 85-year-old mother
has been nauseated all day and has vomited twice. Before the nurse
hangs up and calls the HCP, she should tell M.J. to - answer-Give her
mother sips of water and elevate the head of her bed to prevent
aspiration
2. Which instructions would the nurse include in a teaching pain for a
patient with mild gastroesophageal reflux disease (GERD)? - answer-
"Limit your intake of foods high in protein because they take longer to
digest.'
3. A patient who has undergone an esophagectomy for esophageal
cancer develops increasing pain, fever, and dyspnea when a full liquid
diet is started postoperatively. The nurse recognizes that these
symptoms are most indicative of - answer-leakage of fluids into the
mediastinum
4. The pemicious anemia that may accompany gastritis is due to -
answer-a lack of intrinsic factor normally produced by acid-secreting
cells of the gastric mucosa
,5. The nurse is teaching the patient and family that peptic ulcers are -
answer-Promoted by a combination of factors that may result in
erosion of the gastric mucosa, including certain drugs and alcohol
6. An optimal teaching plan for an outpatient with stomach cancer
receiving radiation therapy should include information about - answer-
Wound and skin care, nutrition, drugs, and community resources
7. The teaching plan for the patient being discharged after an acute
episode of upper GI bleeding includes information concerning the
importance of (Select all that apply) - answer-*Avoiding taking aspirin
and drugs containing aspirin * Only taking drugs prescribed by the HCP
8. Several patients are seen at an urgent care center with symptoms of
nausea vomiting, and diarrhea that began 2 hours ago while attending a
large family reunion potluck dinner. You question the patients
specifically, about foods they ingested containing - answer-Meat and
milk
9. The nurse is planning to teach a patient with gastroesophageal reflux
disease about substances to avoid. Which items should the nurse
include on this list? Select all that apply - answer-*Coffee *Chocolate
*Peppermint *Fried chicken
,10. A patient has undergone esophagogastroduodenoscopy. The nurse
should place highest priority on which item as part of the patient's care
plan? - answer-Assessing for return of the gag reflex
11. The nurse is caring for a patient with a diagnosis of chronic gastritis.
The nurse monitors the patient, knowing that this patient is at risk for
which vitamin deficiency? - answer-Vitamin B l2
12. The nurse is monitoring a patient with a diagnosis of peptic ulcer.
Which assessment finding would most likely indicate perforation of the
ulcer. - answer-A rigid, board like abdomen
13. The nurse is providing discharge instructions to a patient following
gastrectomy and should instruct the patient to take which measure to
assist in preventing dumping syndrome? - answer-Limit the fluids taken
with meals
l4. A patient with hiatal hernia chronically experiences heart burn
following meals. The nurse should plan to teach the patient to avoid
which action because it is contraindicated with a hiatal hernia? -
answer-Lying recumbent following meals
15. The nurse is monitoring a patient for the early signs and symptoms
of dumping syndrome. Which findings indicate this occurrence? -
answer-Sweating and pallor
, 16. A patient is admitted to the hospital with viral hepatitis,
complaining of "no appetite" and "losing my taste for food." What
instruction should the nurse give the patient to provide adequate
nutrition? - answer-Increase intake of fluids, including juices
17. A patient has developed hepatitis A after eating contaminated
oysters. The nurse assesses the patient for which expected assessment
finding? - answer-Malaise
18. The health care provider has determined that a patient with
hepatitis has contracted the infection from contaminated food. The
nurse understands that this patient is most likely experiencing what
type of hepatitis? - answer-Hepatitis A
19. A patient has a PRN prescription for loperamide hydrochloride
(lmmodium). For which condition should the nurse administer this
medication? - answer-An episode of diarrhea
20. A patient has a PRN prescription for ondansetron (Zofran). For
which condition should the nurse administer this medication to the
postoperative patient? - answer-Nausea and vomiting
21. A patient has been taking omeprazole (Prilosec) for 4 weeks. The
ambulatory care nurse evaluates that the patient is receiving the
optimal intended effect of the medication if the patient reports the
absence of which symptom? - answer-Heartburn
