NCLEX RN EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

NCLEX EXAM ms ms




Exam Solution ms




75 Free NCLEX Questions c/o BrilliantNurse.com 2026
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A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERI
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FIED ANSWERS (9DE57) ms ms




QUESTION 1 ms




The nurse is taking the health history of a patient being treated for Emphysema and C
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hronic Bronchitis. After being told the patient has been smoking cigarettes for 30 year
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s, the nurse expects to note which assessment finding? 1. Increase in Forced Vital Cap
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acity (FVC) 2. A narrowed chest cavity 3. Clubbed fingers 4. An increased risk of cardi
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ac failurems




ANSWER

1. Increase in Forced Vital Capacity (FVC) Forced Vital Capacity is the volume of air exhaled from fu
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ll inhalation to full exhalation. A patient with COPD would have a decrease in FVC. Incorrect. 2. A na
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rrowed chest cavity A patient with COPD often presents with a 'barrel chest,' which is seen as a wid
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ened chest cavity. Incorrect. 3. Clubbed fingers - CORRECT Clubbed fingers are a sign of a long-
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term, or chronic, decrease in oxygen levels. 4. An increased risk of cardiac failure Although a patient
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with these conditions would indeed be at an increased risk for cardiac failure, this is a potential co
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mplication and not an assessment finding. Incorrect.
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QUESTION 2 ms




The nurse is taking the health history of a 70-year-
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old patient being treated for a Duodenal Ulcer. After being told the patient is complai
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ning of epigastric pain, the nurse expects to note which assessment finding? 1. Melena
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2. Nausea 3. Hernia 4. Hyperthermia
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ANSWER

1. Melena -
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CORRECT Melena is the finding that there are traces of blood in the stool which presents as black,
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tarry feces. This is a common manifestation of Duodenal Ulcers, since the Duodenum is further dow
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n the gastric anatomy. 2. Nausea Nausea may be present, but is a generalized symptom and by itself
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doesn't indicate a Duodenal Ulcer. Incorrect. 3. Hernia A Hernia is a protrusion of a segment of the
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abdomen through another abdominal structure. It is not associated with an Ulcer and is a condition,
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, not an assessment finding. Incorrect. 4. Hyperthermia Hyperthermia, a high temperature, is not an a
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ssessment finding of a Duodenal Ulcer. Incorrect
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QUESTION 3 ms




A female patient with atrial fibrillation has the following lab results: Hemoglobin of 1
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1 g/dl, a platelet count of 150,000, an INR of 2.5, and potassium of 2.7 mEq/L. Which
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result is critical and should be reported to the physician immediately? 1. Hemoglobin
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11 g/dl 2. Platelet of 150,000 3. INR of 2.5 4. Potassium of 2.7 mEq/L
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ANSWER

1. Hemoglobin 11 g/dl This is below normal, but a normal female hemoglobin is 12-
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14. There is a more critical lab result. 2. Platelet of 150,000 This is also below the normal values, b
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ut is not the most critical lab result. 3. INR of 2.5 This is a therapeutic range for a patient who is ta
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king an anticoagulant for atrial fibrillation 4. Potassium of 2.7 mEq/L CORRECT -
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A potassium imbalance for a patient with a history of dysrhythmia can be life-
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threatening and can lead to cardiac distress. ms ms ms ms ms ms




QUESTION 4 ms




While receiving normal saline infusions to treat a GI bleed, the nurse notes that the p
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atient's lower legs have become edematous and auscultates crackles in the lungs. Wha
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t should the nurse do first? 1. Stop the saline infusion immediately 2. Notify Physician
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3. Elevate the patient's legs 4. Continue the infusion, since these are normal findings
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ANSWER

1. Stop the saline infusion immediately CORRECT -
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the patient has a fluid volume overload as a result of overly rapid fluid replacement. The nurse sho
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uld stop the infusion and notify the physician. 2. Notify Physician This is not the first action the nur
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se should take. 3. Elevate the patient's legs This would help with the edema, but is not a priority 4.
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Continue the infusion, since these are normal findings This is not a normal finding
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QUESTION 5 ms




The nurse is working in a support group for clients with HIV. Which point is most im
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portant for the nurse to stress? 1. They must inform household members of their con
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dition 2. They must take their medications exactly as prescribed 3. They must abstain
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from substance use 4. They must avoid large crowds
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ANSWER

1. They must inform household members of their condition Incorrect -
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Each patient has a right to privacy of their medical condition. It is their choice whether they infor
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m household members. 2. They must take their medications exactly as prescribed CORRECT -
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Antiretrovirals must be taken exactly as prescribed to prevent drug-
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resistant strains. Even missed doses can reduce the effectiveness of future treatment. 3. They must a
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bstain from substance use Incorrect -
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