NCLEX-PN UPDATED NCLEX-PN
QUESTIONS & CORRECT ANSWERS
(LATEST 2024)
The nurse is taking the health history of a 70-year-old patient being treated for a
Duodenal Ulcer. After being told the patient is complaining of epigastric pain, the
nurse expects to note which assessment finding.
<Melena
ANSWER✓✓ Melena is the finding that there are traces of blood in the stool which
presents as black, tarry feces. This is a common manifestation of Duodenal Ulcers
since the Duodenum is further down the gastric anatomy.
A nurse is providing discharge teaching for a patient with severe Gastroesophageal
Reflux Disease. Which of these statements by the patient indicates a need for more
teaching?
<"I'm going to limit my meals to 2-3 per day to reduce acid secretion."
ANSWER✓✓ - Large meals increase the volume and pressure in the stomach and
delay gastric emptying. It's recommended instead to eat 4-6 small meals a day.
The nurse in the Emergency Room is treating a patient suspected to have a Peptic
Ulcer. On assessing lab results, the nurse finds that the patient's blood pressure is
95/60, the pulse is 110 beats per minute, and the patient reports epigastric pain.
What is the PRIORITY intervention?
<Start a large-bore IV in the patient's arm
ANSWER✓✓ - The nurse should suspect that the patient is hemorrhaging and will
need need fluid replacement therapy, which requires a large bore IV.
,NCLEX-PN UPDATED NCLEX-PN
QUESTIONS & CORRECT ANSWERS
(LATEST 2024)
A female patient with atrial fibrillation has the following lab results: hemoglobin of
11 g/dl, platelet count of 150,000, INR of <5, and potassium of <7 mEq/L. Which
result is critical and should be reported to the physician immediately?
< Potassium of <7 mEq/L
ANSWER✓✓ - A potassium imbalance for a patient with a history of dysrhythmia can
be life-threatening and can lead to cardiac distress.
While receiving normal saline infusions to treat a GI bleed, the nurse notes that the
patient's lower legs have become edematous and auscultate crackles in the lungs.
What should the nurse do first?
<Stop the saline infusion immediately
ANSWER✓✓ - the patient has a fluid volume overload as a result of overly rapid fluid
replacement. The nurse should stop the infusion and notify the physician.
The nurse is working in a support group for clients with HIV. Which point is most
important for the nurse to stress?
< They must take their medications exactly as prescribed
ANSWER✓✓ - Antiretrovirals must be taken exactly as prescribed to prevent drug-
resistant strains. Even missed doses can reduce the effectiveness of future
treatment.
A nurse finds a 30-year-old woman experiencing anaphylaxis from a bee sting.
Emergency personnel have been called. The nurse notes the woman is breathing
but short of breath. Which of the following interventions should the nurse do first?
, NCLEX-PN UPDATED NCLEX-PN
QUESTIONS & CORRECT ANSWERS
(LATEST 2024)
< Ask the woman if she carries an emergency medical kit
ANSWER✓✓ - Many patients who have a known history of anaphylaxis carry epi-
pens in their pockets or belongings. This is the best way to stop a hypersensitivity
reaction before it becomes life-threatening.
A man is prescribed lithium to treat bipolar disorder. The nurse is most concerned
about lithium toxicity when he notices which of these assessment findings?
< The patient states he has been having diarrhea every day
Answer✓✓ - Persistent diarrhea can lead to dehydration, which can increase the risk
of lithium toxicity.
A 65-year-old man is prescribed Flomax (Tamsulosin) for Benign Prostatic
Hyperplasia. The patient lives in an upstairs apartment. The nurse is most
concerned about the side effect of Flomax?
<Hypotension
Answer✓✓ - Hypotension can lead to dizziness and a risk for injury to the patient.
A man is receiving heparin subcutaneously. The patient has dementia and lives at
home with a part-time caretaker. The nurse is most concerned about which side
effect of heparin?
< Risk for Bleeding
Answer✓✓ - A confused patient is at risk for injuring themselves and at risk for
hemorrhage should an injury occur
QUESTIONS & CORRECT ANSWERS
(LATEST 2024)
The nurse is taking the health history of a 70-year-old patient being treated for a
Duodenal Ulcer. After being told the patient is complaining of epigastric pain, the
nurse expects to note which assessment finding.
<Melena
ANSWER✓✓ Melena is the finding that there are traces of blood in the stool which
presents as black, tarry feces. This is a common manifestation of Duodenal Ulcers
since the Duodenum is further down the gastric anatomy.
A nurse is providing discharge teaching for a patient with severe Gastroesophageal
Reflux Disease. Which of these statements by the patient indicates a need for more
teaching?
<"I'm going to limit my meals to 2-3 per day to reduce acid secretion."
ANSWER✓✓ - Large meals increase the volume and pressure in the stomach and
delay gastric emptying. It's recommended instead to eat 4-6 small meals a day.
The nurse in the Emergency Room is treating a patient suspected to have a Peptic
Ulcer. On assessing lab results, the nurse finds that the patient's blood pressure is
95/60, the pulse is 110 beats per minute, and the patient reports epigastric pain.
What is the PRIORITY intervention?
<Start a large-bore IV in the patient's arm
ANSWER✓✓ - The nurse should suspect that the patient is hemorrhaging and will
need need fluid replacement therapy, which requires a large bore IV.
,NCLEX-PN UPDATED NCLEX-PN
QUESTIONS & CORRECT ANSWERS
(LATEST 2024)
A female patient with atrial fibrillation has the following lab results: hemoglobin of
11 g/dl, platelet count of 150,000, INR of <5, and potassium of <7 mEq/L. Which
result is critical and should be reported to the physician immediately?
< Potassium of <7 mEq/L
ANSWER✓✓ - A potassium imbalance for a patient with a history of dysrhythmia can
be life-threatening and can lead to cardiac distress.
While receiving normal saline infusions to treat a GI bleed, the nurse notes that the
patient's lower legs have become edematous and auscultate crackles in the lungs.
What should the nurse do first?
<Stop the saline infusion immediately
ANSWER✓✓ - the patient has a fluid volume overload as a result of overly rapid fluid
replacement. The nurse should stop the infusion and notify the physician.
The nurse is working in a support group for clients with HIV. Which point is most
important for the nurse to stress?
< They must take their medications exactly as prescribed
ANSWER✓✓ - Antiretrovirals must be taken exactly as prescribed to prevent drug-
resistant strains. Even missed doses can reduce the effectiveness of future
treatment.
A nurse finds a 30-year-old woman experiencing anaphylaxis from a bee sting.
Emergency personnel have been called. The nurse notes the woman is breathing
but short of breath. Which of the following interventions should the nurse do first?
, NCLEX-PN UPDATED NCLEX-PN
QUESTIONS & CORRECT ANSWERS
(LATEST 2024)
< Ask the woman if she carries an emergency medical kit
ANSWER✓✓ - Many patients who have a known history of anaphylaxis carry epi-
pens in their pockets or belongings. This is the best way to stop a hypersensitivity
reaction before it becomes life-threatening.
A man is prescribed lithium to treat bipolar disorder. The nurse is most concerned
about lithium toxicity when he notices which of these assessment findings?
< The patient states he has been having diarrhea every day
Answer✓✓ - Persistent diarrhea can lead to dehydration, which can increase the risk
of lithium toxicity.
A 65-year-old man is prescribed Flomax (Tamsulosin) for Benign Prostatic
Hyperplasia. The patient lives in an upstairs apartment. The nurse is most
concerned about the side effect of Flomax?
<Hypotension
Answer✓✓ - Hypotension can lead to dizziness and a risk for injury to the patient.
A man is receiving heparin subcutaneously. The patient has dementia and lives at
home with a part-time caretaker. The nurse is most concerned about which side
effect of heparin?
< Risk for Bleeding
Answer✓✓ - A confused patient is at risk for injuring themselves and at risk for
hemorrhage should an injury occur
