NCLEX-PN Test Review Exam 75 Questions and 100% Correct Answers with Rationales

NCLEX-PN Test Review Exam 75 Questions and 100% Correct Answers
with Rationales


1. The nurse is taking the health history of a patient being treated for Emphy-
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sema and Chronic Bronchitis. After being told the patient has been smoking cigarettes fo
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r 30 years, the nurse expects to note which assessment finding?
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1. Increase in Forced Vital Capacity (FVC) u u u u u



2. A narrowed chest cavity
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3. Clubbed fingers u



4. An increased risk of cardiac failure: 3. Clubbed fingers -
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CORRECT Clubbed fingers are a sign of a long-term, or chronic, decrease in oxygen levels.
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2. 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 complaining
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of epigastric pain, the nurse expects to note which assessment finding?
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1. Melena
2. Nausea
3. Hernia
4. Hyperthermia: 1. Melena - CORRECT u u u u



Melena is the finding that there are traces of blood in the stool which presents as black, tarry fe
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es. This is a common manifestation of Duodenal Ulcers, since the Duodenum is further down t
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e gastric anatomy.
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3. A nurse is providing discharge teaching for a patient with severe Gastroe-
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sophogeal Reflux Disease.Which of these statements by the patient indicates a need for m
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ore teaching? u




1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
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2. "I'm going to make sure to remain upright after meals and elevate my head when I sleep
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"
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,3. "I won't be drinking tea or coffee or eating chocolate any more."
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4. "I'm going to start trying to lose some weight.": 1. "I'm going to limit my meals to 2-
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3 per day to reduce acid secretion."
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CORRECT - u



uLarge meals increase the volume and pressure in the stomach and delay gastric emptying. It's
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ecommended instead to eat 4-6 small meals a day. u u u u u u u u



4. The nurse in the Emergency Room is treating a patient suspected to have a Peptic Ulcer
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. On assessing lab results, the nurse finds that the patient's blood pressure is 95/60, pulse
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is 110 beats per minute, and the patient reports epigastric pain. What is the PRIORITY inter
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vention?




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,1. Start a large-bore IV in the patient's arm
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2. Ask the patient for a stool sample
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3. Prepare to insert an NG Tube u u u u u



4. Administer intramuscular morphine sulphate as ordered: 1. Start a large- u u u u u u u u u



bore IV in the patient's arm
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CORRECT - u



The nurse should suspect that the patient is haemorrhaging and will need need a fluid replace
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ent therapy, which requires a large bore IV.
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5. A female patient with atrial fibrillation has the following lab results: Hemo-
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globin of 11 g/dl, a platelet count of 150,000, an INR of 2.5, and potassium
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of 2.7 mEq/L. Which result is critical and should be reported to the physician immediately?
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1. Hemoglobin 11 g/dl u u



2. Platelet of 150,000 u u



3. INR of 2.5 u u



4. Potassium of 2.7 mEq/L: 4. Potassium of 2.7 mEq/L u u u u u u u u



CORRECT - 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. u u u u u u



6. While receiving normal saline infusions to treat a GI bleed, the nurse notes that the pati
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ent's lower legs have become edematous and auscultates crack-
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ules in the lungs. What should the nurse do first?
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1. Stop the saline infusion immediately
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2. Notify Physician u



3. Elevate the patient's legs u u u



4. Continue the infusion, since these are normal findings: 1. Stop the saline infusion im
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mediately
CORRECT - u



the patient has a fluid volume overload as a result of overly rapid fluid replacement. The nurse
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hould stop the infusion and notify the physician.
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7. The nurse is working in a support group for clients with HIV. Which point is most importa
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, nt for the nurse to stress?
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1. They must inform household members of their condition
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2. They must take their medications exactly as prescribed
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3. They must abstain from substance use
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4. They must avoid large crowds: 2. They must take their medications exactly as prescribed
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