NCLEX-PN EXAM 2026 QUESTIONS
AND VERIFIED ANSWERS GRADED A+
100% PASS
A nurse is treating a patient suspected to have Hepatitis. The nurse notes on assessment that the
patient's eyes are yellow-tinged. Which of these diagnostic results would further assist in
confirming this diagnosis?
1. Decreased serum Bilirubin
2. Elevated serum ALT levels
3. Low RBC and Hemoglobin with increased WBCs
4. Increased Blood Urea Nitrogen level
2. Elevated serum ALT levels
Correct - ALT is a liver enzyme, and hepatitis is a liver disease. Elevated liver enzymes will
often signal liver damage.
Which of these patients would the nurse suspect as having the greatest risk of contracting
Hepatitis B?
1. A sexually active 45-year old man who has Type 1 Diabetes
2. A 75-year old woman who lives in a crowded nursing home
3. A child who lives in a country with poor sanitation and hygiene standards
4. A sexually active 23-year old man who works in a hospital
4. A sexually active 23-year old man who works in a hospital
Correct - This person is both sexually active and works in a healthcare environment.
,The nurse calculates the IV flow rate of a patient receiving lactated ringer's solution. The patient
is to receive 2000mL of Lactated Ringer's over 36 hours. The IV infusion set has a drop factor of
15 drops per milliliter. The nurse should set the IV to deliver how many drops per minute?
1. 8
2. 10
3. 14
4. 18
3. 14
Correct - Drops Per Minute = Milliliters x Drop Factor / Time in Minutes
The nurse calculates the IV flow rate of a patient receiving an antibiotic. The patient is to receive
100mL of the antibiotic over 30 minutes. The IV infusion set has a drop factor of 10 drops per
milliliter. The nurse should set the IV to deliver how many drops per minute?
11
19
26
33
33
Correct - Drops Per Minute = Milliliters x Drop Factor / Time in Minutes
Which of the following statements made by a client during an individual therapy session would
the nurse most identify as reflecting schizoaffective disorder?
1. "I just want to stab myself with this pen."
2. "What's the point in life anyways?"
3. "My thoughts are racing because of the conspiracies against me."
,4. "I hear voices every day and sometimes see old friends that don't exist."
3. "My thoughts are racing because of the conspiracies against me."
Correct - Schizoaffective disorder is characterized by the mania and depression of bipolar
disorder with the delusions/disturbed thought process of schizophrenia. Racing thought are a
classic symptom of a manic episode, while conspiracies indicate paranoia.
The nurse is taking the health history of a patient being treated for Emphysema and Chronic
Bronchitis. After being told the patient has been smoking cigarettes for 30 years, the nurse
expects to note which assessment finding?
1. Increase in Forced Vital Capacity (FVC)
2. A narrowed chest cavity
3. Clubbed fingers
4. An increased risk of cardiac failure
3. Clubbed fingers - CORRECT
Clubbed fingers are a sign of a long-term, or chronic, decrease in oxygen levels.
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?
1. Melena
2. Nausea
3. Hernia
4. Hyperthermia
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 manifestation of Duodenal Ulcers, since the Duodenum is further down
the gastric anatomy.
, A nurse is providing discharge teaching for a patient with severe Gastroesophogeal Reflux
Disease. Which of these statements by the patient indicates a need for more teaching?
1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
2. "I'm going to make sure to remain upright after meals and elevate my head when I sleep"
3. "I won't be drinking tea or coffee or eating chocolate any more."
4. "I'm going to start trying to lose some weight."
1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
CORRECT - 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, pulse is 110 beats
per minute, and the patient reports epigastric pain. What is the PRIORITY intervention?
1. Start a large-bore IV in the patient's arm
2. Ask the patient for a stool sample
3. Prepare to insert an NG Tube
4. Administer intramuscular morphine sulphate as ordered
1. Start a large-bore IV in the patient's arm
CORRECT - The nurse should suspect that the patient is haemorrhaging and will need need a
fluid replacement therapy, which requires a large bore IV.
AND VERIFIED ANSWERS GRADED A+
100% PASS
A nurse is treating a patient suspected to have Hepatitis. The nurse notes on assessment that the
patient's eyes are yellow-tinged. Which of these diagnostic results would further assist in
confirming this diagnosis?
1. Decreased serum Bilirubin
2. Elevated serum ALT levels
3. Low RBC and Hemoglobin with increased WBCs
4. Increased Blood Urea Nitrogen level
2. Elevated serum ALT levels
Correct - ALT is a liver enzyme, and hepatitis is a liver disease. Elevated liver enzymes will
often signal liver damage.
Which of these patients would the nurse suspect as having the greatest risk of contracting
Hepatitis B?
1. A sexually active 45-year old man who has Type 1 Diabetes
2. A 75-year old woman who lives in a crowded nursing home
3. A child who lives in a country with poor sanitation and hygiene standards
4. A sexually active 23-year old man who works in a hospital
4. A sexually active 23-year old man who works in a hospital
Correct - This person is both sexually active and works in a healthcare environment.
,The nurse calculates the IV flow rate of a patient receiving lactated ringer's solution. The patient
is to receive 2000mL of Lactated Ringer's over 36 hours. The IV infusion set has a drop factor of
15 drops per milliliter. The nurse should set the IV to deliver how many drops per minute?
1. 8
2. 10
3. 14
4. 18
3. 14
Correct - Drops Per Minute = Milliliters x Drop Factor / Time in Minutes
The nurse calculates the IV flow rate of a patient receiving an antibiotic. The patient is to receive
100mL of the antibiotic over 30 minutes. The IV infusion set has a drop factor of 10 drops per
milliliter. The nurse should set the IV to deliver how many drops per minute?
11
19
26
33
33
Correct - Drops Per Minute = Milliliters x Drop Factor / Time in Minutes
Which of the following statements made by a client during an individual therapy session would
the nurse most identify as reflecting schizoaffective disorder?
1. "I just want to stab myself with this pen."
2. "What's the point in life anyways?"
3. "My thoughts are racing because of the conspiracies against me."
,4. "I hear voices every day and sometimes see old friends that don't exist."
3. "My thoughts are racing because of the conspiracies against me."
Correct - Schizoaffective disorder is characterized by the mania and depression of bipolar
disorder with the delusions/disturbed thought process of schizophrenia. Racing thought are a
classic symptom of a manic episode, while conspiracies indicate paranoia.
The nurse is taking the health history of a patient being treated for Emphysema and Chronic
Bronchitis. After being told the patient has been smoking cigarettes for 30 years, the nurse
expects to note which assessment finding?
1. Increase in Forced Vital Capacity (FVC)
2. A narrowed chest cavity
3. Clubbed fingers
4. An increased risk of cardiac failure
3. Clubbed fingers - CORRECT
Clubbed fingers are a sign of a long-term, or chronic, decrease in oxygen levels.
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?
1. Melena
2. Nausea
3. Hernia
4. Hyperthermia
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 manifestation of Duodenal Ulcers, since the Duodenum is further down
the gastric anatomy.
, A nurse is providing discharge teaching for a patient with severe Gastroesophogeal Reflux
Disease. Which of these statements by the patient indicates a need for more teaching?
1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
2. "I'm going to make sure to remain upright after meals and elevate my head when I sleep"
3. "I won't be drinking tea or coffee or eating chocolate any more."
4. "I'm going to start trying to lose some weight."
1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
CORRECT - 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, pulse is 110 beats
per minute, and the patient reports epigastric pain. What is the PRIORITY intervention?
1. Start a large-bore IV in the patient's arm
2. Ask the patient for a stool sample
3. Prepare to insert an NG Tube
4. Administer intramuscular morphine sulphate as ordered
1. Start a large-bore IV in the patient's arm
CORRECT - The nurse should suspect that the patient is haemorrhaging and will need need a
fluid replacement therapy, which requires a large bore IV.
