75 Free NCLEX Questions - c/o
BrilliantNurse.com
The nurse is taking the health history of a patient being treated for
Emphysema
Chronic and After being told the patient has been smoking
Bronchitis.
cigarettes
years, the for
nurse30 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 Correct answers 1. Increase in
Forced
Capacity Vital
(FVC)
Forced Vital Capacity is the volume of air exhaled from full inhalation to full
exhalation.
A patient with COPD would have a decrease in FVC.
Incorrect.
2. A narrowed chest
cavity
A patient with COPD often presents with a 'barrel chest,' which is seen as
a widened
chest cavity.
Incorrect.
3. Clubbed fingers -
CORRECT
Clubbed fingers are a sign of a long-term, or chronic, decrease in
oxygen levels.
4. An increased risk of cardiac
failure
Although a patient with these conditions would indeed be at an
increased
cardiac risk for
failure, this is a potential complication and not an assessment
finding. Incorrect.
The nurse is taking the health history of a 70-year-old patient being
treated forUlcer.
Duodenal a After being told the patient is complaining of epigastric
pain, thetonurse
expects note which assessment
finding?
1.
2.
Melena
Nausea
3.
Hernia
4. Hyperthermia Correct answers 1. Melena -
CORRECT
Melena is the finding that there are traces of blood in the stool which
presents
tarry as This
feces. black,is a common manifestation of Duodenal Ulcers, since the
Duodenum
further down is the gastric
anatomy.
2.
Nausea may be present, but is a generalized symptom and by itself
doesn't indicate
Duodenal Ulcer. a
Incorrect.
,3.
Hernia
A Hernia is a protrusion of a segment of the abdomen through another
abdominal
structure. It is not associated with an Ulcer and is a condition, not an
assessment
4.
finding.
Hyperthermia
Hyperthermia,
Incorrect. a high temperature, is not an assessment finding of a
Duodenal Ulcer.
Incorrec
t
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." Correct answers 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
2. "I'm going to make sure to remain upright after meals and elevate my
gastric emptying. It's recommended instead to eat 4-6 small
head
mealswhen
sleep a day.I
"Incorrect - This is a correct verbalization of health promotion
for GERD.
3. "I won't be drinking tea or coffee or eating chocolate
any more."
Incorrect - This is a correct verbalization of health promotion
for GERD.
4. "I'm going to start trying to lose some
weight."
Incorrect - This is a correct verbalization of health promotion
for GERD.
The nurse in the Emergency Room is treating a patient suspected to
have aOn
Ulcer. Peptic
assessing lab results, the nurse finds that the patient's blood
pressure
95/60, is is 110 beats per minute, and the patient reports epigastric pain.
pulse
What is the
PRIORITY
intervention?
1. Start a large-bore IV in the
patient's
2. Ask thearm
patient for a stool
sample
3. Prepare to insert an NG
Tube
4. Administer intramuscular morphine sulphate as ordered Correct
answers 1.IV
large-bore Start a patient's
in the
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.
2. Ask the patient for a stool
sample
Incorrect - While this is useful in the diagnosis and assessment of Peptic
Ulcer
it is notDisease,
the priority
intervention.
3. Prepare to insert an NG
Tube
Incorrect - While this intervention may be used in the later stages of
Peptic Ulcer
Disease, it is not the first and priority
intervention.
4. Administer intramuscular morphine sulphate as
ordered
Incorrect - While this is an important intervention to manage pain, it is not
the priority
interventio
n.
A female patient with atrial fibrillation has the following lab results:
Hemoglobin
g/dl, a platelet of count
11 of 150,000, an INR of 2.5, and potassium of 2.7
mEq/L.isWhich
result critical and should be reported to the physician
immediately?
1. Hemoglobin 11 l
g/dPlatelet of
2.
150,000
3. INR of
2.5
4. Potassium of 2.7 mEq/L Correct answers 1. Hemoglobin
11 g/dl
This is below normal, but a normal female hemoglobin is 12-14. There is a
more critical
lab
result.
2. Platelet of
150,000
This is also below the normal values, but is not the most critical
lab result.
3. INR of
This is a therapeutic range for a patient who is taking an
2.5
anticoagulant for atrial
fibrillatio
n
4. Potassium of 2.7
mEq/L
CORRECT - A potassium imbalance for a patient with a history of
dysrhythmia canand
life-threatening be can lead to cardiac
distress.
While receiving normal saline infusions to treat a GI bleed, the nurse
notes thatlower
patient's the legs have become edematous and auscultates crackles in
the lungs.
What should the nurse do
first?
1. Stop the saline infusion
immediately
2. Notify
Physician
3. Elevate the patient's
legs
4. Continue the infusion, since these are normal findings Correct answers
1. Stopinfusion
saline the
immediately
, CORRECT - 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.
2. Notify
Physician
This is not the first action the nurse
should take.
3. Elevate the patient's
legs
This would help with the edema, but is not a
priority
4. Continue the infusion, since these are normal
findings
This is not a normal
finding
The nurse is working in a support group for clients with HIV. Which
point is most
important for the nurse to
stress?
1. They must inform household members of their
2. They must take their medications exactly as
condition
prescribed
3. They must abstain from
substance
4. They mustuseavoid large crowds Correct answers 1. They must inform
household
members of their
condition
Incorrect - Each patient has a right to privacy of their medical condition. It is
their choice
whether they inform household
members.
2. They must take their medications exactly as
prescribed
CORRECT - Antiretrovirals must be taken exactly as prescribed to
prevent drug-
resistant strains. Even missed doses can reduce the effectiveness of future
treatment.
3. They must abstain from
substance- While
Incorrect use substance use should be discouraged, using safe
practicescan
needles withprevent transmission of
HIV.
4. They must avoid large
crowds
Incorrect - Avoiding large crowds to prevent infection is a priority in the
later when
HIV, stages of patient has
the
AIDS.
A nurse finds a 30-year-old woman experiencing anaphylaxis from a
bee sting. personnel have been called. The nurse notes the woman is
Emergency
breathing
short but Which of the following interventions should the
of breath.
nurse do first?
1. Initiate cardiopulmonary
resuscitation
2. Check for a
pulse
3. Ask the woman if she carries an emergency
medical
4. kit the woman until help comes Correct answers 1. Initiate
Stay with
cardiopulmonary
resuscitatio
n
Incorrect - CPR is premature at this point, and there is another action that
can be taken
firs
t.
BrilliantNurse.com
The nurse is taking the health history of a patient being treated for
Emphysema
Chronic and After being told the patient has been smoking
Bronchitis.
cigarettes
years, the for
nurse30 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 Correct answers 1. Increase in
Forced
Capacity Vital
(FVC)
Forced Vital Capacity is the volume of air exhaled from full inhalation to full
exhalation.
A patient with COPD would have a decrease in FVC.
Incorrect.
2. A narrowed chest
cavity
A patient with COPD often presents with a 'barrel chest,' which is seen as
a widened
chest cavity.
Incorrect.
3. Clubbed fingers -
CORRECT
Clubbed fingers are a sign of a long-term, or chronic, decrease in
oxygen levels.
4. An increased risk of cardiac
failure
Although a patient with these conditions would indeed be at an
increased
cardiac risk for
failure, this is a potential complication and not an assessment
finding. Incorrect.
The nurse is taking the health history of a 70-year-old patient being
treated forUlcer.
Duodenal a After being told the patient is complaining of epigastric
pain, thetonurse
expects note which assessment
finding?
1.
2.
Melena
Nausea
3.
Hernia
4. Hyperthermia Correct answers 1. Melena -
CORRECT
Melena is the finding that there are traces of blood in the stool which
presents
tarry as This
feces. black,is a common manifestation of Duodenal Ulcers, since the
Duodenum
further down is the gastric
anatomy.
2.
Nausea may be present, but is a generalized symptom and by itself
doesn't indicate
Duodenal Ulcer. a
Incorrect.
,3.
Hernia
A Hernia is a protrusion of a segment of the abdomen through another
abdominal
structure. It is not associated with an Ulcer and is a condition, not an
assessment
4.
finding.
Hyperthermia
Hyperthermia,
Incorrect. a high temperature, is not an assessment finding of a
Duodenal Ulcer.
Incorrec
t
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." Correct answers 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
2. "I'm going to make sure to remain upright after meals and elevate my
gastric emptying. It's recommended instead to eat 4-6 small
head
mealswhen
sleep a day.I
"Incorrect - This is a correct verbalization of health promotion
for GERD.
3. "I won't be drinking tea or coffee or eating chocolate
any more."
Incorrect - This is a correct verbalization of health promotion
for GERD.
4. "I'm going to start trying to lose some
weight."
Incorrect - This is a correct verbalization of health promotion
for GERD.
The nurse in the Emergency Room is treating a patient suspected to
have aOn
Ulcer. Peptic
assessing lab results, the nurse finds that the patient's blood
pressure
95/60, is is 110 beats per minute, and the patient reports epigastric pain.
pulse
What is the
PRIORITY
intervention?
1. Start a large-bore IV in the
patient's
2. Ask thearm
patient for a stool
sample
3. Prepare to insert an NG
Tube
4. Administer intramuscular morphine sulphate as ordered Correct
answers 1.IV
large-bore Start a patient's
in the
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.
2. Ask the patient for a stool
sample
Incorrect - While this is useful in the diagnosis and assessment of Peptic
Ulcer
it is notDisease,
the priority
intervention.
3. Prepare to insert an NG
Tube
Incorrect - While this intervention may be used in the later stages of
Peptic Ulcer
Disease, it is not the first and priority
intervention.
4. Administer intramuscular morphine sulphate as
ordered
Incorrect - While this is an important intervention to manage pain, it is not
the priority
interventio
n.
A female patient with atrial fibrillation has the following lab results:
Hemoglobin
g/dl, a platelet of count
11 of 150,000, an INR of 2.5, and potassium of 2.7
mEq/L.isWhich
result critical and should be reported to the physician
immediately?
1. Hemoglobin 11 l
g/dPlatelet of
2.
150,000
3. INR of
2.5
4. Potassium of 2.7 mEq/L Correct answers 1. Hemoglobin
11 g/dl
This is below normal, but a normal female hemoglobin is 12-14. There is a
more critical
lab
result.
2. Platelet of
150,000
This is also below the normal values, but is not the most critical
lab result.
3. INR of
This is a therapeutic range for a patient who is taking an
2.5
anticoagulant for atrial
fibrillatio
n
4. Potassium of 2.7
mEq/L
CORRECT - A potassium imbalance for a patient with a history of
dysrhythmia canand
life-threatening be can lead to cardiac
distress.
While receiving normal saline infusions to treat a GI bleed, the nurse
notes thatlower
patient's the legs have become edematous and auscultates crackles in
the lungs.
What should the nurse do
first?
1. Stop the saline infusion
immediately
2. Notify
Physician
3. Elevate the patient's
legs
4. Continue the infusion, since these are normal findings Correct answers
1. Stopinfusion
saline the
immediately
, CORRECT - 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.
2. Notify
Physician
This is not the first action the nurse
should take.
3. Elevate the patient's
legs
This would help with the edema, but is not a
priority
4. Continue the infusion, since these are normal
findings
This is not a normal
finding
The nurse is working in a support group for clients with HIV. Which
point is most
important for the nurse to
stress?
1. They must inform household members of their
2. They must take their medications exactly as
condition
prescribed
3. They must abstain from
substance
4. They mustuseavoid large crowds Correct answers 1. They must inform
household
members of their
condition
Incorrect - Each patient has a right to privacy of their medical condition. It is
their choice
whether they inform household
members.
2. They must take their medications exactly as
prescribed
CORRECT - Antiretrovirals must be taken exactly as prescribed to
prevent drug-
resistant strains. Even missed doses can reduce the effectiveness of future
treatment.
3. They must abstain from
substance- While
Incorrect use substance use should be discouraged, using safe
practicescan
needles withprevent transmission of
HIV.
4. They must avoid large
crowds
Incorrect - Avoiding large crowds to prevent infection is a priority in the
later when
HIV, stages of patient has
the
AIDS.
A nurse finds a 30-year-old woman experiencing anaphylaxis from a
bee sting. personnel have been called. The nurse notes the woman is
Emergency
breathing
short but Which of the following interventions should the
of breath.
nurse do first?
1. Initiate cardiopulmonary
resuscitation
2. Check for a
pulse
3. Ask the woman if she carries an emergency
medical
4. kit the woman until help comes Correct answers 1. Initiate
Stay with
cardiopulmonary
resuscitatio
n
Incorrect - CPR is premature at this point, and there is another action that
can be taken
firs
t.
