2025/2026 NCLEX PN REVIEWED
QUESTIONS AND ANSWERS
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 - CORRECT ANSWER-3. Clubbed fingers -
CORRECT
Clubbed fingers eare ea esign eof ea elong-term, eor echronic, edecrease ein eoxygen elevels.
The enurse eis etaking ethe ehealth ehistory eof ea e70-year-old epatient ebeing etreated efor
ea eDuodenal eUlcer. eAfter ebeing etold ethe epatient eis ecomplaining eof eepigastric epain,
ethe enurseeexpects eto enote ewhich eassessment efinding?
1. Melena
2. Nausea
3. Hernia
4. Hyperthermia e- eCORRECT eANSWER-1. eMelena e- eCORRECT
Melena eis ethe efinding ethat ethere eare etraces eof eblood ein ethe estool ewhich epresents
eas eblack, etarry efeces. eThis eis ea ecommon emanifestation eof eDuodenal eUlcers, esince
ethe eDuodenum eisefurther edown ethe egastric eanatomy.
A enurse eis eproviding edischarge eteaching efor ea epatient ewith esevere
eGastroesophogeal eReflux eDisease. eWhich eof ethese estatements eby ethe epatient
eindicates ea eneed efor emoreeteaching?
1. "I'm egoing eto elimit emy emeals eto e2-3 eper eday eto ereduce eacid esecretion."
2. "I'm egoing eto emake esure eto eremain eupright eafter emeals eand eelevate emy
ehead ewhen eIesleep"
3. "I ewon't ebe edrinking etea eor ecoffee eor eeating echocolate eany emore."
,4. "I'm egoing eto estart etrying eto elose esome eweight." e- eCORRECT eANSWER-1. e"I'm
egoing etoelimit emy emeals eto e2-3 eper eday eto ereduce eacid esecretion."
CORRECT e- eLarge emeals eincrease ethe evolume eand epressure ein ethe estomach
eand edelayegastric eemptying. eIt's erecommended einstead eto eeat e4-6 esmall emeals ea
eday.
The enurse ein ethe eEmergency eRoom eis etreating ea epatient esuspected eto ehave ea
ePeptic eUlcer. eOn eassessing elab eresults, ethe enurse efinds ethat ethe epatient's eblood
epressure eis e95/60, epulse eis e110 ebeats eper eminute, eand ethe epatient ereports
eepigastric epain. eWhat eis etheePRIORITY eintervention?
1. eStart ea elarge-bore eIV ein ethe epatient's
earme2. eAsk ethe epatient efor ea estool
esample
3. Prepare eto einsert ean eNG eTube
4. Administer eintramuscular emorphine esulphate eas eordered e- eCORRECT
eANSWER-1.eStart ea elarge-bore eIV ein ethe epatient's earm
CORRECT e- eThe enurse eshould esuspect ethat ethe epatient eis ehaemorrhaging eand
ewill eneedeneed ea efluid ereplacement etherapy, ewhich erequires ea elarge ebore eIV.
A efemale epatient ewith eatrial efibrillation ehas ethe efollowing elab eresults: eHemoglobin
eof e11eg/dl, ea eplatelet ecount eof e150,000, ean eINR eof e2.5, eand epotassium eof e2.7
emEq/L. eWhich eresult eis ecritical eand eshould ebe ereported eto ethe ephysician
eimmediately?
1. eHemoglobin e11
eg/dl e2. ePlatelet eof
e150,000 e3. eINR eof
e2.5
4. ePotassium eof e2.7 emEq/L e- eCORRECT eANSWER-4. ePotassium eof e2.7 emEq/L
eCORRECT e- eA epotassium eimbalance efor ea epatient ewith ea ehistory eof
edysrhythmia ecan ebeelife-threatening eand ecan elead eto ecardiac edistress.
While ereceiving enormal esaline einfusions eto etreat ea eGI ebleed, ethe enurse enotes ethat
ethe epatient's elower elegs ehave ebecome eedematous eand eauscultates ecrackles ein
ethe elungs.eWhat eshould ethe enurse edo efirst?
1. eStop ethe esaline einfusion
eimmediatelye2. eNotify ePhysician
3. Elevate ethe epatient's elegs
4. Continue ethe einfusion, esince ethese eare enormal efindings e- eCORRECT eANSWER-
1. eStopethe esaline einfusion eimmediately
CORRECT e- ethe epatient ehas ea efluid evolume eoverload eas ea eresult eof eoverly erapid
efluidereplacement. eThe enurse eshould estop ethe einfusion eand enotify ethe ephysician.
The enurse eis eworking ein ea esupport egroup efor eclients ewith eHIV. eWhich
epoint eis emosteimportant efor ethe enurse eto estress?
1. They emust einform ehousehold emembers eof etheir econdition
, 2. They emust etake etheir emedications eexactly eas
eprescribede3. eThey emust eabstain efrom esubstance euse
4. eThey emust eavoid elarge ecrowds e- eCORRECT eANSWER-2. eThey emust
etake etheiremedications eexactly eas eprescribed
CORRECT e- eAntiretrovirals emust ebe etaken eexactly eas eprescribed eto eprevent
edrug- eresistant estrains. eEven emissed edoses ecan ereduce ethe eeffectiveness eof
efuture etreatment.
A enurse efinds ea e30-year-old ewoman eexperiencing eanaphylaxis efrom ea ebee esting.
eEmergency epersonnel ehave ebeen ecalled. eThe enurse enotes ethe ewoman eis
ebreathing ebuteshort eof ebreath. eWhich eof ethe efollowing einterventions eshould ethe
enurse edo efirst?
1. eInitiate ecardiopulmonary
eresuscitatione2. eCheck efor ea epulse
3. Ask ethe ewoman eif eshe ecarries ean eemergency emedical ekit
4. Stay ewith ethe ewoman euntil ehelp ecomes e- eCORRECT eANSWER-3. eAsk ethe
ewoman eifeshe ecarries ean eemergency emedical ekit
CORRECT e- eMany epatients ewho ehave ea eknown ehistory eof eanaphylaxis ecarry
eepi-pens einetheir epockets eor ebelongings. eThis eis ethe ebest eway eto estop ea
ehypersensitivity ereaction ebefore eit ebecomes elife-threatening.
A eman eis eprescribed elithium eto etreat ebipolar edisorder. eThe enurse eis emost
econcerned eaboutelithium etoxicity ewhen ehe enotices ewhich eof ethese eassessment
efindings?
1. eThe epatient e states e he e had e a e manic e episode ea
e week e ago e2. eThe epatient estates ehe ehas ebeen ehaving
ediarrhea eevery edaye3. eThe epatient ehas ea erashy epruritis
eon ehis earms eand elegs
4. The epatient epresents eas eseverely edepressed
5. The epatient's elithium elevel eis e1.3 emcg/L e- eCORRECT eANSWER-2. eThe
epatient estatesehe ehas ebeen ehaving ediarrhea eevery eday
Correct e- ePersistent ediarrhea ecan elead eto edehydration, ewhich ecan eincrease ethe
erisk eofelithium etoxicity.
A e65 eyear eold eman eis eprescribed eFlomax e(Tamsulosin) efor eBenign eProstatic
eHyperplasia.eThe epatient elives ein ean eupstairs eapartment. eThe enurse eis emost
econcerned eabout ewhich eside eeffect eof eFlomax?
1. Hypotension
2. Tachycardia
3. Back ePain
4. Difficulty eUrinating e- eCORRECT eANSWER-1. eHypotension
Correct e- eHypotension ecan elead eto edizziness eand ea erisk efor einjury eto ethe epatient.
A eman eis ereceiving eheparin esubcutaneously. eThe epatient ehas edementia eand elives eat
ehomeewith ea epart-time ecaretaker. eThe enurse eis emost econcerned eabout ewhich eside
eeffect eof eheparin?
QUESTIONS AND ANSWERS
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 - CORRECT ANSWER-3. Clubbed fingers -
CORRECT
Clubbed fingers eare ea esign eof ea elong-term, eor echronic, edecrease ein eoxygen elevels.
The enurse eis etaking ethe ehealth ehistory eof ea e70-year-old epatient ebeing etreated efor
ea eDuodenal eUlcer. eAfter ebeing etold ethe epatient eis ecomplaining eof eepigastric epain,
ethe enurseeexpects eto enote ewhich eassessment efinding?
1. Melena
2. Nausea
3. Hernia
4. Hyperthermia e- eCORRECT eANSWER-1. eMelena e- eCORRECT
Melena eis ethe efinding ethat ethere eare etraces eof eblood ein ethe estool ewhich epresents
eas eblack, etarry efeces. eThis eis ea ecommon emanifestation eof eDuodenal eUlcers, esince
ethe eDuodenum eisefurther edown ethe egastric eanatomy.
A enurse eis eproviding edischarge eteaching efor ea epatient ewith esevere
eGastroesophogeal eReflux eDisease. eWhich eof ethese estatements eby ethe epatient
eindicates ea eneed efor emoreeteaching?
1. "I'm egoing eto elimit emy emeals eto e2-3 eper eday eto ereduce eacid esecretion."
2. "I'm egoing eto emake esure eto eremain eupright eafter emeals eand eelevate emy
ehead ewhen eIesleep"
3. "I ewon't ebe edrinking etea eor ecoffee eor eeating echocolate eany emore."
,4. "I'm egoing eto estart etrying eto elose esome eweight." e- eCORRECT eANSWER-1. e"I'm
egoing etoelimit emy emeals eto e2-3 eper eday eto ereduce eacid esecretion."
CORRECT e- eLarge emeals eincrease ethe evolume eand epressure ein ethe estomach
eand edelayegastric eemptying. eIt's erecommended einstead eto eeat e4-6 esmall emeals ea
eday.
The enurse ein ethe eEmergency eRoom eis etreating ea epatient esuspected eto ehave ea
ePeptic eUlcer. eOn eassessing elab eresults, ethe enurse efinds ethat ethe epatient's eblood
epressure eis e95/60, epulse eis e110 ebeats eper eminute, eand ethe epatient ereports
eepigastric epain. eWhat eis etheePRIORITY eintervention?
1. eStart ea elarge-bore eIV ein ethe epatient's
earme2. eAsk ethe epatient efor ea estool
esample
3. Prepare eto einsert ean eNG eTube
4. Administer eintramuscular emorphine esulphate eas eordered e- eCORRECT
eANSWER-1.eStart ea elarge-bore eIV ein ethe epatient's earm
CORRECT e- eThe enurse eshould esuspect ethat ethe epatient eis ehaemorrhaging eand
ewill eneedeneed ea efluid ereplacement etherapy, ewhich erequires ea elarge ebore eIV.
A efemale epatient ewith eatrial efibrillation ehas ethe efollowing elab eresults: eHemoglobin
eof e11eg/dl, ea eplatelet ecount eof e150,000, ean eINR eof e2.5, eand epotassium eof e2.7
emEq/L. eWhich eresult eis ecritical eand eshould ebe ereported eto ethe ephysician
eimmediately?
1. eHemoglobin e11
eg/dl e2. ePlatelet eof
e150,000 e3. eINR eof
e2.5
4. ePotassium eof e2.7 emEq/L e- eCORRECT eANSWER-4. ePotassium eof e2.7 emEq/L
eCORRECT e- eA epotassium eimbalance efor ea epatient ewith ea ehistory eof
edysrhythmia ecan ebeelife-threatening eand ecan elead eto ecardiac edistress.
While ereceiving enormal esaline einfusions eto etreat ea eGI ebleed, ethe enurse enotes ethat
ethe epatient's elower elegs ehave ebecome eedematous eand eauscultates ecrackles ein
ethe elungs.eWhat eshould ethe enurse edo efirst?
1. eStop ethe esaline einfusion
eimmediatelye2. eNotify ePhysician
3. Elevate ethe epatient's elegs
4. Continue ethe einfusion, esince ethese eare enormal efindings e- eCORRECT eANSWER-
1. eStopethe esaline einfusion eimmediately
CORRECT e- ethe epatient ehas ea efluid evolume eoverload eas ea eresult eof eoverly erapid
efluidereplacement. eThe enurse eshould estop ethe einfusion eand enotify ethe ephysician.
The enurse eis eworking ein ea esupport egroup efor eclients ewith eHIV. eWhich
epoint eis emosteimportant efor ethe enurse eto estress?
1. They emust einform ehousehold emembers eof etheir econdition
, 2. They emust etake etheir emedications eexactly eas
eprescribede3. eThey emust eabstain efrom esubstance euse
4. eThey emust eavoid elarge ecrowds e- eCORRECT eANSWER-2. eThey emust
etake etheiremedications eexactly eas eprescribed
CORRECT e- eAntiretrovirals emust ebe etaken eexactly eas eprescribed eto eprevent
edrug- eresistant estrains. eEven emissed edoses ecan ereduce ethe eeffectiveness eof
efuture etreatment.
A enurse efinds ea e30-year-old ewoman eexperiencing eanaphylaxis efrom ea ebee esting.
eEmergency epersonnel ehave ebeen ecalled. eThe enurse enotes ethe ewoman eis
ebreathing ebuteshort eof ebreath. eWhich eof ethe efollowing einterventions eshould ethe
enurse edo efirst?
1. eInitiate ecardiopulmonary
eresuscitatione2. eCheck efor ea epulse
3. Ask ethe ewoman eif eshe ecarries ean eemergency emedical ekit
4. Stay ewith ethe ewoman euntil ehelp ecomes e- eCORRECT eANSWER-3. eAsk ethe
ewoman eifeshe ecarries ean eemergency emedical ekit
CORRECT e- eMany epatients ewho ehave ea eknown ehistory eof eanaphylaxis ecarry
eepi-pens einetheir epockets eor ebelongings. eThis eis ethe ebest eway eto estop ea
ehypersensitivity ereaction ebefore eit ebecomes elife-threatening.
A eman eis eprescribed elithium eto etreat ebipolar edisorder. eThe enurse eis emost
econcerned eaboutelithium etoxicity ewhen ehe enotices ewhich eof ethese eassessment
efindings?
1. eThe epatient e states e he e had e a e manic e episode ea
e week e ago e2. eThe epatient estates ehe ehas ebeen ehaving
ediarrhea eevery edaye3. eThe epatient ehas ea erashy epruritis
eon ehis earms eand elegs
4. The epatient epresents eas eseverely edepressed
5. The epatient's elithium elevel eis e1.3 emcg/L e- eCORRECT eANSWER-2. eThe
epatient estatesehe ehas ebeen ehaving ediarrhea eevery eday
Correct e- ePersistent ediarrhea ecan elead eto edehydration, ewhich ecan eincrease ethe
erisk eofelithium etoxicity.
A e65 eyear eold eman eis eprescribed eFlomax e(Tamsulosin) efor eBenign eProstatic
eHyperplasia.eThe epatient elives ein ean eupstairs eapartment. eThe enurse eis emost
econcerned eabout ewhich eside eeffect eof eFlomax?
1. Hypotension
2. Tachycardia
3. Back ePain
4. Difficulty eUrinating e- eCORRECT eANSWER-1. eHypotension
Correct e- eHypotension ecan elead eto edizziness eand ea erisk efor einjury eto ethe epatient.
A eman eis ereceiving eheparin esubcutaneously. eThe epatient ehas edementia eand elives eat
ehomeewith ea epart-time ecaretaker. eThe enurse eis emost econcerned eabout ewhich eside
eeffect eof eheparin?
