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75 Free NCLEX Questions - c/o BrilliantNurse.com / Updated Questions with 100% Correct Ans, Exams of Nursing

75 Free NCLEX Questions - c/o BrilliantNurse.com / Updated Questions with 100% Correct Answers, 2025 / 2026. _____________Quiz____________? 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 - Answer✓✓ 1. Increase in Forced Vital Capacity (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

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Questions with 100% Correct
_____________Quiz____________?
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 -
Answer
✓✓
1. Increase in Forced Vital Capacity (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.
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Questions with 100% Correct

_____________Quiz____________? 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 -

Answer ✓✓

  1. Increase in Forced Vital Capacity (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.
  1. An increased risk of cardiac failure Although a patient with these conditions would indeed be at an increased risk for cardiac failure, this is a potential complication and not an assessment finding. Incorrect. _____________Quiz____________? 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?
  2. Melena
  3. Nausea
  4. Hernia
  5. Hyperthermia -

Answer ✓✓

  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.
  2. Nausea Nausea may be present, but is a generalized symptom and by itself doesn't indicate a Duodenal Ulcer. 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 finding. Incorrect.
  4. Hyperthermia Hyperthermia, a high temperature, is not an assessment finding of a Duodenal Ulcer. Incorrect
  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 -

Answer ✓✓

  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.
  2. Ask the patient for a stool sample Incorrect - While this is useful in the diagnosis and assessment of Peptic Ulcer Disease, it is not 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 intervention. _____________Quiz____________? A female patient with atrial fibrillation has the following lab results: Hemoglobin of 11 g/dl, a platelet count of 150,000, an INR of 2.5, and potassium of 2.7 mEq/L. Which result is critical and should be reported to the physician immediately?
  5. Hemoglobin 11 g/dl
  6. Platelet of 150,
  7. INR of 2.
  8. Potassium of 2.7 mEq/L -

Answer ✓✓

  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, This is also below the normal values, but is not the most critical lab result.
  3. INR of 2. This is a therapeutic range for a patient who is taking an anticoagulant for atrial fibrillation
  4. Potassium of 2.7 mEq/L CORRECT - A potassium imbalance for a patient with a history of dysrhythmia can be life- threatening and can lead to cardiac distress. _____________Quiz____________? While receiving normal saline infusions to treat a GI bleed, the nurse notes that the patient's lower legs have become edematous and auscultates crackles in the lungs. What should the nurse do first?
  5. Stop the saline infusion immediately
  6. Notify Physician
  7. Elevate the patient's legs
  8. Continue the infusion, since these are normal findings -

Answer ✓✓

  1. Stop the saline infusion 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

Incorrect - Avoiding large crowds to prevent infection is a priority in the later stages of HIV, when the patient has AIDS. _____________Quiz____________? 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?

  1. Initiate cardiopulmonary resuscitation
  2. Check for a pulse
  3. Ask the woman if she carries an emergency medical kit
  4. Stay with the woman until help comes -

Answer ✓✓

  1. Initiate cardiopulmonary resuscitation Incorrect - CPR is premature at this point, and there is another action that can be taken first.
  2. Check for a pulse This is the first step when assessing for initiation of CPR, but CPR is not the best and first course of action for this situation. The woman is still breathing, which means CPR is not necessary at this time.
  3. Ask the woman if she carries an emergency medical kit CORRECT - 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.
  4. Stay with the woman until help comes Incorrect - While this should be done, it's not the best and first course of action. _____________Quiz____________?

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?

  1. The patient states he had a manic episode a week ago
  2. The patient states he has been having diarrhea every day
  3. The patient has a rashy pruritis on his arms and legs
  4. The patient presents as severely depressed
  5. The patient's lithium level is 1.3 mcg/L -

Answer ✓✓

  1. The patient states he had a manic episode a week ago Incorrect - Having a manic episode is not an indication of lithium toxicity. This finding indicates that the lithium is not effective or is not at a therapeutic level.
  2. The patient states he has been having diarrhea every day Correct - Persistent diarrhea can lead to dehydration, which can increase the risk of lithium toxicity.
  3. The patient has a rashy pruritis on his arms and legs Incorrect - This is not a symptom of lithium toxicity
  4. The patient presents as severely depressed Incorrect - Having a depressive episode is not an indication of lithium toxicity. This finding indicates that the lithium is not effective or is not at a therapeutic level.
  5. The patient's lithium level is 1.3 mcg/L This is within the therapeutic range of lithium _____________Quiz____________? 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 which side effect of Flomax?

Incorrect - Back pain, while it can occur, is not an immediate concern

  1. Fever and Chills Incorrect - Fever and Chills, while it can occur, is not an immediate concern
  2. Risk for Bleeding Correct - A confused patient is at risk for injuring themselves and at risk for hemorrhage should an injury occur
  3. Dizziness Incorrect - Dizziness is not a side effect of Heparin _____________Quiz____________? A female patient is prescribed metformin for glucose control. The patient is on NPO status pending a diagnostic test. The nurse is most concerned about which side effect of metformin?
  4. Diarrhea and Vomiting
  5. Dizziness and Drowsiness
  6. Metallic taste
  7. Hypoglycemia -

Answer ✓✓

  1. Diarrhea and Vomiting Incorrect - While these may occur, the patient is at higher risk for another adverse effect.
  2. Dizziness and Drowsiness Incorrect - While these may occur, the patient is at higher risk for another adverse effect.
  3. Metallic taste Incorrect - While this may occur, the patient is at higher risk for another adverse effect.
  1. Hypoglycemia Correct - The patient is at risk because she is on NPO status and continuing to take an anti- glycemic drug. _____________Quiz____________? The nurse is reviewing the lab results of a patient taking lithium for schizoaffective disorder. The lab results show that the blood lithium value is 1.7 mcg/L. What would the nurse take as the priority action?
  2. Induce vomiting
  3. Hold the next dose of Lithium
  4. Administer an anti-emetic
  5. Give the next dose of Lithium -

Answer ✓✓

  1. Induce vomiting Incorrect - This may be warranted for a severe lithium toxicity, but would be premature at this point. Gastric lavage may be attempted if the patient presents within one hour of ingestion, and fluids will be given to restore kidney function and promote the clearance of Lithium from the body..
  2. Hold the next dose of Lithium Correct - Lithium's therapeutic range is 0.5-1.5mcg/L, and begins toxicity at 1.5mcg/L
  3. Administer an anti-emetic Incorrect - While minor toxicity can cause vomiting and nausea, this is not a priority action
  4. Give the next dose of Lithium Incorrect - Lithium's therapeutic range is 0.5-1.5mcg/L, and begins toxicity at 1.5mcg/L _____________Quiz____________?

Answer ✓✓

  1. Put the patient in a 90 degree position Incorrect - This position is optimal for helping a patient breathe, but is not the priority action in an emergency situation.
  2. Check whether the patient is taking diuretics Incorrect - Diuretics play a role in CHF by decreasing fluid volume, but this patient is likely having an acute myocardial infarction.
  3. Obtain and attach defibrillator leads Correct - This patient is undergoing an emergency cardiac event. Normal Troponin T levels are less than 0.2 ng/mL. Ventricular Fibrillation is the cause of death in most cases of deaths due to sudden cardiac arrest. Defibrillation is the most important action to take to prevent death.
  4. Check the patient's last ejection fraction Incorrect - Ejection fraction is a test used to gauge the severity of CHF, not an emergency cardiac arrest. _____________Quiz____________? A nurse is caring for a patient undergoing a stress test on a treadmill. The patient turns to talk to the nurse. Which of these statements would require the most immediate intervention?
  5. "I'm feeling extremely thirsty. I'm going to get some water after this."
  6. "I can feel my heart racing."
  7. "My shoulder and arm is hurting."
  8. "My blood pressure reading is 158/80" -

Answer ✓✓

  1. "I'm feeling extremely thirsty. I'm going to get some water after this." Incorrect - This does not require immediate intervention. This is a common response to exercise and activity.
  1. "I can feel my heart racing." Incorrect - This does not require immediate intervention. This is a common response to exercise and activity.
  2. "My shoulder and arm is hurting." Correct - Unilateral arm and shoulder pain is one of the classic symptoms of myocardial ischemia. The stress test should be halted.
  3. "My blood pressure reading is 158/80" Incorrect - This does not require immediate intervention. Moderate elevation in blood pressure is a common response to exercise and activity. _____________Quiz____________? The nurse is reviewing the lab results of a patient who has presented in the Emergency Room. The lab results show that the BNP (B-type Natriuretic Peptide) value is a 615 pg/ml. What would the nurse take as the priority action?
  4. Call a cardiac code and implement emergency measures
  5. Check the patient's oxygen saturation
  6. Inform the physician that the patient has Congestive Heart Failure Encourage the patient to limit activity -

Answer ✓✓

  1. Call a cardiac code and implement emergency measures Incorrect - There is no evidence that the patient is undergoing a cardiac arrest.
  2. Check the patient's oxygen saturation Correct - An elevated BNP indicates that there is decreased cardiac output. A priority intervention would be to ensure proper oxygenation after an assessment.
  3. Inform the physician that the patient has Congestive Heart Failure

_____________Quiz____________? A man is has been taking lisinopril for CHF. The patient is seen in the emergency room for persistent diarrhea. The nurse is concerned about which side effect of lisinopril?

  1. Vertigo
  2. Hypotension
  3. Palpitations
  4. Nagging, dry cough -

Answer ✓✓

  1. Vertigo Incorrect - While this may occur, the patient is at higher risk due to another adverse effect.
  2. Hypotension Correct - The patient is particularly at risk for hypotension due to possible dehydration from fluid loss.
  3. Palpitations Incorrect - While this may occur, the patient is at higher risk for another adverse effect.
  4. Nagging, dry cough Incorrect - While this is a common side effect, the patient is at higher risk for another adverse effect.. _____________Quiz____________? The nurse is taking the health history of a patient being treated for sickle cell disease. After being told the patient has severe generalized pain, the nurse expects to note which assessment finding?
  5. Severe and persistent diarrhea
  1. Intense pain in the toe
  2. Yellow-tinged sclera
  3. Headache -

Answer ✓✓

  1. Severe and persistent diarrhea Incorrect - This is not a manifestation of sickle cell disease
  2. Intense pain in the toe Incorrect - Gout is a manifestation of Polycythemia Vera, in which the there is an overabundance of red blood cells
  3. Yellow-tinged sclera Correct - Jaundice is a common clinical finding of sickle cell disease, caused by bilirubin released from damaged or destroyed RBCs
  4. Headache Incorrect - While this may occur, it is not indicative or a classic symptom of sickle cell disease. _____________Quiz____________? A client with Multiple Sclerosis reports a constant, burning, tingling pain in the shoulders. The nurse anticipates that the physician will order which medication for this type of pain?
  5. alprazolam (Xanax)
  6. Corticosteroid injection
  7. gabapentin (Neurontin)
  8. hydrocodone/acetaminophen (Norco) -

Answer ✓✓

  1. alprazolam (Xanax) Incorrect - alprazolam is used to reduce anxiety
  1. A 60-year-old man who has a painful incision Incorrect - Although Morphine would be an appropriate medications, there is no indication that it should be administered sublingually _____________Quiz____________? In educating clients on ways to manage pain, which topic can be appropriately delegated to a LPN/LVN who will continue under supervision?
  2. Acupuncture
  3. Guided Imagery
  4. Alternating Rest/Activity
  5. Over the counter medications -

Answer ✓✓

  1. Acupuncture Incorrect - This is outside the nursing scope of practice and requires special training or education
  2. Guided Imagery Incorrect - This also requires additional training or education
  3. Alternating Rest/Activity Correct - This is within the nursing scope of practice and within the training and education provided to all nurses. It is safe to use and a standard treatment.
  4. Over the counter medications Incorrect - This is outside the nursing scope of practice. A healthcare provider (doctor, nurse practitioner, or physician's assistant) should be consulted before taking over the counter medications. _____________Quiz____________?

The nurse assesses a patient suspected of having an asthma attack. Which of the following is a common clinical manifestation of this condition?

  1. Audible crackles and orthopnea
  2. An audible wheeze and use of accessory muscles
  3. Audible crackles and use of accessory muscles
  4. Audible wheeze and orthopnea -

Answer ✓✓

  1. Audible crackles and orthopnea Incorrect - Crackles indicate fluid in the lungs, which is not a cause of asthma. Orthopnea is not associated with asthma.
  2. An audible wheeze and use of accessory muscles Correct - Both of these are associated with asthma.
  3. Audible crackles and use of accessory muscles Incorrect - Crackles indicate fluid in the lungs, which is not a cause of asthma.
  4. Audible wheeze and orthopnea Incorrect - Orthopnea is not associated with asthma. _____________Quiz____________? The nurse assesses a patient suspected of having meningitis. Which of the following is a common clinical manifestation of this condition?
  5. A high WBC count and decreased level of consciousness
  6. A high WBC count and manic activity
  7. A low WBC count and manic activity
  8. A low WBC count and decreased level of consciousness -

Answer ✓✓

  1. A high WBC count and decreased level of consciousness