75 NCLEX QUESTIONS WITH CORRECT
ANSWERS
The nurse is taking the health history of a patient being treated for Emphysema and Chronic B
ronchitis. Aſter being told the patient has been smoking cigarettes for 30 years, the nurse exp
ects 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 -
1. Increase in Forced Vital Capacity (FVC)
Forced Vital Capacity is the volume of air exhaled from full inhalation to full exhalation. A pati
ent with COPD would have a decrease in FVC. Incorrect.
2. A narrowed chest cavity
A patient with COPD oſten presents with a 'barrel chest,' which is seen as a widened chest cav
ity. 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 risk for cardiac failu
re, 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 for a Duodenal Ulcer. Aſter being told the patient is complaining of e
pigastric pain, the nurse expects to note which assessment finding?
1. Melena
2. Nausea
3. Hernia
4. Hyperthermia - CORRECT 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 dow
n the gastric anatomy.
2. Nausea
Nausea may be present, but is a generalized symptom and by itself doesn't indicate a Duoden
al Ulcer. Incorrect.
3. Hernia
A Hernia is a protrusion of a segment of the abdomen through another abdominal structure. I
t is not associated with an Ulcer and is a condition, not an assessment finding. Incorrect.
4. Hyperthermia
Hyperthermia, a highc temperature,c iscnotc anc assessmentc findingc ofc acDuodenalc Ulcer.c Incorrect
Ac nursec iscprovidingc dischargec teachingc forc acpatientcwithc severec Gastroesophogealc Refluxc Dise
ase.c Whichc ofcthesec statementsc byc thecpatientcindicatesc ac needcforc morecteaching?
1.c "I'mc goingctoc limitc myc mealsctoc 2-3cperc dayc toc reducec acidc secretion."
,c
2.c "I'mc goingctoc makec surec toc remainc uprightc aſterc mealsc andc elevatec myc headc whenc Ic sleep"
3.c "Ic won'tc becdrinkingc teac orc coffeec orceatingc chocolatec anyc more."
4.c "I'mc goingctoc startc tryingc toc losecsomec weight."c -c CORRECTc ANSWERc-
1.c "I'mc goingctoc limitc myc mealsctoc 2-3cperc dayc toc reducec acidc secretion."
CORRECTc -
Largec mealsc increasecthec volumec andc pressurec inc thecstomachc andc delaycgastricc emptying.c It's
recommendedc insteadc toc eatc 4-6c smallc mealsc acday.
2.c "I'mc goingctoc makec surec toc remainc uprightc aſterc mealsc andc elevatec myc headc whenc Ic sleep"
Incorrectc-c Thisc isc ac correctc verbalizationc ofc healthcpromotioncforc GERD.
3.c "Ic won'tc becdrinkingc teac orc coffeec orceatingc chocolatec anyc more."
Incorrectc-c Thisc isc ac correctc verbalizationc ofc healthcpromotioncforc GERD.
4.c "I'mc goingctoc startc tryingc toc losecsomec weight."
Incorrectc-c Thisc isc ac correctc verbalizationc ofc healthcpromotioncforc GERD.
Thec nursec inc thec Emergencyc Roomc isc treatingc acpatientcsuspectedctoc havec ac Pepticc Ulcer.c Onc as
sessingc labcresults,c thecnursec findsc thatcthecpatient'sc bloodcpressurec isc 95/60,c pulsec isc110c beat
sc percminute,c andc thecpatientcreportsc epigastriccpain.c Whatc iscthec PRIORITYc intervention?
1.c Startc ac large-borec IVc inc thecpatient'sc arm
2.c Askc thec patientcforc ac stoolc sample
3.c Preparectoc insertc ancNGc Tube
4.c Administerc intramuscularc morphinec sulphatec asc orderedc -c CORRECTc ANSWERc -
1.c Startc ac large-borec IVc inc thecpatient'sc arm
,c
CORRECTc -
Thec nursec shouldc suspectcthatc thecpatientcischaemorrhagingc andc willc needc needc ac fluidc replac
ementctherapy,c whichc requiresc ac largec borec IV.
2.c Askc thec patientcforc ac stoolc sample
Incorrectc-
Whilec thisc isc usefulc incthec diagnosiscandc assessmentc ofcPepticc Ulcerc Disease,c itc isc notcthec prior
ityc intervention.
3.c Preparectoc insertc ancNGc Tube
Incorrectc-
Whilec thiscinterventioncmayc bec usedc inc thec laterc stagesc ofc Pepticc UlcercDisease,c itc isc notcthec fir
stc andc priorityc intervention.
4.c Administerc intramuscularc morphinec sulphatec asc ordered
Incorrectc-
Whilec thisc isc ancimportantc interventionctoc managec pain,c itc isc notc thecpriorityc intervention.
Ac femalec patientcwithc atrialc fibrillationchasc thecfollowingc labc results:c Hemoglobinc ofc 11c g/dl,c a
plateletc countc ofc 150,000,c anc INRc ofc2.5,candc potassiumc ofc 2.7c mEq/L.cWhichc resultc isc criticalc a
ndc shouldc becreportedc toc thecphysicianc immediately?
1.c Hemoglobinc 11c g/dl
2.c Plateletc ofc 150,000
3.c INRc ofc 2.5
4.c Potassiumc ofc 2.7c mEq/Lc -c CORRECTc ANSWERc-1.c Hemoglobinc 11c g/dl
Thisc isc belowcnormal,cbutcacnormalcfemalechemoglobinc isc 12-
14.c Therec iscacmorec criticalc labc result.
ANSWERS
The nurse is taking the health history of a patient being treated for Emphysema and Chronic B
ronchitis. Aſter being told the patient has been smoking cigarettes for 30 years, the nurse exp
ects 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 -
1. Increase in Forced Vital Capacity (FVC)
Forced Vital Capacity is the volume of air exhaled from full inhalation to full exhalation. A pati
ent with COPD would have a decrease in FVC. Incorrect.
2. A narrowed chest cavity
A patient with COPD oſten presents with a 'barrel chest,' which is seen as a widened chest cav
ity. 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 risk for cardiac failu
re, 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 for a Duodenal Ulcer. Aſter being told the patient is complaining of e
pigastric pain, the nurse expects to note which assessment finding?
1. Melena
2. Nausea
3. Hernia
4. Hyperthermia - CORRECT 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 dow
n the gastric anatomy.
2. Nausea
Nausea may be present, but is a generalized symptom and by itself doesn't indicate a Duoden
al Ulcer. Incorrect.
3. Hernia
A Hernia is a protrusion of a segment of the abdomen through another abdominal structure. I
t is not associated with an Ulcer and is a condition, not an assessment finding. Incorrect.
4. Hyperthermia
Hyperthermia, a highc temperature,c iscnotc anc assessmentc findingc ofc acDuodenalc Ulcer.c Incorrect
Ac nursec iscprovidingc dischargec teachingc forc acpatientcwithc severec Gastroesophogealc Refluxc Dise
ase.c Whichc ofcthesec statementsc byc thecpatientcindicatesc ac needcforc morecteaching?
1.c "I'mc goingctoc limitc myc mealsctoc 2-3cperc dayc toc reducec acidc secretion."
,c
2.c "I'mc goingctoc makec surec toc remainc uprightc aſterc mealsc andc elevatec myc headc whenc Ic sleep"
3.c "Ic won'tc becdrinkingc teac orc coffeec orceatingc chocolatec anyc more."
4.c "I'mc goingctoc startc tryingc toc losecsomec weight."c -c CORRECTc ANSWERc-
1.c "I'mc goingctoc limitc myc mealsctoc 2-3cperc dayc toc reducec acidc secretion."
CORRECTc -
Largec mealsc increasecthec volumec andc pressurec inc thecstomachc andc delaycgastricc emptying.c It's
recommendedc insteadc toc eatc 4-6c smallc mealsc acday.
2.c "I'mc goingctoc makec surec toc remainc uprightc aſterc mealsc andc elevatec myc headc whenc Ic sleep"
Incorrectc-c Thisc isc ac correctc verbalizationc ofc healthcpromotioncforc GERD.
3.c "Ic won'tc becdrinkingc teac orc coffeec orceatingc chocolatec anyc more."
Incorrectc-c Thisc isc ac correctc verbalizationc ofc healthcpromotioncforc GERD.
4.c "I'mc goingctoc startc tryingc toc losecsomec weight."
Incorrectc-c Thisc isc ac correctc verbalizationc ofc healthcpromotioncforc GERD.
Thec nursec inc thec Emergencyc Roomc isc treatingc acpatientcsuspectedctoc havec ac Pepticc Ulcer.c Onc as
sessingc labcresults,c thecnursec findsc thatcthecpatient'sc bloodcpressurec isc 95/60,c pulsec isc110c beat
sc percminute,c andc thecpatientcreportsc epigastriccpain.c Whatc iscthec PRIORITYc intervention?
1.c Startc ac large-borec IVc inc thecpatient'sc arm
2.c Askc thec patientcforc ac stoolc sample
3.c Preparectoc insertc ancNGc Tube
4.c Administerc intramuscularc morphinec sulphatec asc orderedc -c CORRECTc ANSWERc -
1.c Startc ac large-borec IVc inc thecpatient'sc arm
,c
CORRECTc -
Thec nursec shouldc suspectcthatc thecpatientcischaemorrhagingc andc willc needc needc ac fluidc replac
ementctherapy,c whichc requiresc ac largec borec IV.
2.c Askc thec patientcforc ac stoolc sample
Incorrectc-
Whilec thisc isc usefulc incthec diagnosiscandc assessmentc ofcPepticc Ulcerc Disease,c itc isc notcthec prior
ityc intervention.
3.c Preparectoc insertc ancNGc Tube
Incorrectc-
Whilec thiscinterventioncmayc bec usedc inc thec laterc stagesc ofc Pepticc UlcercDisease,c itc isc notcthec fir
stc andc priorityc intervention.
4.c Administerc intramuscularc morphinec sulphatec asc ordered
Incorrectc-
Whilec thisc isc ancimportantc interventionctoc managec pain,c itc isc notc thecpriorityc intervention.
Ac femalec patientcwithc atrialc fibrillationchasc thecfollowingc labc results:c Hemoglobinc ofc 11c g/dl,c a
plateletc countc ofc 150,000,c anc INRc ofc2.5,candc potassiumc ofc 2.7c mEq/L.cWhichc resultc isc criticalc a
ndc shouldc becreportedc toc thecphysicianc immediately?
1.c Hemoglobinc 11c g/dl
2.c Plateletc ofc 150,000
3.c INRc ofc 2.5
4.c Potassiumc ofc 2.7c mEq/Lc -c CORRECTc ANSWERc-1.c Hemoglobinc 11c g/dl
Thisc isc belowcnormal,cbutcacnormalcfemalechemoglobinc isc 12-
14.c Therec iscacmorec criticalc labc result.
