NCLEX EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
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✔✔-1.
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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
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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 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 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 - CORRECT ANSWER✔✔-1. Melena - CORRECT
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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
| | |
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."
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, 4. "I'm going to start trying to lose some weight." - CORRECT
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ANSWER✔✔-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.
| | | |
2. "I'm going to make sure to remain upright after meals and elevate my
| | | | | | | | | | | | |
head when I sleep"
| | | |
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 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
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COMPLETE SOLUTIONS
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✔✔-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 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.
| | | |
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 - 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 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
| | |
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
| | | | | | | | | | |
ANSWER✔✔-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.
| | | |
2. "I'm going to make sure to remain upright after meals and elevate my
| | | | | | | | | | | | |
head when I sleep"
| | | |
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 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
| | | | | | | |
