1
75 Free NCLEX Questions - c/o
BrilliantNurse.com
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.
1
, 2
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?
2
, 3
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?
3
, 4
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 - -Correct
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.
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?
1. Hemoglobin 11 g/dl
2. Platelet of 150,000
3. INR of 2.5
4
75 Free NCLEX Questions - c/o
BrilliantNurse.com
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.
1
, 2
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?
2
, 3
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?
3
, 4
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 - -Correct
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.
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?
1. Hemoglobin 11 g/dl
2. Platelet of 150,000
3. INR of 2.5
4
