NCLEX 2024 TEST BANK 75 REAL EXAM PRACTICE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

1
NCLEX 2024 TEST BANK 75 REAL EXAM PRACTICE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+


1. The nurse is taking the health history of a patient being treated for Emphy-
h h h h h h h h h h h h h h




sema and Chronic Bronchitis. After being told the patient has been smoking
h h h h h h h h h h h h




cigarettes for 30 years, the nurse expects to note which assessment finding?
h h h h h h h h h h h h




1. Increase in Forced Vital Capacity (FVC)
h h h h h




2. A narrowed chest cavity
h h h




3. Clubbed fingers h




4. An increased risk of cardiac failure: 1.Increase in ForcedVital Capacity (FVC)
h h h h h h h h h h h h




Forced Vital Capacity is the volume of air exhaled from full inhalation to full
h h h h h h h h h h h h h h




exhalation. A patient with COPD would have a decrease in FVC. Incorrect.
h h h h h h h h h h h h




1 h/ h45

,2 2. A narrowed chest cavity
h h h




A patient with COPD often presents with a 'barrel chest,' which is seen as a
h h h h h h h h h h h h h h




widened chest cavity. Incorrect.
h h h h




3. Clubbed fingers - CORRECT h h h




Clubbed fingers are a sign of a long-term, or chronic, decrease in oxygen levels.
h h h h h h h h h h h h h




4. An increased risk of cardiac failure
h h h h h




Although a patient with these conditions would indeed be at an increased risk
h h h h h h h h h h h h




for cardiac failure, this is a potential complication and not an assessment finding.
h h h h h h h h h h h h




Incorrect.
h




2. The nurse is taking the health history of a 70-year-old patient being treatedfor
h h h h h h h h h h h h h h




a Duodenal Ulcer. After being told the patient is complaining of epigastric pain,
h h h h h h h h h h h h h




2 h/ h45

,3 the nurse expects to note which assessment finding?
h h h h h h h h




1. Melena


2. Nausea


3. Hernia


4. Hyperthermia: 1. Melena - CORRECT h h h h




Melena is the finding that there are traces of blood in the stool which presents as
h h h h h h h h h h h h h h h




black, tarry feces. This is a common manifestation of Duodenal Ulcers, since the
h h h h h h h h h h h h h




Duodenum is further down the gastric anatomy.
h h h h h h h




2. Nausea


Nausea may be present, but is a generalized symptom and by itself doesn't indicatea
h h h h h h h h h h h h h h




Duodenal Ulcer. Incorrect.
h h h




3 h/ h45

, 4



3. Hernia




4 h/ h45