{"id":113872,"date":"2023-08-18T02:52:43","date_gmt":"2023-08-18T02:52:43","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=113872"},"modified":"2023-08-18T02:52:46","modified_gmt":"2023-08-18T02:52:46","slug":"nclex-pn-review-questions-2023-2","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/18\/nclex-pn-review-questions-2023-2\/","title":{"rendered":"NCLEX-PN Review Questions 2023"},"content":{"rendered":"\n<ol class=\"wp-block-list\">\n<li>The nurse is taking the health history of a patient being treated for<br>Emphy- sema and Chronic Bronchitis. After being told the patient has been<br>smoking cigarettes for 30 years, the nurse expects to note which<br>assessment finding?<\/li>\n\n\n\n<li>Increase in Forced Vital Capacity (FVC)<\/li>\n\n\n\n<li>A narrowed chest cavity<\/li>\n\n\n\n<li>Clubbed fingers<\/li>\n\n\n\n<li>An increased risk of cardiac failure: 3. Clubbed fingers &#8211; CORRECT<br>Clubbed fingers are a sign of a long-term, or chronic, decrease in<br>oxygen levels.<\/li>\n\n\n\n<li>The nurse is taking the health history of a 70-year-old patient being<br>treated for a Duodenal Ulcer. After being told the patient is complaining of<br>epigastric pain, the nurse expects to note which assessment finding?<\/li>\n\n\n\n<li>Melena<\/li>\n\n\n\n<li>Nausea<\/li>\n\n\n\n<li>Hernia<br>1 \/ 4<br>2 \/ 23<\/li>\n\n\n\n<li>Hyperthermia: 1. Melena &#8211; CORRECT<br>Melena is the finding that there are traces of blood in the stool which<br>presents as black, tarry feces. This is a common manifestation of<br>Duodenal Ulcers, since the Duodenum is further down the gastric<br>anatomy.<\/li>\n\n\n\n<li>A nurse is providing discharge teaching for a patient with severe Gastroe\u0002sophogeal Reflux Disease. Which of these statements by the patient<br>indicates a need for more teaching?<\/li>\n\n\n\n<li>&#8220;I&#8217;m going to limit my meals to 2-3 per day to reduce acid secretion.&#8221;<\/li>\n\n\n\n<li>&#8220;I&#8217;m going to make sure to remain upright after meals and elevate my<br>head when I sleep&#8221;<\/li>\n\n\n\n<li>&#8220;I won&#8217;t be drinking tea or coffee or eating chocolate any more.&#8221;<\/li>\n\n\n\n<li>&#8220;I&#8217;m going to start trying to lose some weight.&#8221;: 1. &#8220;I&#8217;m going to limit my<br>meals to 2-3 per day to reduce acid secretion.&#8221;<br>CORRECT &#8211; Large meals increase the volume and pressure in the<br>2 \/ 4<br>3 \/ 23<br>stomach and delay gastric emptying. It&#8217;s recommended instead to eat<br>4-6 small meals a day.<\/li>\n\n\n\n<li>The nurse in the Emergency Room is treating a patient suspected to have<br>a Peptic Ulcer. On assessing lab results, the nurse finds that the patient&#8217;s<br>blood pressure is 95\/60, pulse is 110 beats per minute, and the patient<br>reports epigastric pain. What is the PRIORITY intervention?<br>3 \/ 4<br>4 \/ 23<\/li>\n\n\n\n<li>Start a large-bore IV in the patient&#8217;s arm<\/li>\n\n\n\n<li>Ask the patient for a stool sample<\/li>\n\n\n\n<li>Prepare to insert an NG Tube<\/li>\n\n\n\n<li>Administer intramuscular morphine sulphate as ordered: 1. Start a large\u0002bore IV in the patient&#8217;s arm<br>CORRECT &#8211; The nurse should suspect that the patient is haemorrhaging<br>and will need need a fluid replacement therapy, which requires a large<br>bore IV.<\/li>\n\n\n\n<li>A female patient with atrial fibrillation has the following lab results:<br>Hemo- globin of 11 g\/dl, a platelet count of 150,000, an INR of 2.5, and<br>potassium<br>of 2.7 mEq\/L. Which result is critical and should be reported to the physician<br>immediately?<\/li>\n\n\n\n<li>Hemoglobin 11 g\/dl<\/li>\n\n\n\n<li>Platelet of 150,000<\/li>\n\n\n\n<li>INR of 2.5<\/li>\n\n\n\n<li>Potassium of 2.7 mEq\/L: 4. Potassium of 2.7 mEq\/L<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-113872","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113872","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=113872"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113872\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=113872"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=113872"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=113872"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}