75 Free NCLEX Questions - co

75 Free NCLEX Questions - c/o BrilliantNurse.com / Comprehensive Practice Test Study Guide Newest Actual Questions & Answers (A+ Guide Solutions.Quiz____?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?

• Increase in Forced Vital Capacity (FVC)
• A narrowed chest cavity
• Clubbed fingers
• An increased risk of cardiac failure -

Answer✓✓

• 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.

• A narrowed chest cavity

A patient with COPD often presents with a 'barrel chest,' which is seen as a widened chest cavity. Incorrect.

• Clubbed fingers - CORRECT

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

• 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.Quiz____?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?

• Melena
• Nausea
• Hernia
• Hyperthermia -

Answer✓✓

• 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.

• Nausea

Nausea may be present, but is a generalized symptom and by itself doesn't indicate a Duodenal Ulcer. Incorrect.

• 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.Page 2 of 67 2 / 4

• Hyperthermia

Hyperthermia, a high temperature, is not an assessment finding of a Duodenal Ulcer. Incorrect Quiz____?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?

• "I'm going to limit my meals to 2-3 per day to reduce acid secretion."
• "I'm going to make sure to remain upright after meals and elevate my

head when I sleep"

• "I won't be drinking tea or coffee or eating chocolate any more."
• "I'm going to start trying to lose some weight." -

Answer✓✓

• "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.

• "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.

• "I won't be drinking tea or coffee or eating chocolate any more."

Incorrect - This is a correct verbalization of health promotion for GERD.

• "I'm going to start trying to lose some weight."

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Incorrect - This is a correct verbalization of health promotion for GERD.Quiz____?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?

• Start a large-bore IV in the patient's arm
• Ask the patient for a stool sample
• Prepare to insert an NG Tube
• Administer intramuscular morphine sulphate as ordered -

Answer✓✓

• 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.

• 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.

• 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.

• Administer intramuscular morphine sulphate as ordered

Incorrect - While this is an important intervention to manage pain, it is not the priority intervention.Quiz____?Page 4 of 67

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