75 Free NCLEX Questions - co BrilliantNurse.com

75 Free NCLEX Questions - c/o BrilliantNurse.com ScienceMedicineNursing carey47 Save NCLEX-RN Practice Questions For 2...Teacher 33 terms TutorDkPreview PEARSON NCLEX-RN Questions & R...199 terms Candice_Haygood Preview NCLEX Practice Questions Exam 1 40 terms J_NavPreview NCLEX 110 term kan 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
• 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

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.

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
• 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.

• 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?

• "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."
• "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."

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?

• 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
• 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.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?

• Hemoglobin 11 g/dl
• Platelet of 150,000
• INR of 2.5
• Potassium of 2.7 mEq/L
• Hemoglobin 11 g/dl

This is below normal, but a normal female hemoglobin is 12-14. There is a more critical lab result.

• Platelet of 150,000

This is also below the normal values, but is not the most critical lab result.

• INR of 2.5

This is a therapeutic range for a patient who is taking an anticoagulant for atrial fibrillation

• Potassium of 2.7 mEq/L

CORRECT - A potassium imbalance for a patient with a history of dysrhythmia can be life-threatening and can lead to cardiac distress.

While receiving normal saline infusions to treat a GI bleed, the nurse notes that the patient's lower legs have become edematous and auscultates crackles in the lungs. What should the nurse do first?

• Stop the saline infusion immediately
• Notify Physician
• Elevate the patient's legs
• Continue the infusion, since these are normal findings
• Stop the saline infusion immediately

CORRECT - the patient has a fluid volume overload as a result of overly rapid fluid replacement. The nurse should stop the infusion and notify the physician.

• Notify Physician

This is not the first action the nurse should take.

• Elevate the patient's legs

This would help with the edema, but is not a priority

• Continue the infusion, since these are normal findings

This is not a normal finding The nurse is working in a support group for clients with HIV. Which point is most important for the nurse to stress?

• They must inform household members of their condition
• They must take their medications exactly as prescribed
• They must abstain from substance use
• They must avoid large crowds
• They must inform household members of their condition

Incorrect - Each patient has a right to privacy of their medical condition. It is their choice whether they inform household members.

• They must take their medications exactly as prescribed

CORRECT - Antiretrovirals must be taken exactly as prescribed to prevent drug-resistant strains. Even missed doses can reduce the effectiveness of future treatment.

• They must abstain from substance use

Incorrect - While substance use should be discouraged, using safe practices with needles can prevent transmission of HIV.

• They must avoid large crowds

Incorrect - Avoiding large crowds to prevent infection is a priority in the later stages of HIV, when the patient has AIDS.