75 Free NCLEX Questions - co BrilliantNurse.comStudy online at nurse is taking the health history of a patient being treated for Emphyse-ma and Chronic Bronchi-tis. After being told the pa-tient has been smoking cig-arettes for 30 years, the nurse expects

75 Free NCLEX Questions - c/o BrilliantNurse.comStudy online at https://quizlet.com/_11kaiv1.The nurse is taking the health history of a patient being treated for Emphyse-ma and Chronic Bronchi-tis. After being told the pa-tient has been smoking cig-arettes for 30 years, the nurse expects to note which assessment finding?1. Increase in Forced Vital Capacity (FVC)2. A narrowed chest cavity3. Clubbed fingers 4. An increased risk of car-diac failure1. Increase in Forced Vital Capacity (FVC)Forced Vital Capacity is the volume of air ex-haled from full inhalation to full exhalation. A patient with COPD would have a decrease in FVC. Incorrect.2. A narrowed chest cavityA patient with COPD often presents with a 'barrel chest,' which is seen as a widened chest cavity. Incorrect.3. Clubbed fingers - CORRECTClubbed fingers are a sign of a long-term, or chronic, decrease in oxygen levels.4. An increased risk of cardiac failureAlthough a patient with these conditions would indeed be at an increased risk for cardiac fail-ure, this is a potential complication and not an assessment finding. Incorrect.2.The nurse is taking the health history of a 70-year-old patient being treated for a Duodenal Ul-cer. After being told the pa-tient is complaining of epi-gastric pain, the nurse ex-pects to note which assess-ment finding?1. Melena2. Nausea3. Hernia4. Hyperthermia1. Melena - CORRECTMelena 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. NauseaNausea may be present, but is a generalized symptom and by itself doesn't indicate a Duo-denal Ulcer. Incorrect.3. HerniaA Hernia is a protrusion of a segment of the abdomen through another abdominal struc-ture. It is not associated with an Ulcer and is a condition, not an assessment finding. Incor-rect.1 / 44

75 Free NCLEX Questions - c/o BrilliantNurse.comStudy online at https://quizlet.com/_11kaiv4. HyperthermiaHyperthermia, a high temperature, is not an assessment finding of a Duodenal Ulcer. Incor-rect3.A nurse is providing dis-charge teaching for a pa-tient with severe Gastroe-sophogeal Reflux Disease. Which of these statements by the patient indicates a need for more teaching?1. "I'm going to limit my meals to 2-3 per day to re-duce 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."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.4.The nurse in the Emergency Room is treating a patient suspected to have a Peptic Ulcer. On assessing lab re-sults, the nurse finds that the patient's blood pressure is 95/60, pulse is 110 beats per minute, and the pa-tient reports epigastric pain. 1. Start a large-bore IV in the patient's armCORRECT - The nurse should suspect that the patient is haemorrhaging and will need need a fluid replacement therapy, which re-quires a large bore IV.2. Ask the patient for a stool sampleIncorrect - While this is useful in the diagnosis and assessment of Peptic Ulcer Disease, it is 2 / 44

75 Free NCLEX Questions - c/o BrilliantNurse.comStudy online at https://quizlet.com/_11kaivWhat is the PRIORITY inter-vention?1. Start a large-bore IV in the patient's arm2. Ask the patient for a stool sample3. Prepare to insert an NG Tube4. Administer intramuscular morphine sulphate as or-derednot the priority intervention.3. Prepare to insert an NG TubeIncorrect - 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 sul-phate as orderedIncorrect - While this is an important inter-vention to manage pain, it is not the priority intervention.5.A female patient with atri-al fibrillation has the follow-ing 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/dl2. Platelet of 150,0003. INR of 2.54. Potassium of 2.7 mEq/L1. Hemoglobin 11 g/dlThis is below normal, but a normal female hemoglobin is 12-14. There is a more critical lab result.2. Platelet of 150,000This is also below the normal values, but is not the most critical lab result.3. INR of 2.5This is a therapeutic range for a patient who is taking an anticoagulant for atrial fibrillation4. Potassium of 2.7 mEq/LCORRECT - A potassium imbalance for a patient with a history of dysrhythmia can be life-threatening and can lead to cardiac dis-tress.6.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 1. Stop the saline infusion immediatelyCORRECT - the patient has a fluid volume overload as a result of overly rapid fluid re-placement. The nurse should stop the infusion and notify the physician.2. Notify Physician3 / 44

75 Free NCLEX Questions - c/o BrilliantNurse.comStudy online at https://quizlet.com/_11kaivnurse do first?1. Stop the saline infusion immediately2. Notify Physician3. Elevate the patient's legs4. Continue the infusion, since these are normal find-ingsThis is not the first action the nurse should take.3. Elevate the patient's legsThis would help with the edema, but is not a priority4. Continue the infusion, since these are nor-mal findingsThis is not a normal finding7.The nurse is working in a support group for clients with HIV. Which point is most important for the nurse to stress?1. They must inform house-hold members of their con-dition2. They must take their medications exactly as pre-scribed3. They must abstain from substance use4. They must avoid large crowds1. They must inform household members of their conditionIncorrect - Each patient has a right to privacy of their medical condition. It is their choice whether they inform household members.2. They must take their medications exactly as prescribedCORRECT - Antiretrovirals must be taken ex-actly as prescribed to prevent drug-resistant strains. Even missed doses can reduce the effectiveness of future treatment.3. They must abstain from substance useIncorrect - While substance use should be dis-couraged, using safe practices with needles can prevent transmission of HIV.4. They must avoid large crowdsIncorrect - Avoiding large crowds to prevent infection is a priority in the later stages of HIV, when the patient has AIDS.8.A nurse finds a 30-year-old woman experiencing ana-phylaxis from a bee sting. Emergency personnel have been called. The nurse notes 1. Initiate cardiopulmonary resuscitationIncorrect - CPR is premature at this point, and there is another action that can be taken first.2. Check for a pulse4 / 44