75 NCLEX Questions with Complete

75 NCLEX Questions with Complete Solutions (Latest 2025 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 - Correct Answers

✅1. 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 1 / 4

75 NCLEX Questions with Complete Solutions (Latest 2025 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 - Correct Answers ✅1. 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 2 / 4

75 NCLEX Questions with Complete Solutions (Latest 2025 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." - Correct

Answers ✅1. "I'm going to limit my meals to 2-3 per day to reduce acid secretion." 3 / 4

75 NCLEX Questions with Complete Solutions (Latest 2025 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
• / 4