75 Free NCLEX Questions

75 Free NCLEX Questions - c/o BrilliantNurse.com
1. 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?
1. Increase in Forced Vital
Capacity (FVC)
2. A narrowed chest cavity
3. Clubbed fingers
4. An increased risk of cardiac failure
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.
2. A narrowed chest cavity
A patient with COPD often presents with a
'barrel chest,' which is seen as a widened
chest cavity. Incorrect.
3. Clubbed fingers - CORRECT
Clubbed fingers are a sign of a long-term, or
chronic, decrease in oxygen levels.
4. 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.
2. 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?
1. Melena
2. Nausea
3. Hernia
4. Hyperthermia
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.
2. Nausea
Nausea may be present, but is a generalized
symptom and by itself doesn't indicate a Duodenal Ulcer. Incorrect.
3. 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.