2025/2026 NCLEX 75 QUESTIONS AND
CORRECT ANSWERS WITH
EXPLANATIONS GRADED A+
GUARANTEED PASS
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.
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.
4. 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?
1. "I'm going to limit my meals to 2 - 3 per day to reduce 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"
CORRECT ANSWERS WITH
EXPLANATIONS GRADED A+
GUARANTEED PASS
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.
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.
4. 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?
1. "I'm going to limit my meals to 2 - 3 per day to reduce 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"
