75 FREE NCLEX QUESTIONS - C/O BRILLIANTNURSE.COM
EXAM WITH MULTIPLE CHOICE OF QUESTIONS AND
CORRECT ANSWERS ALREADY GRADED A+ AND 100%
GUARANTEE 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 - CORRECT ANSWER-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 - CORRECT ANSWER-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." - CORRECT
ANSWER-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.
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?
1. Start a large-bore IV in the patient's arm
2. Ask the patient for a stool sample
3. Prepare to insert an NG Tube
4. Administer intramuscular morphine sulphate as ordered -
CORRECT ANSWER-1. 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.
2. 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.
3. Prepare to insert an NG Tube
EXAM WITH MULTIPLE CHOICE OF QUESTIONS AND
CORRECT ANSWERS ALREADY GRADED A+ AND 100%
GUARANTEE 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 - CORRECT ANSWER-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 - CORRECT ANSWER-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." - CORRECT
ANSWER-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.
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?
1. Start a large-bore IV in the patient's arm
2. Ask the patient for a stool sample
3. Prepare to insert an NG Tube
4. Administer intramuscular morphine sulphate as ordered -
CORRECT ANSWER-1. 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.
2. 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.
3. Prepare to insert an NG Tube
