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75 Free NCLEX Questions - c/o BrilliantNurse.com Exam with Answers

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75 Free NCLEX Questions - c/o BrilliantN Exam with Answers

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75 Free NCLEX Questions - c/o
BrilliantNurse.com Exam with Answers


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 - ....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



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,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 - ....ANSWER ...-1. Melena - CORRECT



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,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?



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, 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." - ....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."



....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 4

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