75 FREE NCLEX VERIFIED QUESTIONS AND ANSWERS
GRADED A+2025.
,1. The nurse is taking the health history of a patient being treated for Emphy-
sema 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.
4. Hyperthermia
Hyperthermia, a high temperature, is not an assessment finding of a Duodenal Ulcer. Incorrect
3. A nurse is providing discharge teaching for a patient with severe Gastroe-
sophogeal 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
GRADED A+2025.
,1. The nurse is taking the health history of a patient being treated for Emphy-
sema 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.
4. Hyperthermia
Hyperthermia, a high temperature, is not an assessment finding of a Duodenal Ulcer. Incorrect
3. A nurse is providing discharge teaching for a patient with severe Gastroe-
sophogeal 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
