75 Free NCLEX Questions – c o
BrilliantNurse.com Exam Question &
Answers 2025
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
ANSWERS ✔✔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.
,75 Free NCLEX Questions – c o
BrilliantNurse.com Exam Question &
Answers 2025
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 ANSWERS ✔✔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
,75 Free NCLEX Questions – c o
BrilliantNurse.com Exam Question &
Answers 2025
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"
, 75 Free NCLEX Questions – c o
BrilliantNurse.com Exam Question &
Answers 2025
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 ANSWERS ✔✔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."
BrilliantNurse.com Exam Question &
Answers 2025
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
ANSWERS ✔✔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.
,75 Free NCLEX Questions – c o
BrilliantNurse.com Exam Question &
Answers 2025
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 ANSWERS ✔✔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
,75 Free NCLEX Questions – c o
BrilliantNurse.com Exam Question &
Answers 2025
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"
, 75 Free NCLEX Questions – c o
BrilliantNurse.com Exam Question &
Answers 2025
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 ANSWERS ✔✔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."
