75 NCLEX Questions and Answers (Verified Answers)
Latest Update GRADED A+
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.
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,75 NCLEX Questions and Answers (Verified Answers)
Latest Update GRADED A+
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
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,75 NCLEX Questions and Answers (Verified Answers)
Latest Update GRADED A+
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."
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, 75 NCLEX Questions and Answers (Verified Answers)
Latest Update GRADED A+
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 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."
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Latest Update GRADED A+
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.
MEDSTUDY.COM
,75 NCLEX Questions and Answers (Verified Answers)
Latest Update GRADED A+
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
MEDSTUDY.COM
,75 NCLEX Questions and Answers (Verified Answers)
Latest Update GRADED A+
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."
MEDSTUDY.COM
, 75 NCLEX Questions and Answers (Verified Answers)
Latest Update GRADED A+
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 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."
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