75vnFreevnNCLEXvnQuestionsvn-vnc/ovnBrilliantNurse.com
ThevnnursevnisvntakingvnthevnhealthvnhistoryvnofvnavnpatientvnbeingvntreatedvnforvnEmph
ysemavnandvnChronicvnBronchitis.vnAftervnbeingvntoldvnthevnpatientvnhasvnbeenvnsmoki
ngvncigarettesvnforvn30vnyears,vnthevnnursevnexpectsvntovnnotevnwhichvnassessmentvnfin
ding?
1.vnIncreasevninvnForcedvnVitalvnCapacityvn(FVC)
2.vnAvnnarrowedvnchestvncavity
3.vnClubbedvnfingersvn
4.vnAnvnincreasedvnriskvnofvncardiacvnfailurevn-vncorrectvnanswer✔ ✔
1.vnIncreasevninvnForcedvnVitalvnCapacityvn(FVC)
ForcedvnVitalvnCapacityvnisvnthevnvolumevnofvnairvnexhaledvnfromvnfullvninhalationvntovnf
ullvnexhalation.vnAvnpatientvnwithvnCOPDvnwouldvnhavevnavndecreasevninvnFVC.vnIncorre
ct.
2.vnAvnnarrowedvnchestvncavity
AvnpatientvnwithvnCOPDvnoftenvnpresentsvnwithvnavn'barrelvnchest,'vnwhichvnisvnseenvnasv
navnwidenedvnchestvncavity.vnIncorrect.
3.vnClubbedvnfingersvn-vnCORRECT
Clubbedvnfingersvnarevnavnsignvnofvnavnlong-
term,vnorvnchronic,vndecreasevninvnoxygenvnlevels.
,4.vnAnvnincreasedvnriskvnofvncardiacvnfailure
Althoughvnavnpatientvnwithvnthesevnconditionsvnwouldvnindeedvnbevnatvnanvnincreasedvn
riskvnforvncardiacvnfailure,vnthisvnisvnavnpotentialvncomplicationvnandvnnotvnanvnassessm
entvnfinding.vnIncorrect.
Thevnnursevnisvntakingvnthevnhealthvnhistoryvnofvnavn70-year-
oldvnpatientvnbeingvntreatedvnforvnavnDuodenalvnUlcer.vnAftervnbeingvntoldvnthevnpatien
tvnisvncomplainingvnofvnepigastricvnpain,vnthevnnursevnexpectsvntovnnotevnwhichvnassess
mentvnfinding?
1.vnMelena
2.vnNausea
3.vnHernia
4.vnHyperthermiavn-vncorrectvnanswer✔ ✔ 1.vnMelenavn-vnCORRECT
Melenavnisvnthevnfindingvnthatvntherevnarevntracesvnofvnbloodvninvnthevnstoolvnwhichvnpr
esentsvnasvnblack,vntarryvnfeces.vnThisvnisvnavncommonvnmanifestationvnofvnDuodenalvn
Ulcers,vnsincevnthevnDuodenumvnisvnfurthervndownvnthevngastricvnanatomy.
2.vnNausea
Nauseavnmayvnbevnpresent,vnbutvnisvnavngeneralizedvnsymptomvnandvnbyvnitselfvndoesn'
tvnindicatevnavnDuodenalvnUlcer.vnIncorrect.
3.vnHernia
,AvnHerniavnisvnavnprotrusionvnofvnavnsegmentvnofvnthevnabdomenvnthroughvnanothervnab
dominalvnstructure.vnItvnisvnnotvnassociatedvnwithvnanvnUlcervnandvnisvnavncondition,vnno
tvnanvnassessmentvnfinding.vnIncorrect.
4.vnHyperthermia
Hyperthermia,vnavnhighvntemperature,vnisvnnotvnanvnassessmentvnfindingvnofvnavnDuod
enalvnUlcer.vnIncorrect
AvnnursevnisvnprovidingvndischargevnteachingvnforvnavnpatientvnwithvnseverevnGastroeso
phogealvnRefluxvnDisease.vnWhichvnofvnthesevnstatementsvnbyvnthevnpatientvnindicatesv
navnneedvnforvnmorevnteaching?
1.vn"I'mvngoingvntovnlimitvnmyvnmealsvntovn2-3vnpervndayvntovnreducevnacidvnsecretion."
2.vn"I'mvngoingvntovnmakevnsurevntovnremainvnuprightvnaftervnmealsvnandvnelevatevnmyvn
headvnwhenvnIvnsleep"
3.vn"Ivnwon'tvnbevndrinkingvnteavnorvncoffeevnorvneatingvnchocolatevnanyvnmore."
4.vn"I'mvngoingvntovnstartvntryingvntovnlosevnsomevnweight."vn-vncorrectvnanswer✔ ✔
1.vn"I'mvngoingvntovnlimitvnmyvnmealsvntovn2-3vnpervndayvntovnreducevnacidvnsecretion."
CORRECTvn-
vnLargevnmealsvnincreasevnthevnvolumevnandvnpressurevninvnthevnstomachvnandvndelayvn
gastricvnemptying.vnIt'svnrecommendedvninsteadvntovneatvn4-6vnsmallvnmealsvnavnday.
, 2.vn"I'mvngoingvntovnmakevnsurevntovnremainvnuprightvnaftervnmealsvnandvnelevatevnmyvn
headvnwhenvnIvnsleep"
Incorrectvn-vnThisvnisvnavncorrectvnverbalizationvnofvnhealthvnpromotionvnforvnGERD.
3.vn"Ivnwon'tvnbevndrinkingvnteavnorvncoffeevnorvneatingvnchocolatevnanyvnmore."
Incorrectvn-vnThisvnisvnavncorrectvnverbalizationvnofvnhealthvnpromotionvnforvnGERD.
4.vn"I'mvngoingvntovnstartvntryingvntovnlosevnsomevnweight."
Incorrectvn-vnThisvnisvnavncorrectvnverbalizationvnofvnhealthvnpromotionvnforvnGERD.
ThevnnursevninvnthevnEmergencyvnRoomvnisvntreatingvnavnpatientvnsuspectedvntovnhavevn
avnPepticvnUlcer.vnOnvnassessingvnlabvnresults,vnthevnnursevnfindsvnthatvnthevnpatient'svn
bloodvnpressurevnisvn95/60,vnpulsevnisvn110vnbeatsvnpervnminute,vnandvnthevnpatientvnre
portsvnepigastricvnpain.vnWhatvnisvnthevnPRIORITYvnintervention?
1.vnStartvnavnlarge-borevnIVvninvnthevnpatient'svnarm
2.vnAskvnthevnpatientvnforvnavnstoolvnsample
3.vnPreparevntovninsertvnanvnNGvnTube
4.vnAdministervnintramuscularvnmorphinevnsulphatevnasvnorderedvn-vncorrectvnanswer
✔ ✔ 1.vnStartvnavnlarge-borevnIVvninvnthevnpatient'svnarm
CORRECTvn-
vnThevnnursevnshouldvnsuspectvnthatvnthevnpatientvnisvnhaemorrhagingvnandvnwillvnneed
vnneedvnavnfluidvnreplacementvntherapy,vnwhichvnrequiresvnavnlargevnborevnIV.
ThevnnursevnisvntakingvnthevnhealthvnhistoryvnofvnavnpatientvnbeingvntreatedvnforvnEmph
ysemavnandvnChronicvnBronchitis.vnAftervnbeingvntoldvnthevnpatientvnhasvnbeenvnsmoki
ngvncigarettesvnforvn30vnyears,vnthevnnursevnexpectsvntovnnotevnwhichvnassessmentvnfin
ding?
1.vnIncreasevninvnForcedvnVitalvnCapacityvn(FVC)
2.vnAvnnarrowedvnchestvncavity
3.vnClubbedvnfingersvn
4.vnAnvnincreasedvnriskvnofvncardiacvnfailurevn-vncorrectvnanswer✔ ✔
1.vnIncreasevninvnForcedvnVitalvnCapacityvn(FVC)
ForcedvnVitalvnCapacityvnisvnthevnvolumevnofvnairvnexhaledvnfromvnfullvninhalationvntovnf
ullvnexhalation.vnAvnpatientvnwithvnCOPDvnwouldvnhavevnavndecreasevninvnFVC.vnIncorre
ct.
2.vnAvnnarrowedvnchestvncavity
AvnpatientvnwithvnCOPDvnoftenvnpresentsvnwithvnavn'barrelvnchest,'vnwhichvnisvnseenvnasv
navnwidenedvnchestvncavity.vnIncorrect.
3.vnClubbedvnfingersvn-vnCORRECT
Clubbedvnfingersvnarevnavnsignvnofvnavnlong-
term,vnorvnchronic,vndecreasevninvnoxygenvnlevels.
,4.vnAnvnincreasedvnriskvnofvncardiacvnfailure
Althoughvnavnpatientvnwithvnthesevnconditionsvnwouldvnindeedvnbevnatvnanvnincreasedvn
riskvnforvncardiacvnfailure,vnthisvnisvnavnpotentialvncomplicationvnandvnnotvnanvnassessm
entvnfinding.vnIncorrect.
Thevnnursevnisvntakingvnthevnhealthvnhistoryvnofvnavn70-year-
oldvnpatientvnbeingvntreatedvnforvnavnDuodenalvnUlcer.vnAftervnbeingvntoldvnthevnpatien
tvnisvncomplainingvnofvnepigastricvnpain,vnthevnnursevnexpectsvntovnnotevnwhichvnassess
mentvnfinding?
1.vnMelena
2.vnNausea
3.vnHernia
4.vnHyperthermiavn-vncorrectvnanswer✔ ✔ 1.vnMelenavn-vnCORRECT
Melenavnisvnthevnfindingvnthatvntherevnarevntracesvnofvnbloodvninvnthevnstoolvnwhichvnpr
esentsvnasvnblack,vntarryvnfeces.vnThisvnisvnavncommonvnmanifestationvnofvnDuodenalvn
Ulcers,vnsincevnthevnDuodenumvnisvnfurthervndownvnthevngastricvnanatomy.
2.vnNausea
Nauseavnmayvnbevnpresent,vnbutvnisvnavngeneralizedvnsymptomvnandvnbyvnitselfvndoesn'
tvnindicatevnavnDuodenalvnUlcer.vnIncorrect.
3.vnHernia
,AvnHerniavnisvnavnprotrusionvnofvnavnsegmentvnofvnthevnabdomenvnthroughvnanothervnab
dominalvnstructure.vnItvnisvnnotvnassociatedvnwithvnanvnUlcervnandvnisvnavncondition,vnno
tvnanvnassessmentvnfinding.vnIncorrect.
4.vnHyperthermia
Hyperthermia,vnavnhighvntemperature,vnisvnnotvnanvnassessmentvnfindingvnofvnavnDuod
enalvnUlcer.vnIncorrect
AvnnursevnisvnprovidingvndischargevnteachingvnforvnavnpatientvnwithvnseverevnGastroeso
phogealvnRefluxvnDisease.vnWhichvnofvnthesevnstatementsvnbyvnthevnpatientvnindicatesv
navnneedvnforvnmorevnteaching?
1.vn"I'mvngoingvntovnlimitvnmyvnmealsvntovn2-3vnpervndayvntovnreducevnacidvnsecretion."
2.vn"I'mvngoingvntovnmakevnsurevntovnremainvnuprightvnaftervnmealsvnandvnelevatevnmyvn
headvnwhenvnIvnsleep"
3.vn"Ivnwon'tvnbevndrinkingvnteavnorvncoffeevnorvneatingvnchocolatevnanyvnmore."
4.vn"I'mvngoingvntovnstartvntryingvntovnlosevnsomevnweight."vn-vncorrectvnanswer✔ ✔
1.vn"I'mvngoingvntovnlimitvnmyvnmealsvntovn2-3vnpervndayvntovnreducevnacidvnsecretion."
CORRECTvn-
vnLargevnmealsvnincreasevnthevnvolumevnandvnpressurevninvnthevnstomachvnandvndelayvn
gastricvnemptying.vnIt'svnrecommendedvninsteadvntovneatvn4-6vnsmallvnmealsvnavnday.
, 2.vn"I'mvngoingvntovnmakevnsurevntovnremainvnuprightvnaftervnmealsvnandvnelevatevnmyvn
headvnwhenvnIvnsleep"
Incorrectvn-vnThisvnisvnavncorrectvnverbalizationvnofvnhealthvnpromotionvnforvnGERD.
3.vn"Ivnwon'tvnbevndrinkingvnteavnorvncoffeevnorvneatingvnchocolatevnanyvnmore."
Incorrectvn-vnThisvnisvnavncorrectvnverbalizationvnofvnhealthvnpromotionvnforvnGERD.
4.vn"I'mvngoingvntovnstartvntryingvntovnlosevnsomevnweight."
Incorrectvn-vnThisvnisvnavncorrectvnverbalizationvnofvnhealthvnpromotionvnforvnGERD.
ThevnnursevninvnthevnEmergencyvnRoomvnisvntreatingvnavnpatientvnsuspectedvntovnhavevn
avnPepticvnUlcer.vnOnvnassessingvnlabvnresults,vnthevnnursevnfindsvnthatvnthevnpatient'svn
bloodvnpressurevnisvn95/60,vnpulsevnisvn110vnbeatsvnpervnminute,vnandvnthevnpatientvnre
portsvnepigastricvnpain.vnWhatvnisvnthevnPRIORITYvnintervention?
1.vnStartvnavnlarge-borevnIVvninvnthevnpatient'svnarm
2.vnAskvnthevnpatientvnforvnavnstoolvnsample
3.vnPreparevntovninsertvnanvnNGvnTube
4.vnAdministervnintramuscularvnmorphinevnsulphatevnasvnorderedvn-vncorrectvnanswer
✔ ✔ 1.vnStartvnavnlarge-borevnIVvninvnthevnpatient'svnarm
CORRECTvn-
vnThevnnursevnshouldvnsuspectvnthatvnthevnpatientvnisvnhaemorrhagingvnandvnwillvnneed
vnneedvnavnfluidvnreplacementvntherapy,vnwhichvnrequiresvnavnlargevnborevnIV.
