Dallas College BIOL 2401
75 Free NCLEX Questions and answer 100% correct
Terms in this set (75)
The nurse is taking the health history of a 1. Increase in Forced Vital Capacity (FVC)
patient being treated for Emphysema and Forced Vital Capacity is the volume of air exhaled from full
Chronic Bronchitis. After being told the inhalation to full exhalation. A patient with COPD would have
a patient has been smoking cigarettes for 30 decrease in FVC. Incorrect.
years, the nurse expects to note which
assessment finding? 2. A narrowed chest cavity
A patient with COPD often presents with a 'barrel chest,'
1. Increase in Forced Vital Capacity (FVC) which is seen as
a widened chest cavity. Incorrect.
2. A narrowed chest cavity
3.Clubbed fingers 3. Clubbed fingers - CORRECT
4.An increased risk of cardiac failure 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 1. Melena - CORRECT
70-year-old patient being treated for a Melena is the finding that there are traces of blood in
the Duodenal Ulcer. After being told the patient stool which presents as black, tarry feces. This is
a common is complaining of epigastric pain, the nurse manifestation of Duodenal Ulcers, since
the Duodenum is expects to note which assessment finding? further down the gastric anatomy.
1. Melena 2. Nausea
2.Nausea Nausea may be present, but is a generalized symptom and by
3. Hernia itself doesn't indicate a Duodenal Ulcer. Incorrect.
4. Hyperthermia
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 1. "I'm going to limit my meals to 2-3 per day to
reduce acid patient with severe Gastroesophogeal secretion."
Reflux Disease. Which of these statements CORRECT - Large meals increase the volume and pressure in
by the patient indicates a need for more the stomach and delay gastric emptying. It's recommended
teaching? instead to eat 4-6 small meals a day.
1. "I'm going to limit my meals to 2-3 per day 2. "I'm
going to make sure to remain upright after meals and to reduce acid secretion." elevate my head
when I sleep"
Incorrect - This is a correct verbalization of health promotion
2."I'm going to make sure to remain uprightfor
GERD. after meals and elevate my head when I
sleep" 3. "I won't be drinking tea or coffee or eating chocolate any
more."
3."I won't be drinking tea or coffee or Incorrect - This is a correct verbalization of health promotion
eating chocolate any more." for GERD.
4. "I'm going to start trying to lose some 4. "I'm going to start trying to lose some weight."
weight." Incorrect - This is a correct verbalization of health promotion
for GERD.
,The nurse in the Emergency Room is 1. Start a large-bore IV in the patient's arm
treating a patient suspected to have a CORRECT - The nurse should suspect that the patient
Peptic Ulcer. On assessing lab results, the is haemorrhaging and will need need a fluid
nurse finds that the patient's blood replacement therapy, which requires a large bore IV.
pressure is 95/60, pulse is 110 beats per
minute, and the patient reports epigastric 2. Ask the patient for a stool sample
pain. What is the PRIORITY intervention? Incorrect - While this is useful in the diagnosis and assessment
of Peptic Ulcer Disease, it is not the priority intervention.
1. Start a large-bore IV in the patient's
arm 3.Prepare to insert an NG Tube
2. Ask the patient for a stool sample Incorrect - While this intervention may be used in the later
3.Prepare to insert an NG Tube stages of Peptic Ulcer Disease, it is not the first and priority
4.Administer intramuscular morphine intervention.
sulphate as ordered
4.Administer intramuscular morphine sulphate as ordered
Incorrect - While this is an important intervention to
manage pain, it is not the priority intervention.
A female patient with atrial fibrillation has 1. Hemoglobin 11 g/dl
the following lab results: Hemoglobin of 11 This is below normal, but a normal female hemoglobin is 12-14.
g/dl, a platelet count of 150,000, an INR of There is a more critical lab result.
2.5, and potassium of 2.7 mEq/L. Which
result is critical and should be reported to 2.Platelet of 150,000
the physician immediately? This is also below the normal values, but is not the most
critical lab result.
1. Hemoglobin 11 g/dl
2.Platelet of 150,000 3.INR of 2.5
3.INR of 2.5 This is a therapeutic range for a patient who is taking
4. Potassium of 2.7 mEq/L an anticoagulant for atrial fibrillation
4. Potassium of 2.7 mEq/L
CORRECT - A potassium imbalance for a patient with a history
of dysrhythmia can be life-threatening and can lead to cardiac
distress.
While receiving normal saline infusions to 1. Stop the saline infusion immediately
treat a GI bleed, the nurse notes that the CORRECT - the patient has a fluid volume overload as a result
patient's lower legs have become of overly rapid fluid replacement. The nurse should stop
edematous and auscultates crackles in the infusion and notify the physician.
the lungs. What should the nurse do
first? 2.Notify Physician
This is not the first action the nurse should take.
1. Stop the saline infusion immediately
2.Notify Physician 3.Elevate the patient's legs
3.Elevate the patient's legs This would help with the edema, but is not a priority
4.Continue the infusion, since these are
normal findings 4.Continue the infusion, since these are normal
findings This is not a normal finding
, The nurse is working in a support group for 1. They must inform household members of their condition
clients with HIV. Which point is most Incorrect - Each patient has a right to privacy of their
medical important for the nurse to stress? condition. It is their choice whether they inform
household
members.
1. They must inform household members of
their condition 2. They must take their medications exactly as prescribed
2. They must take their medications exactly CORRECT -
Antiretrovirals must be taken exactly as
as prescribed prescribed to prevent drug-resistant strains. Even missed
3.They must abstain from substance use doses can reduce the effectiveness of future treatment.
4.They must avoid large crowds
3.They must abstain from substance use
Incorrect - While substance use should be discouraged, using
safe practices with needles can prevent transmission of HIV.
4.They must avoid large crowds
Incorrect - Avoiding large crowds to prevent infection is a
priority in the later stages of HIV, when the patient has AIDS.
A nurse finds a 30-year-old woman 1. Initiate cardiopulmonary resuscitation
experiencing anaphylaxis from a bee sting. Incorrect - CPR is premature at this point, and there is
another Emergency personnel have been called. The action that can be taken first.
nurse notes the woman is breathing but
short of breath. Which of the following 2. Check for a pulse
interventions should the nurse do first? This is the first step when assessing for initiation of CPR, but
CPR is not the best and first course of action for this situation.
1. Initiate cardiopulmonary resuscitation The woman is still
breathing, which means CPR is not
2.Check for a pulse necessary at this time.
3.Ask the woman if she carries an
emergency medical kit 3. Ask the woman if she carries an emergency medical kit
4. Stay with the woman until help comes CORRECT - Many patients who have a known history of
anaphylaxis carry epi-pens in their pockets or belongings.
This is the best way to stop a hypersensitivity reaction
before it becomes life-threatening.
3. Stay with the woman until help comes
Incorrect - While this should be done, it's not the best and first
course of action.
75 Free NCLEX Questions and answer 100% correct
Terms in this set (75)
The nurse is taking the health history of a 1. Increase in Forced Vital Capacity (FVC)
patient being treated for Emphysema and Forced Vital Capacity is the volume of air exhaled from full
Chronic Bronchitis. After being told the inhalation to full exhalation. A patient with COPD would have
a patient has been smoking cigarettes for 30 decrease in FVC. Incorrect.
years, the nurse expects to note which
assessment finding? 2. A narrowed chest cavity
A patient with COPD often presents with a 'barrel chest,'
1. Increase in Forced Vital Capacity (FVC) which is seen as
a widened chest cavity. Incorrect.
2. A narrowed chest cavity
3.Clubbed fingers 3. Clubbed fingers - CORRECT
4.An increased risk of cardiac failure 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 1. Melena - CORRECT
70-year-old patient being treated for a Melena is the finding that there are traces of blood in
the Duodenal Ulcer. After being told the patient stool which presents as black, tarry feces. This is
a common is complaining of epigastric pain, the nurse manifestation of Duodenal Ulcers, since
the Duodenum is expects to note which assessment finding? further down the gastric anatomy.
1. Melena 2. Nausea
2.Nausea Nausea may be present, but is a generalized symptom and by
3. Hernia itself doesn't indicate a Duodenal Ulcer. Incorrect.
4. Hyperthermia
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 1. "I'm going to limit my meals to 2-3 per day to
reduce acid patient with severe Gastroesophogeal secretion."
Reflux Disease. Which of these statements CORRECT - Large meals increase the volume and pressure in
by the patient indicates a need for more the stomach and delay gastric emptying. It's recommended
teaching? instead to eat 4-6 small meals a day.
1. "I'm going to limit my meals to 2-3 per day 2. "I'm
going to make sure to remain upright after meals and to reduce acid secretion." elevate my head
when I sleep"
Incorrect - This is a correct verbalization of health promotion
2."I'm going to make sure to remain uprightfor
GERD. after meals and elevate my head when I
sleep" 3. "I won't be drinking tea or coffee or eating chocolate any
more."
3."I won't be drinking tea or coffee or Incorrect - This is a correct verbalization of health promotion
eating chocolate any more." for GERD.
4. "I'm going to start trying to lose some 4. "I'm going to start trying to lose some weight."
weight." Incorrect - This is a correct verbalization of health promotion
for GERD.
,The nurse in the Emergency Room is 1. Start a large-bore IV in the patient's arm
treating a patient suspected to have a CORRECT - The nurse should suspect that the patient
Peptic Ulcer. On assessing lab results, the is haemorrhaging and will need need a fluid
nurse finds that the patient's blood replacement therapy, which requires a large bore IV.
pressure is 95/60, pulse is 110 beats per
minute, and the patient reports epigastric 2. Ask the patient for a stool sample
pain. What is the PRIORITY intervention? Incorrect - While this is useful in the diagnosis and assessment
of Peptic Ulcer Disease, it is not the priority intervention.
1. Start a large-bore IV in the patient's
arm 3.Prepare to insert an NG Tube
2. Ask the patient for a stool sample Incorrect - While this intervention may be used in the later
3.Prepare to insert an NG Tube stages of Peptic Ulcer Disease, it is not the first and priority
4.Administer intramuscular morphine intervention.
sulphate as ordered
4.Administer intramuscular morphine sulphate as ordered
Incorrect - While this is an important intervention to
manage pain, it is not the priority intervention.
A female patient with atrial fibrillation has 1. Hemoglobin 11 g/dl
the following lab results: Hemoglobin of 11 This is below normal, but a normal female hemoglobin is 12-14.
g/dl, a platelet count of 150,000, an INR of There is a more critical lab result.
2.5, and potassium of 2.7 mEq/L. Which
result is critical and should be reported to 2.Platelet of 150,000
the physician immediately? This is also below the normal values, but is not the most
critical lab result.
1. Hemoglobin 11 g/dl
2.Platelet of 150,000 3.INR of 2.5
3.INR of 2.5 This is a therapeutic range for a patient who is taking
4. Potassium of 2.7 mEq/L an anticoagulant for atrial fibrillation
4. Potassium of 2.7 mEq/L
CORRECT - A potassium imbalance for a patient with a history
of dysrhythmia can be life-threatening and can lead to cardiac
distress.
While receiving normal saline infusions to 1. Stop the saline infusion immediately
treat a GI bleed, the nurse notes that the CORRECT - the patient has a fluid volume overload as a result
patient's lower legs have become of overly rapid fluid replacement. The nurse should stop
edematous and auscultates crackles in the infusion and notify the physician.
the lungs. What should the nurse do
first? 2.Notify Physician
This is not the first action the nurse should take.
1. Stop the saline infusion immediately
2.Notify Physician 3.Elevate the patient's legs
3.Elevate the patient's legs This would help with the edema, but is not a priority
4.Continue the infusion, since these are
normal findings 4.Continue the infusion, since these are normal
findings This is not a normal finding
, The nurse is working in a support group for 1. They must inform household members of their condition
clients with HIV. Which point is most Incorrect - Each patient has a right to privacy of their
medical important for the nurse to stress? condition. It is their choice whether they inform
household
members.
1. They must inform household members of
their condition 2. They must take their medications exactly as prescribed
2. They must take their medications exactly CORRECT -
Antiretrovirals must be taken exactly as
as prescribed prescribed to prevent drug-resistant strains. Even missed
3.They must abstain from substance use doses can reduce the effectiveness of future treatment.
4.They must avoid large crowds
3.They must abstain from substance use
Incorrect - While substance use should be discouraged, using
safe practices with needles can prevent transmission of HIV.
4.They must avoid large crowds
Incorrect - Avoiding large crowds to prevent infection is a
priority in the later stages of HIV, when the patient has AIDS.
A nurse finds a 30-year-old woman 1. Initiate cardiopulmonary resuscitation
experiencing anaphylaxis from a bee sting. Incorrect - CPR is premature at this point, and there is
another Emergency personnel have been called. The action that can be taken first.
nurse notes the woman is breathing but
short of breath. Which of the following 2. Check for a pulse
interventions should the nurse do first? This is the first step when assessing for initiation of CPR, but
CPR is not the best and first course of action for this situation.
1. Initiate cardiopulmonary resuscitation The woman is still
breathing, which means CPR is not
2.Check for a pulse necessary at this time.
3.Ask the woman if she carries an
emergency medical kit 3. Ask the woman if she carries an emergency medical kit
4. Stay with the woman until help comes CORRECT - Many patients who have a known history of
anaphylaxis carry epi-pens in their pockets or belongings.
This is the best way to stop a hypersensitivity reaction
before it becomes life-threatening.
3. Stay with the woman until help comes
Incorrect - While this should be done, it's not the best and first
course of action.
