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75 Free NCLEX Questions - c/o BrilliantNurse.com Study Guide.

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75 Free NCLEX Questions - c/o BrilliantN Study Guide. 1. The nurse is taking the health history of a patient being treated for Emphyse- ma and Chronic Bronchitis. After being told the patient 1. Increase in Forced Vital Capacity (FVC) Forced Vital Capacity is the volume of air exhaled from full inhala- tion to full exhalation. A patient with COPD would have a decrease in FVC. Incorrect. has been smoking cigarettes 2. A narrowed chest cavity for 30 years, the nurse ex- pects to note which assess- ment finding? 1. Increase in Forced Vital Capacity (FVC) 2. A narrowed chest cavity 3. Clubbed fingers 4. An increased risk of car- diac failure 2. The nurse is taking the health history of a 70-year-old patient being 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. 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 manifesta- treated for a Duodenal Ulcer. tion of Duodenal Ulcers, since the Duodenum is further down the After being told the patient is complaining of epigastric pain, the nurse expects to gastric anatomy. 2. Nausea note which assessment find- Nausea may be present, but is a generalized symptom and by ing? 1. Melena 2. Nausea 3. Hernia 4. Hyperthermia 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. 3. A nurse is providing dis- charge teaching for a pa- tient 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 re- duce acid secretion." 4. Hyperthermia Hyperthermia, a high temperature, is not an assessment finding of a Duodenal Ulcer. Incorrect 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 cottee or eating chocolate any 2. "I'm going to make sure to more." remain upright after meals and elevate my head when I sleep" 3. "I won't be drinking tea Incorrect - This is a correct verbalization of health promotion for GERD. 4. "I'm going to start trying to lose some weight." Incorrect - This is a correct verbalization of health promotion for or coffee or eating chocolate GERD. any more." 4. "I'm going to start trying to lose some weight." The nurse in the Emergency Room is treating a patient suspected to have a Peptic

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75 Free NCLEX Questions - c/o BrilliantNurse.com Study
Guide.
1. The nurse is taking the 1. Increase in Forced Vital Capacity (FVC)
health history of a
Forced Vital Capacity is the volume of air exhaled from
patient being treated for full inhala- tion to full exhalation. A patient with COPD
Emphyse- ma and would have a decrease in FVC. Incorrect.
Chronic Bronchitis.
After being told the
patient
has been smoking cigarettes 2. A narrowed chest cavity
for 30 years, the nurse A patient with COPD often presents with a 'barrel chest,'
ex- pects to note which which is seen as a widened chest cavity. Incorrect.
assess- ment finding?
3. Clubbed fingers - CORRECT
1. Increase in Forced Clubbed fingers are a sign of a long-term, or chronic,
Vital Capacity (FVC) decrease in oxygen levels.
2. A narrowed chest
cavity 4. An increased risk of cardiac failure
3. Clubbed fingers Although a patient with these conditions would indeed be
4. An increased risk of at an increased risk for cardiac failure, this is a potential
car- diac failure complication and not an assessment finding. Incorrect.

2. The nurse is 1. Melena - CORRECT
taking the health Melena is the finding that there are traces of blood in
history of a the stool which presents as black, tarry feces. This is a
70-year-old patient common manifesta-
being
treated for a Duodenal Ulcer. tion of Duodenal Ulcers, since the Duodenum is
further down the
After being told the gastric anatomy.
patient is complaining
of epigastric pain, the 2. Nausea
nurse expects to
note which assessment find- Nausea may be present, but is a generalized
symptom and by


, 75 Free NCLEX Questions - c/o BrilliantNurse.com Study
Guide.
ing? itself doesn't indicate a Duodenal Ulcer. Incorrect.

1. Melena 3. Hernia
2. Nausea A Hernia is a protrusion of a segment of the abdomen
3. Hernia through another abdominal structure. It is not associated
4. Hypertherm with an Ulcer and is a condition, not an assessment
ia
finding. Incorrect.






, 75 Free NCLEX Questions - c/o BrilliantNurse.com Study
Guide.
4. Hyperthermia
Hyperthermia, a high temperature, is not an assessment
finding of a Duodenal Ulcer. Incorrect

3. A nurse is providing 1. "I'm going to limit my meals to 2-3 per day to
dis- charge teaching reduce acid secretion."
for a pa- tient with CORRECT - Large meals increase the volume and
severe Gastroe- pressure in the stomach and delay gastric emptying.
sophogeal Reflux It's recommended instead to eat 4-6 small meals a day.
Disease. Which of these
statements by the 2. "I'm going to make sure to remain upright after
patient indicates a meals and elevate my head when I sleep"
need for more Incorrect - This is a correct verbalization of health promotion
teaching? for GERD.

1. "I'm going to limit 3. "I won't be drinking tea or cottee or eating chocolate
my meals to 2-3 per any
day to re- duce acid
secretion."
2. "I'm going to make sure to more."
remain upright after Incorrect - This is a correct verbalization of health
meals and elevate my promotion for GERD.
head when I sleep"
4. "I'm going to start trying to lose some weight."
3. "I won't be drinking Incorrect - This is a correct verbalization of health
tea promotion for
or coffee or eating chocolate GERD.
any more."

4. "I'm going to start
trying to lose some
weight."

4. The nurse in the Emergency Room is treating a


, 75 Free NCLEX Questions - c/o BrilliantNurse.com Study
Guide.
patient suspected to 1. Start a large-bore IV in the patient's arm
have a Peptic Ulcer. On
CORRECT - The nurse should suspect that the patient is
assessing lab re- sults,
haemor- rhaging and will need need a fluid replacement
the nurse finds that
therapy, which requires a large bore IV.

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