75 NCLEX QUESTIONS WITH CORRECT
b b b b
ANSWERS b
The bnurse bis btaking bthe bhealth bhistory bof ba bpatient bbeing btreated bfor bEmphysema band
bChronic bB bronchitis. bAfter bbeing btold bthe bpatient bhas bbeen bsmoking bcigarettes bfor b30
byears, bthe bnurse bexp bects bto bnote bwhich bassessment bfinding?
1. Increase bin bForced b Vital b Capacity b(FVC)
2. A bnarrowed b chest bcavity
3. Clubbed b fingers
4. An b increased b risk bof b cardiac b failure b - bCORRECT bANSWER b -
1. Increase bin bForced b Vital b Capacity b(FVC)
Forced bVital bCapacity bis bthe bvolume bof bair bexhaled bfrom bfull binhalation bto bfull
bexhalation. bA bpati bent bwith bCOPD bwould bhave ba bdecrease bin bFVC. bIncorrect.
2. A bnarrowed b chest bcavity
A bpatient bwith bCOPD boften bpresents bwith ba b'barrel bchest,' bwhich bis bseen bas ba
bwidened bchest bcav bity. bIncorrect.
,3. Clubbed b fingers b- bCORRECT
Clubbed b fingers bare b a bsign b of b a blong-term, bor b chronic, b decrease b in b oxygen b levels.
4. An b increased b risk bof b cardiac b failure
Although ba bpatient bwith bthese bconditions bwould bindeed bbe bat ban bincreased brisk bfor
bcardiac bfailu bre, bthis bis ba bpotential bcomplication band bnot ban bassessment bfinding.
bIncorrect.
,The bnurse b is b taking bthe b health b history b of b a b 70-year-
old bpatient bbeing btreated bfor ba bDuodenal bUlcer. bAfter bbeing btold bthe bpatient bis
bcomplaining bof be bpigastric bpain, bthe bnurse bexpects bto bnote bwhich bassessment
bfinding?
1. Melena
2. Nausea
3. Hernia
4. Hyperthermia b - b CORRECT b ANSWER b -1. b Melena b - b CORRECT
Melena bis bthe bfinding bthat bthere bare btraces bof bblood bin bthe bstool bwhich bpresents bas
bblack, btarry bfeces. bThis bis ba bcommon bmanifestation bof bDuodenal bUlcers, bsince bthe
bDuodenum bis bfurther bdow b n bthe bgastric banatomy.
2. Nausea
Nausea bmay bbe bpresent, bbut bis ba bgeneralized bsymptom band bby bitself bdoesn't bindicate
ba bDuoden bal bUlcer. bIncorrect.
3. Hernia
A bHernia bis ba bprotrusion bof ba bsegment bof bthe babdomen b through banother babdominal
bstructure. bI b t bis bnot bassociated bwith ban bUlcer band bis ba bcondition, bnot ban
bassessment bfinding. bIncorrect.
4. Hyperthermia
, Hyperthermia, ba bhigh btemperature, b is bnot ban b assessment bfinding bof b a bDuodenal bUlcer.
b Incorrect
A bnurse bis bproviding bdischarge bteaching bfor ba bpatient bwith bsevere bGastroesophogeal
bReflux bDise base. bWhich bof bthese bstatements bby bthe bpatient bindicates ba bneed bfor
bmore bteaching?
1. "I'm bgoing b to b limit b my b meals b to b 2-3 b per b day b to breduce b acid b secretion."
b b b b
ANSWERS b
The bnurse bis btaking bthe bhealth bhistory bof ba bpatient bbeing btreated bfor bEmphysema band
bChronic bB bronchitis. bAfter bbeing btold bthe bpatient bhas bbeen bsmoking bcigarettes bfor b30
byears, bthe bnurse bexp bects bto bnote bwhich bassessment bfinding?
1. Increase bin bForced b Vital b Capacity b(FVC)
2. A bnarrowed b chest bcavity
3. Clubbed b fingers
4. An b increased b risk bof b cardiac b failure b - bCORRECT bANSWER b -
1. Increase bin bForced b Vital b Capacity b(FVC)
Forced bVital bCapacity bis bthe bvolume bof bair bexhaled bfrom bfull binhalation bto bfull
bexhalation. bA bpati bent bwith bCOPD bwould bhave ba bdecrease bin bFVC. bIncorrect.
2. A bnarrowed b chest bcavity
A bpatient bwith bCOPD boften bpresents bwith ba b'barrel bchest,' bwhich bis bseen bas ba
bwidened bchest bcav bity. bIncorrect.
,3. Clubbed b fingers b- bCORRECT
Clubbed b fingers bare b a bsign b of b a blong-term, bor b chronic, b decrease b in b oxygen b levels.
4. An b increased b risk bof b cardiac b failure
Although ba bpatient bwith bthese bconditions bwould bindeed bbe bat ban bincreased brisk bfor
bcardiac bfailu bre, bthis bis ba bpotential bcomplication band bnot ban bassessment bfinding.
bIncorrect.
,The bnurse b is b taking bthe b health b history b of b a b 70-year-
old bpatient bbeing btreated bfor ba bDuodenal bUlcer. bAfter bbeing btold bthe bpatient bis
bcomplaining bof be bpigastric bpain, bthe bnurse bexpects bto bnote bwhich bassessment
bfinding?
1. Melena
2. Nausea
3. Hernia
4. Hyperthermia b - b CORRECT b ANSWER b -1. b Melena b - b CORRECT
Melena bis bthe bfinding bthat bthere bare btraces bof bblood bin bthe bstool bwhich bpresents bas
bblack, btarry bfeces. bThis bis ba bcommon bmanifestation bof bDuodenal bUlcers, bsince bthe
bDuodenum bis bfurther bdow b n bthe bgastric banatomy.
2. Nausea
Nausea bmay bbe bpresent, bbut bis ba bgeneralized bsymptom band bby bitself bdoesn't bindicate
ba bDuoden bal bUlcer. bIncorrect.
3. Hernia
A bHernia bis ba bprotrusion bof ba bsegment bof bthe babdomen b through banother babdominal
bstructure. bI b t bis bnot bassociated bwith ban bUlcer band bis ba bcondition, bnot ban
bassessment bfinding. bIncorrect.
4. Hyperthermia
, Hyperthermia, ba bhigh btemperature, b is bnot ban b assessment bfinding bof b a bDuodenal bUlcer.
b Incorrect
A bnurse bis bproviding bdischarge bteaching bfor ba bpatient bwith bsevere bGastroesophogeal
bReflux bDise base. bWhich bof bthese bstatements bby bthe bpatient bindicates ba bneed bfor
bmore bteaching?
1. "I'm bgoing b to b limit b my b meals b to b 2-3 b per b day b to breduce b acid b secretion."
