NCLEX-PN
BIGGYPERFECT
SMART STUDY
, NCLEX-PN REVIEW QUESTIONS
WITH 100% CORRECT SOLUTIONS
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 ANSWER 3. Clubbed fingers -
CORRECT
Clubbed fingers are a sign of a long-term, or chronic, decrease in oxygen
levels.
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 ANSWER 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.
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."
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." ANSWER 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.
The nurse in the Emergency Room is treating a patient suspected to have
a Peptic Ulcer. On assessing lab results, the nurse finds that the patient's
blood pressure is 95/60, pulse is 110 beats per minute, and the patient
reports epigastric pain. What is the PRIORITY intervention?
1. Start a large-bore IV in the patient's arm
2. Ask the patient for a stool sample
BIGGYPERFECT
SMART STUDY
, NCLEX-PN REVIEW QUESTIONS
WITH 100% CORRECT SOLUTIONS
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 ANSWER 3. Clubbed fingers -
CORRECT
Clubbed fingers are a sign of a long-term, or chronic, decrease in oxygen
levels.
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 ANSWER 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.
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."
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." ANSWER 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.
The nurse in the Emergency Room is treating a patient suspected to have
a Peptic Ulcer. On assessing lab results, the nurse finds that the patient's
blood pressure is 95/60, pulse is 110 beats per minute, and the patient
reports epigastric pain. What is the PRIORITY intervention?
1. Start a large-bore IV in the patient's arm
2. Ask the patient for a stool sample
