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NCLEX-PN Review Questions and
Verified Answers| A+ Graded
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 - Correct
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
, 2
1. Melena
2. Nausea
3. Hernia
4. Hyperthermia - Correct 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"
2
, 3
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." -
Correct 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
3. Prepare to insert an NG Tube
3
, 4
4. Administer intramuscular morphine sulphate as
ordered - Correct Answer-1. Start a large-bore IV in
the patient's arm
CORRECT - The nurse should suspect that the patient
is haemorrhaging and will need need a fluid
replacement therapy, which requires a large bore IV.
A female patient with atrial fibrillation has the
following lab results: Hemoglobin of 11 g/dl, a
platelet count of 150,000, an INR of 2.5, and
potassium of 2.7 mEq/L. Which result is critical and
should be reported to the physician immediately?
1. Hemoglobin 11 g/dl
2. Platelet of 150,000
3. INR of 2.5
4. Potassium of 2.7 mEq/L - Correct Answer-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.
4
NCLEX-PN Review Questions and
Verified Answers| A+ Graded
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 - Correct
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
, 2
1. Melena
2. Nausea
3. Hernia
4. Hyperthermia - Correct 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"
2
, 3
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." -
Correct 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
3. Prepare to insert an NG Tube
3
, 4
4. Administer intramuscular morphine sulphate as
ordered - Correct Answer-1. Start a large-bore IV in
the patient's arm
CORRECT - The nurse should suspect that the patient
is haemorrhaging and will need need a fluid
replacement therapy, which requires a large bore IV.
A female patient with atrial fibrillation has the
following lab results: Hemoglobin of 11 g/dl, a
platelet count of 150,000, an INR of 2.5, and
potassium of 2.7 mEq/L. Which result is critical and
should be reported to the physician immediately?
1. Hemoglobin 11 g/dl
2. Platelet of 150,000
3. INR of 2.5
4. Potassium of 2.7 mEq/L - Correct Answer-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.
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