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75 Free NCLEX Questions - c/o BrilliantNurse.com Questions and Correct Answers/ Latest Update / Already Graded

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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 2 | Page Ans: 1. Increase in Forced Vital Capacity (FVC) Forced Vital Capacity is the volume of air exhaled from full inhalation to full exhalation. A patient with COPD would have a decrease in FVC. Incorrect. 2. A narrowed chest cavity 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. 3 | Page 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

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75 Free NCLEX Questions - c/o
BrilliantNurse.com Questions and
Correct Answers/ Latest Update /
Already 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

,2 | Page

Ans: 1. Increase in Forced Vital Capacity (FVC)


Forced Vital Capacity is the volume of air exhaled from full inhalation to

full exhalation. A patient with COPD would have a decrease in FVC.

Incorrect.




2. A narrowed chest cavity


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.

,3 | Page




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

, 4 | Page

Ans: 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.




2. Nausea


Nausea may be present, but is a generalized symptom and by 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.




4. Hyperthermia


Hyperthermia, a high temperature, is not an assessment finding of a

Duodenal Ulcer. Incorrect
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