75 Free NCLEX
Questions And Answers
2023
The nurse is taking the health history of a patient being treated for Emphysema and Chronic Bronchitis.
... [Show More]
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 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.
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 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
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? [Show Less]