Exam (elaborations)
NCLEX Questions and answers correct and verified 100%
NCLEX Questions and answers correct and verified 100%NCLEX Questions and answers correct and verified 100%
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 ex...
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NCLEX Questions and answers correct an
ka ka ka ka ka
d verified 100%
ka ka
ThekanursekaiskatakingkathekahealthkahistorykaofkaakapatientkabeingkatreatedkaforkaEmphysemakaandkaChroni
ckaBronchitis.kaAfterkabeingkatoldkathekapatientkahaskabeenkasmokingkacigaretteskaforka30kayears,kathekanurse
kaexpectskatokanotekawhichkaassessmentkafinding?
1.kaIncreasekainkaForcedkaVitalkaCapacityka(FVC)
2.kaAkanarrowedkachestkacavity
3.kaClubbedkafingerska
4.kaAnkaincreasedkariskkaofkacardiackafailureka-kacorrectkaanswers-
1.kaIncreasekainkaForcedkaVitalkaCapacityka(FVC)
ForcedkaVitalkaCapacitykaiskathekavolumekaofkaairkaexhaledkafromkafullkainhalationkatokafullkaexhalation.kaAka
patientkawithkaCOPDkawouldkahavekaakadecreasekainkaFVC.kaIncorrect.
2.kaAkanarrowedkachestkacavity
AkapatientkawithkaCOPDkaoftenkapresentskawithkaaka'barrelkachest,'kawhichkaiskaseenkaaskaakawidenedkachestka
cavity.kaIncorrect.
3.kaClubbedkafingerska-kaCORRECT
Clubbedkafingerskaarekaakasignkaofkaakalong-term,kaorkachronic,kadecreasekainkaoxygenkalevels.
4.kaAnkaincreasedkariskkaofkacardiackafailure
Althoughkaakapatientkawithkathesekaconditionskawouldkaindeedkabekaatkaankaincreasedkariskkaforkacardiackaf
ailure,kathiskaiskaakapotentialkacomplicationkaandkanotkaankaassessmentkafinding.kaIncorrect.
Thekanursekaiskatakingkathekahealthkahistorykaofkaaka70-year-
oldkapatientkabeingkatreatedkaforkaakaDuodenalkaUlcer.kaAfterkabeingkatoldkathekapatientkaiskacomplainingkao
fkaepigastrickapain,kathekanursekaexpectskatokanotekawhichkaassessmentkafinding?
1.kaMelena
2.kaNausea
3.kaHernia
4.kaHyperthermiaka-kacorrectkaanswers-1.kaMelenaka-kaCORRECT
Melenakaiskathekafindingkathatkatherekaarekatraceskaofkabloodkainkathekastoolkawhichkapresentskaaskablack,katar
rykafeces.kaThiskaiskaakacommonkamanifestationkaofkaDuodenalkaUlcers,kasincekathekaDuodenumkaiskafurther
kadownkathekagastrickaanatomy.
2.kaNausea
Nauseakamaykabekapresent,kabutkaiskaakageneralizedkasymptomkaandkabykaitselfkadoesn'tkaindicatekaakaDuod
enalkaUlcer.kaIncorrect.
,3.kaHernia
AkaHerniakaiskaakaprotrusionkaofkaakasegmentkaofkathekaabdomenkathroughkaanotherkaabdominalkastructure
.kaItkaiskanotkaassociatedkawithkaankaUlcerkaandkaiskaakacondition,kanotkaankaassessmentkafinding.kaIncorrect.
4.kaHyperthermia
Hyperthermia,kaakahighkatemperature,kaiskanotkaankaassessmentkafindingkaofkaakaDuodenalkaUlcer.kaIncorr
ect
AkanursekaiskaprovidingkadischargekateachingkaforkaakapatientkawithkaseverekaGastroesophogealkaRefluxka
Disease.kaWhichkaofkathesekastatementskabykathekapatientkaindicateskaakaneedkaforkamorekateaching?
1.ka"I'mkagoingkatokalimitkamykamealskatoka2-3kaperkadaykatokareducekaacidkasecretion."
2.ka"I'mkagoingkatokamakekasurekatokaremainkauprightkaafterkamealskaandkaelevatekamykaheadkawhenkaIkasleep
"
3.ka"Ikawon'tkabekadrinkingkateakaorkacoffeekaorkaeatingkachocolatekaanykamore."
4.ka"I'mkagoingkatokastartkatryingkatokalosekasomekaweight."ka-kacorrectkaanswers-
1.ka"I'mkagoingkatokalimitkamykamealskatoka2-3kaperkadaykatokareducekaacidkasecretion."
CORRECTka-
kaLargekamealskaincreasekathekavolumekaandkapressurekainkathekastomachkaandkadelaykagastrickaemptying.ka
It'skarecommendedkainsteadkatokaeatka4-6kasmallkamealskaakaday.
2.ka"I'mkagoingkatokamakekasurekatokaremainkauprightkaafterkamealskaandkaelevatekamykaheadkawhenkaIkasleep
"
Incorrectka-kaThiskaiskaakacorrectkaverbalizationkaofkahealthkapromotionkaforkaGERD.
3.ka"Ikawon'tkabekadrinkingkateakaorkacoffeekaorkaeatingkachocolatekaanykamore."
Incorrectka-kaThiskaiskaakacorrectkaverbalizationkaofkahealthkapromotionkaforkaGERD.
4.ka"I'mkagoingkatokastartkatryingkatokalosekasomekaweight."
Incorrectka-kaThiskaiskaakacorrectkaverbalizationkaofkahealthkapromotionkaforkaGERD.
ThekanursekainkathekaEmergencykaRoomkaiskatreatingkaakapatientkasuspectedkatokahavekaakaPeptickaUlcer.kaO
nkaassessingkalabkaresults,kathekanursekafindskathatkathekapatient'skabloodkapressurekaiska95/60,kapulsekaiska11
0kabeatskaperkaminute,kaandkathekapatientkareportskaepigastrickapain.kaWhatkaiskathekaPRIORITYkainterventi
on?
1.kaStartkaakalarge-borekaIVkainkathekapatient'skaarm
2.kaAskkathekapatientkaforkaakastoolkasample
3.kaPreparekatokainsertkaankaNGkaTube
4.kaAdministerkaintramuscularkamorphinekasulphatekaaskaorderedka-kacorrectkaanswers-1.kaStartkaakalarge-
borekaIVkainkathekapatient'skaarm
CORRECTka-
kaThekanursekashouldkasuspectkathatkathekapatientkaiskahaemorrhagingkaandkawillkaneedkaneedkaakafluidkarep
,lacementkatherapy,kawhichkarequireskaakalargekaborekaIV.
2.kaAskkathekapatientkaforkaakastoolkasample
Incorrectka-
kaWhilekathiskaiskausefulkainkathekadiagnosiskaandkaassessmentkaofkaPeptickaUlcerkaDisease,kaitkaiskanotkathekap
rioritykaintervention.
3.kaPreparekatokainsertkaankaNGkaTube
Incorrectka-
kaWhilekathiskainterventionkamaykabekausedkainkathekalaterkastageskaofkaPeptickaUlcerkaDisease,kaitkaiskanotkath
ekafirstkaandkaprioritykaintervention.
4.kaAdministerkaintramuscularkamorphinekasulphatekaaskaordered
Incorrectka-
kaWhilekathiskaiskaankaimportantkainterventionkatokamanagekapain,kaitkaiskanotkathekaprioritykaintervention.
Akafemalekapatientkawithkaatrialkafibrillationkahaskathekafollowingkalabkaresults:kaHemoglobinkaofka11kag/dl,
kaakaplateletkacountkaofka150,000,kaankaINRkaofka2.5,kaandkapotassiumkaofka2.7kamEq/L.kaWhichkaresultkaiskacrit
icalkaandkashouldkabekareportedkatokathekaphysiciankaimmediately?
1.kaHemoglobinka11kag/dl
2.kaPlateletkaofka150,000
3.kaINRkaofka2.5
4.kaPotassiumkaofka2.7kamEq/Lka-kacorrectkaanswers-1.kaHemoglobinka11kag/dl
Thiskaiskabelowkanormal,kabutkaakanormalkafemalekahemoglobinkaiska12-
14.kaTherekaiskaakamorekacriticalkalabkaresult.
2.kaPlateletkaofka150,000
Thiskaiskaalsokabelowkathekanormalkavalues,kabutkaiskanotkathekamostkacriticalkalabkaresult.
3.kaINRkaofka2.5
Thiskaiskaakatherapeutickarangekaforkaakapatientkawhokaiskatakingkaankaanticoagulantkaforkaatrialkafibrillation
4.kaPotassiumkaofka2.7kamEq/L
CORRECTka-kaAkapotassiumkaimbalancekaforkaakapatientkawithkaakahistorykaofkadysrhythmiakacankabekalife-
threateningkaandkacankaleadkatokacardiackadistress.
WhilekareceivingkanormalkasalinekainfusionskatokatreatkaakaGIkableed,kathekanursekanoteskathatkathekapatient'
skalowerkalegskahavekabecomekaedematouskaandkaauscultateskacrackleskainkathekalungs.kaWhatkashouldkathe
kanursekadokafirst?
1.kaStopkathekasalinekainfusionkaimmediately
2.kaNotifykaPhysician
3.kaElevatekathekapatient'skalegs
4.kaContinuekathekainfusion,kasincekathesekaarekanormalkafindingska-kacorrectkaanswers-
1.kaStopkathekasalinekainfusionkaimmediately
, CORRECTka-
kathekapatientkahaskaakafluidkavolumekaoverloadkaaskaakaresultkaofkaoverlykarapidkafluidkareplacement.kaTheka
nursekashouldkastopkathekainfusionkaandkanotifykathekaphysician.
2.kaNotifykaPhysician
Thiskaiskanotkathekafirstkaactionkathekanursekashouldkatake.
3.kaElevatekathekapatient'skalegs
Thiskawouldkahelpkawithkathekaedema,kabutkaiskanotkaakapriority
4.kaContinuekathekainfusion,kasincekathesekaarekanormalkafindings
Thiskaiskanotkaakanormalkafinding
ThekanursekaiskaworkingkainkaakasupportkagroupkaforkaclientskawithkaHIV.kaWhichkapointkaiskamostkaimporta
ntkaforkathekanursekatokastress?
1.kaTheykamustkainformkahouseholdkamemberskaofkatheirkacondition
2.kaTheykamustkatakekatheirkamedicationskaexactlykaaskaprescribed
3.kaTheykamustkaabstainkafromkasubstancekause
4.kaTheykamustkaavoidkalargekacrowdska-kacorrectkaanswers-
1.kaTheykamustkainformkahouseholdkamemberskaofkatheirkacondition
Incorrectka-
kaEachkapatientkahaskaakarightkatokaprivacykaofkatheirkamedicalkacondition.kaItkaiskatheirkachoicekawhetherkath
eykainformkahouseholdkamembers.
2.kaTheykamustkatakekatheirkamedicationskaexactlykaaskaprescribed
CORRECTka-kaAntiretroviralskamustkabekatakenkaexactlykaaskaprescribedkatokapreventkadrug-
resistantkastrains.kaEvenkamissedkadoseskacankareducekathekaeffectivenesskaofkafuturekatreatment.
3.kaTheykamustkaabstainkafromkasubstancekause
Incorrectka-
kaWhilekasubstancekausekashouldkabekadiscouraged,kausingkasafekapracticeskawithkaneedleskacankapreventkat
ransmissionkaofkaHIV.
4.kaTheykamustkaavoidkalargekacrowds
Incorrectka-
kaAvoidingkalargekacrowdskatokapreventkainfectionkaiskaakaprioritykainkathekalaterkastageskaofkaHIV,kawhenkat
hekapatientkahaskaAIDS.
Akanursekafindskaaka30-year-
oldkawomankaexperiencingkaanaphylaxiskafromkaakabeekasting.kaEmergencykapersonnelkahavekabeenkacalle
d.kaThekanursekanoteskathekawomankaiskabreathingkabutkashortkaofkabreath.kaWhichkaofkathekafollowingkainter
ventionskashouldkathekanursekadokafirst?
1.kaInitiatekacardiopulmonarykaresuscitation
2.kaCheckkaforkaakapulseka