75 FREE NCLEX QUESTIONS - C/O
BRILLIANTNURSE.COM QUESTIONS
WITH CORRECT ANSWERS
The snurse sis staking sthe shealth shistory sof sa spatient sbeing streated sfor sEmphysema sand
sChronic sBronchitis. sAfter sbeing stold sthe spatient shas sbeen ssmoking scigarettes sfor s30
syears, sthe snurse sexpects sto snote swhich sassessment sfinding?
1. sIncrease sin sForced sVital sCapacity s(FVC)
2. sA snarrowed schest scavity
3. sClubbed sfingers s
4. sAn sincreased srisk sof scardiac sfailure s- sans--1. sIncrease sin sForced sVital sCapacity
s(FVC)
Forced sVital sCapacity sis sthe svolume sof sair sexhaled sfrom sfull sinhalation sto sfull
sexhalation. sA spatient swith sCOPD swould shave sa sdecrease sin sFVC. sIncorrect.
2. sA snarrowed schest scavity
A spatient swith sCOPD soften spresents swith sa s'barrel schest,' swhich sis sseen sas sa swidened
schest scavity. sIncorrect.
3. sClubbed sfingers s- sCORRECT
Clubbed sfingers sare sa ssign sof sa slong-term, sor schronic, sdecrease sin soxygen slevels.
4. sAn sincreased srisk sof scardiac sfailure
Although sa spatient swith sthese sconditions swould sindeed sbe sat san sincreased srisk sfor
scardiac sfailure, sthis sis sa spotential scomplication sand snot san sassessment sfinding.
sIncorrect.
The snurse sis staking sthe shealth shistory sof sa s70-year-old spatient sbeing streated sfor sa
sDuodenal sUlcer. sAfter sbeing stold sthe spatient sis scomplaining sof sepigastric spain, sthe
snurse sexpects sto snote swhich sassessment sfinding?
1. sMelena
2. sNausea
3. sHernia
4. sHyperthermia s- sans--1. sMelena s- sCORRECT
Melena sis sthe sfinding sthat sthere sare straces sof sblood sin sthe sstool swhich spresents sas
sblack, starry sfeces. sThis sis sa scommon smanifestation sof sDuodenal sUlcers, ssince sthe
,2. sNausea
Nausea smay sbe spresent, sbut sis sa sgeneralized ssymptom sand sby sitself sdoesn't sindicate
sa sDuodenal sUlcer. sIncorrect.
3. sHernia
A sHernia sis sa sprotrusion sof sa ssegment sof sthe sabdomen sthrough sanother sabdominal
sstructure. sIt sis snot sassociated swith san sUlcer sand sis sa scondition, snot san sassessment
sfinding. sIncorrect.
4. sHyperthermia
Hyperthermia, sa shigh stemperature, sis snot san sassessment sfinding sof sa sDuodenal sUlcer.
sIncorrect
A snurse sis sproviding sdischarge steaching sfor sa spatient swith ssevere sGastroesophogeal
sReflux sDisease. sWhich sof sthese sstatements sby sthe spatient sindicates sa sneed sfor smore
steaching?
1. s"I'm sgoing sto slimit smy smeals sto s2-3 sper sday sto sreduce sacid ssecretion."
2. s"I'm sgoing sto smake ssure sto sremain supright safter smeals sand selevate smy shead swhen
sI ssleep"
3. s"I swon't sbe sdrinking stea sor scoffee sor seating schocolate sany smore."
4. s"I'm sgoing sto sstart strying sto slose ssome sweight." s- sans--1. s"I'm sgoing sto slimit smy
smeals sto s2-3 sper sday sto sreduce sacid ssecretion."
CORRECT s- sLarge smeals sincrease sthe svolume sand spressure sin sthe sstomach sand
sdelay sgastric semptying. sIt's srecommended sinstead sto seat s4-6 ssmall smeals sa sday.
2. s"I'm sgoing sto smake ssure sto sremain supright safter smeals sand selevate smy shead swhen
sI ssleep"
Incorrect s- sThis sis sa scorrect sverbalization sof shealth spromotion sfor sGERD.
3. s"I swon't sbe sdrinking stea sor scoffee sor seating schocolate sany smore."
Incorrect s- sThis sis sa scorrect sverbalization sof shealth spromotion sfor sGERD.
4. s"I'm sgoing sto sstart strying sto slose ssome sweight."
Incorrect s- sThis sis sa scorrect sverbalization sof shealth spromotion sfor sGERD.
The snurse sin sthe sEmergency sRoom sis streating sa spatient ssuspected sto shave sa sPeptic
sUlcer. sOn sassessing slab sresults, sthe snurse sfinds sthat sthe spatient's sblood spressure sis
1. sStart sa slarge-bore sIV sin sthe spatient's sarm
2. sAsk sthe spatient sfor sa sstool ssample
,3. sPrepare sto sinsert san sNG sTube
4. sAdminister sintramuscular smorphine ssulphate sas sordered s- sans--1. sStart sa slarge-bore
sIV sin sthe spatient's sarm
2. sAsk sthe spatient sfor sa sstool ssample
Incorrect s- sWhile sthis sis suseful sin sthe sdiagnosis sand sassessment sof sPeptic sUlcer
sDisease, sit sis snot sthe spriority sintervention.
3. sPrepare sto sinsert san sNG sTube
Incorrect s- sWhile sthis sintervention smay sbe sused sin sthe slater sstages sof sPeptic sUlcer
sDisease, sit sis snot sthe sfirst sand spriority sintervention.
4. sAdminister sintramuscular smorphine ssulphate sas sordered
Incorrect s- sWhile sthis sis san simportant sintervention sto smanage spain, sit sis snot sthe spriority
sintervention.
A sfemale spatient swith satrial sfibrillation shas sthe sfollowing slab sresults: sHemoglobin sof s11
sg/dl, sa splatelet scount sof s150,000, san sINR sof s2.5, sand spotassium sof s2.7 smEq/L. sWhich
1. sHemoglobin s11 sg/dl
2. sPlatelet sof s150,000
3. sINR sof s2.5
4. sPotassium sof s2.7 smEq/L s- sans--1. sHemoglobin s11 sg/dl
This sis sbelow snormal, sbut sa snormal sfemale shemoglobin sis s12-14. sThere sis sa smore
scritical slab sresult.
2. sPlatelet sof s150,000
This sis salso sbelow sthe snormal svalues, sbut sis snot sthe smost scritical slab sresult.
3. sINR sof s2.5
This sis sa stherapeutic srange sfor sa spatient swho sis staking san santicoagulant sfor satrial
sfibrillation
4. sPotassium sof s2.7 smEq/L
CORRECT s- sA spotassium simbalance sfor sa spatient swith sa shistory sof sdysrhythmia scan
sbe slife-threatening sand scan slead sto scardiac sdistress.
While sreceiving snormal ssaline sinfusions sto streat sa sGI sbleed, sthe snurse snotes sthat sthe
spatient's slower slegs shave sbecome sedematous sand sauscultates scrackles sin sthe slungs.
4. sThey smust savoid slarge scrowds
Incorrect s- sAvoiding slarge scrowds sto sprevent sinfection sis sa spriority sin sthe slater sstages
sof sHIV, swhen sthe spatient shas sAIDS.
A snurse sfinds sa s30-year-old swoman sexperiencing sanaphylaxis sfrom sa sbee ssting.
sEmergency spersonnel shave sbeen scalled. sThe snurse snotes sthe swoman sis sbreathing
sbut sshort sof sbreath. sWhich sof sthe sfollowing sinterventions sshould sthe snurse sdo sfirst?
1. sInitiate scardiopulmonary sresuscitation
2. sCheck sfor sa spulse s
3. sAsk sthe swoman sif sshe scarries san semergency smedical skit
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