Exam (elaborations)
75 NCLEX QUESTIONS C/O AND ANSWERS WITH SOLUTIONS 2024
75 NCLEX QUESTIONS C/O AND ANSWERS WITH SOLUTIONS 2024
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75 NCLEX QUESTIONS C/O AND
ANSWERS WITH SOLUTIONS 2024
TheBnurseBisBtakingBtheBhealthBhistoryBofBaBpatientBbeingBtreatedBforBEmphysemaBandBChronicBBronchitis.B
AfterBbeingBtoldBtheBpatientBhasBbeenBsmokingBcigarettesBforB30Byears,BtheBnurseBexpectsBtoBnoteBwhichBa
ssessmentBfinding?
1.BIncreaseBinBForcedBVitalBCapacityB(FVC)
2.BABnarrowedBchestBcavity
3.BClubbedBfingersB
4.BAnBincreasedBriskBofBcardiacBfailureB-BANSWERB1.BIncreaseBinBForcedBVitalBCapacityB(FVC)
ForcedBVitalBCapacityBisBtheBvolumeBofBairBexhaledBfromBfullBinhalationBtoBfullBexhalation.BABpatientBwithBC
OPDBwouldBhaveBaBdecreaseBinBFVC.BIncorrect.
2.BABnarrowedBchestBcavity
ABpatientBwithBCOPDBoftenBpresentsBwithBaB'barrelBchest,'BwhichBisBseenBasBaBwidenedBchestBcavity.BIncorr
ect.
3.BClubbedBfingersB-BCORRECT
ClubbedBfingersBareBaBsignBofBaBlong-term,BorBchronic,BdecreaseBinBoxygenBlevels.
4.BAnBincreasedBriskBofBcardiacBfailure
AlthoughBaBpatientBwithBtheseBconditionsBwouldBindeedBbeBatBanBincreasedBriskBforBcardiacBfailure,BthisBisB
aBpotentialBcomplicationBandBnotBanBassessmentBfinding.BIncorrect.
TheBnurseBisBtakingBtheBhealthBhistoryBofBaB70-year-
oldBpatientBbeingBtreatedBforBaBDuodenalBUlcer.BAfterBbeingBtoldBtheBpatientBisBcomplainingBofBepigastricBp
ain,BtheBnurseBexpectsBtoBnoteBwhichBassessmentBfinding?
1.BMelena
2.BNausea
3.BHernia
,4.BHyperthermiaB-BANSWERB1.BMelenaB-BCORRECT
MelenaBisBtheBfindingBthatBthereBareBtracesBofBbloodBinBtheBstoolBwhichBpresentsBasBblack,BtarryBfeces.BThis
BisBaBcommonBmanifestationBofBDuodenalBUlcers,BsinceBtheBDuodenumBisBfurtherBdownBtheBgastricBanato
my.
2.BNausea
NauseaBmayBbeBpresent,BbutBisBaBgeneralizedBsymptomBandBbyBitselfBdoesn'tBindicateBaBDuodenalBUlcer.BIn
correct.
3.BHernia
ABHerniaBisBaBprotrusionBofBaBsegmentBofBtheBabdomenBthroughBanotherBabdominalBstructure.BItBisBnotBas
sociatedBwithBanBUlcerBandBisBaBcondition,BnotBanBassessmentBfinding.BIncorrect.
4.BHyperthermia
Hyperthermia,BaBhighBtemperature,BisBnotBanBassessmentBfindingBofBaBDuodenalBUlcer.BIncorrect
ABnurseBisBprovidingBdischargeBteachingBforBaBpatientBwithBsevereBGastroesophogealBRefluxBDisease.BWhic
hBofBtheseBstatementsBbyBtheBpatientBindicatesBaBneedBforBmoreBteaching?
1.B"I'mBgoingBtoBlimitBmyBmealsBtoB2-3BperBdayBtoBreduceBacidBsecretion."
2.B"I'mBgoingBtoBmakeBsureBtoBremainBuprightBafterBmealsBandBelevateBmyBheadBwhenBIBsleep"
3.B"IBwon'tBbeBdrinkingBteaBorBcoffeeBorBeatingBchocolateBanyBmore."
4.B"I'mBgoingBtoBstartBtryingBtoBloseBsomeBweight."B-BANSWERB1.B"I'mBgoingBtoBlimitBmyBmealsBtoB2-
3BperBdayBtoBreduceBacidBsecretion."
CORRECTB-
BLargeBmealsBincreaseBtheBvolumeBandBpressureBinBtheBstomachBandBdelayBgastricBemptying.BIt'sBrecomme
ndedBinsteadBtoBeatB4-6BsmallBmealsBaBday.
2.B"I'mBgoingBtoBmakeBsureBtoBremainBuprightBafterBmealsBandBelevateBmyBheadBwhenBIBsleep"
,IncorrectB-BThisBisBaBcorrectBverbalizationBofBhealthBpromotionBforBGERD.
3.B"IBwon'tBbeBdrinkingBteaBorBcoffeeBorBeatingBchocolateBanyBmore."
IncorrectB-BThisBisBaBcorrectBverbalizationBofBhealthBpromotionBforBGERD.
4.B"I'mBgoingBtoBstartBtryingBtoBloseBsomeBweight."
IncorrectB-BThisBisBaBcorrectBverbalizationBofBhealthBpromotionBforBGERD.
TheBnurseBinBtheBEmergencyBRoomBisBtreatingBaBpatientBsuspectedBtoBhaveBaBPepticBUlcer.BOnBassessingBla
bBresults,BtheBnurseBfindsBthatBtheBpatient'sBbloodBpressureBisB95/60,BpulseBisB110BbeatsBperBminute,BandBt
heBpatientBreportsBepigastricBpain.BWhatBisBtheBPRIORITYBintervention?
1.BStartBaBlarge-boreBIVBinBtheBpatient'sBarm
2.BAskBtheBpatientBforBaBstoolBsample
3.BPrepareBtoBinsertBanBNGBTube
4.BAdministerBintramuscularBmorphineBsulphateBasBorderedB-BANSWERB1.BStartBaBlarge-
boreBIVBinBtheBpatient'sBarm
CORRECTB-
BTheBnurseBshouldBsuspectBthatBtheBpatientBisBhaemorrhagingBandBwillBneedBneedBaBfluidBreplacementBthe
rapy,BwhichBrequiresBaBlargeBboreBIV.
2.BAskBtheBpatientBforBaBstoolBsample
IncorrectB-
BWhileBthisBisBusefulBinBtheBdiagnosisBandBassessmentBofBPepticBUlcerBDisease,BitBisBnotBtheBpriorityBinterve
ntion.
3.BPrepareBtoBinsertBanBNGBTube
IncorrectB-
BWhileBthisBinterventionBmayBbeBusedBinBtheBlaterBstagesBofBPepticBUlcerBDisease,BitBisBnotBtheBfirstBandBpri
orityBintervention.
4.BAdministerBintramuscularBmorphineBsulphateBasBordered
, IncorrectB-BWhileBthisBisBanBimportantBinterventionBtoBmanageBpain,BitBisBnotBtheBpriorityBintervention.
ABfemaleBpatientBwithBatrialBfibrillationBhasBtheBfollowingBlabBresults:BHemoglobinBofB11Bg/dl,BaBplateletBco
untBofB150,000,BanBINRBofB2.5,BandBpotassiumBofB2.7BmEq/L.BWhichBresultBisBcriticalBandBshouldBbeBreporte
dBtoBtheBphysicianBimmediately?
1.BHemoglobinB11Bg/dl
2.BPlateletBofB150,000
3.BINRBofB2.5
4.BPotassiumBofB2.7BmEq/LB-BANSWERB1.BHemoglobinB11Bg/dl
ThisBisBbelowBnormal,BbutBaBnormalBfemaleBhemoglobinBisB12-14.BThereBisBaBmoreBcriticalBlabBresult.
2.BPlateletBofB150,000
ThisBisBalsoBbelowBtheBnormalBvalues,BbutBisBnotBtheBmostBcriticalBlabBresult.
3.BINRBofB2.5
ThisBisBaBtherapeuticBrangeBforBaBpatientBwhoBisBtakingBanBanticoagulantBforBatrialBfibrillation
4.BPotassiumBofB2.7BmEq/L
CORRECTB-BABpotassiumBimbalanceBforBaBpatientBwithBaBhistoryBofBdysrhythmiaBcanBbeBlife-
threateningBandBcanBleadBtoBcardiacBdistress.
WhileBreceivingBnormalBsalineBinfusionsBtoBtreatBaBGIBbleed,BtheBnurseBnotesBthatBtheBpatient'sBlowerBlegsB
haveBbecomeBedematousBandBauscultatesBcracklesBinBtheBlungs.BWhatBshouldBtheBnurseBdoBfirst?
1.BStopBtheBsalineBinfusionBimmediately
2.BNotifyBPhysician
3.BElevateBtheBpatient'sBlegs
4.BContinueBtheBinfusion,BsinceBtheseBareBnormalBfindingsB-
BANSWERB1.BStopBtheBsalineBinfusionBimmediately