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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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  • September 3, 2024
  • 42
  • 2024/2025
  • Exam (elaborations)
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  • nclex questions and answers correct and verified 1

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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

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