NCLEX 001 Questions with answers
2023
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 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
