إختبار عملي للتمريض - Free NCLEX Rn Practice Test 2

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   - Free NCLEX Rn Practice Test 2

أنقر على الإجابة الصحيحة في نظرك، ثم على زر " القادم". سيتم إعلان نتيجتك فور إنتهائك من الإختبارلديك 16 دقيقة لإنهاء الإختبار. حظا سعيدا إعداد : أسرة التمريض 


Questions and Answers
  • 1. 
    A nurse cares for a patient who has a nasogastric tube attached to low suction because of a suspected bowel obstruction. Which of the following arterial blood gas results might be expected in this patient?
    • A. 

      PH 7.52. PCO2 54 mm Hg.

    • B. 

      PH 7.42. PCO2 40 mm Hg.

    • C. 

      PH 7.25. PCO2 25 mm Hg.

    • D. 

      PH 7.38. PCO2 36 mm Hg.

  • 2. 
    A patient is admitted to the hospital for routine elective surgery. Included in the list of current medications is Coumadin (warfarin) at a high dose. Concerned about the possible effects of the drug. particularly in a patient scheduled for surgery. the nurse anticipates which of the following actions?
    • A. 

      Draw a blood sample for prothrombin (PT) and international normalized ratio (INR) level.

    • B. 

      Administer vitamin K.

    • C. 

      Draw a blood sample for type and crossmatch and request blood from the blood bank.

    • D. 

      Cancel the surgery after the patient reports stopping the Coumadin one week previously.

  • 3. 
    The follow lab results are received for a patient. Which of the following results are abnormal? Note: More than one answer may be correct.
    • A. 

      Hemoglobin 10.4 g/dL.

    • B. 

      Total cholesterol 340 mg/dL.

    • C. 

      Total serum protein 7.0 g/dL.

    • D. 

      Glycosylated hemoglobin A1C 5.4%.

  • 4. 
    A nurse is performing routine assessment of an IV site in a patient receiving both IV fluids and medications through the line. Which of the following would indicate the need for discontinuation of the IV line as the next nursing action?
    • A. 

      The patient complains of pain on movement.

    • B. 

      The area proximal to the insertion site is reddened. warm. and painful.

    • C. 

      The IV solution is infusing too slowly. particularly when the limb is elevated.

    • D. 

      A hematoma is visible in the area of the IV insertion site.

  • 5. 
    A hospitalized patient has received transfusions of 2 units of blood over the past few hours. A nurse enters the room to find the patient sitting up in bed. dyspneic and uncomfortable. On assessment. crackles are heard in the bases of both lungs. probably indicating that the patient is experiencing a complication of transfusion. Which of the following complications is most likely the cause of the patient’s symptoms?
    • A. 

      Febrile non-hemolytic reaction.

    • B. 

      Allergic transfusion reaction.

    • C. 

      Acute hemolytic reaction.

    • D. 

      Fluid overload.

  • 6. 
    A patient in labor and delivery has just received an amniotomy. Which of the following is correct? Note: More than one answer may be correct.
    • A. 

      Frequent checks for cervical dilation will be needed after the procedure.

    • B. 

      Contractions may rapidly become stronger and closer together after the procedure.

    • C. 

      The FHR (fetal heart rate) will be followed closely after the procedure due to the possibility of cord compression.

    • D. 

      The procedure is usually painless and is followed by a gush of amniotic fluid.

  • 7. 
    A nurse is counseling the mother of a newborn infant with hyperbilirubinemiWhich of the following instructions by the nurse is NOT correct?
    • A. 

      Continue to breastfeed frequently. at least every 2-4 hours.

    • B. 

      Follow up with the infant’s physician within 72 hours of discharge for a recheck of the serum bilirubin and exam.

    • C. 

      Watch for signs of dehydration. including decreased urinary output and changes in skin turgor.

    • D. 

      Keep the baby quiet and swaddled. and place the bassinet in a dimly lit area.

  • 8. 
    A nurse is giving discharge instructions to the parents of a healthy newborn. Which of the following instructions should the nurse provide regarding car safety and the trip home from the hospital?
    • A. 

      The infant should be restrained in an infant car seat. properly secured in the back seat in a rear-facing position.

    • B. 

      The infant should be restrained in an infant car seat. properly secured in the front passenger seat.

    • C. 

      The infant should be restrained in an infant car seat facing forward or rearward in the back seat.

    • D. 

      For the trip home from the hospital. the parent may sit in the back seat and hold the newborn.