NCLEX Practice Exam 40 (10 Questions)
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All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.
- 1.A nurse caring for several patients on the cardiac unit is told that one is scheduled for implantation of an automatic internal cardioverter-defibrillator. Which of the following patients is most likely to have this procedure?
- A.
A patient admitted for myocardial infarction without cardiac muscle damage.
- B.
A post-operative coronary bypass patient. recovering on schedule.
- C.
A patient with a history of ventricular tachycardia and syncopal episodes.
- D.
A patient with a history of atrial tachycardia and fatigue.
- 2.A patient is scheduled for a magnetic resonance imaging (MRI) scan for suspected lung cancer. Which of the following is a contraindication to the study for this patient?
- A.
The patient is allergic to shellfish.
- B.
The patient has a pacemaker.
- C.
The patient suffers from claustrophobia.
- D.
The patient takes antipsychotic medication.
- 3.A nurse calls a physician with the concern that a patient has developed a pulmonary embolism. Which of the following symptoms has the nurse most likely observed?
- A.
The patient is somnolent with decreased response to the family.
- B.
The patient suddenly complains of chest pain and shortness of breath.
- C.
The patient has developed a wet cough and the nurse hears crackles on auscultation of the lungs.
- D.
The patient has a fever. chills. and loss of appetite.
- 4.A patient comes to the emergency department with abdominal pain. Work-up reveals the presence of a rapidly enlarging abdominal aortic aneurysm. Which of the following actions should the nurse expect?
- A.
The patient will be admitted to the medicine unit for observation and medication.
- B.
The patient will be admitted to the day surgery unit for sclerotherapy.
- C.
The patient will be admitted to the surgical unit and resection will be scheduled.
- D.
The patient will be discharged home to follow-up with his cardiologist in 24 hours.
- 5.A patient with leukemia is receiving chemotherapy that is known to depress bone marrow. A CBC (complete blood count) reveals a platelet count of 25.000/microliter. Which of the following actions related specifically to the platelet count should be included on the nursing care plan?
- A.
Monitor for fever every 4 hours.
- B.
Require visitors to wear respiratory masks and protective clothing.
- C.
Consider transfusion of packed red blood cells.
- D.
Check for signs of bleeding. including examination of urine and stool for blood.
- 6.A patient is undergoing the induction stage of treatment for leukemia. The nurse teaches family members about infectious precautions. Which of the following statements by family members indicates that the family needs more education?
- A.
We will bring in books and magazines for entertainment.
- B.
We will bring in personal care items for comfort.
- C.
We will bring in fresh flowers to brighten the room.
- D.
We will bring in family pictures and get well cards.
- 7.A nurse is caring for a patient with acute lymphoblastic leukemia (ALL). Which of the following is the most likely age range of the patient?
- A.
3-10 years.
- B.
25-35 years.
- C.
45-55 years.
- D.
Over 60 years.
- 8.A patient is admitted to the oncology unit for diagnosis of suspected Hodgkin’s disease. Which of the following symptoms is typical of Hodgkin’s disease?
- A.
Painful cervical lymph nodes.
- B.
Night sweats and fatigue.
- C.
Nausea and vomiting.
- D.
Weight gain.
- 9.The Hodgkin’s disease patient described in the question above undergoes a lymph node biopsy for definitive diagnosis. If the diagnosis of Hodgkin’s disease were correct. which of the following cells would the pathologist expect to find?
- A.
Reed-Sternberg cells.
- B.
Lymphoblastic cells.
- C.
Gaucher’s cells.
- D.
Rieder’s cells
- 10.A patient is about to undergo bone marrow aspiration and biopsy and expresses fear and anxiety about the procedure. Which of the following is the most effective nursing response?
- A.
Warn the patient to stay very still because the smallest movement will increase her pain.
- B.
Encourage the family to stay in the room for the procedure.
- C.
Stay with the patient and focus on slow. deep breathing for relaxation.
- D.
Delay the procedure to allow the patient to deal with her feelings.
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