NCLEX Practice Exam 42 (10 Questions)

10 Questions | Total Attempts: 1776

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NCLEX Practice Exam Quizzes & Trivia

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.


Questions and Answers
  • 1. 
    • A. 

      A patient with low-grade fever. headache. and myalgias for the past 72 hours.

    • B. 

      A patient who is unable to bear weight on the left foot. with swelling and bruising following a running accident.

    • C. 

      A patient with abdominal and chest pain following a large. spicy meal.

    • D. 

      A child with a one-inch bleeding laceration on the chin but otherwise well after falling while jumping on his bed.

  • 2. 
    A patient is admitted to the hospital with a calcium level of 6.0 mg/dL. Which of the following symptoms would you NOT expect to see in this patient?
    • A. 

      Numbness in hands and feet.

    • B. 

      Muscle cramping.

    • C. 

      Hypoactive bowel sounds.

    • D. 

      Positive Chvostek’s sign.

  • 3. 
    • A. 

      PH 7.52. PCO2 54 mmHg.

    • B. 

      PH 7.42. PCO2 40 mmHg.

    • C. 

      PH 7.25. PCO2 25 mmHg.

    • D. 

      PH 7.38. PCO2 36 mmHg.

  • 4. 
    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.

  • 5. 
    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%.

  • 6. 
    A nurse is assigned to the pediatric rheumatology clinic and is assessing a child who has just been diagnosed with juvenile idiopathic arthritis. Which of the following statements about the disease is most accurate?
    • A. 

      The child has a poor chance of recovery without joint deformity.

    • B. 

      Most children progress to adult rheumatoid arthritis.

    • C. 

      Nonsteroidal anti-inflammatory drugs are the first choice in treatment.

    • D. 

      Physical activity should be minimized.

  • 7. 
    A child is admitted to the hospital several days after stepping on a sharp object that punctured her athletic shoe and entered the flesh of her foot. The physician is concerned about osteomyelitis and has ordered parenteral antibiotics. Which of the following actions is done immediately before the antibiotic is started?
    • A. 

      The admission orders are written.

    • B. 

      A blood culture is drawn.

    • C. 

      A complete blood count with differential is drawn.

    • D. 

      The parents arrive.

  • 8. 
    A two-year-old child has sustained an injury to the leg and refuses to walk. The nurse in the emergency department documents swelling of the lower affected leg. Which of the following does the nurse suspect is the cause of the child’s symptoms?
    • A. 

      Possible fracture of the tibia.

    • B. 

      Bruising of the gastrocnemius muscle.

    • C. 

      Possible fracture of the radius.

    • D. 

      No anatomic injury. the child wants his mother to carry him.

  • 9. 
    • A. 

      Regular developmental screening is important to avoid secondary developmental delays.

    • B. 

      Cerebral palsy is caused by injury to the upper motor neurons and results in motor dysfunction. as well as possible ocular and speech difficulties.

    • C. 

      Developmental milestones may be slightly delayed but usually will require no additional intervention.

    • D. 

      Parent support groups are helpful for sharing strategies and managing health care issues.

  • 10. 
    A child has recently been diagnosed with Duchenne’s muscular dystrophy. The parents are receiving genetic counseling prior to planning another pregnancy. Which of the following statements includes the most accurate information?
    • A. 

      Duchenne’s is an X-linked recessive disorder. so daughters have a 50% chance of being carriers and sons a 50% chance of developing the disease.

    • B. 

      Duchenne’s is an X-linked recessive disorder. so both daughters and sons have a 50% chance of developing the disease.

    • C. 

      Each child has a 1 in 4 (25%) chance of developing the disorder.

    • D. 

      Sons only have a 1 in 4 (25%) chance of developing the disorder.