NCLEX Practice Exam 43 (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 patient is admitted to the hospital with a diagnosis of primary hyperparathyroidism. A nurse checking the patient’s lab results would expect which of the following changes in laboratory findings?
- A.
Elevated serum calcium.
- B.
Low serum parathyroid hormone (PTH).
- C.
Elevated serum vitamin D.
- D.
Low urine calcium.
- 2.A patient with Addison’s disease asks a nurse for nutrition and diet advice. Which of the following diet modifications is NOT recommended?
- A.
A diet high in grains.
- B.
A diet with adequate caloric intake.
- C.
A high protein diet.
- D.
A restricted sodium diet.
- 3.A patient with a history of diabetes mellitus is in the second post-operative day following cholecystectomy. She has complained of nausea and isn’t able to eat solid foods. The nurse enters the room to find the patient confused and shaky. Which of the following is the most likely explanation for the patient’s symptoms?
- A.
Anesthesia reaction.
- B.
Hyperglycemia.
- C.
Hypoglycemia.
- D.
Diabetic ketoacidosis.
- 4.A nurse assigned to the emergency department evaluates a patient who underwent fiberoptic colonoscopy 18 hours previously. The patient reports increasing abdominal pain. fever. and chills. Which of the following conditions poses the most immediate concern?
- A.
Bowel perforation.
- B.
Viral gastroenteritis.
- C.
Colon cancer.
- D.
Diverticulitis.
- 5.A patient is admitted to the same day surgery unit for liver biopsy. Which of the following laboratory tests assesses coagulation? Select all that apply.
- A.
Partial thromboplastin time.
- B.
Prothrombin time.
- C.
Platelet count.
- D.
Hemoglobin
- 6.A patient on the cardiac telemetry unit unexpectedly goes into ventricular fibrillation. The advanced cardiac life support team prepares to defibrillate. Which of the following choices indicates the correct placement of the conductive gel pads?
- A.
The left clavicle and right lower sternum.
- B.
Right of midline below the bottom rib and the left shoulder.
- C.
The upper and lower halves of the sternum.
- D.
The right side of the sternum just below the clavicle and left of the precordium.
- 7.The nurse performs an initial abdominal assessment on a patient newly admitted for abdominal pain. The nurse hears what she describes as “clicks and gurgles in all four quadrants” as well as “swishing or buzzing sound heard in one or two quadrants.” Which of the following statements is correct?
- A.
The frequency and intensity of bowel sounds varies depending on the phase of digestion.
- B.
In the presence of intestinal obstruction. bowel sounds will be louder and higher pitched.
- C.
A swishing or buzzing sound may represent the turbulent blood flow of a bruit and is not normal.
- D.
All of the above.
- 8.A patient arrives in the emergency department and reports splashing concentrated household cleaner in his eye. Which of the following nursing actions is a priority?
- A.
Irrigate the eye repeatedly with normal saline solution.
- B.
Place fluorescein drops in the eye.
- C.
Patch the eye.
- D.
Test visual acuity.
- 9.A nurse is caring for a patient who has had hip replacement. The nurse should be most concerned about which of the following findings?
- A.
Complaints of pain during repositioning.
- B.
Scant bloody discharge on the surgical dressing.
- C.
Complaints of pain following physical therapy.
- D.
Temperature of 101.8 F (38.7 C).
- 10.A child is admitted to the hospital with an uncontrolled seizure disorder. The admitting physician writes orders for actions to be taken in the event of a seizure. Which of the following actions would NOT be included?
- A.
Notify the physician.
- B.
Restrain the patient’s limbs.
- C.
Position the patient on his/her side with the head flexed forward.
- D.
Administer rectal diazepam.
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