NCLEX Practice Exam 45 (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 child is admitted to the hospital with a diagnosis of Wilms tumor. stage II. Which of the following statements most accurately describes this stage?
- A.
The tumor is less than 3 cm. in size and requires no chemotherapy.
- B.
The tumor did not extend beyond the kidney and was completely resected.
- C.
The tumor extended beyond the kidney but was completely resected.
- D.
The tumor has spread into the abdominal cavity and cannot be resected.
- 2.A teen patient is admitted to the hospital by his physician who suspects a diagnosis of acute glomerulonephritis. Which of the following findings is consistent with this diagnosis? Note: More than one answer may be correct.
- A.
Urine specific gravity of 1.040.
- B.
Urine output of 350 ml in 24 hours.
- C.
Brown (“tea-colored”) urine.
- D.
Generalized edema.
- 3.Which of the following conditions most commonly causes acute glomerulonephritis?
- A.
A congenital condition leading to renal dysfunction.
- B.
Prior infection with group A Streptococcus within the past 10-14 days.
- C.
Viral infection of the glomeruli.
- D.
Nephrotic syndrome.
- 4.An infant with hydrocele is seen in the clinic for a follow-up visit at 1 month of age. The scrotum is smaller than it was at birth. but fluid is still visible on illumination. Which of the following actions is the physician likely to recommend?
- A.
Massaging the groin area twice a day until the fluid is gone.
- B.
Referral to a surgeon for repair.
- C.
No treatment is necessary; the fluid is reabsorbing normally.
- D.
Keeping the infant in a flat. supine position until the fluid is gone.
- 5.A nurse is caring for a patient with peripheral vascular disease (PVD). The patient complains of burning and tingling of the hands and feet and cannot tolerate touch of any kind. Which of the following is the most likely explanation for these symptoms?
- A.
Inadequate tissue perfusion leading to nerve damage.
- B.
Fluid overload leading to compression of nerve tissue.
- C.
Sensation distortion due to psychiatric disturbance.
- D.
Inflammation of the skin on the hands and feet.
- 6.A nurse is assessing a clinic patient with a diagnosis of hepatitis A. Which of the following is the most likely route of transmission?
- A.
Sexual contact with an infected partner.
- B.
Contaminated food.
- C.
Blood transfusion.
- D.
Illegal drug use.
- 7.A leukemia patient has a relative who wants to donate blood for transfusion. Which of the following donor medical conditions would prevent this?
- A.
A history of hepatitis C five years previously.
- B.
Cholecystitis requiring cholecystectomy one year previously.
- C.
Asymptomatic diverticulosis.
- D.
Crohn’s disease in remission.
- 8.A physician has diagnosed acute gastritis in a clinic patient. Which of the following medications would be contraindicated for this patient?
- A.
Naproxen sodium (Naprosyn).
- B.
Calcium carbonate.
- C.
Clarithromycin (Biaxin).
- D.
Furosemide (Lasix).
- 9.The nurse is conducting nutrition counseling for a patient with cholecystitis. Which of the following information is important to communicate?
- A.
The patient must maintain a low calorie diet.
- B.
The patient must maintain a high protein/low carbohydrate diet.
- C.
The patient should limit sweets and sugary drinks.
- D.
The patient should limit fatty foods.
- 10.A patient admitted to the hospital with myocardial infarction develops severe pulmonary edema. Which of the following symptoms should the nurse expect the patient to exhibit?
- A.
Slow. deep respirations.
- B.
Stridor.
- C.
Bradycardia.
- D.
Air hunger.
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