NCLEX Practice Exam 6 (10 Questions)

1. A young adult is 20 years old and has been recently admitted to the hospital. According to Erikson. which of the following stages is the adult in?

Trust vs. mistrust

Initiative vs. guilt

Autonomy vs. shame

Intimacy vs. isolation

Intimacy vs. isolation- 18-35 years old

Explanation

Intimacy vs. isolation- 18-35 years old

2. A patient's chart indicates a history of meningitis. Which of the following would you not expect to see with this patient if this condition were acute?

Increased appetite

Vomiting

Fever

Poor tolerance of light

Loss of appetite would be expected.

Explanation

Loss of appetite would be expected.

3. When you are taking a patient's history. she tells you she has been depressed and is dealing with an anxiety disorder. Which of the following medications would the patient most likely be taking?

Amitriptyline (Elavil)

Calcitonin

Pergolide mesylate (Permax)

Verapamil (Calan)

Amitriptyline (Elavil) is a tricyclic antidepressant and used to treat symptoms of depression.

Explanation

Amitriptyline (Elavil) is a tricyclic antidepressant and used to treat symptoms of depression.

4. A 65-year-old man has been admitted to the hospital for spinal stenosis surgery. When should the discharge training and planning begin for this patient?

Following surgery

Upon admit

Within 48 hours of discharge

Preoperative discussion

Discharge education begins upon admit.

Explanation

Discharge education begins upon admit.

5. A nurse is making rounds taking vital signs. Which of the following vital signs is abnormal?

11-year-old male: 90 BPM. 22 RPM. 100/70 mmHg

13-year-old female: 105 BPM. 22 RPM. 105/50 mmHg

5-year-old male: 102 BPM. 24 RPM. 90/65 mmHg

6-year-old female: 100 BPM. 26 RPM. 90/70 mmHg

HR and Respirations are slightly increased. BP is down.

Explanation

HR and Respirations are slightly increased. BP is down.

6. A patient's chart indicates a history of ketoacidosis. Which of the following would you not expect to see with this patient if this condition were acute?

Vomiting

Extreme Thirst

Weight gain

Acetone breath smell

Weight loss would be expected.

Explanation

Weight loss would be expected.

7. Which of the following conditions would a nurse not administer erythromycin?

Campylobacteriosis infection

Legionnaire’s disease

Pneumonia

Multiple Sclerosis

Erythromycin is used to treat conditions A-C.

Explanation

Erythromycin is used to treat conditions A-C.

8. A 5-year-old child and has been recently admitted to the hospital. According to Erik Erikson's psychosocial development stages. the child is in which stage?

Trust vs. mistrust

Initiative vs. guilt

Autonomy vs. shame and doubt

Intimacy vs. isolation

Initiative vs. guilt- 3-6 years old

Explanation

Initiative vs. guilt- 3-6 years old

9. A toddler is 26 months old and has been recently admitted to the hospital. According to Erikson. which of the following stages is the toddler in?

Trust vs. mistrust

Initiative vs. guilt

Autonomy vs. shame and doubt

Intimacy vs. isolation

Autonomy vs Shame and doubt is at 12-18 months old

Explanation

Autonomy vs Shame and doubt is at 12-18 months old

10. A patient's chart indicates a history of hyperkalemia. Which of the following would you not expect to see with this patient if this condition were acute?

Decreased HR

Paresthesias

Muscle weakness of the extremities

Migraines

Answer choices A-C were symptoms of acute hyperkalemia.

Explanation

Answer choices A-C were symptoms of acute hyperkalemia.