NCLEX Practice Exam 5 (10 Questions)

10 Questions | By Santepro | Last updated: Jun 29, 2017

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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.

Questions and Answers

1.

A new mother has some questions about phenylketonuria (PKU). Which of the following statements made by a nurse is not correct regarding PKU?

Discuss
- A.
  
  A Guthrie test can check the necessary lab values.
- B.
  
  The urine has a high concentration of phenylpyruvic acid
- C.
  
  Mental deficits are often present with PKU.
- D.
  
  The effects of PKU are reversible.
2.

A patient has taken an overdose of aspirin. Which of the following should a nurse most closely monitor for during acute management of this patient?

Discuss
- A.
  
  Onset of pulmonary edema
- B.
  
  Metabolic alkalosis
- C.
  
  Respiratory alkalosis
- D.
  
  Parkinson’s disease type symptoms
3.

A 50-year-old blind and deaf patient have been admitted to your floor. As the charge nurse, your primary responsibility for this patient is?

Discuss
- A.
  
  Let others know about the patient’s deficits.
- B.
  
  Communicate with your supervisor your patient safety concerns.
- C.
  
  Continuously update the patient on the social environment.
- D.
  
  Provide a secure environment for the patient.
4.

A patient is getting discharged from a skilled nursing facility (SNF). The patient has a history of severe COPD and PVD. The patient is primarily concerned about his ability to breathe easily. Which of the following would be the best instruction for this patient?

Discuss
- A.
  
  Deep breathing techniques to increase oxygen levels.
- B.
  
  Cough regularly and deeply to clear airway passages.
- C.
  
  Cough following bronchodilator utilization.
- D.
  
  Decrease CO2 levels by increased oxygen take output during meals.
5.

A nurse is caring for an infant that has recently been diagnosed with a congenital heart defect. Which of the following clinical signs would most likely be present?

Discuss
- A.
  
  Slow pulse rate
- B.
  
  Weight gain
- C.
  
  Decreased systolic pressure
- D.
  
  Irregular WBC lab values
6.

A mother has recently been informed that her child has Down’s syndrome. You will be assigned to care for the child at shift change. Which of the following characteristics is not associated with Down’s syndrome?

Discuss
- A.
  
  Simian crease
- B.
  
  Brachycephaly
- C.
  
  Oily skin
- D.
  
  Hypotonicity
7.

A client with myocardial infarction is receiving tissue plasminogen activator, alteplase (Activase, tPA). While on the therapy, the nurse plans to prioritize which of the following?

Discuss
- A.
  
  Observe for neurological changes.
- B.
  
  Monitor for any signs of renal failure.
- C.
  
  Check the food diary.
- D.
  
  Observe for signs of bleeding.
8.

A patient asks a nurse, “My doctor recommended I increase my intake of folic acid. What type of foods contain the highest concentration of folic acids?”

Discuss
- A.
  
  Green vegetables and liver
- B.
  
  Yellow vegetables and red meat
- C.
  
  Carrots
- D.
  
  Milk
9.

A nurse is putting together a presentation on meningitis. Which of the following microorganisms has not been linked to meningitis in humans?
- A.
  
  S. pneumoniae
- B.
  
  H. influenzae
- C.
  
  N. meningitidis
- D.
  
  Cl. difficile
10.

A nurse is administering blood to a patient who has a low hemoglobin count. The patient asks how long to RBC’s last in my body? The correct response is.

Discuss
- A.
  
  The life span of RBC is 45 days.
- B.
  
  The life span of RBC is 60 days.
- C.
  
  The life span of RBC is 90 days.
- D.
  
  The life span of RBC is 120 days.

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