NCLEX Practice Exam 9 (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 nurse caring for several patients on the cardiac unit is told that one is scheduled for implantation of an automatic internal cardioverter-defibrillator. Which of the following patients is most likely to have this procedure?
- A.
A patient admitted for myocardial infarction without cardiac muscle damage.
- B.
A post-operative coronary bypass patient. recovering on schedule.
- C.
A patient with a history of ventricular tachycardia and syncopal episodes.
- D.
A patient with a history of atrial tachycardia and fatigue.
- 2.
- A.
The patient is allergic to shellfish.
- B.
The patient has a pacemaker.
- C.
The patient suffers from claustrophobia.
- D.
The patient takes anti-psychotic medication.
- 3.A nurse calls a physician with the concern that a patient has developed a pulmonary embolism. Which of the following symptoms has the nurse most likely observed?
- A.
The patient is somnolent with decreased response to the family.
- B.
The patient suddenly complains of chest pain and shortness of breath.
- C.
The patient has developed a wet cough and the nurse hears crackles on auscultation of the lungs.
- D.
The patient has a fever. chills. and loss of appetite.
- 4.A patient comes to the emergency department with abdominal pain. Work-up reveals the presence of a rapidly enlarging abdominal aortic aneurysm. Which of the following actions should the nurse expect?
- A.
The patient will be admitted to the medicine unit for observation and medication.
- B.
The patient will be admitted to the day surgery unit for sclerotherapy.
- C.
The patient will be admitted to the surgical unit and resection will be scheduled.
- D.
The patient will be discharged home to follow-up with his cardiologist in 24 hours.
- 5.A patient with leukemia is receiving chemotherapy that is known to depress bone marrow. A CBC (complete blood count) reveals a platelet count of 25.000/microliter. Which of the following actions related specifically to the platelet count should be included in the nursing care plan?
- A.
Monitor for fever every 4 hours.
- B.
Require visitors to wear respiratory masks and protective clothing.
- C.
Consider transfusion of packed red blood cells.
- D.
Check for signs of bleeding. including examination of urine and stool for blood.
- 6.A nurse in the emergency department is observing a 4-year-old child for signs of increased intracranial pressure after a fall from a bicycle. resulting in head trauma. Which of the following signs or symptoms would be cause for concern?
- A.
Bulging anterior fontanel.
- B.
Repeated vomiting.
- C.
Signs of sleepiness at 10 PM.
- D.
Inability to read short words from a distance of 18 inches.
- 7.A nonimmunized child appears at the clinic with a visible rash. Which of the following observations indicates the child may have rubeola (measles)?
- A.
Small blue-white spots are visible on the oral mucosa.
- B.
The rash begins on the trunk and spreads outward.
- C.
There is low-grade fever.
- D.
The lesions have a “teardrop-on-a-rose-petal” appearance.
- 8.A child is seen in the emergency department for scarlet fever. Which of the following descriptions of scarlet fever is NOT correct?
- A.
Scarlet fever is caused by infection with group A Streptococcus bacteria.
- B.
“Strawberry tongue” is a characteristic sign.
- C.
Petechiae occur on the soft palate.
- D.
The pharynx is red and swollen.
- 9.A child weighing 30 kg arrives at the clinic with diffuse itching as the result of an allergic reaction to an insect bite. Diphenhydramine (Benadryl) 25 mg 3 times a day is prescribed. The correct pediatric dose is 5 mg/kg/day. Which of the following best describes the prescribed drug dose?
- A.
It is the correct dose.
- B.
The dose is too low.
- C.
The dose is too high.
- D.
The dose should be increased or decreased. depending on the symptoms.
- 10.The mother of a 2-month-old infant brings the child to the clinic for a well-baby check. She is concerned because she feels only one testis in the scrotal sac. Which of the following statements about the undescended testis is the most accurate?
- A.
Normally. the testes are descended by birth.
- B.
The infant will likely require surgical intervention.
- C.
The infant probably has with only one testis.
- D.
Normally. the testes descend by one year of age.
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