NCLEX Practice Exam 18 (10 Questions)

10 Questions | By Santepro | Last updated: Mar 22, 2022 | Total Attempts: 3878

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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 patient who has received chemotherapy for cancer treatment is given an injection of Epoetin. Which of the following should reflect the findings in a complete blood count (CBC) drawn several days later?
- A.
  
  An increase in neutrophil count.
- B.
  
  An increase in hematocrit.
- C.
  
  An increase in platelet count.
- D.
  
  An increase in serum iron.
2.

A patient is admitted to the hospital with suspected polycythemia vera. Which of the following symptoms is consistent with the diagnosis? Select all that applies.
- A.
  
  Weight loss.
- B.
  
  Increased clotting time.
- C.
  
  Hypertension.
- D.
  
  Headaches.
3.

A nurse is caring for a patient with a platelet count of 20.000/microliter. Which of the following is an important intervention?
- A.
  
  Observe for evidence of spontaneous bleeding.
- B.
  
  Limit visitors to family only.
- C.
  
  Give aspirin in case of headaches.
- D.
  
  Impose immune precautions.
4.

A nurse in the emergency department assesses a patient who has been taking long-term corticosteroids to treat renal disease. Which of the following is a typical side effect of corticosteroid treatment? Note: More than one answer may be correct.
- A.
  
  Hypertension.
- B.
  
  Cushingoid features.
- C.
  
  Hyponatremia.
- D.
  
  Low serum albumin.
5.

A nurse is caring for patients in the oncology unit. Which of the following is the most important nursing action when caring for a neutropenic patient?
- A.
  
  Change the disposable mask immediately after use.
- B.
  
  Change gloves immediately after use.
- C.
  
  Minimize patient contact.
- D.
  
  Minimize conversation with the patient.
6.

A patient is undergoing the induction stage of treatment for leukemia. The nurse teaches family members about infectious precautions. Which of the following statements by family members indicates that the family needs more education?
- A.
  
  We will bring in books and magazines for entertainment.
- B.
  
  We will bring in personal care items for comfort.
- C.
  
  We will bring in fresh flowers to brighten the room.
- D.
  
  We will bring in family pictures and get well cards.
7.

A nurse is caring for a patient with acute lymphoblastic leukemia (ALL). Which of the following is the most likely age range of the patient?
- A.
  
  3-10 years.
- B.
  
  25-35 years.
- C.
  
  45-55 years.
- D.
  
  Over 60 years.
8.

A patient is admitted to the oncology unit for diagnosis of suspected Hodgkin’s disease. Which of the following symptoms is typical of Hodgkin’s disease?
- A.
  
  Painful cervical lymph nodes.
- B.
  
  Night sweats and fatigue.
- C.
  
  Nausea and vomiting.
- D.
  
  Weight gain.
9.

The Hodgkin’s disease patient described in the question above undergoes a lymph node biopsy for definitive diagnosis. If the diagnosis of Hodgkin’s disease were correct. which of the following cells would the pathologist expect to find?
- A.
  
  Reed-Sternberg cells.
- B.
  
  Lymphoblastic cells.
- C.
  
  Gaucher’s cells.
- D.
  
  Rieder’s cells
10.

A patient is about to undergo bone marrow aspiration and biopsy and expresses fear and anxiety about the procedure. Which of the following is the most effective nursing response?
- A.
  
  Warn the patient to stay very still because the smallest movement will increase her pain.
- B.
  
  Encourage the family to stay in the room for the procedure.
- C.
  
  Stay with the patient and focus on slow. deep breathing for relaxation.
- D.
  
  Delay the procedure to allow the patient to deal with her feelings.