NCLEX Practice Exam 20 (10 Questions)

10 Questions | Total Attempts: 3658

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NCLEX Practice Exam Quizzes & Trivia

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. 
    The nurse is teaching the client with polycythemia vera about prevention of complications of the disease. Which of the following statements by the client indicates a need for further teaching?
    • A. 

      “I will drink 500mL of fluid or less each day.”

    • B. 

      “I will wear support hose when I am up.”

    • C. 

      “I will use an electric razor for shaving.”

    • D. 

      “I will eat foods low in iron.”

  • 2. 
    A 33-year-old male is being evaluated for possible acute leukemia. Which of the following would the nurse inquire about as a part of the assessment?
    • A. 

      The client collects stamps as a hobby.

    • B. 

      The client recently lost his job as a postal worker.

    • C. 

      The client had radiation for treatment of Hodgkin’s disease as a teenager.

    • D. 

      The client’s brother had leukemia as a child.

  • 3. 
    • A. 

      The abdomen

    • B. 

      The thorax

    • C. 

      The earlobes

    • D. 

      The soles of the feet

  • 4. 
    A client with acute leukemia is admitted to the oncology unit. Which of the following would be most important for the nurse to inquire?
    • A. 

      “Have you noticed a change in sleeping habits recently?”

    • B. 

      “Have you had a respiratory infection in the last 6 months?”

    • C. 

      “Have you lost weight recently?”

    • D. 

      “Have you noticed changes in your alertness?”

  • 5. 
    Which of the following would be the priority nursing diagnosis for the adult client with acute leukemia?
    • A. 

      Oral mucous membrane. altered related to chemotherapy

    • B. 

      Risk for injury related to thrombocytopenia

    • C. 

      Fatigue related to the disease process

    • D. 

      Interrupted family processes related to life-threatening illness of a family member

  • 6. 
    A 21-year-old male with Hodgkin’s lymphoma is a senior at the local university. He is engaged to be married and is to begin a new job upon graduation. Which of the following diagnoses would be a priority for this client?
    • A. 

      Sexual dysfunction related to radiation therapy

    • B. 

      Anticipatory grieving related to terminal illness

    • C. 

      Tissue integrity related to prolonged bed rest

    • D. 

      Fatigue related to chemotherapy

  • 7. 
    A client has autoimmune thrombocytopenic purpura. To determine the client’s response to treatment. the nurse would monitor:
    • A. 

      Platelet count

    • B. 

      White blood cell count

    • C. 

      Potassium levels

    • D. 

      Partial prothrombin time (PTT)

  • 8. 
    The home health nurse is visiting a client with autoimmune thrombocytopenic purpura (ATP). The client’s platelet count currently is 80. It will be most important to teach the client and family about:
    • A. 

      Bleeding precautions

    • B. 

      Prevention of falls

    • C. 

      Oxygen therapy

    • D. 

      Conservation of energy

  • 9. 
    A client with a pituitary tumor has had a transsphenoidal hypophysectomy. Which of the following interventions would be appropriate for this client?
    • A. 

      Place the client in Trendelenburg position for postural drainage

    • B. 

      Encourage coughing and deep breathing every 2 hours

    • C. 

      Elevate the head of the bed 30°

    • D. 

      Encourage the Valsalva maneuver for bowel movements

  • 10. 
    The client with a history of diabetes insipidus is admitted with polyuria. polydipsia. and mental confusion. The priority intervention for this client is:
    • A. 

      Measure the urinary output

    • B. 

      Check the vital signs

    • C. 

      Encourage increased fluid intake

    • D. 

      Weigh the client