NCLEX Practice Exam 20 (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.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
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