NCLEX Practice Exam 20 (10 Questions)

10 Questions | By Santepro | Last updated: Mar 22, 2022 | Total Attempts: 4848

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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.

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.

An African American client is admitted with acute leukemia. The nurse is assessing for signs and symptoms of bleeding. Where is the best site for examining for the presence of petechiae?
- 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