NCLEX Practice Exam 2

Question 1

An 84-year-old male has been losing mobility and gaining weight over the last two (2) months. The patient also has the heater running in his house 24 hours a day, even on warm days. Which of the following tests is most likely to be performed?

Accepted Answer

Thyroid function tests

Answer

The symptoms described—losing mobility, gaining weight, and feeling cold even on warm days (requiring the heater constantly)—are classic indicators of hypothyroidism. This condition results from an underactive thyroid gland, leading to a slowed metabolism. Thyroid function tests directly measure thyroid hormone levels, making them the most appropriate diagnostic tool to confirm or rule out this suspected endocrine disorder.

Question 2

A nurse is administering blood to a patient who has a low hemoglobin count. The patient asks how long to RBC’s last in my body? The correct response is.

Accepted Answer

The life span of RBC is 120 days

Answer

Red blood cells (RBCs), also known as erythrocytes, have a distinct and relatively long lifespan in the human body. They circulate for approximately 120 days before being removed from the bloodstream, primarily by the spleen. This physiological fact is fundamental to understanding hematopoiesis and various blood disorders.

Question 3

Rhogam is most often used to treat____ mothers that have a ____ infant.

Accepted Answer

RH negative, RH positive

Answer

Rhogam (Rh immune globulin) is administered to Rh-negative mothers who are pregnant with or have delivered an Rh-positive infant. Its purpose is to prevent the mother's immune system from developing antibodies against the Rh-positive fetal red blood cells, which could lead to hemolytic disease in subsequent Rh-positive pregnancies. This intervention is critical for preventing Rh sensitization and protecting future babies.

Question 4

When you are taking a patient’s history, she tells you she has been depressed and is dealing with an anxiety disorder. Which of the following medications would the patient most likely be taking?

Accepted Answer

Amitriptyline (Elavil)

Answer

Amitriptyline (Elavil) is a tricyclic antidepressant (TCA) commonly prescribed for the treatment of depression and various anxiety disorders. It works by increasing the levels of certain neurotransmitters in the brain, such as serotonin and norepinephrine. The other listed medications are used for different conditions, making Amitriptyline the most likely choice for a patient with depression and an anxiety disorder.

Question 5

A 65-year-old man has been admitted to the hospital for spinal stenosis surgery. When should the discharge training and planning begin for this patient?

Accepted Answer

Upon admit

Answer

Discharge planning is a continuous process that should ideally commence upon a patient's admission to the hospital. Starting early allows the healthcare team to thoroughly assess the patient's needs, identify potential barriers to discharge, and coordinate necessary resources, education, and follow-up care. This proactive approach ensures a safe, timely, and effective transition back home, optimizing patient outcomes.

NCLEX Practice Test

NCLEX Practice Test

NCLEX Practice Exam 2