NCLEX Practice Exam 3

Question 1

A patient is scheduled for a magnetic resonance imaging (MRI) scan for suspected lung cancer. Which of the following is a contraindication to the study for this patient?

Accepted Answer

The patient has a pacemaker

Answer

The patient is allergic to shellfish

Answer

The patient suffers from claustrophobia

Answer

The patient takes anti-psychotic medication

Question 2

A nurse caring for several patients on the cardiac unit is told that one is scheduled for implantation of an automatic internal cardioverter-defibrillator. Which of the following patients is most likely to have this procedure?

Accepted Answer

A patient with a history of ventricular tachycardia and syncopal episodes.

Answer

A patient admitted for myocardial infarction without cardiac muscle damage.

Answer

A post-operative coronary bypass patient, recovering on schedule.

Answer

A patient with a history of atrial tachycardia and fatigue.

Question 3

A nurse in the emergency department is observing a 4-year-old child for signs of increased intracranial pressure after a fall from a bicycle, resulting in head trauma. Which of the following signs or symptoms would be cause for concern?

Accepted Answer

Repeated vomiting

Answer

Bulging anterior fontanel

Answer

Signs of sleepiness at 10 PM.

Answer

Inability to read short words from a distance of 18 inches

Question 4

An adolescent brings a physician’s note to school stating that he is not to participate in sports due to a diagnosis of Osgood-Schlatter disease. Which of the following statements about the disease is correct?

Accepted Answer

The student experiences pain in the inferior aspect of the knee.

Answer

The condition was caused by the student’s competitive swimming schedule.

Answer

The student will most likely require surgical intervention.

Answer

The student is trying to avoid participation in physical education.

Question 5

A patient is admitted to the hospital with a diagnosis of primary hyperparathyroidism. A nurse checking the patient’s lab results would expect which of the following changes in laboratory findings?

Accepted Answer

Elevated serum calcium.

Answer

Low serum parathyroid hormone (PTH).

Answer

Elevated serum vitamin D.

Answer

Low urine calcium.

Question 6

A patient admitted to the hospital with myocardial infarction develops severe pulmonary edema. Which of the following symptoms should the nurse expect the patient to exhibit?

Accepted Answer

Air hunger

Answer

Slow, deep respirations

Answer

Stridor

Answer

Bradycardia

Question 7

A nurse is assigned to the pediatric rheumatology clinic and is assessing a child who has just been diagnosed with juvenile idiopathic arthritis. Which of the following statements about the disease is most accurate?

Accepted Answer

Nonsteroidal anti-inflammatory drugs are the first choice in treatment.

Answer

The child has a poor chance of recovery without joint deformity.

Answer

Most children progress to adult rheumatoid arthritis.

Answer

Physical activity should be minimized.

Question 8

A patient is admitted to the same day surgery unit for liver biopsy. Which of the following laboratory tests assesses coagulation? (Select all that apply)

Accepted Answer

Partial thromboplastin time

Answer

Hemoglobin

Question 9

The mother of a 2-month-old infant brings the child to the clinic for a well-baby check. She is concerned because she feels only one testis in the scrotal sac. Which of the following statements about the undescended testis is the most accurate?

Accepted Answer

Normally, the testes descend by one year of age

Answer

Normally, the testes are descended by birth

Answer

The infant will likely require surgical intervention

Answer

The infant probably has with only one testis

Question 10

Anne, who is drinking beer at a party, falls and hits her head on the ground. Her friend Liza dials “911” because Anne is unconscious, depressed ventilation (shallow and slow respirations), rapid heart rate, and is profusely bleeding from both ears. Which primary acid-base imbalance is Anne at risk for if medical attention is not provided?

Accepted Answer

Respiratory Acidosis

Answer

Metabolic Acidosis

Answer

Metabolic Alkalosis

Answer

Respiratory Alkalosis

A patient is scheduled for a magnetic resonance imaging (MRI) scan for suspected lung cancer.Which of the following is a contraindication to the study for this patient?

A patient is scheduled for a magnetic resonance imaging (MRI) scan for suspected lung cancer.
Which of the following is a contraindication to the study for this patient?