NCLEX-RN Practice Exam 2

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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?

Correct! Wrong!

Weight gain and poor temperature tolerance indicate something may be wrong with the thyroid function.

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.

Correct! Wrong!

Red blood cells have a lifespan of 120 in the body.

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

Correct! Wrong!

Rhogam prevents the production of anti-RH antibodies in the mother that has a Rh positive fetus.

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?

Correct! Wrong!

Amitriptyline (Elavil) is a tricyclic antidepressant and used to treat symptoms of depression. Option B: Calcitonin is used to treat osteoporosis in women who have been in menopause. Option C: Pergolide mesylate (Permax) is used in the treatment of Parkinson's disease. Option D: Verapamil (Calan) is a calcium channel blocker.

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?

Correct! Wrong!

Discharge education begins upon admit.

A mother is inquiring about her child’s ability to potty train. Which of the following factors is the most important aspect of toilet training?

Correct! Wrong!

Age is not the greatest factor in potty training. The overall mental and physical abilities of the child are the most important factor.

A thirty-five-year-old male has been an insulin-dependent diabetic for five years and now is unable to urinate. Which of the following would you most likely suspect?

Correct! Wrong!

Autonomic neuropathy (also known as Diabetic Autonomic Neuropathy) affects the autonomic nerves, which control the bladder, intestinal tract, and genitals, among other organs. Paralysis of the bladder is a common symptom of this type of neuropathy. Option A: Atherosclerosis, or hardening of the arteries, is a condition in which plaque builds up inside the arteries. Plaque is made of cholesterol, fatty substances, cellular waste products, calcium and fibrin (a clotting material in the blood). Option B: Diabetic nephropathy (DN) is typically defined by macroalbuminuria—that is, a urinary albumin excretion of more than 300 mg in a 24-hour collection—or macroalbuminuria and abnormal renal function as represented by an abnormality in serum creatinine, calculated creatinine clearance, or glomerular filtration rate (GFR). Clinically, diabetic nephropathy is characterized by a progressive increase in proteinuria and decline in GFR, hypertension, and a high risk of cardiovascular morbidity and mortality. Option D: Somatic neuropathy affects the whole body and presents with diverse clinical pictures, most common is the development of diabetic foot followed by diabetic ulceration and possible amputation.

A second year nursing student has just suffered a needlestick while working with a patient that is positive for AIDS. Which of the following is the most significant action that nursing student should take?

Correct! Wrong!

Azidothymidine (AZT) treatment is the most critical intervention. It is an antiretroviral medication used to prevent and treat HIV/AIDS by reducing the replication of the virus. Options A and D: Other interventions mentioned are to be done later. Option C: Pentamidine is an antimicrobial medication given to prevent and treat pneumocystis pneumonia

Which of the following conditions would a nurse not administer erythromycin?

Correct! Wrong!

Erythromycin is used to treat conditions A-C.

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