NCLEX-RN Practice Test 10

Question 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?

Accepted Answer

“I will drink 500mL of fluid or less each day.”

Answer

“I will wear support hose when I am up.”

Answer

“I will use an electric razor for shaving.”

Answer

“I will eat foods low in iron.”

Question 2

A client with Addison’s disease has been admitted with a history of nausea and vomiting for the past 3 days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement?

Accepted Answer

Glucometer readings as ordered

Answer

Intake/output measurements

Answer

Sodium and potassium levels monitored

Answer

Daily weights

Question 3

There are a number of risk factors associated with coronary artery disease. Which of the following is a modifiable risk factor?

Accepted Answer

Obesity

Answer

Heredity.

Answer

Gender.

Answer

Age

Question 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?

Accepted Answer

“Have you had a respiratory infection in the last 6 months?”

Answer

“Have you noticed a change in sleeping habits recently?”

Answer

“Have you lost weight recently?”

Answer

“Have you noticed changes in your alertness?”

Question 5

A patient is admitted to the oncology unit for diagnosis of suspected Hodgkin’s disease. Which of the following symptoms is typical of Hodgkin’s disease?

Accepted Answer

Night sweats and fatigue.

Answer

Painful cervical lymph nodes.

Answer

Nausea and vomiting.

Answer

Weight gain.

Question 6

A nurse is administering IV furosemide to a patient admitted with congestive heart failure. After the infusion, which of the following symptoms is NOT expected?

Accepted Answer

Decreased pain.

Answer

Increased urinary output.

Answer

Decreased edema.

Answer

Decreased blood pressure.

Question 7

A nurse is caring for a patient with a platelet count of 20,000/microliter. Which of the following is an important intervention?

Accepted Answer

Observe for evidence of spontaneous bleeding.

Answer

Limit visitors to family only.

Answer

Give aspirin in case of headaches.

Answer

Impose immune precautions.

Question 8

A 32-year-old mother of three is brought to the clinic. Her pulse is 52, there is a weight gain of 30 pounds in 4 months, and the client is wearing two sweaters. The client is diagnosed with hypothyroidism. Which of the following nursing diagnoses is of highest priority?

Accepted Answer

Decreased cardiac output r/t bradycardia

Answer

Impaired physical mobility related to decreased endurance

Answer

Hypothermia r/t decreased metabolic rate

Answer

Disturbed thought processes r/t interstitial edema

Question 9

A 43-year-old African American male is admitted with sickle cell anemia. The nurse plans to assess circulation in the lower extremities every 2 hours. Which of the following outcome criteria would the nurse use?

Accepted Answer

Capillary refill of < 3 seconds

Answer

Body temperature of 99°F or less

Answer

Toes moved in active range of motion

Answer

Sensation reported when soles of feet are touched

Question 10

A client with a history of emboli is receiving Lovenox (enoxaparin). Which drug is given to counteract the effects of enoxaparin?

Accepted Answer

Protamine sulfate

Answer

Calcium gluconate

Answer

Aquamephyton

Answer

Methergine

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?

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?