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

Polycythemia vera is characterized by an overproduction of red blood cells, increasing blood viscosity and the risk of blood clots. Adequate hydration is crucial to help reduce blood viscosity and prevent thrombotic events. Therefore, limiting fluid intake to 500mL or less would worsen the condition and indicates a need for further teaching.

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

Glucocorticoids like Solu-Medrol are known to cause hyperglycemia by increasing glucose production and decreasing glucose utilization. In a client with Addison's disease, who is also experiencing stress from nausea and vomiting, monitoring blood glucose levels is essential to detect and manage potential steroid-induced hyperglycemia.

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

Modifiable risk factors are those that can be changed or controlled through lifestyle interventions or medical treatment. Obesity is a modifiable risk factor for coronary artery disease because it can be managed through diet, exercise, and other weight-loss strategies, unlike non-modifiable factors such as heredity, gender, and 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

Acute leukemia is a cancer that impairs the body's ability to produce healthy white blood cells, leading to severe immunosuppression. Clients with leukemia are highly susceptible to infections, making inquiries about recent respiratory infections crucial for assessing their current health status and identifying potential life-threatening complications.

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

Hodgkin's disease, a type of lymphoma, is often characterized by systemic 'B symptoms,' which include unexplained fever, drenching night sweats, and significant weight loss. Fatigue is also a common symptom due to the body's response to the cancer. These symptoms are key diagnostic indicators.

NCLEX Practice Test

NCLEX Practice Test

NCLEX-RN Practice Test 10