NCLEX-RN Practice Test 13

Question 1

A patient has taken an overdose of aspirin. Which of the following should a nurse most closely monitor for during acute management of this patient?

Accepted Answer

Onset of pulmonary edema

Answer

Aspirin (salicylate) overdose is a serious condition that can lead to various complications, including direct toxicity to the lungs. This toxicity can cause non-cardiogenic pulmonary edema, which is a life-threatening accumulation of fluid in the lungs. Monitoring for this acute respiratory complication is crucial during the management of aspirin overdose.

Question 2

A nurse if reviewing a patient’s chart and notices that the patient suffers from conjunctivitis. Which of the following microorganisms is related to this condition?

Accepted Answer

Haemophilus aegyptius

Answer

Conjunctivitis, commonly known as 'pink eye,' is an inflammation of the conjunctiva. While various microorganisms can cause it, *Haemophilus aegyptius* is a well-known bacterial pathogen specifically associated with acute purulent conjunctivitis, especially in tropical regions. It is also linked to Brazilian purpuric fever.

Question 3

A 24-year-old female is admitted to the ER for confusion. This patient has a history of a myeloma diagnosis, constipation, intense abdominal pain, and polyuria. Based on the presenting signs and symptoms, which of the following would you most likely suspect?

Accepted Answer

Hypercalcaemia

Answer

The patient's symptoms of confusion, constipation, intense abdominal pain, and polyuria, combined with a history of myeloma, are classic indicators of hypercalcemia. Multiple myeloma often causes bone destruction, leading to an excessive release of calcium into the bloodstream. This elevated calcium level can manifest with the described neurological, gastrointestinal, and renal symptoms.

Question 4

A 50-year-old blind and deaf patient have been admitted to your floor. As the charge nurse, your primary responsibility for this patient is?

Accepted Answer

Provide a secure environment for the patient

Answer

For a patient who is both blind and deaf, their primary vulnerability is to their physical safety within an unfamiliar environment. As the charge nurse, the most immediate and critical responsibility is to provide a secure environment, minimizing hazards and ensuring the patient can navigate safely. While communication and informing staff are important, ensuring physical safety takes precedence.

Question 5

A client with myocardial infarction is receiving tissue plasminogen activator, alteplase (Activase, tPA). While on the therapy, the nurse plans to prioritize which of the following?

Accepted Answer

Observe for signs of bleeding.

Answer

Tissue plasminogen activator (tPA), such as alteplase, is a potent thrombolytic agent designed to dissolve blood clots. Its mechanism of action carries a significant risk of bleeding, which can range from minor superficial bleeding to life-threatening hemorrhage. Therefore, closely observing for any signs of bleeding is the highest nursing priority during tPA therapy.

NCLEX Practice Test

NCLEX Practice Test

NCLEX-RN Practice Test 13