NCLEX-RN Practice Test 14

Question 1

A 23-year-old patient in the 27th week of pregnancy has been hospitalized on complete bed rest for 6 days.
She experiences sudden shortness of breath, accompanied by chest pain.
Which of the following conditions is the most likely cause of her symptoms?

Accepted Answer

Pulmonary embolism due to deep vein thrombosis (DVT).

Answer

Myocardial infarction due to a history of atherosclerosis.

Answer

Anxiety attack due to worries about her baby’s health.

Answer

Congestive heart failure due to fluid overload.

Question 2

A child is seen in the emergency department for scarlet fever. Which of the following descriptions of scarlet fever is NOT correct?

Accepted Answer

Petechiae occur on the soft palate.

Answer

Scarlet fever is caused by infection with group A Streptococcus bacteria

Answer

“Strawberry tongue” is a characteristic sign.

Answer

The pharynx is red and swollen.

Question 3

A physician has diagnosed acute gastritis in a clinic patient. Which of the following medications would be contraindicated for this patient?

Accepted Answer

Naproxen sodium (Naprosyn).

Answer

Calcium carbonate.

Answer

Clarithromycin (Biaxin).

Answer

Furosemide (Lasix).

Question 4

A toddler has recently been diagnosed with cerebral palsy. Which of the following information should the nurse provide to the parents? Note: More than one answer may be correct.

Accepted Answer

Regular developmental screening is important to avoid secondary developmental delays.

Answer

Developmental milestones may be slightly delayed but usually will require no additional intervention.

Question 5

Which of the following conditions most commonly causes acute glomerulonephritis?

Accepted Answer

Prior infection with group A Streptococcus within the past 10-14 days

Answer

A congenital condition leading to renal dysfunction.

Answer

Viral infection of the glomeruli

Answer

Nephrotic syndrome

Question 6

Claudication is a well-known effect of peripheral vascular disease. Which of the following facts about claudication is correct? Select all that apply:

Accepted Answer

It results when oxygen demand is greater than oxygen supply.

Answer

It is characterized by pain that often occurs during rest.

Question 7

A leukemia patient has a relative who wants to donate blood for transfusion. Which of the following donor medical conditions would prevent this?

Accepted Answer

A history of hepatitis C five years previously.

Answer

Cholecystitis requiring cholecystectomy one year previously.

Answer

Asymptomatic diverticulosis.

Answer

Crohn’s disease in remission.

Question 8

A child is admitted to the hospital several days after stepping on a sharp object that punctured her athletic shoe and entered the flesh of her foot. The physician is concerned about osteomyelitis and has ordered parenteral antibiotics. Which of the following actions is done immediately before the antibiotic is started?

Accepted Answer

A blood culture is drawn.

Answer

The admission orders are written.

Answer

A complete blood count with differential is drawn.

Answer

The parents arrive.

Question 9

A child weighing 30 kg arrives at the clinic with diffuse itching as the result of an allergic reaction to an insect bite. Diphenhydramine (Benadryl) 25 mg 3 times a day is prescribed. The correct pediatric dose is 5 mg/kg/day. Which of the following best describes the prescribed drug dose?

Accepted Answer

The dose is too low.

Answer

It is the correct dose.

Answer

The dose is too high.

Answer

The dose should be increased or decreased, depending on the symptoms.

Question 10

What is the purpose of grounded theory?

Accepted Answer

To generate theory from data

Answer

To support theoretical frameworks

Answer

To develop explanatory models

Answer

To find significant differences among groups of people

A 23-year-old patient in the 27th week of pregnancy has been hospitalized on complete bed rest for 6 days.She experiences sudden shortness of breath, accompanied by chest pain.Which of the following conditions is the most likely cause of her symptoms?

A 23-year-old patient in the 27th week of pregnancy has been hospitalized on complete bed rest for 6 days.
She experiences sudden shortness of breath, accompanied by chest pain.
Which of the following conditions is the most likely cause of her symptoms?