NCLEX-RN Practice Test 15

Question 1

A nonimmunized child appears at the clinic with a visible rash. Which of the following observations indicates the child may have rubeola (measles)?

Accepted Answer

Small blue-white spots are visible on the oral mucosa

Answer

The rash begins on the trunk and spreads outward

Answer

There is low-grade fever

Answer

The lesions have a "teardrop-on-a-rose-petal" appearance.

Question 2

The clinic nurse asks a 13-year-old female to bend forward at the waist with arms hanging freely. Which of the following assessments is the nurse most likely conducting?

Accepted Answer

Scoliosis

Answer

Spinal flexibility

Answer

Leg length disparity

Answer

Hypostatic blood pressure

Question 3

A clinic nurse interviews a parent who is suspected of abusing her child. Which of the following characteristics is the nurse LEAST likely to find in an abusing parent?

Accepted Answer

Self-blame for the injury to the child.

Answer

Low self-esteem.

Answer

Unemployment

Answer

Single status.

Question 4

A patient with Addison’s disease asks a nurse for nutrition and diet advice. Which of the following diet modifications is NOT recommended?

Accepted Answer

A restricted sodium diet.

Answer

A diet high in grains.

Answer

A diet with adequate caloric intake.

Answer

A high protein diet.

Question 5

A nurse is assessing a clinic patient with a diagnosis of hepatitis A. Which of the following is the most likely route of transmission?

Accepted Answer

Contaminated food

Answer

Sexual contact with an infected partner

Answer

Blood transfusion

Answer

Illegal drug use

Question 6

A nurse is caring for a patient with peripheral vascular disease (PVD). The patient complains of burning and tingling of the hands and feet and cannot tolerate touch of any kind. Which of the following is the most likely explanation for these symptoms?

Accepted Answer

Inadequate tissue perfusion leading to nerve damage.

Answer

Fluid overload leading to compression of nerve tissue.

Answer

Sensation distortion due to psychiatric disturbance.

Answer

Inflammation of the skin on the hands and feet.

Question 7

A patient with leukemia is receiving chemotherapy that is known to depress bone marrow. A CBC (complete blood count) reveals a platelet count of 25,000/microliter. Which of the following actions related specifically to the platelet count should be included in the nursing care plan?

Accepted Answer

Check for signs of bleeding, including examination of urine and stool for blood

Answer

Monitor for fever every 4 hours

Answer

Require visitors to wear respiratory masks and protective clothing

Answer

Consider transfusion of packed red blood cells

Question 8

A nurse is providing discharge information to a patient with peripheral vascular disease. Which of the following information should be included in instructions?

Accepted Answer

Avoid crossing the legs

Answer

Walk barefoot whenever possible

Answer

Use a heating pad to keep feet warm

Answer

Use antibacterial ointment to treat skin lesions at risk of infection

Question 9

A nurse calls a physician with the concern that a patient has developed a pulmonary embolism. Which of the following symptoms has the nurse most likely observed?

Accepted Answer

The patient suddenly complains of chest pain and shortness of breath.

Answer

The patient is somnolent with decreased response to the family

Answer

The patient has developed a wet cough and the nurse hears crackles on auscultation of the lungs

Answer

The patient has a fever, chills, and loss of appetite

Question 10

Which one of the following statements about hypotheses is most accurate?

Accepted Answer

Hypotheses help frame a test of the validity of a theory.

Answer

Hypotheses represent the main idea to be studied and are the foundations of research studies.

Answer

Hypotheses provide the means to test nursing theory.

Answer

A hypothesis can also be called a problem statement.

A nonimmunized child appears at the clinic with a visible rash.Which of the following observations indicates the child may have rubeola (measles)?

A nonimmunized child appears at the clinic with a visible rash.
Which of the following observations indicates the child may have rubeola (measles)?