NCLEX-RN Practice Test 18

Question 1

A nurse in the emergency department assesses a patient who has been taking long-term corticosteroids to treat renal disease.
Which of the following is a typical side effect of corticosteroid treatment? Note: More than one answer may be correct.

Accepted Answer

Hypertension.

Answer

Hyponatremia.

Question 2

A client had a total thyroidectomy yesterday. The client is complaining of tingling around the mouth and in the fingers and toes. What would the nurses’ next action be?

Accepted Answer

Check the calcium level

Answer

Obtain a crash cart

Answer

Assess the dressing for drainage

Answer

Assess the blood pressure for hypertension

Question 3

A client has had a unilateral adrenalectomy to remove a tumor. To prevent complications, the most important measurement in the immediate postoperative period for the nurse to take is:

Accepted Answer

Blood pressure

Answer

Temperature

Answer

Output

Answer

Specific gravity

Question 4

The nurse is instructing a client with iron-deficiency anemia. Which of the following meal plans would the nurse expect the client to select?

Accepted Answer

Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie

Answer

Roast beef, gelatin salad, green beans, and peach pie

Answer

Chicken salad sandwich, coleslaw, French fries, ice cream

Answer

Pork chop, creamed potatoes, corn, and coconut cake

Question 5

A 30-year-old male from Haiti is brought to the emergency department in sickle cell crisis. What is the best position for this client?

Accepted Answer

Semi-Fowler’s with legs extended on the bed

Answer

Side-lying with knees flexed

Answer

Knee-chest

Answer

High Fowler’s with knees flexed

Question 6

A patient arrives in the emergency department with symptoms of myocardial infarction, progressing to cardiogenic shock. Which of the following symptoms should the nurse expect the patient to exhibit with cardiogenic shock?

Accepted Answer

Confusion

Answer

Hypertension.

Answer

Bradycardia.

Answer

Bounding pulse.

Question 7

A patient is about to undergo bone marrow aspiration and biopsy and expresses fear and anxiety about the procedure. Which of the following is the most effective nursing response?

Accepted Answer

Stay with the patient and focus on slow, deep breathing for relaxation.

Answer

Warn the patient to stay very still because the smallest movement will increase her pain.

Answer

Encourage the family to stay in the room for the procedure.

Answer

Delay the procedure to allow the patient to deal with her feelings.

Question 8

A patient who has received chemotherapy for cancer treatment is given an injection of Epoetin. Which of the following should reflect the findings in a complete blood count (CBC) drawn several days later?

Accepted Answer

An increase in hematocrit.

Answer

An increase in neutrophil count.

Answer

An increase in platelet count.

Answer

An increase in serum iron.

Question 9

The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is:

Accepted Answer

Check the vital signs

Answer

Measure the urinary output

Answer

Encourage increased fluid intake

Answer

Weigh the client

Question 10

He thinks of an appropriate theoretical framework. Whose theory addresses the four modes of adaptation?

Accepted Answer

Sr. Callista Roy

Answer

Martha Rogers

Answer

Florence Nightingale

Answer

Jean Watson

A nurse in the emergency department assesses a patient who has been taking long-term corticosteroids to treat renal disease.Which of the following is a typical side effect of corticosteroid treatment? Note: More than one answer may be correct.

A nurse in the emergency department assesses a patient who has been taking long-term corticosteroids to treat renal disease.
Which of the following is a typical side effect of corticosteroid treatment? Note: More than one answer may be correct.