NCLEX-RN Practice Test 19

Question 1

A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client?

Accepted Answer

Encouraging fluid intake of at least 200mL per hour

Answer

Taking hourly blood pressures with mechanical cuff

Answer

Position in high Fowler’s with knee gatch raised

Answer

Administering Tylenol as ordered

Question 2

The home health nurse is visiting a client with autoimmune thrombocytopenic purpura (ATP). The client’s platelet count currently is 80, It will be most important to teach the client and family about:

Accepted Answer

Bleeding precautions

Answer

Prevention of falls

Answer

Oxygen therapy

Answer

Conservation of energy

Question 3

A nurse is caring for a patient with acute lymphoblastic leukemia (ALL). Which of the following is the most likely age range of the patient?

Accepted Answer

3-10 years.

Answer

25-35 years.

Answer

45-55 years.

Answer

over 60 years.

Question 4

Which of the following foods would the nurse encourage the client in sickle cell crisis to eat?

Accepted Answer

Popsicle

Answer

Peaches

Answer

Cottage cheese

Answer

Lima beans

Question 5

Tissue plasminogen activator (t-PA) is considered for treatment of a patient who arrives in the emergency department following onset of symptoms of myocardial infarction. Which of the following is a contraindication for treatment with t-PA?

Accepted Answer

History of cerebral hemorrhage.

Answer

Worsening chest pain that began earlier in the evening.

Answer

History of prior myocardial infarction.

Answer

Hypertension.

Question 6

A client has autoimmune thrombocytopenic purpura. To determine the client’s response to treatment, the nurse would monitor:

Accepted Answer

Platelet count

Answer

White blood cell count

Answer

Potassium levels

Answer

Partial prothrombin time (PTT)

Question 7

A 21-year-old male with Hodgkin’s lymphoma is a senior at the local university. He is engaged to be married and is to begin a new job upon graduation. Which of the following diagnoses would be a priority for this client?

Accepted Answer

Sexual dysfunction related to radiation therapy

Answer

Anticipatory grieving related to terminal illness

Answer

Tissue integrity related to prolonged bed rest

Answer

Fatigue related to chemotherapy

Question 8

Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend?

Accepted Answer

A bus trip to the Museum of Natural History

Answer

A family vacation in the Rocky Mountains

Answer

Chaperoning the local boys club on a snow-skiing trip

Answer

Traveling by airplane for business trips

Question 9

A clinic patient has a hemoglobin concentration of 10.8 g/dL and reports sticking to a strict vegetarian diet. Which of the follow nutritional advice is appropriate?

Accepted Answer

The patient should use iron cookware to prepare foods, such as dark green, leafy vegetables and legumes, which are high in iron.

Answer

The diet is providing adequate sources of iron and requires no changes.

Answer

The patient should add meat to her diet; a vegetarian diet is not advised.

Answer

A cup of coffee or tea should be added to every meal.

Question 10

St. Raphael Medical Center just opened its new Performance Improvement Department. Ms. Valencia is appointed as the Quality Control Officer. She commits herself to her new role and plans her strategies to realize the goals and objectives of the department. Which of the following is a primary task that they should perform to have an effective control system?

Accepted Answer

Identify the values of the department

Answer

Identify structure, process, outcome standards & criteria

Answer

Measure actual performances

A 25-year-old male is admitted in sickle cell crisis.Which of the following interventions would be of highest priority for this client?

A 25-year-old male is admitted in sickle cell crisis.
Which of the following interventions would be of highest priority for this client?