NCLEX Select All That Apply Practice Exam 1

Question 1

A patient is admitted to the same day surgery unit for liver biopsy. Which of the following laboratory tests assesses coagulation? Select all that apply.

Accepted Answer

Partial thromboplastin time.

Answer

Hemoglobin

Answer

Complete Blood Count

Answer

White Blood Cell Count

Question 2

A patient is admitted to the hospital with suspected polycythemia vera. Which of the following symptoms is consistent with the diagnosis? Select all that apply.

Accepted Answer

Increased clotting time.

Answer

Weight loss.

Question 3

The nurse is teaching the client how to use a metered dose inhaler (MDI) to administer a Corticosteroid drug. Which of the following client actions indicates that he is using the MDI correctly? Select all that apply.

Accepted Answer

The inhaler is held upright.

Answer

Head is tilted down while inhaling the medication

Answer

Client waits 5 minutes between puffs.

Answer

Client lies supine for 15 minutes following administration.

Question 4

The nurse is teaching a client with polycythemia vera about potential complications from this disease. Which manifestations would the nurse include in the client’s teaching plan? Select all that apply.

Accepted Answer

Visual disturbance

Answer

Hearing loss

Answer

Weight loss

Question 5

Which of the following would be priority assessment data to gather from a client who has been diagnosed with pneumonia? Select all that apply.

Accepted Answer

Auscultation of breath sounds

Answer

Auscultation of bowel sounds

Answer

Presence of peripheral edema

Question 6

The nurse is teaching a client who has been diagnosed with TB how to avoid spreading the disease to family members. Which statement(s) by the client indicate(s) that he has understood the nurses instructions? Select all that apply.

Accepted Answer

“I should always cover my mouth and nose when sneezing.”

Answer

“I will need to dispose of my old clothing when I return home.”

Answer

“It is important that I isolate myself from family when possible.”

Question 7

The nurse is admitting a client with hypoglycemia. Identify the signs and symptoms the nurse should expect. Select all that apply.

Accepted Answer

Palpitations

Answer

Thirst

Answer

Hyperventilation

Question 8

Which adaptations should the nurse caring for a client with diabetic ketoacidosis expect the client to exhibit? Select all that apply:

Accepted Answer

Low PCO2

Answer

Sweating

Answer

Retinopathy

Answer

Elevated serum bicarbonate

Question 9

When planning care for a client with ulcerative colitis who is experiencing symptoms, which client care activities can the nurse appropriately delegate to a unlicensed assistant? Select all that apply.

Accepted Answer

Providing skin care following bowel movements

Answer

Assessing the client’s bowel sounds

Answer

Evaluating the client’s response to antidiarrheal medications

Question 10

When assessing the urinary output of a client who has had extracorporeal lithotripsy, the nurse can expect to find:

Accepted Answer

Cherry-red urine that gradually becomes clearer

Answer

Orange-tinged urine containing particles of calculi

Answer

Dark red urine that becomes cloudy in appearance

Answer

Dark, smoky-colored urine with high specific gravity