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

For a liver biopsy, assessing coagulation is crucial due to the risk of bleeding. Partial thromboplastin time (PTT) and Prothrombin time (PT) measure the function of different coagulation pathways, indicating how long it takes for blood to clot. A platelet count assesses the number of platelets, which are essential for forming a clot plug. Together, these tests provide a comprehensive picture of a patient's clotting ability.

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

Polycythemia vera is characterized by an overproduction of blood cells, leading to increased blood viscosity. This can cause hypertension and headaches due to impaired blood flow and increased pressure within the circulatory system. Despite the high platelet count, platelet function can be abnormal, leading to a paradoxical increased risk of bleeding, which might be reflected as an increased clotting time in some individuals or specific tests.

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

When using a metered-dose inhaler (MDI), it is crucial to hold the device upright to ensure proper medication delivery. Rinsing the mouth with water after administering a corticosteroid inhaler is also essential to prevent oral candidiasis (thrush) and minimize systemic absorption of the drug. These actions optimize medication effectiveness and reduce adverse effects.

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

Polycythemia vera leads to increased blood viscosity, which can impair blood flow to various organs. This can cause visual disturbances and headaches due to reduced cerebral perfusion. Orthopnea can result from increased blood volume and cardiac workload, while gout is a complication due to increased cell turnover leading to elevated uric acid levels. These manifestations are important for the client to recognize as potential complications.

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

For a client with pneumonia, priority assessments focus on respiratory function and oxygenation. Auscultating breath sounds helps identify areas of consolidation or diminished airflow. Assessing for chest pain can indicate pleuritic inflammation, a common symptom. Observing the color of nail beds provides a quick, non-invasive indicator of peripheral perfusion and oxygen saturation, reflecting the severity of respiratory compromise.

NCLEX Practice Test

NCLEX Practice Test

NCLEX Select All That Apply Practice Exam 1