NCLEX- RN Practice Exam 5

Practice Mode

Welcome to your NCLEX- RN Practice Exam 5! This exam is carefully curated to help you consolidate your knowledge and gain deeper understanding on the topic.

 

Exam Details

  • Number of Questions: 25 items
  • Mode: Practice Mode

Exam Instructions

  1. Practice Mode: This mode aims to facilitate effective learning and review.
  2. Instant Feedback: After each question, the correct answer along with an explanation will be revealed. This is to help you understand the reasoning behind the correct answer, helping to reinforce your learning.
  3. Time Limit: There is no time limit for this exam. Take your time to understand each question and the corresponding choices.

Tips For Success

  • Read each question carefully. Take your time and don't rush.
  • Understand the rationale behind each answer. This will not only help you during this exam, but also assist in reinforcing your learning.
  • Don't be discouraged by incorrect answers. Use them as an opportunity to learn and improve.
  • Take breaks if you need them. It's not a race, and your understanding is what's most important.
  • Keep a positive attitude and believe in your ability to succeed.

Remember, this exam is not just a test of your knowledge, but also an opportunity to enhance your understanding and skills. Enjoy the learning journey!

 

Click 'Start Exam' when you're ready to begin. Best of luck!

💡 Hint

Focus on the primary function of Epoetin in stimulating red blood cell production.

1 / 25

1. Nurse Kelly is monitoring Mr. Adams, a patient who recently received chemotherapy for cancer and was administered an injection of Epoetin. When reviewing Mr. Adams' complete blood count (CBC) several days later, which finding should Nurse Kelly expect to see?

💡 Hint

Consider a calming technique that the nurse can actively assist with to help reduce the patient's anxiety.

2 / 25

2. Nurse Carter is preparing Ms. Johnson for a bone marrow aspiration and biopsy. Ms. Johnson expresses fear and anxiety about the upcoming procedure. What is the most effective response by Nurse Carter?

💡 Hint

Consider the common age group most frequently affected by acute lymphoblastic leukemia.

3 / 25

3. Nurse Davis is caring for a patient diagnosed with acute lymphoblastic leukemia (ALL). Based on the typical age range for this condition, what is the most likely age of the patient?

💡 Hint

Focus on enhancing iron intake through vegetarian-friendly sources and methods that improve iron absorption.

4 / 25

4. Nurse Carter is advising a clinic patient with a hemoglobin concentration of 10.8 g/dL who adheres to a strict vegetarian diet. What nutritional advice is appropriate for this patient?

💡 Hint

Consider the known side effects of nitroglycerin and the mechanism by which it works.

5 / 25

5. Nurse Thompson receives a call from a clinic patient who has been recently prescribed nitroglycerin for angina and is now experiencing frequent headaches. Which response is correct?

💡 Hint

Consider the risks associated with a critically low platelet count.

6 / 25

6. Nurse Hernandez is caring for Mr. Lewis, a patient with a platelet count of 20,000/microliter. Which of the following interventions is most important for Nurse Hernandez to implement?

💡 Hint

Identify the hallmark cells that are diagnostic for Hodgkin's disease.

7 / 25

7. Nurse Parker is caring for Mr. Green, who is undergoing a lymph node biopsy to confirm the diagnosis of Hodgkin's disease. If Hodgkin's disease is present, which type of cells should the pathologist expect to find?

💡 Hint

Focus on conditions that significantly increase the risk of bleeding or hemorrhage when using thrombolytic therapy.

8 / 25

8. Nurse Johnson is evaluating a patient who has arrived in the emergency department with symptoms of a myocardial infarction. She considers administering tissue plasminogen activator (t-PA) but must check for contraindications. Which of the following is a contraindication for treatment with t-PA?

💡 Hint

Focus on the initial test that would help identify if there is an infectious cause related to her symptoms of fever and rash.

9 / 25

9. Nurse Harris responds to a situation where a 20-year-old female college student was found unconscious in her dorm room, exhibiting a fever and a noticeable rash. Upon her admission to the hospital, considering the symptoms presented, which test is Nurse Harris most likely to prioritize first?

💡 Hint

Focus on the test that would assess a potential hormonal imbalance that could explain the symptoms of weight change and heat intolerance.

10 / 25

10. Nurse Patel is attending to an 83-year-old male patient who has been experiencing decreased mobility and weight gain over the past two months. Notably, the patient also keeps his heater on continuously, even during warm days. Given these symptoms, which test is Nurse Patel most likely to prioritize to assess the underlying cause of the patient's condition?

💡 Hint

Focus on the systemic symptoms commonly experienced with this type of lymphoma.

11 / 25

11. Nurse Parker is admitting Mr. Green to the oncology unit for the evaluation of suspected Hodgkin's disease. Which symptom is typically associated with Hodgkin's disease?

💡 Hint

Consider the primary methods of preventing infection transmission in immunocompromised patients.

12 / 25

12. Nurse Williams is attending to patients in the oncology unit and needs to prioritize care for a neutropenic patient. Which nursing action is the most important to ensure patient safety?

💡 Hint

Focus on immediate and non-invasive assessments that provide critical information about the patient's current status.

13 / 25

13. Nurse Wilson is assessing a patient with a history of congestive heart failure who arrives at the clinic complaining of dyspnea. What is the first action Nurse Wilson should perform?

💡 Hint

Consider the complications associated with prolonged bed rest and the importance of promoting circulation.

14 / 25

14. Nurse Allen is caring for a hospitalized patient who has recently experienced a myocardial infarction. The patient is encouraged to practice frequent leg exercises and ambulate in the hallway as directed by the physician. Which of the following options best reflects the purpose of this exercise regimen?

💡 Hint

Consider the critical time period for monitoring potential adverse reactions during a blood transfusion.

15 / 25

15. Nurse Stevens is caring for Mrs. Thompson, a patient hospitalized with severe anemia who is receiving a transfusion of packed red blood cells (PRBCs). To ensure patient safety during the transfusion, which statement is the most accurate for Nurse Stevens to follow?

💡 Hint

Consider items that could introduce harmful pathogens into a neutropenic patient's environment.

16 / 25

16. Nurse Morgan is educating the family of a patient who is in the induction phase of leukemia treatment about infection precautions. Which statement by a family member suggests that more education is needed?

💡 Hint

Think about the most supportive and non-intrusive approach for the nurse to take in this sensitive situation.

17 / 25

17. Nurse Thompson is speaking with a family member of a deceased client about funeral arrangements. The family member refuses to discuss the issue. What is the appropriate action for Nurse Thompson to take?

💡 Hint

Focus on the symptoms indicative of reduced cardiac output and impaired perfusion to vital organs.

18 / 25

18. Nurse Miller is assessing a patient who has arrived in the emergency department with symptoms of a myocardial infarction, now progressing to cardiogenic shock. She looks for specific symptoms associated with this condition. Which of the following symptoms should Nurse Miller expect the patient to exhibit with cardiogenic shock?

💡 Hint

Consider the duration and type of precautions needed to prevent the spread of this highly contagious infection.

19 / 25

19. Nurse Ryan is caring for a child diagnosed with meningococcal meningitis. Which isolation technique is appropriate for this situation?

💡 Hint

Focus on factors that can be influenced by lifestyle changes and personal interventions.

20 / 25

20. Nurse Roberts is educating a group of patients about the risk factors associated with coronary artery disease. She emphasizes the importance of identifying and managing modifiable risk factors. Which of the following is considered a modifiable risk factor?

💡 Hint

Focus on measures that minimize the risk of infection in a neutropenic patient.

21 / 25

21. Nurse Kim is caring for a 6-year-old child with leukemia who is receiving combination chemotherapy. The child’s lab results indicate neutropenia, prompting Nurse Kim to implement protective isolation procedures. Which interventions should Nurse Kim initiate? (Select all that apply)

💡 Hint

Focus on the symptoms that are characteristic indicators of preeclampsia, typically involving swelling and blood pressure changes.

22 / 25

22. Nurse Parker is monitoring a pregnant client diagnosed with pregnancy-induced hypertension, who is at risk for developing preeclampsia. To accurately assess the client, which specific signs of preeclampsia should Nurse Parker check for? (Select all that apply)

💡 Hint

Focus on the primary effects of diuretics and their impact on fluid balance and blood pressure.

23 / 25

23. Nurse Simmons is administering IV furosemide to a patient admitted with congestive heart failure. She monitors the patient for expected outcomes following the infusion. Which of the following symptoms is NOT expected?

💡 Hint

Consider the common long-term effects of chemotherapy, particularly those that affect energy levels and cognitive function.

24 / 25

24. Nurse Williams is assessing a patient who completed surgery and chemotherapy for colon cancer 3 months ago and is currently in remission. During a follow-up appointment, the patient complains of fatigue following activity and difficulty concentrating during her weekly bridge games. Which of the following explanations would most likely account for her symptoms?

💡 Hint

Consider which intervention would worsen the patient's condition given their elevated serum sodium level.

25 / 25

25. Nurse Jackson is assessing a client who entered the emergency department confused, twitching, and having seizures. The client's family reports that he was recently started on corticosteroids for arthritis and was feeling better, exercising daily. The nurse notes flushed skin, dry mucous membranes, an elevated temperature, poor skin turgor, and a serum sodium level of 172 mEq/L. Which of the following interventions is INCORRECT?

Exam Mode

Welcome to your NCLEX- RN Practice Exam 5! This exam is carefully designed to provide you with a realistic test-taking experience, preparing you for the pressures of an actual nursing exam.

 

Exam Details

  • Number of Questions: 25 items
  • Mode: Exam Mode

Exam Instructions

  1. Exam Mode: This mode is intended to simulate the environment of an actual exam. Questions and choices will be presented one at a time.
  2. Time Limit: Each question must be answered within 90 seconds. The entire exam should be completed within 37 minutes and 30 seconds.
  3. Feedback and Grading: Upon completion of the exam, you will be able to see your grade and the correct answers to all questions. This will allow you to evaluate your performance and understand areas for improvement.

Tips For Success

  • Read each question carefully. You have 90 seconds per question, so make sure you understand the question before selecting your answer.
  • Pace yourself. Remember, you have 37 minutes and 30 seconds in total, so try to maintain a steady rhythm.
  • Focus on one question at a time. Try not to worry about the questions to come.
  • Stay calm under pressure. Use your knowledge and trust your instincts.
  • Remember, it's not just about the score, but about the learning process.

This exam is not only a measurement of your current understanding, but also a valuable learning tool to prepare you for your future nursing career. Click 'Start Exam' when you're ready to begin. Good luck!

1 / 25

1. Nurse Parker is monitoring a pregnant client diagnosed with pregnancy-induced hypertension, who is at risk for developing preeclampsia. To accurately assess the client, which specific signs of preeclampsia should Nurse Parker check for? (Select all that apply)

2 / 25

2. Nurse Kim is caring for a 6-year-old child with leukemia who is receiving combination chemotherapy. The child’s lab results indicate neutropenia, prompting Nurse Kim to implement protective isolation procedures. Which interventions should Nurse Kim initiate? (Select all that apply)

3 / 25

3. Nurse Stevens is caring for Mrs. Thompson, a patient hospitalized with severe anemia who is receiving a transfusion of packed red blood cells (PRBCs). To ensure patient safety during the transfusion, which statement is the most accurate for Nurse Stevens to follow?

4 / 25

4. Nurse Williams is attending to patients in the oncology unit and needs to prioritize care for a neutropenic patient. Which nursing action is the most important to ensure patient safety?

5 / 25

5. Nurse Wilson is assessing a patient with a history of congestive heart failure who arrives at the clinic complaining of dyspnea. What is the first action Nurse Wilson should perform?

6 / 25

6. Nurse Morgan is educating the family of a patient who is in the induction phase of leukemia treatment about infection precautions. Which statement by a family member suggests that more education is needed?

7 / 25

7. Nurse Harris responds to a situation where a 20-year-old female college student was found unconscious in her dorm room, exhibiting a fever and a noticeable rash. Upon her admission to the hospital, considering the symptoms presented, which test is Nurse Harris most likely to prioritize first?

8 / 25

8. Nurse Parker is caring for Mr. Green, who is undergoing a lymph node biopsy to confirm the diagnosis of Hodgkin's disease. If Hodgkin's disease is present, which type of cells should the pathologist expect to find?

9 / 25

9. Nurse Thompson is speaking with a family member of a deceased client about funeral arrangements. The family member refuses to discuss the issue. What is the appropriate action for Nurse Thompson to take?

10 / 25

10. Nurse Parker is admitting Mr. Green to the oncology unit for the evaluation of suspected Hodgkin's disease. Which symptom is typically associated with Hodgkin's disease?

11 / 25

11. Nurse Patel is attending to an 83-year-old male patient who has been experiencing decreased mobility and weight gain over the past two months. Notably, the patient also keeps his heater on continuously, even during warm days. Given these symptoms, which test is Nurse Patel most likely to prioritize to assess the underlying cause of the patient's condition?

12 / 25

12. Nurse Carter is preparing Ms. Johnson for a bone marrow aspiration and biopsy. Ms. Johnson expresses fear and anxiety about the upcoming procedure. What is the most effective response by Nurse Carter?

13 / 25

13. Nurse Johnson is evaluating a patient who has arrived in the emergency department with symptoms of a myocardial infarction. She considers administering tissue plasminogen activator (t-PA) but must check for contraindications. Which of the following is a contraindication for treatment with t-PA?

14 / 25

14. Nurse Jackson is assessing a client who entered the emergency department confused, twitching, and having seizures. The client's family reports that he was recently started on corticosteroids for arthritis and was feeling better, exercising daily. The nurse notes flushed skin, dry mucous membranes, an elevated temperature, poor skin turgor, and a serum sodium level of 172 mEq/L. Which of the following interventions is INCORRECT?

15 / 25

15. Nurse Kelly is monitoring Mr. Adams, a patient who recently received chemotherapy for cancer and was administered an injection of Epoetin. When reviewing Mr. Adams' complete blood count (CBC) several days later, which finding should Nurse Kelly expect to see?

16 / 25

16. Nurse Thompson receives a call from a clinic patient who has been recently prescribed nitroglycerin for angina and is now experiencing frequent headaches. Which response is correct?

17 / 25

17. Nurse Miller is assessing a patient who has arrived in the emergency department with symptoms of a myocardial infarction, now progressing to cardiogenic shock. She looks for specific symptoms associated with this condition. Which of the following symptoms should Nurse Miller expect the patient to exhibit with cardiogenic shock?

18 / 25

18. Nurse Ryan is caring for a child diagnosed with meningococcal meningitis. Which isolation technique is appropriate for this situation?

19 / 25

19. Nurse Davis is caring for a patient diagnosed with acute lymphoblastic leukemia (ALL). Based on the typical age range for this condition, what is the most likely age of the patient?

20 / 25

20. Nurse Simmons is administering IV furosemide to a patient admitted with congestive heart failure. She monitors the patient for expected outcomes following the infusion. Which of the following symptoms is NOT expected?

21 / 25

21. Nurse Roberts is educating a group of patients about the risk factors associated with coronary artery disease. She emphasizes the importance of identifying and managing modifiable risk factors. Which of the following is considered a modifiable risk factor?

22 / 25

22. Nurse Allen is caring for a hospitalized patient who has recently experienced a myocardial infarction. The patient is encouraged to practice frequent leg exercises and ambulate in the hallway as directed by the physician. Which of the following options best reflects the purpose of this exercise regimen?

23 / 25

23. Nurse Williams is assessing a patient who completed surgery and chemotherapy for colon cancer 3 months ago and is currently in remission. During a follow-up appointment, the patient complains of fatigue following activity and difficulty concentrating during her weekly bridge games. Which of the following explanations would most likely account for her symptoms?

24 / 25

24. Nurse Hernandez is caring for Mr. Lewis, a patient with a platelet count of 20,000/microliter. Which of the following interventions is most important for Nurse Hernandez to implement?

25 / 25

25. Nurse Carter is advising a clinic patient with a hemoglobin concentration of 10.8 g/dL who adheres to a strict vegetarian diet. What nutritional advice is appropriate for this patient?