NCLEX-RN Practice Quiz Test Bank #8
(75 Questions)
NCLEX-RN Practice Quiz Test Bank #8
(75 Questions)
NCLEXRN-08-001
Question Tag: Hodgkin’s lymphoma
Question Category: Physiological Integrity
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?
A. Sexual dysfunction related to radiation therapy
B. Anticipatory grieving related to terminal illness
C. Tissue integrity related to prolonged bed rest
D. Fatigue related to chemotherapy
Correct Answer: A. Sexual dysfunction related to radiation therapy
Radiation therapy often causes sterility in male clients and would be of primary
importance to this client. The psychosocial needs of the client are important to
address in light of the age and life choices. Hodgkin’s disease, however, has a
good prognosis when diagnosed early. Know the importance of sex to individual,
partner, and patient’s motivation for change. Because lymphomas often affect the
relatively young who are in their productive years, these people may be affected
more by these problems and may be less knowledgeable about the possibilities
of change.
Option B: Grieving may not be an appropriate diagnosis since the
client would be experiencing new milestones in his life despite his
condition. Let the patient describe the problem in their own words.
,NCLEX-RN Practice Quiz Test Bank #8
(75 Questions)
Provides a more accurate picture of patient experience with which to
develop a plan of care.
Option C: Option B is not applicable since the client is not on bed
rest. Encourage the patient to share thoughts and concerns with his
partner and to clarify values and impact of condition on relationship.
Helps the couple begin to deal with issues that can strengthen or
weaken the relationship.
Option D: Fatigue may occur during chemotherapy, but it is not the
priority diagnosis. Identify pre-existing and current stress factors that
may be affecting the relationship. The patient may be concerned
about other issues, such as job, financial, and illness-related
problems.
NCLEXRN-08-002
Question Tag: thrombocytopenic purpura
Question Category: Physiological Integrity
A client has autoimmune thrombocytopenic purpura. To determine the client’s
response to treatment, the nurse would monitor:
A. Platelet count
B. White blood cell count
C. Potassium levels
D. Partial prothrombin time (PTT)
Correct Answer: A. Platelet count
Clients with autoimmune thrombocytopenic purpura (ATP) have low platelet
counts, making answer A the correct answer. The laboratory tests will show low
platelet count, usually <40×10^9/L for over three months. Blood film shows large
platelets and tiny platelet fragments. Bone marrow examination shows an
increased number of megakaryocytes.
,NCLEX-RN Practice Quiz Test Bank #8
(75 Questions)
Option B: Often associated with the CBC is a differential, which
refers to the relative amounts of white blood cell types (i.e.,
neutrophil, lymphocyte, eosinophil, etc.) as a percentage of the total
number of WBCs. Of note, if a subtype of white blood cells seems to
be elevated based on the differential, the actual value of the type of
white blood cells should be calculated by multiplying the percentage
listed on the differential by the total number of white blood cells.
Option C: Potassium disorders are related to cardiac arrhythmias.
Hypokalemia occurs when serum potassium levels under 3.6
mmol/L—weakness, fatigue, and muscle twitching present in
hypokalemia. Hyperkalemia occurs when the serum potassium levels
above 5.5 mmol/L, which can result in arrhythmias. Muscle cramps,
muscle weakness, rhabdomyolysis, myoglobinuria are presenting
signs and symptoms in hyperkalemia.
Option D: Patients with a propensity for bleeding should undergo
testing to determine the presence of a clotting disorder. For patients
with deficiencies or defects of the intrinsic clotting cascade, the PTT
will be elevated. Normal PTT values can vary between laboratories
but 25 to 35 seconds is considered normal.
NCLEXRN-08-003
Question Tag: thrombocytopenic purpura
Question Category: Physiological Integrity
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:
A. Bleeding precautions
B. Prevention of falls
C. Oxygen therapy
D. Conservation of energy
, NCLEX-RN Practice Quiz Test Bank #8
(75 Questions)
Correct Answer: A. Bleeding precautions
The normal platelet count is 120,000–400, Bleeding occurs in clients with low
platelets. The priority is to prevent and minimize bleeding. Review laboratory
results for coagulation status as appropriate: platelet count, prothrombin
time/international normalized ratio (PT/INR), activated partial thromboplastin
time (aPTT), fibrinogen, bleeding time, fibrin degradation products, vitamin K,
activated coagulation time (ACT); and educate the at-risk patient and caregivers
about precautionary measures to prevent tissue trauma or disruption of the
normal clotting mechanisms.
Option B: Thoroughly conform patient to surroundings; put call light
within reach and teach how to call for assistance; respond to call
light immediately; avoid use of restraints; obtain a physician’s order
if restraints are needed; and eliminate or drop all possible hazards in
the room such as razors, medications, and matches.
Option C: Option C is important, but platelets do not carry oxygen.
Wash hands and teach patient and SO to wash hands before contact
with patients and between procedures with the patient; encourage
fluid intake of 2,000 to 3,000 mL of water per day, unless
contraindicated.
Option D: Option D is of lesser priority and is incorrect in this
instance. Recommend the use of soft-bristled toothbrushes and
stool softeners to protect mucous membranes; and if infection
occurs, teach the patient to take antibiotics as prescribed; instruct
the patient to take the full course of antibiotics even if symptoms
improve or disappear.
NCLEXRN-08-004
Question Tag: transsphenoidal hypophysectomy
Question Category: Physiological Integrity
(75 Questions)
NCLEX-RN Practice Quiz Test Bank #8
(75 Questions)
NCLEXRN-08-001
Question Tag: Hodgkin’s lymphoma
Question Category: Physiological Integrity
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?
A. Sexual dysfunction related to radiation therapy
B. Anticipatory grieving related to terminal illness
C. Tissue integrity related to prolonged bed rest
D. Fatigue related to chemotherapy
Correct Answer: A. Sexual dysfunction related to radiation therapy
Radiation therapy often causes sterility in male clients and would be of primary
importance to this client. The psychosocial needs of the client are important to
address in light of the age and life choices. Hodgkin’s disease, however, has a
good prognosis when diagnosed early. Know the importance of sex to individual,
partner, and patient’s motivation for change. Because lymphomas often affect the
relatively young who are in their productive years, these people may be affected
more by these problems and may be less knowledgeable about the possibilities
of change.
Option B: Grieving may not be an appropriate diagnosis since the
client would be experiencing new milestones in his life despite his
condition. Let the patient describe the problem in their own words.
,NCLEX-RN Practice Quiz Test Bank #8
(75 Questions)
Provides a more accurate picture of patient experience with which to
develop a plan of care.
Option C: Option B is not applicable since the client is not on bed
rest. Encourage the patient to share thoughts and concerns with his
partner and to clarify values and impact of condition on relationship.
Helps the couple begin to deal with issues that can strengthen or
weaken the relationship.
Option D: Fatigue may occur during chemotherapy, but it is not the
priority diagnosis. Identify pre-existing and current stress factors that
may be affecting the relationship. The patient may be concerned
about other issues, such as job, financial, and illness-related
problems.
NCLEXRN-08-002
Question Tag: thrombocytopenic purpura
Question Category: Physiological Integrity
A client has autoimmune thrombocytopenic purpura. To determine the client’s
response to treatment, the nurse would monitor:
A. Platelet count
B. White blood cell count
C. Potassium levels
D. Partial prothrombin time (PTT)
Correct Answer: A. Platelet count
Clients with autoimmune thrombocytopenic purpura (ATP) have low platelet
counts, making answer A the correct answer. The laboratory tests will show low
platelet count, usually <40×10^9/L for over three months. Blood film shows large
platelets and tiny platelet fragments. Bone marrow examination shows an
increased number of megakaryocytes.
,NCLEX-RN Practice Quiz Test Bank #8
(75 Questions)
Option B: Often associated with the CBC is a differential, which
refers to the relative amounts of white blood cell types (i.e.,
neutrophil, lymphocyte, eosinophil, etc.) as a percentage of the total
number of WBCs. Of note, if a subtype of white blood cells seems to
be elevated based on the differential, the actual value of the type of
white blood cells should be calculated by multiplying the percentage
listed on the differential by the total number of white blood cells.
Option C: Potassium disorders are related to cardiac arrhythmias.
Hypokalemia occurs when serum potassium levels under 3.6
mmol/L—weakness, fatigue, and muscle twitching present in
hypokalemia. Hyperkalemia occurs when the serum potassium levels
above 5.5 mmol/L, which can result in arrhythmias. Muscle cramps,
muscle weakness, rhabdomyolysis, myoglobinuria are presenting
signs and symptoms in hyperkalemia.
Option D: Patients with a propensity for bleeding should undergo
testing to determine the presence of a clotting disorder. For patients
with deficiencies or defects of the intrinsic clotting cascade, the PTT
will be elevated. Normal PTT values can vary between laboratories
but 25 to 35 seconds is considered normal.
NCLEXRN-08-003
Question Tag: thrombocytopenic purpura
Question Category: Physiological Integrity
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:
A. Bleeding precautions
B. Prevention of falls
C. Oxygen therapy
D. Conservation of energy
, NCLEX-RN Practice Quiz Test Bank #8
(75 Questions)
Correct Answer: A. Bleeding precautions
The normal platelet count is 120,000–400, Bleeding occurs in clients with low
platelets. The priority is to prevent and minimize bleeding. Review laboratory
results for coagulation status as appropriate: platelet count, prothrombin
time/international normalized ratio (PT/INR), activated partial thromboplastin
time (aPTT), fibrinogen, bleeding time, fibrin degradation products, vitamin K,
activated coagulation time (ACT); and educate the at-risk patient and caregivers
about precautionary measures to prevent tissue trauma or disruption of the
normal clotting mechanisms.
Option B: Thoroughly conform patient to surroundings; put call light
within reach and teach how to call for assistance; respond to call
light immediately; avoid use of restraints; obtain a physician’s order
if restraints are needed; and eliminate or drop all possible hazards in
the room such as razors, medications, and matches.
Option C: Option C is important, but platelets do not carry oxygen.
Wash hands and teach patient and SO to wash hands before contact
with patients and between procedures with the patient; encourage
fluid intake of 2,000 to 3,000 mL of water per day, unless
contraindicated.
Option D: Option D is of lesser priority and is incorrect in this
instance. Recommend the use of soft-bristled toothbrushes and
stool softeners to protect mucous membranes; and if infection
occurs, teach the patient to take antibiotics as prescribed; instruct
the patient to take the full course of antibiotics even if symptoms
improve or disappear.
NCLEXRN-08-004
Question Tag: transsphenoidal hypophysectomy
Question Category: Physiological Integrity
