Nursing Practice Examination Merged
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1. A nurse is assessing a patient with iron-deficiency anemia.
Which symptom is most commonly associated with this
condition?
A. Bradycardia B. Jaundice C. Fatigue and pallor D. Hypertension
Answer: C. Fatigue and pallor
Rationale: Iron-deficiency anemia reduces the oxygen-carrying
capacity of the blood, leading to tissue hypoxia. Common
manifestations include fatigue, weakness, pallor, shortness of breath,
and dizziness. Bradycardia and hypertension are not common
findings, and jaundice is more associated with hemolytic disorders.
2. A patient with sickle cell anemia reports severe joint pain.
Which nursing intervention is the priority?
A. Restrict oral fluids B. Administer prescribed analgesics C.
Encourage strenuous exercise D. Apply cold compresses
Answer: B. Administer prescribed analgesics
,Rationale: Patients experiencing a sickle cell crisis often suffer severe
pain due to vaso-occlusion. Pain management is a priority. Hydration
and oxygenation are also important. Restricting fluids worsens
sickling, and cold compresses can trigger vasoconstriction, increasing
pain.
3. Which laboratory value is most indicative of infection in a
patient receiving chemotherapy?
A. Hemoglobin 14 g/dL B. Platelets 250,000/mm³ C. White blood cell
count 1,000/mm³ D. Potassium 4.0 mEq/L
Answer: C. White blood cell count 1,000/mm³
Rationale: A white blood cell count of 1,000/mm³ indicates severe
leukopenia, placing the patient at high risk for infection.
Chemotherapy suppresses bone marrow function, reducing immune
defenses.
4. A nurse is teaching a patient about neutropenia precautions.
Which statement by the patient indicates understanding?
A. “I will avoid raw fruits and vegetables.” B. “I should receive all
live vaccines.” C. “I can visit crowded areas daily.” D. “I should stop
handwashing frequently.”
Answer: A. “I will avoid raw fruits and vegetables.”
Rationale: Patients with neutropenia are highly susceptible to
infection. Avoiding raw foods reduces exposure to microorganisms.
Frequent hand hygiene and avoiding crowds are also important
protective measures.
5. Which assessment finding is most characteristic of
thrombocytopenia?
A. Polyuria B. Petechiae C. Bradycardia D. Cyanosis
, Answer: B. Petechiae
Rationale: Thrombocytopenia is a low platelet count that increases
bleeding risk. Petechiae, bruising, and bleeding gums are common
findings. Polyuria and cyanosis are unrelated symptoms.
6. A patient with hemophilia should be instructed to avoid which
medication?
A. Acetaminophen B. Aspirin C. Vitamin C D. Iron supplements
Answer: B. Aspirin
Rationale: Aspirin impairs platelet aggregation and increases bleeding
risk, making it dangerous for patients with hemophilia.
Acetaminophen is generally preferred for pain relief.
7. Which food should a nurse recommend for a patient with iron-
deficiency anemia?
A. White rice B. Applesauce C. Spinach D. Crackers
Answer: C. Spinach
Rationale: Spinach is rich in iron and supports red blood cell
production. Iron-rich foods include leafy greens, red meat, beans, and
fortified cereals.
8. A nurse is caring for a patient after a bone marrow biopsy.
Which intervention is appropriate?
A. Encourage vigorous exercise immediately B. Apply pressure to
the biopsy site C. Place the patient in Trendelenburg position D.
Restrict fluids for 24 hours
Answer: B. Apply pressure to the biopsy site