NCLEX/RN EXAM PRACTICE QUESTIONS AND CORRECT ANSWERS| A+ GRADED
|GUARANTEED PASS!!
1.Blood cells that destroy bacteria. With fewer than 10,000 cells/L circulating granulocytes, risk infection
increases significantly - ANSWER Granulocytes
2. With vitamin B6 & B12 deficiencies, iron deficiency, chronic infection, bone marrow depression,
multiple myeloma, leukemia, hemolytic anemia, & pernicious anemia. Decrease RBC count also may be
noted in older client. - ANSWER Decreased RBC counts occur
3. Immature RBC. Count increased any time there is accelerated production of RBCs. Decreased when
bone marrow has slowed production of RBCs. - ANSWER Reticulocyte
4. Increased platelet aggregation may occur after surgery or with acute illness, venous thrombosis, &
pulmonary embolism.Decreased platelet aggregation may occur with infectious mononucleosis,
idiopathic thrombocytopenia purpura, acute leukemia, or von Willebrand's disease. - ANSWER Platelet
aggregation
5. Normal sodium level 135-145 mEq/L. Medications known to increase sodium levels include anabolic
steroids, oral contraceptives, & nonsteroidal anti-inflammatory drugs. - ANSWER Sodium
6. Carrots, Green & yellow leafy vegetables are good source. Deficiency associated with night blindness. -
ANSWER Vitamin A
7. Eggs, Grains - ANSWER Vitamin B
8. Tomatoes, potatoes, Cabbage, & strawberries - ANSWER Vitamin C
9. Milk products, dark green, leafy vegetables, tofu & other soy products, sardines, salmon with bones, &
hard water. Deficiency can cause skeletal pain. - ANSWER Vitamin D
10. Liver & green leafy vegetables such as spinach are high in vitamin K. Associated with production
prothrombin, which helps blood to clot properly. - ANSWER Vitamin K
,11. Characterized by reduced number leukocytes (leukopenia) & neutrophils (neutropenia) in blood.
High risk infection because decreased body defenses against microorganisms. - ANSWER Agranulocytosis
12. Administered clients agranulocytosis to promote growth neutrophils & enhance function mature
neutrophils. Given subcutaneous injection or continuous intravenous infusion. Diluted only with D5W
when administered by IV route. - ANSWER Filgrastim (Neupogen)
13. Surgical removal of all or part of lung. After surgery perform arm & shoulder exercises two or three
times a day to prevent frozen shoulder. Encouraged drink liquids to liquefy secretions, making easier to
expectorate. Expect soreness in chest & shoulder & altered feeling of sensation around incision site for
several weeks. If signs respiratory infection occur, HCP notified. Perform breathing exercises first 3 weeks
at home & space activities allow frequent rest periods. Avoid heavy lifting any objects more 20 pounds
until muscles of chest wall have healed completely, which takes about 3-6 months. Expect feelings of
weakness & fatigue first 3 weeks after surgery. - ANSWER Pneumonectomy
14. Allen test performed determine adequate ulnar circulation. Failure to determine presence adequate
collateral circulation could result in severe ischemic injury to hand if damage to radial artery occurs with
arterial puncture. - ANSWER Arterial blood gas (ABG) analysis
15. Clinical manifestations include decrease respiratory rate & depth, headache, lightheadedness,
vertigo, mental status changes, paresthesias such as tingling of fingers & toes, hypokalemia,
hypocalcemia, tetany, & convulsions - ANSWER Respiratory alkalosis
16. May occur as result hormone deficiency, intrinsic abnormality of testis, structural problem.
Diagnostic tests for disorder performed to assess urinary & kidney function because kidneys & testes
arise from same germ tissue. - ANSWER Cryptorchidism (undescended testes)
17. Signs infection include pain, redness, heat, & swelling localized area of breast. Symptoms occur
contact HCP. - ANSWER Breast feeding
18. Pain results from ischemia myocardial cells. Pain often precipitated by activity that places more
oxygen demand heart muscle. Supplemental oxygen will help to meet added demands on heart muscle -
ANSWER Angina pectoris
,19. Assesses ability vestibular apparatus in inner ear help maintain standing balance. Also assesses
intactness of cerebellum & proprioception - ANSWER The Romberg test
20. Skin rash that appears within 2 to 30 days infection, generally at site of tick bite. Rash develops into
concentric ring, giving bull's-eye appearance (however, not all clients develop this characteristic). Lesion
enlarges to up to 50 to 60 cm, & smaller lesions develop farther away from original tick bite. In stage I,
most infected persons experience flulike symptoms that last 7 to 10 days & may recur later in disease
course. A 3- to 4-week course oral antibiotic therapy is recommended during stage I. - ANSWER Stage I
Lyme disease
21. Disease develops within 1-6 months in a majority untreated persons. Most serious problems include
cardiac conduction deficits & neurological disorders; Bell's palsy & paralysis. Later stages of Lyme disease
may require therapy with IV antibiotics, such as penicillin G. - ANSWER Stage II of Lyme disease
22. Develops within month to several months after initial infection. Symptoms; arthralgias &
enlargement or inflammation of joints, which can persist for several years after initial infection. -
ANSWER Stage III of Lyme disease
23. Initial symptom; mild clumsiness, usually noted distal portion of one extremity. Complain of tripping
& drag one leg when lower extremities are involved - ANSWER Amyotrophic lateral sclerosis (ALS)
24. Forgetfulness begins interfere with daily routine. Difficulty concentrating & difficulty learning new
material - ANSWER Early-stage Alzheimer's disease
25. Antiparkinsonian medication. Increases dopaminergic action, assisting reduction tremor, akinesia, &
rigidity of parkinsonism - ANSWER Selegiline hydrochloride (Eldepryl)
26. Early symptoms; restlessness, forgetfulness, clumsiness, falls, balance & coordination problems,
altered speech, & altered handwriting. Difficulty swallowing occurs in later stages - ANSWER
Huntington's disease
27. If bacterial infection CSF present, findings; reduced glucose level, protein level greater 15 mg/dL,
increased WBC, cloudy appearance CSF, & CSF pressure greater than 200 mm H2O. - ANSWER Bacterial
meningitis
, 28. diagnosis made by a polymerase chain reaction (PCR) test. Test rapid & noninvasive. - ANSWER
Herpes simplex encephalitis.
29. Antispasmodic relieve symptoms urinary urgency, frequency, nocturia, & incontinence clients
uninhibited or reflex neurogenic bladder. Expected effects; improved urinary control & decreased urinary
frequency, incontinence, & nocturia. - ANSWER Oxybutynin (Ditropan XL)
30. Neglects affected side of body. May ignore presence of affected side (often creating safety hazard as
result of potential injuries) or may state that involved arm or leg belongs to someone else - ANSWER
Anosognosia
31. Condition affected person has few language skills as result extensive damage left hemisphere.
Speech is nonfluent & associated with poor comprehension & limited ability to name objects or repeat
words. - ANSWER Global aphasia
32. Difficulty repeating words spoken by another, & speech characterized by literal paraphasia with intact
comprehension. - ANSWER Conduction aphasia
33. Exhibit a rambling type of speech. - ANSWER Wernicke's aphasia
34. Early signs include changes mental status & impaired respiratory function result of impaired
perfusion distal to site of embolus. Dyspnea, petechiae, and chest pain are signs of fat embolism.
Cardiovascular & renal impairment likely secondary to impaired respiratory function. Suspected fat
embolism, position sitting (Fowler's) position relieve dyspnea. Supplemental oxygen reduce signs of
hypoxia. HCP notified - ANSWER Fat embolism
Informed consent form is required. Shaves & surgically cleans anticipated entry site. Procedure is
explained, asked about allergies to shellfish or contrast media. Oral ingestion except for sips of water
avoided for 4-6 hours before test.
x-ray imaging blood vessels of lungs after injection of contrast material - ANSWER Pulmonary
angiography
|GUARANTEED PASS!!
1.Blood cells that destroy bacteria. With fewer than 10,000 cells/L circulating granulocytes, risk infection
increases significantly - ANSWER Granulocytes
2. With vitamin B6 & B12 deficiencies, iron deficiency, chronic infection, bone marrow depression,
multiple myeloma, leukemia, hemolytic anemia, & pernicious anemia. Decrease RBC count also may be
noted in older client. - ANSWER Decreased RBC counts occur
3. Immature RBC. Count increased any time there is accelerated production of RBCs. Decreased when
bone marrow has slowed production of RBCs. - ANSWER Reticulocyte
4. Increased platelet aggregation may occur after surgery or with acute illness, venous thrombosis, &
pulmonary embolism.Decreased platelet aggregation may occur with infectious mononucleosis,
idiopathic thrombocytopenia purpura, acute leukemia, or von Willebrand's disease. - ANSWER Platelet
aggregation
5. Normal sodium level 135-145 mEq/L. Medications known to increase sodium levels include anabolic
steroids, oral contraceptives, & nonsteroidal anti-inflammatory drugs. - ANSWER Sodium
6. Carrots, Green & yellow leafy vegetables are good source. Deficiency associated with night blindness. -
ANSWER Vitamin A
7. Eggs, Grains - ANSWER Vitamin B
8. Tomatoes, potatoes, Cabbage, & strawberries - ANSWER Vitamin C
9. Milk products, dark green, leafy vegetables, tofu & other soy products, sardines, salmon with bones, &
hard water. Deficiency can cause skeletal pain. - ANSWER Vitamin D
10. Liver & green leafy vegetables such as spinach are high in vitamin K. Associated with production
prothrombin, which helps blood to clot properly. - ANSWER Vitamin K
,11. Characterized by reduced number leukocytes (leukopenia) & neutrophils (neutropenia) in blood.
High risk infection because decreased body defenses against microorganisms. - ANSWER Agranulocytosis
12. Administered clients agranulocytosis to promote growth neutrophils & enhance function mature
neutrophils. Given subcutaneous injection or continuous intravenous infusion. Diluted only with D5W
when administered by IV route. - ANSWER Filgrastim (Neupogen)
13. Surgical removal of all or part of lung. After surgery perform arm & shoulder exercises two or three
times a day to prevent frozen shoulder. Encouraged drink liquids to liquefy secretions, making easier to
expectorate. Expect soreness in chest & shoulder & altered feeling of sensation around incision site for
several weeks. If signs respiratory infection occur, HCP notified. Perform breathing exercises first 3 weeks
at home & space activities allow frequent rest periods. Avoid heavy lifting any objects more 20 pounds
until muscles of chest wall have healed completely, which takes about 3-6 months. Expect feelings of
weakness & fatigue first 3 weeks after surgery. - ANSWER Pneumonectomy
14. Allen test performed determine adequate ulnar circulation. Failure to determine presence adequate
collateral circulation could result in severe ischemic injury to hand if damage to radial artery occurs with
arterial puncture. - ANSWER Arterial blood gas (ABG) analysis
15. Clinical manifestations include decrease respiratory rate & depth, headache, lightheadedness,
vertigo, mental status changes, paresthesias such as tingling of fingers & toes, hypokalemia,
hypocalcemia, tetany, & convulsions - ANSWER Respiratory alkalosis
16. May occur as result hormone deficiency, intrinsic abnormality of testis, structural problem.
Diagnostic tests for disorder performed to assess urinary & kidney function because kidneys & testes
arise from same germ tissue. - ANSWER Cryptorchidism (undescended testes)
17. Signs infection include pain, redness, heat, & swelling localized area of breast. Symptoms occur
contact HCP. - ANSWER Breast feeding
18. Pain results from ischemia myocardial cells. Pain often precipitated by activity that places more
oxygen demand heart muscle. Supplemental oxygen will help to meet added demands on heart muscle -
ANSWER Angina pectoris
,19. Assesses ability vestibular apparatus in inner ear help maintain standing balance. Also assesses
intactness of cerebellum & proprioception - ANSWER The Romberg test
20. Skin rash that appears within 2 to 30 days infection, generally at site of tick bite. Rash develops into
concentric ring, giving bull's-eye appearance (however, not all clients develop this characteristic). Lesion
enlarges to up to 50 to 60 cm, & smaller lesions develop farther away from original tick bite. In stage I,
most infected persons experience flulike symptoms that last 7 to 10 days & may recur later in disease
course. A 3- to 4-week course oral antibiotic therapy is recommended during stage I. - ANSWER Stage I
Lyme disease
21. Disease develops within 1-6 months in a majority untreated persons. Most serious problems include
cardiac conduction deficits & neurological disorders; Bell's palsy & paralysis. Later stages of Lyme disease
may require therapy with IV antibiotics, such as penicillin G. - ANSWER Stage II of Lyme disease
22. Develops within month to several months after initial infection. Symptoms; arthralgias &
enlargement or inflammation of joints, which can persist for several years after initial infection. -
ANSWER Stage III of Lyme disease
23. Initial symptom; mild clumsiness, usually noted distal portion of one extremity. Complain of tripping
& drag one leg when lower extremities are involved - ANSWER Amyotrophic lateral sclerosis (ALS)
24. Forgetfulness begins interfere with daily routine. Difficulty concentrating & difficulty learning new
material - ANSWER Early-stage Alzheimer's disease
25. Antiparkinsonian medication. Increases dopaminergic action, assisting reduction tremor, akinesia, &
rigidity of parkinsonism - ANSWER Selegiline hydrochloride (Eldepryl)
26. Early symptoms; restlessness, forgetfulness, clumsiness, falls, balance & coordination problems,
altered speech, & altered handwriting. Difficulty swallowing occurs in later stages - ANSWER
Huntington's disease
27. If bacterial infection CSF present, findings; reduced glucose level, protein level greater 15 mg/dL,
increased WBC, cloudy appearance CSF, & CSF pressure greater than 200 mm H2O. - ANSWER Bacterial
meningitis
, 28. diagnosis made by a polymerase chain reaction (PCR) test. Test rapid & noninvasive. - ANSWER
Herpes simplex encephalitis.
29. Antispasmodic relieve symptoms urinary urgency, frequency, nocturia, & incontinence clients
uninhibited or reflex neurogenic bladder. Expected effects; improved urinary control & decreased urinary
frequency, incontinence, & nocturia. - ANSWER Oxybutynin (Ditropan XL)
30. Neglects affected side of body. May ignore presence of affected side (often creating safety hazard as
result of potential injuries) or may state that involved arm or leg belongs to someone else - ANSWER
Anosognosia
31. Condition affected person has few language skills as result extensive damage left hemisphere.
Speech is nonfluent & associated with poor comprehension & limited ability to name objects or repeat
words. - ANSWER Global aphasia
32. Difficulty repeating words spoken by another, & speech characterized by literal paraphasia with intact
comprehension. - ANSWER Conduction aphasia
33. Exhibit a rambling type of speech. - ANSWER Wernicke's aphasia
34. Early signs include changes mental status & impaired respiratory function result of impaired
perfusion distal to site of embolus. Dyspnea, petechiae, and chest pain are signs of fat embolism.
Cardiovascular & renal impairment likely secondary to impaired respiratory function. Suspected fat
embolism, position sitting (Fowler's) position relieve dyspnea. Supplemental oxygen reduce signs of
hypoxia. HCP notified - ANSWER Fat embolism
Informed consent form is required. Shaves & surgically cleans anticipated entry site. Procedure is
explained, asked about allergies to shellfish or contrast media. Oral ingestion except for sips of water
avoided for 4-6 hours before test.
x-ray imaging blood vessels of lungs after injection of contrast material - ANSWER Pulmonary
angiography
