NCLEX Nursing Practice Quiz Part II

Question #1: A 20-year-old female attending college is found unconscious in her dorm room. She has a fever and a noticeable rash. She has just been admitted to the hospital. Which of the following tests is most likely to be performed first?

Blood cultures would be performed to investigate the fever and rash symptoms.

Question #2: A mother has recently been informed that her child has Down’s syndrome. You will be assigned to care for the child at shift change. Which of the following characteristics is not associated with Down’s syndrome?

The skin would be dry and not oily.

Question #3: A nurse is reviewing a patient’s medication during shift change. Which of the following medication would be contraindicated if the patient were pregnant? Select all that apply:

Option A: Warfarin (Coumadin). Has a pregnancy category X and associated with central nervous system defects, spontaneous abortion, stillbirth, prematurity, hemorrhage, and ocular defects when given anytime during pregnancy and a fetal warfarin syndrome when given during the first trimester. Option B: Finasteride (Propecia, Proscar). Also has a pregnancy category X which has a high risk of causing permanent damage to the fetus. Option C: Celecoxib (Celebrex). Large doses cause birth defects in rabbits; not known if the effect on people is the same. Option D: Clonidine (Catapres). Crosses the placenta but no adverse fetal effects have been observed. Option E: Transdermal nicotine (Habitrol). Nicotine replacement products have been assigned to pregnancy category C (nicotine gum) and category D (transdermal patches, inhalers, and spray nicotine products). Option F: Clofazimine (Lamprene). Clofazimine has been assigned to pregnancy category C.

Question #4: You are responsible for reviewing the nursing unit’s refrigerator. Which of the following drug, if found inside the fridge, should be removed?

Nadolol (Corgard) is stored at room temperature between 59 to 86 ºF (15 and 30 ºC) away from heat, moisture, and light. Do not store in the bathroom and keep bottle tightly closed. Option B: Humulin N injection if unopened (not in use) is stored in the fridge and is used until the expiration date, or stored at room temperature and used within 31 days. If opened (in-use), store the vial in a refrigerator or at room temperature and use within 31 days. Store the injection pen at room temperature (do not refrigerate) and use within 14 days. Keep it in its original container protected from heat and light. Do not draw insulin from a vial into a syringe until you are ready to give an injection. Do not freeze insulin or store it near the cooling element in a refrigerator. Throw away any insulin that has been frozen. Option C: Urokinase (Kinlytic) is refrigerated at 2–8°C. Option D: Epoetin alfa IV (Epogen) vials should be stored at 2°C to 8°C (36°F to 46°F); Do not freeze. Do not shake. Protect from light.

Question #5: A mother is inquiring about her child’s ability to potty train. Which of the following factors is the most important aspect of toilet training?

Question #6: A patient’s chart indicates a history of hyperkalemia. Which of the following would you not expect to see with this patient if this condition were acute?

Answer choices A-C were symptoms of acute hyperkalemia.

Question #7: A client with myocardial infarction is receiving tissue plasminogen activator, alteplase (Activase, tPA). While on the therapy, the nurse plans to prioritize which of the following?

Bleeding is the priority concern for a client taking thrombolytic medication. Options A and B: Are monitored but are not the primary concern. Option C: is not related to the use of medication

Question #8: A fragile 87-year-old female has recently been admitted to the hospital with increased confusion and falls over last 2 weeks. She is also noted to have a mild left hemiparesis. Which of the following tests is most likely to be performed?

A CT scan would be performed for further investigation of the hemiparesis.

Question #9: A nurse is administering a shot of Vitamin K to a 30-day-old infant. Which of the following target areas is the most appropriate?

Vastus lateralis is the most appropriate location.

Question #10: A toddler is 26 months old and has been recently admitted to the hospital. According to Erikson, which of the following stages is the toddler in?

Autonomy vs. shame and doubt- 12-18 months old. Existential Question: Is It Okay to Be Me?