NCLEX- RN Practice Exam 5 Questions and Answers

  1. A nurse is administering IV furosemide to a patient admitted with
    congestive heart failure. After the infusion, which of the following symptoms
    is NOT expected?
    A. Increased urinary output.
    B. Decreased edema.
    C. Decreased pain.
    D. Decreased blood pressure.
  2. There are a number of risk factors associated with coronary artery disease.
    Which of the following is a modifiable risk factor?
    A. Obesity.
    B. Heredity.
    C. Gender.
    D. Age.
  3. Tissue plasminogen activator (t-PA) is considered for treatment of a patient
    who arrives in the emergency department following onset of symptoms of
    myocardial infarction. Which of the following is a contraindication for
    treatment with t-PA?
    A. Worsening chest pain that began earlier in the evening.
    B. History of cerebral hemorrhage.
    C. History of prior myocardial infarction.
    D. Hypertension.
  4. Following myocardial infarction, a hospitalized patient is encouraged to
    practice frequent leg exercises and ambulate in the hallway as directed by his
    physician. Which of the following choices reflects the purpose of exercise for
    this patient?
    A. Increases fitness and prevents future heart attacks.
    B. Prevents bedsores.
    C. Prevents DVT (deep vein thrombosis).
    D. Prevent constipations.
  5. A patient arrives in the emergency department with symptoms of
    myocardial infarction, progressing to cardiogenic shock. Which of the
    1 / 2
    following symptoms should the nurse expect the patient to exhibit with
    cardiogenic shock?
    A. Hypertension.
    B. Bradycardia.
    C. Bounding pulse.
    D. Confusion.
  6. A patient with a history of congestive heart failure arrives at the clinic
    complaining of dyspnea. Which of the following actions is the first the nurse
    should perform?
    A. Ask the patient to lie down on the exam table.
    B. Draw blood for chemistry panel and arterial blood gas (ABG).
    C. Send the patient for a chest x-ray.
    D. Check blood pressure.
  7. A clinic patient has recently been prescribed nitroglycerin for treatment of
    angina. He calls the nurse complaining of frequent headaches. Which of the
    following responses to the patient is correct?
    A. “Stop taking the nitroglycerin and see if the headaches improve.”
    B. “Go to the emergency department to be checked because nitroglycerin
    can cause bleeding in the brain.”
    C. “Headaches are a frequent side effect of nitroglycerine because it causes
    vasodilation.”
    D. “The headaches are unlikely to be related to the nitroglycerin, so you
    should see your doctor for further investigation.”
  8. A patient received surgery and chemotherapy for colon cancer, completing
    therapy 3 months previously, and she is now in remission. At a follow-up
    appointment, she complains of fatigue following activity and difficulty with
    concentration at her weekly bridge games. Which of the following
    explanations could account for her symptoms?
    A. The symptoms may be the result of anemia caused by chemotherapy.
    B. The patient may be immunosuppressed.
    C. The patient may be depressed.
    D. The patient may be dehydrated.
  9. A clinic patient has a hemoglobin concentration of 10.8 g/dL and reports
    sticking to a strict vegetarian diet. Which of the follow nutritional advice is
    appropriate?
    A. The diet is providing adequate sources of iron and requires no changes

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