{"id":117621,"date":"2023-08-29T13:25:08","date_gmt":"2023-08-29T13:25:08","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=117621"},"modified":"2023-08-29T13:25:10","modified_gmt":"2023-08-29T13:25:10","slug":"nclex-rn-practice-exam-3","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/29\/nclex-rn-practice-exam-3\/","title":{"rendered":"NCLEX- RN Practice Exam 3 2023\/2024"},"content":{"rendered":"\n
    \n
  1. A patient is admitted to the hospital
    with a diagnosis of primary
    hyperparathyroidism. A nurse checking
    the patient\u2019s lab results would expect
    which of the following changes in
    laboratory findings?
    A. Elevated serum calcium.
    B. Low serum parathyroid hormone
    (PTH).
    C. Elevated serum vitamin D.
    D. Low urine calcium.<\/li>\n\n\n\n
  2. A patient with Addison\u2019s disease asks
    a nurse for nutrition and diet advice.
    Which of the following diet modifications
    is NOT recommended?
    A. A diet high in grains.
    B. A diet with adequate caloric
    intake.
    C. A high protein diet.
    D. A restricted sodium diet.<\/li>\n\n\n\n
  3. A patient with a history of diabetes
    mellitus is in the second post-operative
    day following cholecystectomy. She has
    complained of nausea and isn\u2019t able to
    eat solid foods. The nurse enters the
    room to find the patient confused and
    shaky. Which of the following is the most
    likely explanation for the patient\u2019s
    symptoms?
    A. Anesthesia reaction.
    B. Hyperglycemia.
    C. Hypoglycemia.
    D. Diabetic ketoacidosis.<\/li>\n\n\n\n
  4. A nurse assigned to the emergency
    department evaluates a patient who
    underwent fiberoptic colonoscopy 18
    hours previously. The patient reports
    increasing abdominal pain, fever, and
    chills. Which of the following conditions
    poses the most immediate concern?
    A. Bowel perforation.
    B. Viral gastroenteritis.
    C. Colon cancer.
    D. Diverticulitis.<\/li>\n\n\n\n
  5. A patient is admitted to the same day
    surgery unit for liver biopsy. Which of
    the following laboratory tests assesses
    coagulation?
    A. Partial thromboplastin time.<\/li>\n<\/ol>\n\n\n\n
      \n
    1. A nurse is assessing a clinic patient
      with a diagnosis of hepatitis A. Which of
      the following is the most likely route of
      transmission?
      A. Sexual contact with an infected
      partner.
      B. Contaminated food.
      C. Blood transfusion.
      D. Illegal drug use.<\/li>\n\n\n\n
    2. A leukemia patient has a relative who
      wants to donate blood for transfusion.
      Which of the following donor medical
      conditions would prevent this?
      A. A history of hepatitis C five years
      previously.
      B. Cholecystitis requiring
      cholecystectomy one year
      previously.
      C. Asymptomatic diverticulosis.
      D. Crohn\u2019s disease in remission.<\/li>\n\n\n\n
    3. A physician has diagnosed acute
      gastritis in a clinic patient. Which of the
      following medications would be
      contraindicated for this patient?
      A. Naproxen sodium (Naprosyn).
      B. Calcium carbonate.
      C. Clarithromycin (Biaxin).
      D. Furosemide (Lasix).<\/li>\n\n\n\n
    4. The nurse is conducting nutrition
      counseling for a patient with
      cholecystitis. Which of the following
      information is important to
      communicate?
      A. The patient must maintain a low
      calorie diet.
      B. The patient must maintain a high
      protein\/low carbohydrate diet.
      C. The patient should limit sweets
      and sugary drinks.
      D. The patient should limit fatty
      foods.<\/li>\n\n\n\n
    5. A patient admitted to the hospital
      with myocardial infarction develops
      severe pulmonary edema. Which of the
      following symptoms should the nurse
      expect the patient to exhibit?
      A. Slow, deep respirations.
      B. Stridor.
      C. Bradycardia.<\/li>\n<\/ol>\n\n\n\n

      automatic internal cardioverter\u0002defibrillator. Which of the following
      patients is most likely to have this
      procedure?
      A. A patient admitted for myocardial
      infarction without cardiac muscle
      damage.
      B. A post-operative coronary bypass
      patient, recovering on schedule.
      C. A patient with a history of
      ventricular tachycardia and syncopal
      episodes.
      D. A patient with a history of atrial
      tachycardia and fatigue.<\/p>\n\n\n\n

        \n
      1. A patient is scheduled for a
        magnetic resonance imaging (MRI) scan
        for suspected lung cancer. Which of the
        following is a contraindication to the
        study for this patient?
        A. The patient is allergic to shellfish.
        B. The patient has a pacemaker.
        C. The patient suffers from
        claustrophobia.
        D. The patient takes anti-psychotic
        medication.<\/li>\n\n\n\n
      2. A nurse calls a physician with the
        concern that a patient has developed a
        pulmonary embolism. Which of the
        following symptoms has the nurse most
        likely observed?
        A. The patient is somnolent with
        decreased response to the family.
        B. The patient suddenly complains of
        chest pain and shortness of breath.
        C. The patient has developed a wet
        cough and the nurse hears crackles
        on auscultation of the lungs.
        D. The patient has a fever, chills, and
        loss of appetite.<\/li>\n\n\n\n
      3. A patient comes to the emergency
        department with abdominal pain. Work\u0002up reveals the presence of a rapidly
        enlarging abdominal aortic aneurysm.
        Which of the following actions should
        the nurse expect?
        A. The patient will be admitted to the
        medicine unit for observation and
        medication.
        B. The patient will be admitted to the
        day surgery unit for sclerotherapy.
        C. The patient will be admitted to th<\/li>\n<\/ol>\n\n\n\n

        D. The patient will be discharged
        home to follow-up with his
        cardiologist in 24 hours.<\/p>\n\n\n\n

          \n
        1. A patient with leukemia is receiving
          chemotherapy that is known to depress
          bone marrow. A CBC (complete blood
          count) reveals a platelet count of
          25,000\/microliter. Which of the following
          actions related specifically to the
          platelet count should be included on the
          nursing care plan?
          A. Monitor for fever every 4 hours.
          B. Require visitors to wear respiratory
          masks and protective clothing.
          C. Consider transfusion of packed red
          blood cells.
          D. Check for signs of bleeding,
          including examination of urine and
          stool for blood.<\/li>\n\n\n\n
        2. A nurse in the emergency
          department is observing a 4-year-old
          child for signs of increased intracranial
          pressure after a fall from a bicycle,
          resulting in head trauma. Which of the
          following signs or symptoms would be
          cause for concern?
          A. Bulging anterior fontanel.
          B. Repeated vomiting.
          C. Signs of sleepiness at 10 PM.
          D. Inability to read short words from a
          distance of 18 inches.<\/li>\n\n\n\n
        3. A nonimmunized child appears at
          the clinic with a visible rash. Which of
          the following observations indicates the
          child may have rubeola (measles)?
          A. Small blue-white spots are visible
          on the oral mucosa.
          B. The rash begins on the trunk and
          spreads outward.
          C. There is low-grade fever.
          D. The lesions have a \u201ctear drop on a
          rose petal\u201d appearance.<\/li>\n\n\n\n
        4. A child is seen in the emergency
          department for scarlet fever. Which of
          the following descriptions of scarlet
          fever is NOT correct?
          A. Scarlet fever is caused by infection
          with group A Streptococcus bacteria.
          B. \u201cStrawberry tongue\u201d is a
          characteristic sign.
          C. Petechiae occur on the soft palate<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

          automatic internal cardioverter\u0002defibrillator. Which of the followingpatients is most likely to have thisprocedure?A. A patient admitted for myocardialinfarction without cardiac muscledamage.B. A post-operative coronary bypasspatient, recovering on schedule.C. A patient with a history ofventricular tachycardia and syncopalepisodes.D. A patient with a history of atrialtachycardia and fatigue. D. The patient will be dischargedhome to follow-up with […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-117621","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117621","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=117621"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117621\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=117621"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=117621"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=117621"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}