NCLEX RN Practice Exam

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nclex rn practice questions 2018

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Q: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?
Mark one answer:

Increased urinary output.
Decreased edema.
Decreased pain.
Decreased blood pressure.

Q:2-There are a number of risk factors associated with coronary artery disease. Which of the following is a modifiable risk factor?
Mark one answer:


Q: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?
Mark one answer:

Worsening chest pain that began earlier in the evening.
History of cerebral hemorrhage.
History of prior myocardial infarction.

Q: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?
Mark one answer:

Increases fitness and prevents future heart attacks.
Prevents bedsores.
Prevents DVT (deep vein thrombosis).
Prevent constipations.

Q:5-A patient arrives in the emergency department with symptoms of myocardial infarction, progressing to cardiogenic shock. Which of the following symptoms should the nurse expect the patient to exhibit with cardiogenic shock?
Mark one answer:

Bounding pulse.

Q:6-A patient in the cardiac unit is concerned about the risk factors associated with atherosclerosis. Which of the following are hereditary risk factors for developing atherosclerosis?
Mark one answer:

Family history of heart disease.

Q:7-Claudication is a well-known effect of peripheral vascular disease. Which of the following facts about claudication is incorrect?
Mark one answer:

It results when oxygen demand is greater than oxygen supply.
It is characterized by pain that often occurs during rest.
It is a result of tissue hypoxia.
It is characterized by cramping and weakness.

Q:8-A nurse is providing discharge information to a patient with peripheral vascular disease. Which of the following information should be included in instructions?
Mark one answer:

Walk barefoot whenever possible.
Use a heating pad to keep feet warm.
Avoid crossing the legs.
Use antibacterial ointment to treat skin lesions at risk of infection.

Q:9-A patient who has been diagnosed with vasospastic disorder (Raynaud’s disease) complains of cold and stiffness in the fingers. Which of the following descriptions is most likely to fit the patient?
Mark one answer:

An adolescent male.
An elderly woman.
A young woman.
An elderly man.

Q:10-A 23 year old patient in the 27th week of pregnancy has been hospitalized on complete bed rest for 6 days. She experiences sudden shortness of breath, accompanied by chest pain. Which of the following conditions is the most likely cause of her symptoms?
Mark one answer:

Myocardial infarction due to a history of atherosclerosis.
Pulmonary embolism due to deep vein thrombosis (DVT).
Anxiety attack due to worries about her baby’s health.
Congestive heart failure due to fluid overload.

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