שאלות תרגול מבחני רישוי NCLEX-RN
 

בהצלחה!

Which of the following goals would be appropriate for a client with aplastic anemia? The client will
      Perform activities of daily living without fatigue or dyspnea.
      Learn how to administer weekly vitamin B12  injections.
      Describe how to correctly take prescribed anticoagulant drug therapy.
     Describe self-care behaviors that will prevent spread of the disease to family members.
Answer – c.
 
A nurse planning care for a child in vaso-occlusive crisis because of sickle cell disease would include increasing fluid intake in the list of interventions because.
      Decreased blood viscosity prevents the sickling process.
      Decreased blood viscosity will reverse the sickling process.
      Hemodilution increases normal red blood cell life span.
      Increasing fluid intake increases hemolysis.
Answer – a.
 
 A nurse has taught a mother about her child's sickle cell disease. No one else in the immediate family has sickle cell disease. The nurse would, determine that the mother may need more teaching when she states
      "I need to make sure my child gets plenty of extra fluids in hot weather,"
      "My child got this disease from both myself and my husband."
      "There is a one in four chance that my next child will have the same problem."
      "When my child complains of pain, I try to ignore it; it's just psychosomatic."
Answer – d.
 
A nurse is reviewing a care plan that includes interventions aimed at preventing complications in a child with a low platelet count. The nurse would eliminate which of the following interventions because it is inappropriate in relation to preventing complications of a low platelet count?
     Consult with the physician about using a stool softener.
      Place the child in protective isolation.
      Use normal saline solution instead of heparin to flush intermittent IV access devices.
      Work to help the child understand the need for some activity restrictions.
Answer – b.
 
 A 4-year-old child with hemophilia is brought to the pediatrician’s office with spontaneous soft tissue bleeding of the right knee. Immediately on the child’s arrival, the nurse would plan to
      Apply a tourniquet to the right thigh and administer aspirin for discomfort.
      Elevate the right knee and apply ice to the area.
      Immobilize the knee in a dependent position, then apply warm soaks to the involved knee.
      Do a type and cross-match for platelets, then assess vital signs.
Answer – b.
 
When caring for a client with pernicious anemia, the nurse would most likely note which of the following signs and symptoms?
      Clubbing of the fingernails.
      Paresthesias in the feet and hands.
      Cyanosis of the lips.
      Urinary incontinence.
Answer – b.
 
 A client with pernicious anemia is to receive intra­muscular vitamin B12 therapy. The client asks when she can stop taking the injections. Which of the fol­lowing statements should guide the nurse's re­sponse? Injections will be necessary
     For the rest of the client's life.
      Between episodes of disease remission.
      Until the disease process has been successfully controlled.
     Until the dietary regimen has been successfully established.
Answer – a.
 
 The sign or symptom that most probably caused a client with pernicious anemia to seek health care is
      Dark stools.
      A tendency to bleed.
      Sudden weight loss.
     Unusual fatigue.
Answer – d.
 
 Mrs. Joan Harris is being evaluated for anemia. Which of the following signs and symptoms would indicate she is suffering from a B12 deficiency anemia?
      Complaints of tingling and numbness.
      Complaints of burning upon urination.
      Complaints of headaches and confusion.
      Complaints of shortness of breath.              
Answer – a.
 
Ms. Janet Oui has been diagnosed with iron deficiency anemia. Which of the following teaching plans would help her minimize the side effects of the ferrous sulfate tablets? Instruct her to
      Take the medication with milk.
      Take the medication before meals.
     Take the medication upon arising.
     Take the medication after meals.
Answer – d.
 
Ms. Sullivan is receiving a blood transfusion. Which of the following signs and symptoms would indicate she is having a hemolytic reaction?
      Itching associated with a generalized skin rash occurring soon after transfusion is completed.
      Burning along the course of the vein during the transfusion.
     Chills and fever within 1 day after the transfusion.                             
     Dry cough and shortness of breath during the transfusion.
Answer – b.
 
When preparing for a blood transfusion, which of the following would the nurse do first?
      Recheck the written order for the transfusion in the patient record.
      Explain the procedure to the patient.
      Review the record to proper typing and crossmatching of the patient.
    Contact the laboratory to ensure the proper blood.
Answer – b.
 
Which kinds of foods selected by a 12-year-old child would indicate understanding of his or her iron deficiency anemia?
     Cheese and milk products.
     Fish.
     Chicken.
     Red meat.
Answer – d.
 
Which of the following describes the appropriate minimum licensure of nursing personnel who are verifying a blood transfusion before the patient receives it?
      One registered nurse and one certified nursing assistant.
      One registered nurse and one licensed practical nurse.
      Two registered nurses.
     Two licensed practical nurses.
Answer – c.
 
The management plan for treatment of vaso-occlusive crisis in children with sickle cell anemia should include
     Fluids and opioids.
      Oxygen and aspirin.
      Diet restrictions and bed rest.                                                                  
      Corticosteroids and fluid restriction.
Answer – a.
 
 In which age group is sickle cell anemia most commonly found?
     Infancy
     Childhood
      Adulthood
     Geriatrics
Answer: b.
 
Which of the following is the most dangerous to the sickle cell anemia client?
      Fatigue
      Strenuous exercise
      Dehydration
     Overhydration
Answer: c.
 
When a tissue is injured, what is the substance released from the tissue to start the clotting process?
      thromboplastin
      thrombin
      fibrinogen
     fibrin
Answer: a
 
Which component in the blood starts the chain reaction leading to a blood clot when there is tissue damage?
       Erythrocytes
      Leukocytes
      Platelets
     White blood cells
Answer: c.
 
What is the most important action of the nurse following a bone marrow aspiration?
     Encourage fluids
      Provide for pain medication
      Monitor frequent vital signs
     Apply pressure over the aspiration site

Answer: d.

When teaching a sexuality class at a community center, the nurse should instruct class participants that human immunodeficiency virus (HIV) transmission could be greatly reduced, if not altogether prevented, by which of the following behaviors?
      Avoiding inhalant drugs.
      Avoiding kissing for longer than 30 minutes at a time.
      Using condoms during sexual intercourse.
     Douching after sexual intercourse.
Answer – 3.
 
Which of the following signs and symptoms would indicate that a client with human immunodeficiency virus (HIV) infection has developed acquired immune deficiency syndrome (AIDS)?
      Severe fatigue at night.
      Pain on standing and walking.
      Weight loss of 10 pounds over 3 months.
      Herpes simplex ulcer persisting for 2 months.
Answer – 2.
 
 A client comes to the emergency room after being stung by a bee. The nurse observes the bee sting for initial signs and symptoms of acute inflammation, one of which locally is
      Numbness.
      Swelling.
     Blanching of the skin.
      The presence of exudate.
Answer – 2.
 
A priority nursing problem for a client with AIDS would be
      Fluid volume excess.
      Fluid volume deficit.
      Constipation.
      Immobility.
Answer – 2.
 
What is true of serum sickness?
1) It is a type II hypersensitivity reaction
2)    Skin testing is not necessary before giving foreign serum
3)   It is rare today since horse serum is no longer used.
4)   It may appear a week or more after exposure
Answer: 4.
 
Poison ivy is an example of which of the following?
   Atopic dermatitis
      Hereditary angioedema
      Allergic contact dermatitis
     Toxic epidermal necrolysis
Answer: 3.
 
True food allergy is mediated by which immunoglobulin?
 IgA
   IgD
    IgE
   IgG
Answer: 3.
 
Which immunoglobulin is associated with atopic disease?
   IgA
      IgM
      IgG
      IgE
Answer: 4.
 
What is not true about T lymphocytes?
  T cells mediate both T and B cell function
      T cells originate in the thymus
      T helper cells express CD4 antigen
      T cells are involved in cell-mediated immunity
Answer: 2.
 
Which of the following cells is not a phagocyte?
      Eisonphil
      Monocyte
      Kupfer cell
      Langerhans cell
Answer: 1.
 
Which of the following foods are not associated with food poisoning toxins?
     Tuna salad
      Egg salad
      Bonito
      Overcooked meats
Answer: 4.
 
One of the most important reasons for treating group A streptococcal pharyngitis early is for which of the following reasons?
      To prevent future sterility
      To avoid mumps
      To prevent colds
      To prevent the possibility of subsequent rheumatic fever
Answer: 4.
 
Which of the following infections is the most common cause of morbidity in the United States?
      Urinary tract infections
      Upper respiratory infections
      Sexually transmitted diseases
     Nosocomial infections
Answer: 2.
 
The most common organism associated with sinusitis is which of the following?
      Herpes simplex
      C. albicans
     Gonorrhea
      H. influenzae
Answer: 4.
 
Which of the following manifestations would the nurse not expect to find in the client with meningitis?
      nuchal rigidity
      photophobia
     seizures
      papilledema
Answer: 4.
 
A client presenting with fever, headache, and meningismus is found to have an elevated WBC count, an elevated protein level, and a decreased glucose level in the CSF. The nurse would expect to start a care plan for which of the following diagnoses?
      Bacterial meningitis
      Syphilis
      Aseptic meningitis
      Cholera
Answer: 1.
 
Which of the following organisms does not play a role in nosocomial infections?
      Staph aureus
      P. aeruginosa
      N. gonorrhea
      E. coli
Answer: 3.
 
It is important for pregnant women to have immunity to which of the following diseases?
      Tetanus
      Malaria
      Rubella
      Pertussis
Answer: 3.
 
Homosexual women have an increased risk of infection with which of the following diseases?
 HIV
   Syphilis
   Gonorrhea
  None of the above
Answer: 4.
 
Legionella pneumophila infections are associated with which of the following?
 Fecal-oral transmission
   Sexually intimate contact
 Toxin producing organisms
  Waterborne environments
Answer: 4.
 
When caring for a patient with a tumor of the pituitary, the overall condition for which nurse would assess is related to
      Hyperkalemia.
      Hypocalcemia.
      Fluid volume deficit.
      Macrocytic anemia.
Answer – c.
 
Marybeth is a 7-year-old diabetic patient. Her mother asks why she must use the blood glu­cose monitoring machine. Which of the following responses is most appropriate?
     It gives the child a better sense of control over the disease,
      It is easier than the urine testing.
      It is less expensive than urine testing.
      It is more accurate than urine testing.
Answer – d.