NCLEX Practice Questions 2019

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Model Question Paper (2019)

Lyme Disease should be treated promptly. When a patient presents to the Emergency Department with symptoms related to Lyme Disease, which should be prescribed?

2 points

Doxycycline

Famotidine

Simvastatin

Elanapril

Clear selection

A patient is prescribed a new medication for the treatment of hypertension. While supine, the patient's blood pressure is 112/70 mmHg and the heart rate is 80/minute. The healthcare provider assesses the patient when the patient changes to a sitting position. Which of the following indicates the patient is experiencing orthostatic hypotension?

2 points

BP 120/84, HR 82

BP 90/60, HR 68

BP 80/60, HR 100

BP 100/66, HR 90

Clear selection

For a patient who is in the late stages of chronic bronchitis, which of the following would indicate the patient has developed cor pulmonale?

2 points

Heatomegaly

Hypocapnia

Night sweats

Venous stasis ulcers

Clear selection

After an argument with her mother, an adolescent female takes an overdose of Tylenol (acetaminophen). The health care provider knows to watch for complications in which organ?

2 points

Pancreas

Heart

Kidney

Liver

Clear selection

A patient is receiving propranolol (Inderal) for a diagnosis of supraventricular tachycardia (SVT). When the nurse does an assessment, which finding indicates an adverse reaction to the drug?

2 points

Bradycardia

Oliguria

Paresthesia

Aphasia

Clear selection

The healthcare provider is planning care for four patients. Which patient is most in need of interventions aimed at preventing anemia? The patient

2 points

Who has been NPO for 3 days.

With a Jackson-Pratt drain.

Who is a vegetarian.

With renal failure on hemodialysis

Clear selection

A diabetic patient receives 10 units of Regular insulin and 20 units of NPH insulin each day after breakfast. After following normal preparation steps for administering insulin, what should the nurse do next?

2 points

Draw up NPH insulin first, because it is clear

Administer each type of insulin separately for accuracy

Either insulin can be drawn first, as long as 30 units are given

Draw up Regular insulin first, because it is clear

Clear selection

With a stroke patient, what is the best position for insertion of a nasogastric (NG) tube?

2 points

High Fowler's

Low Fowler's

Supine

Trendelenburg

Clear selection

The healthcare provider is assisting during the insertion of a pulmonary artery catheter. Which of these, if assessed in the patient, would indicate the patient is experiencing a complication from the catheter insertion?

2 points

Inspiration phase is greater than expiration

Diaphragmatic excursion of 3cm

Vesicular breath sounds noted on auscultation

Tracheal deviation from midline

Clear selection

A male patient with a history of type 1 diabetes is two days post-op following cholecystectomy. He has complained of nausea and can't tolerate solid foods. The nurse finds the patient confused and shaky. Which of the following most likely explains the patient's symptoms?

2 points

Hyperglycemia

Diabetic ketoacidosis

Hypoglycemia

Respiratory acidosis

Clear selection

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