NUR 101 NCLEX PRACTICE EXAM 5 ( 45 ITEMS)
NCLEX Practice Exam 5 (45 Items)
Question 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?
Increased urinary output.
Decreased edema.
Decreased pain.
Decreased blood pressure.
Question 1 Explanation:
Furosemide, a loop diuretic, does not alter pain. Option A: Furosemide acts on the kidneys to increase
urinary output. Option B: Fluid may move from the periphery, decreasing edema. Option D: Fluid load is
reduced, lowering blood pressure.
Question 2
There are a number of risk factors associated with coronary artery disease. Which of the following is a
modifiable risk factor?
Obesity.
Heredity.
Gender.
Age.
Question 2 Explanation:
Obesity is an important risk factor for coronary artery disease that can be modified by improved diet and
weight loss. Options B, C, and D: Family history of coronary artery disease, male gender, and advancing
age increase risk but cannot be modified.
Question 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?
Worsening chest pain that began earlier in the evening.
History of cerebral hemorrhage.
History of prior myocardial infarction.
Hypertension.
Question 3 Explanation:
A history of cerebral hemorrhage is a contraindication to tPA because it may increase the risk of bleeding.
TPA acts by dissolving the clot blocking the coronary artery and works best when administered within 6
hours of onset of symptoms. Option C: Prior MI is not a contraindication to tPA. Option D: Patients
receiving tPA should be observed for changes in blood pressure, as tPA may cause hypotension.
Question 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?
Increases fitness and prevents future heart attacks.
Prevents bedsores.
Prevents DVT (deep vein thrombosis).
Prevent constipations.
Question 4 Explanation:
Exercise is important for all hospitalized patients to prevent deep vein thrombosis. Muscular contraction
promotes venous return and prevents hemostasis in the lower extremities. Options A, B, and D: This
exercise is not sufficiently vigorous to increase physical fitness, nor is it intended to prevent bedsores or
constipation.
Question 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?
, Hypertension.
Bradycardia.
Bounding pulse.
Confusion.
Question 5 Explanation:
Cardiogenic shock severely impairs the pumping function of the heart muscle, causing diminished blood
flow to the organs of the body. This results in diminished brain function and confusion, as well as
hypotension, tachycardia, and weak pulse. Cardiogenic shock is a serious complication of myocardial
infarction with a high mortality rate.
Question 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?
Ask the patient to lie down on the exam table.
Draw blood for chemistry panel and arterial blood gas (ABG).
Send the patient for a chest x-ray.
Check blood pressure.
Question 6 Explanation:
A patient with congestive heart failure and dyspnea may have pulmonary edema, which can cause severe
hypertension. Therefore, taking the patient's blood pressure should be the first action. Option A: Lying flat
on the exam table would likely worsen the dyspnea, and the patient may not tolerate it. Option B: Blood
draws for chemistry and ABG will be required, but not prior to the blood pressure assessment.
Question 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?
“Stop taking the nitroglycerin and see if the headaches
improve.”
NCLEX Practice Exam 5 (45 Items)
Question 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?
Increased urinary output.
Decreased edema.
Decreased pain.
Decreased blood pressure.
Question 1 Explanation:
Furosemide, a loop diuretic, does not alter pain. Option A: Furosemide acts on the kidneys to increase
urinary output. Option B: Fluid may move from the periphery, decreasing edema. Option D: Fluid load is
reduced, lowering blood pressure.
Question 2
There are a number of risk factors associated with coronary artery disease. Which of the following is a
modifiable risk factor?
Obesity.
Heredity.
Gender.
Age.
Question 2 Explanation:
Obesity is an important risk factor for coronary artery disease that can be modified by improved diet and
weight loss. Options B, C, and D: Family history of coronary artery disease, male gender, and advancing
age increase risk but cannot be modified.
Question 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?
Worsening chest pain that began earlier in the evening.
History of cerebral hemorrhage.
History of prior myocardial infarction.
Hypertension.
Question 3 Explanation:
A history of cerebral hemorrhage is a contraindication to tPA because it may increase the risk of bleeding.
TPA acts by dissolving the clot blocking the coronary artery and works best when administered within 6
hours of onset of symptoms. Option C: Prior MI is not a contraindication to tPA. Option D: Patients
receiving tPA should be observed for changes in blood pressure, as tPA may cause hypotension.
Question 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?
Increases fitness and prevents future heart attacks.
Prevents bedsores.
Prevents DVT (deep vein thrombosis).
Prevent constipations.
Question 4 Explanation:
Exercise is important for all hospitalized patients to prevent deep vein thrombosis. Muscular contraction
promotes venous return and prevents hemostasis in the lower extremities. Options A, B, and D: This
exercise is not sufficiently vigorous to increase physical fitness, nor is it intended to prevent bedsores or
constipation.
Question 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?
, Hypertension.
Bradycardia.
Bounding pulse.
Confusion.
Question 5 Explanation:
Cardiogenic shock severely impairs the pumping function of the heart muscle, causing diminished blood
flow to the organs of the body. This results in diminished brain function and confusion, as well as
hypotension, tachycardia, and weak pulse. Cardiogenic shock is a serious complication of myocardial
infarction with a high mortality rate.
Question 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?
Ask the patient to lie down on the exam table.
Draw blood for chemistry panel and arterial blood gas (ABG).
Send the patient for a chest x-ray.
Check blood pressure.
Question 6 Explanation:
A patient with congestive heart failure and dyspnea may have pulmonary edema, which can cause severe
hypertension. Therefore, taking the patient's blood pressure should be the first action. Option A: Lying flat
on the exam table would likely worsen the dyspnea, and the patient may not tolerate it. Option B: Blood
draws for chemistry and ABG will be required, but not prior to the blood pressure assessment.
Question 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?
“Stop taking the nitroglycerin and see if the headaches
improve.”
