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NCLEX RN PRACTICE TEST #4 EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (20)
A child is admitted to the hospital with a C
diagnosis of Wilm's tumor, stage II. Which
of the following statements most
The staging of Wilm's tumor is confirmed at surgery as follows: Stage I, the tumor is
accurately describes this stage?
limited to the kidney and completely resected; stage II, the tumor extends beyond
the kidney but is completely resected; stage III, residual nonhematogenous tumor is
A. The tumor is less than 3 cm. in size and confined to the abdomen; stage IV, hematogenous metastasis has occurred with
requires no chemotherapy. spread beyond the abdomen; and stage V, bilateral renal involvement is present at
B. The tumor did not extend diagnosis.
beyond the kidney and was
completely resected.
C. The tumor extended beyond the kidney
but was completely resected.
D.The tumor has spread into the abdominal
cavity and cannot be resected.
A teen patient is admitted to the hospital A, B, and C
by his physician who suspects a diagnosis
of acute glomerulonephritis. Which of the
Acute glomerulonephritis is characterized by high urine specific gravity related to
following findings is consistent with this
oliguria as well as dark "tea colored" urine caused by large amounts of red blood
diagnosis? Note: More than one answer
cells. There is periorbital edema, but generalized edema is seen in nephrotic
may be correct.
syndrome, not acute glomerulonephritis.
A. Urine specific gravity of 1.040.
B.Urine output of 350 ml in 24 hours.
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, 3/21/25, 2:46 NCLEX RN Practice Test #4 Flashcards |
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C. Brown ("tea-colored") urine.
D.Generalized edema.
Which of the following conditions most B
commonly causes acute
glomerulonephritis?
Acute glomerulonephritis is most commonly caused by the immune response to a
prior upper respiratory infection with group A Streptococcus. Glomerular
A. A congenital condition leading to inflammation occurs about 10-14 days after the infection, resulting in scant, dark urine
renal dysfunction. and retention of body fluid. Periorbital edema and hypertension are common signs
B.Prior infection with group A at diagnosis.
Streptococcus within the past 10-14 days.
C. Viral infection of the glomeruli.
D.Nephrotic syndrome.
An infant with hydrocele is seen in the C
clinic for a follow-up visit at 1 month of age.
The scrotum is smaller than it was at birth, A hydrocele is a collection of fluid in the scrotum that results from a patent
but fluid is still visible on illumination. Which tunica vaginalis. Illumination of the scrotum with a pocket light demonstrates the
of the following actions is the physician clear fluid. In most cases the fluid reabsorbs within the first few months of life and
likely to recommend? no treatment is necessary. Massaging the area or placing the infant in a supine
position would
A. Massaging the groin area twice a have no effect. Surgery is not indicated.
day until the fluid is gone.
B.Referral to a surgeon for repair.
C. No treatment is necessary; the fluid is
reabsorbing normally.
D.Keeping the infant in a flat, supine
position until the fluid is gone.
A nurse is caring for a patient with A
peripheral vascular disease (PVD). The
patient complains of burning and tingling Patients with peripheral vascular disease often sustain nerve damage as a result of
of the hands and feet and cannot tolerate inadequate tissue perfusion. Fluid overload is not characteristic of PVD. There is
touch of any kind. Which of the following is nothing to indicate psychiatric disturbance in the patient. Skin changes in PVD are
the most likely explanation for these secondary to decreased tissue perfusion rather than primary inflammation.
symptoms?
A. Inadequate tissue perfusion leading to
nerve damage.
B.Fluid overload leading to
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