ne
sh
NCLEX-RN EXAM PACK SET
ne
la
6 (75QUESTIONS &
tz
sh
Sp
ANSWERS LATEST ne
la
UPDATED 2023)
sh
Sp
ne
1. 1. Question
la
tz
After cardiac surgery, a client’s blood pressure measures 126/80mm Hg. Nurse
sh
Sp
Katrina determines that mean arterial pressure (MAP) is which of the following?
ne
o
la
A. 46 mm Hg
o B. 80 mm Hg
sh
Sp
o
ne
C. 95 mm Hg
o
la
D. 90 mm Hg
tz
sh
Sp
Correct Answer: C. 95 mm Hg
ne
Use the following formula to calculate MAP
MAP = systolic + 2 (diastolic)
la
MAP = 126 mm Hg + 2 (80 mm Hg)
sh
MAP = 286 mm Hg
Sp
MAP = 95 mm Hg
ne
o Option A: 46 mmHg is according to the calculations.
la
o Option B: 80 mmHg is inadequate according to the
tz
formula used in the computation. sh
Sp
o Option D: 90 mmHg is according to the computation
ne
using the formula of mean arterial pressure.
la
• 2. Question
sh
A female client arrives at the emergency department with chestand stomach pain and a
Sp
report of black tarry stool for several months. Which of the following orders should
ne
the nurse Oliver anticipate?
a
tz
o
l
sh
A. Cardiac monitor, oxygen, creatine kinase and lactatedehydrogenase
Sp
levels
ne
la
sh
Sp
la
Sp
, ne
sh
ne
o B. Prothrombin time, partial thromboplastin time,fibrinogen and
fibrin split product values
la
tz
o C. Electrocardiogram, complete blood count,testing for
sh
occult blood, comprehensive serum metabolic panel
Sp
o
ne
D. Electroencephalogram, alkaline phosphatase, and aspartate
la
aminotransferase levels, basic serum metabolicpanel
sh
Sp
Correct Answer: C. Electrocardiogram, complete blood
ne
count, testing for occult blood, comprehensive serum
metabolic panel.
la
An electrocardiogram evaluates the complaints of chest pain,
tz
sh
laboratory tests determine anemia, and the stool test for occult
Sp
blood determines blood in the stool.
ne
o Option A: Cardiac monitoring, oxygen, and creatine
la
kinase, and lactate dehydrogenase levels are
appropriate for a cardiac primary problem. A basic
sh
Sp
metabolic panel and alkaline phosphatase and
ne
aspartate aminotransferase levels assess liver
la
function.
tz
o Option B: Prothrombin time, partial thromboplastin
sh
time, fibrinogen and fibrin split products are measured
Sp
to verify bleeding dyscrasias.
ne
o Option D: An electroencephalogram evaluates brain
la
electrical activity.
sh
Sp
•
ne
3. Question
Olivia had coronary artery bypass graft (CABG) surgery 3 days ago. Which of the
la
following conditions is suspected by the nursewhen a decrease in platelet count from
tz
230,000 ul to 5,000 ul isnoted? sh
Sp
ne
o A. Pancytopenia
la
o B. Idiopathic thrombocytopenic purpura (ITP)
sh
Sp
o C. Disseminated intravascular coagulation (DIC)
ne
a
tz
l
sh
Sp
ne
la
sh
Sp
la
Sp
, ne
sh
ne
o D. Heparin-associated thrombosis and
thrombocytopenia (HATT)
la
tz
sh
Correct Answer: D. Heparin-associated thrombosis and
Sp
thrombocytopenia (HATT)
ne
HATT may occur after CABG surgery due to heparin use during
la
surgery.
o Option B: ITP is a bleeding condition of unknown
sh
Sp
cause in which the blood fails to clot adequately
ne
because of a low circulating platelet count and a
la
shortened platelet lifespan.
tz
o Option C: Although DIC causes platelet aggregation
sh
and bleeding, it is common in a client after
Sp
ne
revascularization surgery.
o Option A: Pancytopenia is a reduction in all blood
la
cells.
sh
Sp
• 4. Question
ne
la
Which of the following drugs would be ordered by the physicianto improve the
platelet count in a male client with idiopathic thrombocytopenic purpura (ITP)?
tz
sh
Sp
ne
o A. Acetylsalicylic acid (ASA)
la
o B. Corticosteroids
o
sh
C. Methotrexate
Sp
ne
o D. Vitamin K
la
tz
Correct Answer: B. Corticosteroids sh
Corticosteroid therapy can decrease antibody production and
Sp
phagocytosis of the antibody-coated platelets, retaining more
ne
functioning platelets.
la
o Option A: ASA blocks prostaglandin synthesis.
sh
Inhibition of COX-1 results in the inhibition of platelet
Sp
aggregation for about 7-10 days (average platelet
ne
lifespan).
a
o Option C: Methotrexate inhibits enzymes responsible
tz
for nucleotide synthesis which prevents cell division
l
sh
Sp
ne
la
sh
Sp
la
Sp
, ne
sh
and leads to anti-inflammatory actions. It causes
ne
thrombocytopenia.
la
o Option D: Vitamin K is used to treat an excessive
tz
anticoagulate state from warfarin overload.
sh
Sp
• 5. Question
ne
A female client is scheduled to receive a heart valve replacement with a porcine valve.
la
Which of the following types of transplant isthis?
sh
Sp
o A. Allogeneic
ne
o B. Autologous
la
tz
o C. Syngeneic
sh
Sp
o D. Xenogeneic
ne
la
Correct Answer: D. Xenogeneic
A xenogeneic transplant is between a human and another
sh
Sp
species.
ne
o Option A: Allogeneic transplant is between two
la
humans,
tz
o Option B: Autologous is a transplant from the same
sh
individual.
Sp
o Option C: A syngeneic transplant is between identical
ne
twins.
la
• 6. Question
sh
Sp
Marco falls off his bicycle and injures his ankle. Which of the following actions shows
ne
the initial response to the injury in theextrinsic pathway?
la
tz
o A. Release of Calcium sh
Sp
o B. Release of tissue thromboplastin
ne
o C. Conversion of factors XII to factor XIIa
la
o D. Conversion of factor VIII to factor VIIIa
sh
Sp
ne
a
tz
l
sh
Sp
ne
la
sh
Sp
la
Sp
sh
NCLEX-RN EXAM PACK SET
ne
la
6 (75QUESTIONS &
tz
sh
Sp
ANSWERS LATEST ne
la
UPDATED 2023)
sh
Sp
ne
1. 1. Question
la
tz
After cardiac surgery, a client’s blood pressure measures 126/80mm Hg. Nurse
sh
Sp
Katrina determines that mean arterial pressure (MAP) is which of the following?
ne
o
la
A. 46 mm Hg
o B. 80 mm Hg
sh
Sp
o
ne
C. 95 mm Hg
o
la
D. 90 mm Hg
tz
sh
Sp
Correct Answer: C. 95 mm Hg
ne
Use the following formula to calculate MAP
MAP = systolic + 2 (diastolic)
la
MAP = 126 mm Hg + 2 (80 mm Hg)
sh
MAP = 286 mm Hg
Sp
MAP = 95 mm Hg
ne
o Option A: 46 mmHg is according to the calculations.
la
o Option B: 80 mmHg is inadequate according to the
tz
formula used in the computation. sh
Sp
o Option D: 90 mmHg is according to the computation
ne
using the formula of mean arterial pressure.
la
• 2. Question
sh
A female client arrives at the emergency department with chestand stomach pain and a
Sp
report of black tarry stool for several months. Which of the following orders should
ne
the nurse Oliver anticipate?
a
tz
o
l
sh
A. Cardiac monitor, oxygen, creatine kinase and lactatedehydrogenase
Sp
levels
ne
la
sh
Sp
la
Sp
, ne
sh
ne
o B. Prothrombin time, partial thromboplastin time,fibrinogen and
fibrin split product values
la
tz
o C. Electrocardiogram, complete blood count,testing for
sh
occult blood, comprehensive serum metabolic panel
Sp
o
ne
D. Electroencephalogram, alkaline phosphatase, and aspartate
la
aminotransferase levels, basic serum metabolicpanel
sh
Sp
Correct Answer: C. Electrocardiogram, complete blood
ne
count, testing for occult blood, comprehensive serum
metabolic panel.
la
An electrocardiogram evaluates the complaints of chest pain,
tz
sh
laboratory tests determine anemia, and the stool test for occult
Sp
blood determines blood in the stool.
ne
o Option A: Cardiac monitoring, oxygen, and creatine
la
kinase, and lactate dehydrogenase levels are
appropriate for a cardiac primary problem. A basic
sh
Sp
metabolic panel and alkaline phosphatase and
ne
aspartate aminotransferase levels assess liver
la
function.
tz
o Option B: Prothrombin time, partial thromboplastin
sh
time, fibrinogen and fibrin split products are measured
Sp
to verify bleeding dyscrasias.
ne
o Option D: An electroencephalogram evaluates brain
la
electrical activity.
sh
Sp
•
ne
3. Question
Olivia had coronary artery bypass graft (CABG) surgery 3 days ago. Which of the
la
following conditions is suspected by the nursewhen a decrease in platelet count from
tz
230,000 ul to 5,000 ul isnoted? sh
Sp
ne
o A. Pancytopenia
la
o B. Idiopathic thrombocytopenic purpura (ITP)
sh
Sp
o C. Disseminated intravascular coagulation (DIC)
ne
a
tz
l
sh
Sp
ne
la
sh
Sp
la
Sp
, ne
sh
ne
o D. Heparin-associated thrombosis and
thrombocytopenia (HATT)
la
tz
sh
Correct Answer: D. Heparin-associated thrombosis and
Sp
thrombocytopenia (HATT)
ne
HATT may occur after CABG surgery due to heparin use during
la
surgery.
o Option B: ITP is a bleeding condition of unknown
sh
Sp
cause in which the blood fails to clot adequately
ne
because of a low circulating platelet count and a
la
shortened platelet lifespan.
tz
o Option C: Although DIC causes platelet aggregation
sh
and bleeding, it is common in a client after
Sp
ne
revascularization surgery.
o Option A: Pancytopenia is a reduction in all blood
la
cells.
sh
Sp
• 4. Question
ne
la
Which of the following drugs would be ordered by the physicianto improve the
platelet count in a male client with idiopathic thrombocytopenic purpura (ITP)?
tz
sh
Sp
ne
o A. Acetylsalicylic acid (ASA)
la
o B. Corticosteroids
o
sh
C. Methotrexate
Sp
ne
o D. Vitamin K
la
tz
Correct Answer: B. Corticosteroids sh
Corticosteroid therapy can decrease antibody production and
Sp
phagocytosis of the antibody-coated platelets, retaining more
ne
functioning platelets.
la
o Option A: ASA blocks prostaglandin synthesis.
sh
Inhibition of COX-1 results in the inhibition of platelet
Sp
aggregation for about 7-10 days (average platelet
ne
lifespan).
a
o Option C: Methotrexate inhibits enzymes responsible
tz
for nucleotide synthesis which prevents cell division
l
sh
Sp
ne
la
sh
Sp
la
Sp
, ne
sh
and leads to anti-inflammatory actions. It causes
ne
thrombocytopenia.
la
o Option D: Vitamin K is used to treat an excessive
tz
anticoagulate state from warfarin overload.
sh
Sp
• 5. Question
ne
A female client is scheduled to receive a heart valve replacement with a porcine valve.
la
Which of the following types of transplant isthis?
sh
Sp
o A. Allogeneic
ne
o B. Autologous
la
tz
o C. Syngeneic
sh
Sp
o D. Xenogeneic
ne
la
Correct Answer: D. Xenogeneic
A xenogeneic transplant is between a human and another
sh
Sp
species.
ne
o Option A: Allogeneic transplant is between two
la
humans,
tz
o Option B: Autologous is a transplant from the same
sh
individual.
Sp
o Option C: A syngeneic transplant is between identical
ne
twins.
la
• 6. Question
sh
Sp
Marco falls off his bicycle and injures his ankle. Which of the following actions shows
ne
the initial response to the injury in theextrinsic pathway?
la
tz
o A. Release of Calcium sh
Sp
o B. Release of tissue thromboplastin
ne
o C. Conversion of factors XII to factor XIIa
la
o D. Conversion of factor VIII to factor VIIIa
sh
Sp
ne
a
tz
l
sh
Sp
ne
la
sh
Sp
la
Sp
