NCLEX-RN Practice Quiz Test Bank #6 (75 Questions)

NCLEX-RN Practice Quiz Test Bank #6
(75 Questions)
NCLEXRN-06-001

After cardiac surgery, a client’s blood pressure measures 126/80 mm Hg. Nurse
Katrina determines that mean arterial pressure (MAP) is which of the following?

 A. 46 mm Hg
 B. 80 mm Hg
 C. 95 mm Hg
 D. 90 mm Hg
Correct Answer: C. 95 mm Hg

Use the following formula to calculate MAP
MAP = systolic + 2 (diastolic)
MAP = 126 mm Hg + 2 (80 mm Hg)
MAP = 286 mm Hg
MAP = 95 mm Hg

 Option A: 46 mmHg is incorrect according to the calculations.
 Option B: 80 mmHg is inadequate according to the formula used in
computation.
 Option D: 90 mmHg is incorrect according to the computation using the
formula of mean arterial pressure.



NCLEXRN-06-002

Question Tag: chest pain

Question Category: Physiological Integrity, Reduction of Risk Potential

,A female client arrives at the emergency department with chest and stomach pain
and a report of black tarry stool for several months. Which of the following orders
should the nurse Oliver anticipate?

 A. Cardiac monitor, oxygen, creatine kinase and lactate dehydrogenase
levels
 B. Prothrombin time, partial thromboplastin time, fibrinogen and fibrin split
product values
 C. Electrocardiogram, complete blood count, testing for occult blood,
comprehensive serum metabolic panel
 D. Electroencephalogram, alkaline phosphatase, and aspartate
aminotransferase levels, basic serum metabolic panel
Correct Answer: C. Electrocardiogram, complete blood count, testing for
occult blood, comprehensive serum metabolic panel.

An electrocardiogram evaluates the complaints of chest pain, laboratory tests
determine anemia, and the stool test for occult blood determines blood in the
stool.

 Option A: Cardiac monitoring, oxygen, and creatine kinase and lactate
dehydrogenase levels are appropriate for a cardiac primary problem. A
basic metabolic panel and alkaline phosphatase and aspartate
aminotransferase levels assess liver function.
 Option B: Prothrombin time, partial thromboplastin time, fibrinogen and
fibrin split products are measured to verify bleeding dyscrasias.
 Option D: An electroencephalogram evaluates brain electrical activity.



NCLEXRN-06-003

Question Tag: coronary artery bypass graft

Question Category: Physiological Integrity, Physiological Adaptation

Olivia had coronary artery bypass graft (CABG) surgery 3 days ago. Which of the
following conditions is suspected by the nurse when a decrease in platelet count
from 230,000 ul to 5,000 ul is noted?

,  A. Pancytopenia
 B. Idiopathic thrombocytopenic purpura (ITP)
 C. Disseminated intravascular coagulation (DIC)
 D. Heparin-associated thrombosis and thrombocytopenia (HATT)
Correct Answer: D. Heparin-associated thrombosis and thrombocytopenia
(HATT)

HATT may occur after CABG surgery due to heparin use during surgery.

 Option B: ITP is a bleeding condition of unknown cause in which the blood
fails to clot adequately because of a low circulating platelet count and a
shortened platelet lifespan.
 Option C: Although DIC causes platelet aggregation and bleeding, it is
common in a client after revascularization surgery.
 Option A: Pancytopenia is a reduction in all blood cells.



NCLEXRN-06-004

Question Tag: idiopathic thrombocytopenic purpura

Question Category: Physiological Integrity, Pharmacological and Parenteral
Therapies

Which of the following drugs would be ordered by the physician to improve the
platelet count in a male client with idiopathic thrombocytopenic purpura (ITP)?

 A. Acetylsalicylic acid (ASA)
 B. Corticosteroids
 C. Methotrexate
 D. Vitamin K
Correct Answer: B. Corticosteroids

Corticosteroid therapy can decrease antibody production and phagocytosis of
the antibody-coated platelets, retaining more functioning platelets.

,  Option A: ASA blocks prostaglandin synthesis. Inhibition of COX-1 results
in the inhibition of platelet aggregation for about 7-10 days (average
platelet lifespan).
 Option C: Methotrexate inhibits enzymes responsible for nucleotide
synthesis which prevents cell division and leads to anti-inflammatory
actions. It causes thrombocytopenia.
 Option D: Vitamin K is used to treat an excessive anticoagulate state from
warfarin overload.



NCLEXRN-06-005

Question Tag: heart valve replacement

Question Category: Physiological Integrity, Reduction of Risk Potential

A female client is scheduled to receive a heart valve replacement with a porcine
valve. Which of the following types of transplant is this?

 A. Allogeneic
 B. Autologous
 C. Syngeneic
 D. Xenogeneic
Correct Answer: D. Xenogeneic

A xenogeneic transplant is between a human and another species.

 Option A: Allogeneic transplant is between two humans,
 Option B: Autologous is a transplant from the same individual.
 Option C: A syngeneic transplant is between identical twins.



NCLEXRN-06-006

Question Tag: ankle injury

Question Category: Physiological Integrity,Physiological Adaptation