NCLEX-RN Practice Test

NCLEX-RN Practice Test practice questions, page 8 of 35, with answer review and explanations.

Question 36

One of the most dramatic and serious complications associated with bacterial meningitis is Waterhouse- Friderichsen syndrome, which is:

  1. Peripheral circulatory collapse
  2. Syndrome of inappropriate antiduretic hormone
  3. Cerebral edema resulting in hydrocephalus
  4. Auditory nerve damage resulting in permanent hearing loss A

Question 37

An 8-year-old child comes to the physician’s office complaining of swelling and pain in the knees. His mother says, "The swelling occurred for no reason, and it keeps getting worse." The initial diagnosis is Lyme disease. When talking to the mother and child, questions related to which of the following would be important to include in the initial history?

  1. A decreased urinary output and flank pain
  2. A fever of over 103F occurring over the last 2–3 weeks
  3. Rashes covering the palms of the hands and the soles of the feet
  4. Headaches, malaise, or sore throat

Question 38

The most commonly known vectors of Lyme disease are:

  1. Mites
  2. Fleas
  3. Ticks
  4. Mosquitoes

Question 39

A laboratory technique specific for diagnosing Lyme disease is:

  1. Polymerase chain reaction
  2. Heterophil antibody test
  3. Decreased serum calcium level
  4. Increased serum potassium level

Question 40

The nurse would expect to include which of the following when planning the management of the client with Lyme disease?

  1. Complete bed rest for 6–8 weeks
  2. Tetracycline treatment
  3. IV amphotericin B
  4. High-protein diet with limited fluids