NPTE Practice Test 9
10 free NPTE practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
Question 1 of 10
System InteractionsScenario: acute care oncology unit
A 66-year-old man with diffuse large B-cell lymphoma was admitted 3 days ago with community-acquired pneumonia. He is day 11 after his third cycle of chemotherapy with rituximab, cyclophosphamide, doxorubicin, vincristine and prednisone. Physical therapy is consulted for deconditioning before discharge home with his wife.
History: hypertension and a right total knee arthroplasty 5 years ago. Before admission he walked in the community without a device.
Current status: he is receiving IV antibiotics and 2 L/min oxygen by nasal cannula. He reports fatigue and says numbness and tingling in both feet and fingertips began after his second cycle and have slowly worsened. He sits on the edge of the bed with supervision.
Vital signs at rest, seated: HR 98 bpm, BP 112/68 mm Hg, respiratory rate 20 breaths/min, SpO2 95% on 2 L/min, temperature 99.0°F (37.2°C).
| Test | Result | Reference range |
|---|---|---|
| White blood cells (WBC) | 1.2 × 10³/µL | 4.5–11.0 × 10³/µL |
| Absolute neutrophil count (ANC) | 400/µL | 1,500–8,000/µL |
| Hemoglobin | 7.8 g/dL | 13.5–17.5 g/dL |
| Hematocrit | 24% | 41–53% |
| Platelets | 18,000/µL | 150,000–450,000/µL |
| INR | 1.1 | 0.8–1.2 |
| Potassium | 4.0 mEq/L | 3.5–5.0 mEq/L |
Based on today's laboratory values, which activity plan is MOST appropriate for this session?