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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

Because the client is thought to have Cushing's syndrome, the nurse should assess the client for the presence of which of the following? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Cushing's syndrome causes hyperglycemia, easy bruising, immunosuppression, and fluid retention due to excess cortisol. Hypertension, not low blood pressure, and acne are common, but pitting is not specific.

Question 2 of 5

The nurse is caring for a client with a spinal cord injury at the T4 level. Which of the following findings would be MOST concerning?

Correct Answer: A

Rationale: A T4 spinal cord injury can cause autonomic dysreflexia or neurogenic shock, leading to severe hypotension (80/50) and bradycardia (pulse 50), which are life-threatening and require immediate intervention. Low-grade fever (
B), spasticity (
C), and numbness (
D) are expected or less urgent.

Extract:

The incidence of Sickle Cell Anemia is higher among black American babies.


Question 3 of 5

The symptoms of sickle cell anemia are not evident until later during infancy because

Correct Answer: C

Rationale: High levels of fetal hemoglobin prevent sickling of red blood cells. The newborn has from 44% to 89% fetal hemoglobin, but this rapidly decreases during the first year, making symptoms evident later.

Extract:

Two days postpartum a patient who had a C-section delivery complains of pain in the right leg.


Question 4 of 5

The nurse should instruct the patient to

Correct Answer: D

Rationale: Leg pain post-C-section may indicate a deep vein thrombosis, requiring bed rest and physician notification.

Extract:

A newly diagnosed HIV patient is in your care. The patient has a positive PPD result of 5 mm induration and a normal CXR.


Question 5 of 5

Which of the following represents preferred treatment of this patient?

Correct Answer: A

Rationale: INH with pyridoxine is the standard treatment for latent TB in HIV patients with a positive PPD.

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