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Extract:


Question 1 of 5

During morning rounds, the nurse notices blood spots on the pillowcase of a child with acute lymphoid leukemia. The nurse should be most concerned about the client's:

Correct Answer: C

Rationale: Blood spots suggest bleeding, likely due to low platelets (thrombocytopenia) in acute lymphoid leukemia, so C is correct. Red blood cell count , white blood cell count , and reticulocyte count are less directly related to bleeding.

Extract:

To best promote continued improvement in a patient's respiratory status after chest drainage is discontinued, the nurse should:


Question 2 of 5

To best promote continued improvement in a patient's respiratory status after chest drainage is discontinued, the nurse should:

Correct Answer: B

Rationale: Coughing and deep breathing promote lung expansion and secretion clearance post-chest drainage.

Extract:

The most sensitive and easily quantifiable measure of circulatory status in a child is


Question 3 of 5

The most sensitive and easily quantifiable measure of circulatory status in a child is

Correct Answer: C

Rationale: Capillary refill time is a quick, sensitive indicator of perfusion in children.

Extract:

Which of the following female patients is at the highest risk for the development of breast cancer?


Question 4 of 5

A 28-year-old who was 10 years old at menarche.

Correct Answer: A

Rationale: Early menarche (before age 12) is a known risk factor for breast cancer due to prolonged exposure to estrogen.

Extract:


Question 5 of 5

A patient with cirrhosis is experiencing ascites. Which of the following interventions should the nurse implement?

Correct Answer: B

Rationale: Diuretics reduce fluid overload in ascites, as prescribed. High-sodium diets worsen fluid retention, fluid restriction is typically 1–1.5 liters, and supine positioning may impair breathing.

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