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NCLEX-PN

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Extract:

Highest priority for the patient with a diagnosis of leukemia:


Question 1 of 5

Implementation of reverse isolation.

Correct Answer: A

Rationale: Reverse isolation protects the immunocompromised leukemia patient from infections.

Extract:


Question 2 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.

Question 3 of 5

Which of these principles should the nurse apply when performing a nutritional assessment on a 2 year-old client?

Correct Answer: C

Rationale: A serving size at this age is about 2 tablespoons. A general guide is 1 tablespoon of solid food per year of age.

Extract:

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


Question 4 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:


Question 5 of 5

The 5-minute Apgar of a baby delivered by C-section is recorded as 9. The most likely reason for this score is:

Correct Answer: C

Rationale: Cyanosis of the hands and feet (acrocyanosis) is common in newborns and may result in a 1-point deduction from a perfect Apgar score of 10.

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