NCLEX Questions, NCLEX RN Predictor Exam Questions, NCLEX-RN Questions, Nurselytic

Questions 158

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Question 1 of 5

The nurse caring for a client with anemia recognizes which clinical manifestation as the one that is specific for a hemolytic type of anemia?

Correct Answer: A

Rationale: Jaundice is specific to hemolytic anemia due to increased bilirubin from red blood cell destruction. Anorexia (
B), tachycardia (
C), and fatigue (
D) are nonspecific and occur in other anemias.

Question 2 of 5

A 3-year-old child is in the burn unit following a home accident. The first sign of sepsis in burned children is:

Correct Answer: A

Rationale: Disorientation is the first sign of sepsis in burn children. Low-grade fever is not indicative of sepsis. Diarrhea is not indicative of sepsis. Hypertension is not indicative of sepsis.

Question 3 of 5

A 64-year-old client is admitted to the hospital with benign prostatic hypertrophy (BPH). He has a history of adult-onset diabetes and hypertension and is scheduled to undergo a resection of the prostate. When recording his health history, the nurse asks about his chief complaint. The most serious symptom that may accompany BPH is:

Correct Answer: A

Rationale: Acute urinary retention requires urgent medical attention. If measures such as a warm tub bath or warm tea do not occur after 6 hours, the client should go to the ED for catheterization.

Question 4 of 5

The nurse is working in the trauma unit of the emergency room when a 24-year-old female is admitted after an MVA. The client is bleeding profusely and a blood transfusion is ordered. Which would the nurse be prepared to administer without a type and crossmatch?

Correct Answer: D

Rationale: O negative blood is the universal donor, safe for transfusion without type and crossmatch in emergencies. AB positive (
A), AB negative (
B), and O positive (
C) risk incompatibility.

Question 5 of 5

Parents of a toddler are dismayed when they learn that their child has Duchenne's muscular dystrophy. Which statement describes the inheritance pattern of the disorder?

Correct Answer: D

Rationale: Duchenne's muscular dystrophy is an X-linked recessive disorder, with the affected gene on the mother's X chromosome, primarily affecting males.

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