NCLEX Questions, NCLEX-PN Practice Questions Quizlet Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

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Extract:


Question 1 of 5

The nurse is preparing to administer a dose of digoxin (Lanoxin) to a client with heart failure. The client’s apical pulse is 56 beats per minute. The nurse should

Correct Answer: B

Rationale: Digoxin can cause bradycardia, and a pulse below 60 bpm warrants holding the dose and notifying the physician to prevent toxicity. Administering (
A) or reducing (
C) is unsafe, and rechecking (
D) delays intervention.

Question 2 of 5

A 15-month-old child with Hirschsprung's disease comes for a checkup. The mother reports all of the following. Which indicates a need for more instruction?

Correct Answer: A

Rationale: Limiting physical activity is unnecessary and may hinder development in Hirschsprung's disease; enemas, low-residue diet, and stool softeners are appropriate for managing constipation.

Extract:

When obtaining the health history from a patient who is seeking contraceptive information, the nurse should consider that oral contraceptives are contraindicated in a patient who:


Question 3 of 5

When obtaining the health history from a patient who is seeking contraceptive information, the nurse should consider that oral contraceptives are contraindicated in a patient who:

Correct Answer: B

Rationale: Smoking increases the risk of thromboembolism with oral contraceptives, making it a contraindication.

Extract:

Marie is a 5-year-old girl is admitted with a diagnosis of Acute Lymphoblastic Leukemia. She enters complete remission with intensive induction of chemotherapy, but she relapses after 3 months of maintenance of chemotherapy with vincristine, prednisone, methotrexate and mercaptopurine. She develops a neutropenia from the chemotherapy. On admission, her lab results came back with WBC 15000, Hemoglobin 8 mg/dl; platelet 94,000. She complains of ache all over her body, her gum bleeds very easily. Vital signs include BP 70/40; HR 130, RR 28; Temp 38°C


Question 4 of 5

Which of the following are consistent with Leukemia?

Correct Answer: C

Rationale: Bruising and petechiae result from low platelets, common in leukemia.

Extract:

Venous drainage:


Question 5 of 5

Venous drainage:

Correct Answer: A

Rationale: Venous drainage involves deoxygenated blood from the upper body returning to the heart.

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