Questions 150

NCLEX-RN

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Question 1 of 5

Which clinical manifestations are consistently observed in infants who have been diagnosed with congenital hypothyroidism? Select all that apply.

Correct Answer: B,C,D,F

Rationale: The infant with congenital hypothyroidism may display the following signs: skin mottling, a large fontanel, a large tongue, hypotonia, slow reflexes, bradycardia, and a distended abdomen. Other signs and symptoms include prolonged jaundice, lethargy, constipation, feeding problems, coldness to touch, umbilical hernia, hoarse cry, and excessive sleeping.

Question 2 of 5

A therapeutic milieu is:

Correct Answer: D

Rationale: A therapeutic milieu is a structured environment designed to promote healing and recovery through consistency, safety, and therapeutic interactions.

Question 3 of 5

A client with a history of rheumatoid arthritis is prescribed methotrexate. The nurse should monitor the client for which of the following adverse effects?

Correct Answer: A

Rationale: Methotrexate can cause hepatotoxicity, requiring regular liver function tests.

Question 4 of 5

Select the complication of a blood transfusion that is accurately paired with its preventive measure.

Correct Answer: A

Rationale: Hemolysis is prevented by ensuring ABO compatibility and proper typing and cross-matching to avoid immune reactions.

Question 5 of 5

The nurse assesses a client with diverticulitis and suspects peritonitis when which of the following symptoms is noted?

Correct Answer: B

Rationale: A rigid abdominal wall is a hallmark sign of peritonitis, indicating peritoneal inflammation, often due to perforation in diverticulitis.

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