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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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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 1 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:


Question 2 of 5

The provider orders Lanoxin (digoxin) 0.125 mg PO and furosemide 40 mg every day. Which of these foods would the nurse reinforce for the client to eat at least daily?

Correct Answer: B

Rationale: Watermelon is high in potassium and will replace potassium lost by the diuretic. The other foods are not high in potassium.

Question 3 of 5

Which of the following neurological disorders is characterized by writhing, twisting movements of the face and limbs?

Correct Answer: D

Rationale: Huntington's chorea is characterized by choreiform movements, including writhing and twisting of the face and limbs, due to basal ganglia degeneration. The other disorders have different motor symptoms. Reduction of Risk Potential

Extract:

The nurse who is performing venipuncture, Guthrie test, on a newborn to assess for PKU is said to be doing:


Question 4 of 5

The nurse who is performing venipuncture, Guthrie test, on a newborn to assess for PKU is said to be doing:

Correct Answer: C

Rationale: The Guthrie test is a secondary prevention measure, screening for PKU to enable early intervention.

Extract:


Question 5 of 5

An adult is taking warfarin daily. The client's international normalized ratio (INR) is 2.4. Which nursing action is most appropriate?

Correct Answer: C

Rationale: An INR of 2.4 is within the therapeutic range (2.0-3.0) for anticoagulation, indicating the dose should be continued as ordered.

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