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Questions 227

NCLEX-PN

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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

Which of the following foods should be avoided by clients who are prone to develop heartburn as a result of gastroesophageal reflux disease (GERD)?

Correct Answer: C

Rationale: Chocolate relaxes the lower esophageal sphincter, worsening GERD symptoms. The other foods are less likely to trigger reflux. Basic Care and Comfort

Extract:

The type of stool in cystic fibrosis is described as foul-smelling, frothy called steatorrhea.


Question 3 of 5

This is caused by presence of large amounts of:

Correct Answer: A

Rationale: Because of the lack of the pancreatic enzyme lipase, fats remain unabsorbed and are excreted in excessive amounts in the stool, causing steatorrhea.

Extract:


Question 4 of 5

While working with an obese adolescent, it is important for the nurse to recognize that obesity in adolescence is most often associated with what other finding?

Correct Answer: B

Rationale: Poor body image. Obesity often leads to decreased self-esteem and negative body image in adolescents.

Question 5 of 5

A six-month-old client with a ventricular septal defect is receiving Lanoxin elixir for regulation of his heart rate. Which finding should be reported to the doctor?

Correct Answer: C

Rationale: A heart rate of 60 in the six-month-old receiving Lanoxin elixir (digoxin) should be reported immediately because bradycardia is associated with digoxin toxicity. The blood glucose, blood pressure, and respirations are not associated with administration of Lanoxin, so answers A, B, and D are incorrect.

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