NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
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
To obtain data for the nursing assessment, the nurse should:
Correct Answer: D
Rationale: The nurse's understanding of the client rests on the comprehensiveness of assessment data obtained by listening to the client's self revelation.
Question 3 of 5
The nurse is caring for a client with a chest tube connected to a water-seal drainage system. The nurse observes continuous bubbling in the water-seal chamber. The nurse should
Correct Answer: A
Rationale: Continuous bubbling in the water-seal chamber indicates an air leak in the system (e.g., loose connections or lung leak), requiring assessment to locate and correct it. Increasing suction (
B) won’t fix the leak, clamping (
C) is dangerous, and notifying the physician (
D) follows assessment.
Extract:
A patient with cystic fibrosis has an order of aerosol treatment and physiotherapy.
Question 4 of 5
How will you carry out this order?
Correct Answer: B
Rationale: Aerosol treatment loosens secretions, followed by physiotherapy to clear them.
Extract:
Question 5 of 5
Which statement made by the parents of a child who has sickle cell anemia indicates understanding of how to reduce the incidence of crises?
Correct Answer: B
Rationale: Adequate hydration prevents blood viscosity, reducing sickle cell crisis risk. Outdoor play is beneficial, aspirin is risky, and travel mode is irrelevant.