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

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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.

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