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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.


Question 1 of 5

Which of the following nursing interventions would be contraindicated to the patient with Leukemia?

Correct Answer: A

Rationale: Rectal temperatures risk rectal injury and infection in neutropenic patients.

Extract:

In an emergency the rapid adjustments made by the body are associated with the increased activity of the:


Question 2 of 5

In an emergency the rapid adjustments made by the body are associated with the increased activity of the:

Correct Answer: B

Rationale: The adrenal gland releases catecholamines and cortisol for rapid stress response.

Extract:


Question 3 of 5

A client is admitted with low T3 and T4 levels and an elevated thyroid stimulating hormone (TSH) level. On initial assessment, the nurse would anticipate which of the following findings?

Correct Answer: A

Rationale: Lethargy. Hypothyroidism slows metabolism, leading to symptoms like lethargy, constipation, and cold intolerance.

Question 4 of 5

A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His tentative diagnosis is antisocial personality disorder. In reviewing the client's record, the nurse could expect to find:

Correct Answer: C

Rationale: Antisocial personality disorder is associated with a history of cruelty to animals , reflecting disregard for others. Consistent employment and remorse are unlikely. Intelligence is typically average or above.

Question 5 of 5

Which of the following clients is at greatest risk for postpartal hemorrhage?

Correct Answer: D

Rationale: A gravida 4 para 3 with a Caesarean section is at higher risk for postpartal hemorrhage due to multiparity and surgical delivery, which can lead to uterine atony and increased bleeding risk.

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