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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

While writing a report at 3:15 in the afternoon, the nurse realizes that she forgot to chart the client's physical therapy, which occurred at 10:30 A.M. Which is the appropriate action for the nurse to take?

Correct Answer: B

Rationale: A late entry with the correct time (10:30 A.M.) ensures accurate documentation, maintaining the integrity of the medical record.

Extract:

Marie is a 5-year-old girl is admitted with a diagnosis of Acute Lymphoblastic Leukemia.


Question 2 of 5

Incidence of Leukemia is higher in children. Pathophysiology of infection in Leukemia is due primarily to:

Correct Answer: C

Rationale: Elevated WBC with impaired function (neutropenia) predisposes to infections in leukemia.

Extract:

If a 9-month-old's immunization schedule is up to date, the next immunization that the infant should receive at 12 to 15 months of age is:


Question 3 of 5

If a 9-month-old's immunization schedule is up to date, the next immunization that the infant should receive at 12 to 15 months of age is:

Correct Answer: C

Rationale: The MMR vaccine is administered between 12 and 15 months.

Extract:

Immunity by antibody formation during the course of a disease is:


Question 4 of 5

Active natural immunity.

Correct Answer: A

Rationale: In active natural immunity, the infected person's immune system responds to the invading organism by producing antibodies specific for the invader.

Extract:


Question 5 of 5

The nurse is teaching a group of college students about breast self-examination. A woman asks for the best time to perform the monthly exam. What is the best reply by the nurse?

Correct Answer: B

Rationale: The best time for a breast self-exam (BSE) is a week after a menstrual cycle, when the breasts are no longer swollen and tender due to hormone elevation.

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