ATI LPN
NCLEX PN Questions on Respiratory System Questions
Question 1 of 5
Match the following: 681. Cytoxan
Correct Answer: D
Rationale: Cytoxan (cyclophosphamide), an alkylating agent, causes cystitis, alopecia (D) metabolite acrolein irritates bladder (hemorrhagic cystitis), hair loss is common. Myelosuppression (A) fits methotrexate. Protein defects (B) are asparaginase. Neuropathy (C) is vincristine. Psychosis is prednisone. Cytoxan's bladder risk is key in nursing for hydration and mesna prophylaxis.
Question 2 of 5
Heavy chain (gamma G) disease is:
Correct Answer: B
Rationale: Heavy chain disease (gamma G) a plasma cell dyscrasia (B) overproduces IgG heavy chains (e.g., Franklin's disease), causing lymphadenopathy, unlike Hodgkin's (A lymphoma). Thrombocytopenia (C) or hypersensitivity (D) don't fit marrow-based. None' denies. Dyscrasia's monoclonal protein is key, guiding nursing for electrophoresis and immunosuppression.
Question 3 of 5
The treatment of choice for hereditary spherocytosis is:
Correct Answer: B
Rationale: Hereditary spherocytosis (HS) is best treated with splenectomy (B) removing the spleen (e.g., post-10 years) stops hemolysis (e.g., Hb >10 g/dL), curing anemia. Transfusion (A) is temporary. Thymectomy (C) or irradiation (D) are irrelevant. None' denies. Splenectomy's efficacy is key, guiding nursing for vaccines and infection risk education.
Question 4 of 5
The crisis of sickle cell anemia may be confused with:
Correct Answer: B
Rationale: Sickle cell crisis mimics acute appendicitis (B) vaso-occlusive pain (e.g., RLQ) overlaps with peritoneal irritation, confusing diagnosis. Rheumatic fever (A) causes arthritis, carditis. Leukemia (C) brings fatigue, bleeding. Appendicitis's acute abdomen is key, guiding nursing for imaging (e.g., US) and pain differentiation.
Question 5 of 5
Which of the following statements are false:
Correct Answer: C
Rationale: Carcinoma of the stomach bleeding isn't usually massive (C false) it's chronic, occult (e.g., <100 mL/day), unlike varices. Red hematemesis (A) fits massive or achlorhydria true. Tarry melena (B) from distal gut true. Rare urinary bleeding (D) except TB true. C's overstatement is key, guiding nursing for endoscopy vs. acute bleed protocols.