Nclex Exam Cram Practice Questions - Nurselytic

Correct Answer: C

Rationale: A 5-year-old child can have up to 20 temporary (deciduous or baby) teeth. The first tooth usually erupts by age 6 months, and the last by age 30 months. All temporary teeth are usually shed between 6 and 13 years of age.
Therefore, a 5-year-old child should have up to 20 temporary teeth. The correct answer is 'up to 20.'

Choices A, B, and D are incorrect because the correct number of temporary teeth in a 5-year-old child's mouth is up to 20, not 10, 15, or 32.

Correct Answer: C

Rationale: When a client is in hepatic coma due to liver failure, the liver cannot metabolize amino acids completely, leading to elevated ammonia levels. Increased ammonia can cause brain-tissue irritation, worsening the coma.
Therefore, monitoring serum ammonia levels is crucial in assessing the severity of hepatic coma.

Choices A, B, and D are less relevant in the context of hepatic coma. Blood urea nitrogen primarily assesses kidney function, serum calcium levels are not directly related to hepatic coma, and serum creatinine is more indicative of kidney function rather than liver function in this scenario.

Correct Answer: A

Rationale: The correct response is to show cultural awareness and acceptance by offering to assist in arranging for the medicine woman to be present. This demonstrates respect for the client's beliefs and preferences.
Choice B is inappropriate as it dismisses the client's request without considering its cultural significance.
Choice C is dismissive and does not acknowledge the client's values.
Choice D is disrespectful and judgmental, undermining the client's beliefs.
Therefore, the only appropriate and professional response is to support the client's request and offer assistance in accommodating it.

Correct Answer: A

Rationale: The correct criteria for Medicare-reimbursable home care services include the client being homebound and requiring a skilled service, such as physical therapy, occupational therapy, speech therapy, nursing, or social work.
Choice A is correct because it aligns with these requirements.
Choice B is incorrect as immediate previous hospitalization is not a prerequisite for home care services.
Choice C is incorrect as age alone does not determine eligibility for Medicare-reimbursable home care services.
Choice D is incorrect as the requirement of nursing and social work support alone is not sufficient for Medicare-reimbursable home care services.

Correct Answer: A

Rationale: Brown-Séquard syndrome is indeed associated with incomplete lesions of the spinal cord, and it specifically results from damage to one-half of the spinal cord. This syndrome manifests as ipsilateral motor paralysis, ipsilateral loss of vibration and proprioception, and contralateral loss of pain and temperature sensation. Posterior cord syndrome mainly involves the loss of proprioception and vibratory sense, while sparing motor function and pain sensation. Central cord syndrome typically presents with more weakness in the upper extremities compared to the lower extremities due to central spinal cord damage. Cauda equina syndrome affects the nerve roots at the level of the conus medullaris, leading to symptoms like lower extremity weakness, numbness, and bowel/bladder dysfunction.