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Examen

Complete; NCLEX-RN Exam 6 (75 Questions & Answers Updated 2024). ACCURATE TOP PRIORITY UPDATE| A+ SCORE.

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Vista previa 3 fuera de 24 páginas

Complete; NCLEX-RN Exam 6 (75 Questions & Answers Updated 2024). ACCURATE TOP PRIORITY UPDATE| A+ SCORE. 1. 1. Question After cardiac surgery, a client’s blood pressure measures 126/80 mm Hg. Nurse Katrina determines that mean arterial pressure (MAP) is which of the following? o A. 46 mm Hg o B. 80 mm Hg o C. 95 mm Hg o D. 90 mm Hg • 2. Question A female client arrives at the emergency department with chest and stomach pain and a report of black tarry stool for several months. Which of the following orders should the nurse Oliver anticipate? o A. Cardiac monitor, oxygen, creatine kinase and lactate dehydrogenase levels o B. Prothrombin time, partial thromboplastin time, fibrinogen and fibrin split product values o C. Electrocardiogram, complete blood count, testing for occult blood, comprehensive serum metabolic panel o D. Electroencephalogram, alkaline phosphatase, and aspartate aminotransferase levels, basic serum metabolic panel 3. Question Olivia had coronary artery bypass graft (CABG) surgery 3 days ago. Which of the following conditions is suspected by the nurse when a decrease in platelet count from 230,000 ul to 5,000 ul is noted? o A. Pancytopenia o B. Idiopathic thrombocytopenic purpura (ITP) o C. Disseminated intravascular coagulation (DIC) o D. Heparin-associated thrombosis and thrombocytopenia (HATT) • 4. Question Which of the following drugs would be ordered by the physician to improve the platelet count in a male client with idiopathic thrombocytopenic purpura (ITP)? o A. Acetylsalicylic acid (ASA) o B. Corticosteroids o C. Methotrexate o D. Vitamin K • 5. Question A female client is scheduled to receive a heart valve replacement with a porcine valve. Which of the following types of transplant is this? o A. Allogeneic o B. Autologous o C. Syngeneic o D. Xenogeneic • 6. Question Marco falls off his bicycle and injures his ankle. Which of the following actions shows the initial response to the injury in the extrinsic pathway? o A. Release of Calcium o B. Release of tissue thromboplastin o C. Conversion of factors XII to factor XIIa o D. Conversion of factor VIII to factor VIIIa • 7. Question Instructions for a client with systemic lupus erythematosus (SLE) would include information about which of the following blood dyscrasias? o A. Dressler’s syndrome o B. Polycythemia o C. Essential thrombocytopenia o D. Von Willebrand’s disease • 8. Question The nurse is aware that the following symptom is most commonly an early indication of stage 1 Hodgkin’s disease? o A. Pericarditis o B. Night sweat o C. Splenomegaly o D. Persistent hypothermia • 9. Question Francis with leukemia has neutropenia. Which of the following functions must be frequently assessed? o A. Blood pressure o B. Bowel sounds o C. Heart sounds o D. Breath sounds • 10. Question The nurse knows that neurologic complications of multiple myeloma (MM) usually involve which of the following body systems? o A. Brain o B. Muscle spasm o C. Renal dysfunction o D. Myocardial irritability • 11. Question Nurse Patricia is aware that the average length of time from human immunodeficiency virus (HIV) infection to the development of acquired immunodeficiency syndrome (AIDS)? o A. Less than 5 years o B. 5 to 7 years o C. 10 years o D. More than 10 years • 12. Question An 18-year-old male client admitted with heat stroke begins to show signs of disseminated intravascular coagulation (DIC). Which of the following laboratory findings is most consistent with DIC? o A. Low platelet count o B. Elevated fibrinogen levels o C. Low levels of fibrin degradation products o D. Reduced prothrombin time • 13. Question Mario comes to the clinic complaining of fever, drenching night sweats, and unexplained weight loss over the past 3 months. Physical examination reveals a single enlarged supraclavicular lymph node. Which of the following is the most probable diagnosis? o A. Influenza o B. Sickle cell anemia o C. Leukemia o D. Hodgkin’s disease • 14. Question A male client with a gunshot wound requires an emergency blood transfusion. His blood type is AB negative. Which blood type would be the safest for him to receive? o A. AB Rh-positive o B. A Rh-positive o C. A Rh-negative o D. O Rh-positive • 15. Question Stacy was diagnosed with acute lymphoid leukemia (ALL). She was discharged from the hospital following her chemotherapy treatments. Which statement of Stacy’s mother indicated that she understands when she will contact the physician? o A. “I should contact the physician if Stacy has difficulty in sleeping”. o B. “I will call my doctor if Stacy has persistent vomiting and diarrhea”. o C. “My physician should be called if Stacy is irritable and unhappy”. o D. “Should Stacy have continued hair loss, I need to call the doctor”. 16. Question Molly Sue is diagnosed with acute lymphoid leukemia (ALL) and beginning chemotherapy. Her mother states to the nurse that it is hard to see Molly Sue with no hair. The best response for the nurse is: o A. “Molly Sue looks very nice wearing a hat”. o B. “You should not worry about her hair, just be glad that she is alive”. o C. “Yes, it is upsetting. But try to cover up your feelings when you are with her or else she may be upset”. o D. “This is only temporary; Molly Sue will re-grow new hair in 3-6 months but may be different in texture”. • 17. Question Brittany who is undergoing chemotherapy for her throat cancer is experiencing stomatitis. To promote oral hygiene and comfort, the nurse-in-charge should: o Provide frequent mouthwash with normal saline. o A. Provide frequent mouthwash with normal saline. o B. Apply viscous Lidocaine to oral ulcers as needed. o C. Use lemon glycerine swabs every 2 hours. o D. Rinse mouth with Hydrogen Peroxide. • 18. Question During the administration of chemotherapy agents, Nurse Oliver observed that the IV site is red and swollen when the IV is touched Stacy shouts in pain. The first nursing action to take is:


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Subido en
2 de junio de 2024
Número de páginas
24
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2023/2024
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Examen
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