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NCLEX-PN Exam Questions - Part 4
1. Which of the following conditions is mammography used to detect?
A) pain
B) tumor
C) edema
D) epilepsy
2. Why might breast implants interfere with mammography?
A) They might cause additional discomfort.
B) They are contraindications to mammography.
C) They are likely to be dislodged.
D) They might prevent detection of masses.
3. Which of the following instructions should the nurse give a client who will be undergoing mammography?
A) Be sure to use underarm deodorant.
B) Do not use underarm deodorant.
C) Do not eat or drink after midnight.
D) Have a friend drive you home.
4. Which of the following diseases or conditions is least likely to be associated with increased potential for bleeding?
A) metastatic liver cancer
B) gram-negative septicemia
C) pernicious anemia
D) iron-deficiency anemia
5. A client has been diagnosed with Disseminated Intravascular Coagulation (DIC) and transferred to the medical intensive care unit (ICU) subsequent to an acute bleeding episode. In the ICU, continuous Heparin drip therapy is initiated. Which of the following assessment findings indicates a positive response to Heparin therapy?
A) increased platelet count
B) increased fibrinogen
C) decreased fibrin split products
D) decreased bleeding
A) pain
B) tumor
C) edema
D) epilepsy
2. Why might breast implants interfere with mammography?
A) They might cause additional discomfort.
B) They are contraindications to mammography.
C) They are likely to be dislodged.
D) They might prevent detection of masses.
3. Which of the following instructions should the nurse give a client who will be undergoing mammography?
A) Be sure to use underarm deodorant.
B) Do not use underarm deodorant.
C) Do not eat or drink after midnight.
D) Have a friend drive you home.
4. Which of the following diseases or conditions is least likely to be associated with increased potential for bleeding?
A) metastatic liver cancer
B) gram-negative septicemia
C) pernicious anemia
D) iron-deficiency anemia
5. A client has been diagnosed with Disseminated Intravascular Coagulation (DIC) and transferred to the medical intensive care unit (ICU) subsequent to an acute bleeding episode. In the ICU, continuous Heparin drip therapy is initiated. Which of the following assessment findings indicates a positive response to Heparin therapy?
A) increased platelet count
B) increased fibrinogen
C) decreased fibrin split products
D) decreased bleeding
1. Right Answer: B
Explanation: Mammography is used to detect tumors or cysts in the breasts, not the other conditions. Reduction of Risk Potential
2. Right Answer: D
Explanation: Breast implants can prevent detection of masses. Choices 1, 2, and 3 are not ways in which breast implants interfere with mammography. Reduction of RiskPotential
3. Right Answer: B
Explanation: Underarm deodorant should not be used because it might cause confusing shadows on the X-ray film. There are no restrictions on food or fluid intake. No sedation is used, so the client can drive herself home. Reduction of Risk Potential
4. Right Answer: C
Explanation: Pernicious anemia results from vitamin B12 deficiency due to lack of intrinsic factor. This can result from inadequate dietary intake, faulty absorption from the GI tract due to a lack of secretion of intrinsic factor normally produced by gastric mucosal cells and certain disorders of the small intestine that impair absorption.The nurse should instruct the client in the need for lifelong replacement of vitamin B12, as well as the need for folic acid, rest, diet, and support. PhysiologicalAdaptation
5. Right Answer: B
Explanation: Effective Heparin therapy should stop the process of intravascular coagulation and result in increased availability of fibrinogen. Heparin administration interferes with thrombin-induced conversion of fibrinogen to fibrin. Bleeding should cease due to the increased availability of platelets and coagulation factors. PhysiologicalAdaptation
Explanation: Mammography is used to detect tumors or cysts in the breasts, not the other conditions. Reduction of Risk Potential
2. Right Answer: D
Explanation: Breast implants can prevent detection of masses. Choices 1, 2, and 3 are not ways in which breast implants interfere with mammography. Reduction of RiskPotential
3. Right Answer: B
Explanation: Underarm deodorant should not be used because it might cause confusing shadows on the X-ray film. There are no restrictions on food or fluid intake. No sedation is used, so the client can drive herself home. Reduction of Risk Potential
4. Right Answer: C
Explanation: Pernicious anemia results from vitamin B12 deficiency due to lack of intrinsic factor. This can result from inadequate dietary intake, faulty absorption from the GI tract due to a lack of secretion of intrinsic factor normally produced by gastric mucosal cells and certain disorders of the small intestine that impair absorption.The nurse should instruct the client in the need for lifelong replacement of vitamin B12, as well as the need for folic acid, rest, diet, and support. PhysiologicalAdaptation
5. Right Answer: B
Explanation: Effective Heparin therapy should stop the process of intravascular coagulation and result in increased availability of fibrinogen. Heparin administration interferes with thrombin-induced conversion of fibrinogen to fibrin. Bleeding should cease due to the increased availability of platelets and coagulation factors. PhysiologicalAdaptation
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