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NCLEX-PN Exam Questions - Part 5
1. A client, age 28, was recently diagnosed with Hodgkins disease. After staging, therapy is planned to include combination radiation therapy and systemic chemotherapy with MOPP nitrogen mustard, vincristine (Onconvin), prednisone, and procarbazine. In planning care for this client, the nurse should anticipate which of the following side effects to contribute to a sense of altered body image?
A) cushingoid appearance
B) alopecia
C) temporary or permanent sterility
D) pathologic fractures
2. Which of the following is an inappropriate item to include in planning care for a severely neutropenic client?
A) Transfuse netrophils (granulocytes) to prevent infection.
B) Exclude raw vegetables from the diet.
C) Avoid administering rectal suppositories.
D) Prohibit vases of fresh flowers and plants in the client - s room.
3. Which sign might the nurse see in a client with a high ammonia level?
A) coma
B) edema
C) hypoxia
D) polyuria
4. A client with which of the following conditions is at risk for developing a high ammonia level?
A) renal failure
B) psoriasis
C) lupus
D) cirrhosis
5. For which of the following conditions might blood be drawn for uric acid level?
A) asthma
B) gout
C) diverticulitis
D) meningitis
A) cushingoid appearance
B) alopecia
C) temporary or permanent sterility
D) pathologic fractures
2. Which of the following is an inappropriate item to include in planning care for a severely neutropenic client?
A) Transfuse netrophils (granulocytes) to prevent infection.
B) Exclude raw vegetables from the diet.
C) Avoid administering rectal suppositories.
D) Prohibit vases of fresh flowers and plants in the client - s room.
3. Which sign might the nurse see in a client with a high ammonia level?
A) coma
B) edema
C) hypoxia
D) polyuria
4. A client with which of the following conditions is at risk for developing a high ammonia level?
A) renal failure
B) psoriasis
C) lupus
D) cirrhosis
5. For which of the following conditions might blood be drawn for uric acid level?
A) asthma
B) gout
C) diverticulitis
D) meningitis
1. Right Answer: D
Explanation: Pathologic fractures are not common to the disease process. Its treatment through osteoporosis is a potential complication of steroid use. Hodgkins disease most commonly affects young adults (males), is spread through lymphatic channels to contiguous nodes, and also might spread via the hematogenous route to extradal sites (GI, bone marrow, skin, and other organs). A working staging classification is performed for clinical use and care. Physiological Adaptation
2. Right Answer: A
Explanation: Granulocyte transfusion is not indicated to prevent infection. Produced in the bone marrow, granulocytes normally comprise 70% of all WBCs. They are subdivided into three types based on staining properties: neutrophils, eosinophils, and basophils. They can be beneficial in a selected population of infected, severely granulocytopenic clients (less than 500/mm3) who do not respond to antibiotic therapy and who are expected to experience prolonged suppression of granulocyte production. Physiological Adaptation
3. Right Answer: A
Explanation: Coma might be seen in a client with a high ammonia level. Reduction of Risk Potential
4. Right Answer: D
Explanation: A client with cirrhosis is at risk for developing a high ammonia level. Reduction of Risk Potential
5. Right Answer: B
Explanation: Uric acid levels are indicated for clients with gout. Reduction of Risk Potential
Explanation: Pathologic fractures are not common to the disease process. Its treatment through osteoporosis is a potential complication of steroid use. Hodgkins disease most commonly affects young adults (males), is spread through lymphatic channels to contiguous nodes, and also might spread via the hematogenous route to extradal sites (GI, bone marrow, skin, and other organs). A working staging classification is performed for clinical use and care. Physiological Adaptation
2. Right Answer: A
Explanation: Granulocyte transfusion is not indicated to prevent infection. Produced in the bone marrow, granulocytes normally comprise 70% of all WBCs. They are subdivided into three types based on staining properties: neutrophils, eosinophils, and basophils. They can be beneficial in a selected population of infected, severely granulocytopenic clients (less than 500/mm3) who do not respond to antibiotic therapy and who are expected to experience prolonged suppression of granulocyte production. Physiological Adaptation
3. Right Answer: A
Explanation: Coma might be seen in a client with a high ammonia level. Reduction of Risk Potential
4. Right Answer: D
Explanation: A client with cirrhosis is at risk for developing a high ammonia level. Reduction of Risk Potential
5. Right Answer: B
Explanation: Uric acid levels are indicated for clients with gout. Reduction of Risk Potential
80% DISCOUNT: SPHR PRACTICE EXAMS
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