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NCLEX RN· Physiological Integrity · NCLEX RN Practice Questions Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A healthcare provider is assessing vital signs in pediatric patients. Which of the following vital signs is abnormal?

A. 11-year-old male: 90 BPM, 22 RPM, 100/70 mmHg

B. 13-year-old female: 105 BPM, 22 RPM, 105/50 mmHg

C. 5-year-old male: 102 BPM, 24 RPM, 90/65 mmHg

D. 6-year-old female: 100 BPM, 26 RPM, 90/70 mmHg

Expert Explanatory Rationale

Correct Answer: 13-year-old female: 105 BPM, 22 RPM, 105/50 mmHg

Question 2 of 5

A nurse is assessing a client who is post-op day #3 after an abdominal hernia repair. After a bout of harsh coughing, the client states, 'it feels like something gave way.' The nurse assesses his abdomen and notes an evisceration from the surgical site. What is the next action of the nurse?

A. Turn the client on his side

B. Push the abdominal contents back inside the wound using sterile gloves

C. Ask the client to take a breath and hold it

D. Cover the intestine with sterile saline dressings

Expert Explanatory Rationale

Correct Answer: Cover the intestine with sterile saline dressings

Question 3 of 5

A patient with leukemia is receiving chemotherapy that is known to depress bone marrow. A CBC (complete blood count) reveals a platelet count of 25,000/microliter. Which of the following actions related specifically to the platelet count should be included in the nursing care plan?

A. Monitor for fever every 4 hours.

B. Require visitors to wear respiratory masks and protective clothing.

C. Consider transfusion of packed red blood cells.

D. Check for signs of bleeding, including examination of urine and stool for blood.

Expert Explanatory Rationale

Correct Answer: Check for signs of bleeding, including examination of urine and stool for blood.

Question 4 of 5

A child weighing 30 kg arrives at the clinic with diffuse itching as the result of an allergic reaction to an insect bite. Diphenhydramine (Benadryl) 25 mg 3 times a day is prescribed. The correct pediatric dose is 5 mg/kg/day. Which of the following best describes the prescribed drug dose?

A. It is the correct dose

B. The dose is too low

C. The dose is too high

D. The dose should be increased or decreased, depending on the symptoms

Expert Explanatory Rationale

Correct Answer: The dose is too low

Question 5 of 5

A healthcare professional is reviewing a patient's chart and notices that the patient suffers from Lyme disease. Which of the following microorganisms is related to this condition?

A. Borrelia burgdorferi

B. Streptococcus pyogenes

C. Bacillus anthracis

D. Enterococcus faecalis

Expert Explanatory Rationale

Correct Answer: Borrelia burgdorferi

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