Exam 1 Chapters NCLEX Questions Flashcards
A man presents to the emergency room after being out in below zero weather all night. He asks the nurse why the health care team is concerned about his toes and feet. How could the nurse respond?
A. “Cold causes injury to the cells in the body by injuring the blood vessels, making them leak in to the surrounding tissue”.
B. “After being out in the cold all night, his toes and feet are frozen, and it will be very painful to warm them again, in addition, the health care team is concerned that he might be a drug addict”.
C. “It is obvious that you are a homeless person, and we were wondering how often this has happened to you before and when it will happen again”.
D. “Your toes and feet are frozen, and there is a concern about the formation of blood clots as we warm them again.”
The cardinal signs of local inflammation includes swelling, pain, redness, and heat. What is the fifth cardinal sign of inflammation?
A. Loss of function
B. Fever
C. Altered level of consciousness
D. Sepsis
Which of the following laboratory results would the nurse expect with a patient suffering from inflammation systemically?
A. Decrease erythrocyte sedimentation rate
B. Decrease white blood cells
C. Increase creative
D. Increase C-reactive protein
A couple has three offspring: one child with an autosomal dominant disease trait and two who are normal. The father is affected by the autosomal dominant disease, but the mother does not have the disease gene. What is the recurrence risk of this autosomal dominant disease for their next child?
A. 50%
B. 33%
C.20%
D. Impossible to determine
Which food would the nurse teach parents of a child with phenylketonuria (PKU) to avoid?
A. Ice cream
B. Juice
C.cereal
D. Carrots
A 5yr old male presents with mental retardation and is diagnosed with Fragile X syndrome. Which of the following is most likely to cause this syndrome?
A. Translocation
B. Inversion
C. Nondisjunction
D. Duplication at fragile sites
In caring for a neonate with cleft lip and palate, which issue is first encountered by the nurse?
A. Feeding difficulties
B. Operative care
C. Pain management
D. Parental reaction
A mother has recently been informed that her child has Down’s syndrome. You will be assigned to care for the child at shift change. Which of the following characteristics is not associated with Down’s syndrome?
A. Large protruding tongue
B. Brachycephalic
C. Oily skin
D. Hypotonicity
A 12yr old male is diagnosed with Klinefelter syndrome. His karyotype would reveal which of the following?
A. XX
B. XY
C. XXY
D. XYY
A 13yr old girl has a karyotype that reveals an absent homologous X chromosome with only a single X chromosome present. Her condition is called?
A. Down syndrome
B. Turner syndrome
C. Klinefelter syndrome
D. Edward Syndrome
A nurse notes hypotonia, irritability, and a poor sucking reflex in a full-term newborn on admission to the nursery. The nurse suspects fetal alcohol syndrome and is aware that which additional sign would be consistent with fetal alcohol syndrome?
A. Length of 19 inches
B. Smaller head size
C. Birth weight of 7lb. 14oz
D. Narrow nose
The nurse on an oncology floor has just admitted a patient with metastatic cancer. The patient asks how cancer moves from one place in the body to another. What would the nurse answer?
A. “Cancer cells are not able to float around the original tumor in body fluids.”
B. “Cancer cells enter the body’s lymph system and thereby spread to other parts of the body.”
C. “Cancer cells are moved from one place in the body to another by transporter cells.”
D. “Cancer cells replicate and form a chain that spreads from the original tumor site to the site of the metastatic lesion.”
A big difference in the treatment of childhood cancer as opposed to adult cancer is that chemotherapy is the most widely used treatment therapy for childhood cancer. What is the reason for this?
A. Pediatric tumors are more responsive to chemotherapy than adult cancers.
B. Children do not tolerate other forms of therapy as well as adults do
C. Children do not complain about the nausea and vomiting caused by chemotherapy like adults do
D. Children think losing their hair is “cool”
A client with anemia may be tired due to a tissue deficiency of which substance?
A. Carbon dioxide
B. Factor VII
C. Oxygen
D. T-cell antibodies
A vegetarian client was referred to a dietitian for nutritional counseling for anemia. Which client outcome indicates that the client does not understand nutritional counseling?
A. Adds dried fruit to cereal and baked goods
B. Cooks tomato-based foods in iron pots
C.Drinks coffee or tea with meals
D. Adds vitamin C to all meals
