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NCLEX National Council Licensure Examination(NCLEX-PN) Sample Questions (Q472-Q477):

NEW QUESTION # 472
Chemotherapeutic agents often produce a degree of myelosuppression including leukopenia. Leukopenia does not present immediately but is delayed several days or weeks because:

A. the client's hemoglobin and hematocrit are normal.
B. folic acid levels are normal.
C. the current white cell count is not affected by chemotherapy.
D. red blood cells are affected first.

Answer: C

Explanation:
Explanation/Reference:
Explanation:
Time is required to clear circulating cells before the effect that chemotherapeutic drugs have on precursor cell maturation in the bone marrow becomes evident. Leukopenia is an abnormally low white blood cell count. Choices 1, 2, and 3 pertain to red blood cells. Pharmacological Therapies

NEW QUESTION # 473
A standard walker is used when clients:

A. have poor balance, have an autoimmune disease, or have weak arms.
B. have poor balance, have a broken leg, or have experienced amputation.
C. have poor balance, have cardiac problems, or cannot use crutches or a cane.
D. have poor balance, cannot stand up, have weak arms, and have good hand strength.

Answer: C

Explanation:
A walker is used for clients who have balance problems, cardiac problems, or cannot use crutches or a cane. The client needs to bear partial weight and have strength in her wrists and arms. The client uses her upper body to propel the walker forward.Basic Care and Comfort

NEW QUESTION # 474
Distraction therapy is:

A. the use of medication and meditation.
B. the replacement of positive images of pain with other images.
C. cognitive reappraisal.
D. focusing one's attention on stimuli other than pain.

Answer: D

Explanation:
The focus of distraction therapy is on positive stimuli rather than negative input.Basic Care and Comfort

NEW QUESTION # 475
A client is to have an enema to reduce flatus.
The enema tube should be inserted:

A. 4 inches.
B. 6 inches.
C. 2 inches.
D. 8 inches.

Answer: A

Explanation:
Enema tubing must be passed beyond the internal sphincter. Two inches is not far enough to pass the internal sphincter. Both 6 and 8 inches are too far and might cause trauma to the bowel.Basic Care and Comfort

NEW QUESTION # 476
How is the information documented on incident reports used?

A. to analyze risk categories
B. all of the above
C. to make sure procedures are in compliance with regulations
D. to identify the educational needs of the staff

Answer: B

Explanation:
Risk management plays a vital role as an arm of quality monitoring and improvement programs. It utilizes information obtained from incident reports, as well as audits,
committee minutes, service complaints, and clientsatisfaction questionnaires to perform all
of the tasks identified.Safety and Infection Control

NEW QUESTION # 477
......

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