NCLEX-RN Quiz Part 9 (451-525)
NO.451 A female client is admitted to the emergency department complaining of severe right-sided abdominal pain and vaginal spotting. She states that her last menstrual period was about 2 months ago. A positive pregnancy test result and ultrasonography confirm an ectopic pregnancy. The nurse could best explain to the client that her condition is caused by:
A. Abnormal development of the embryo
B. A distended or ruptured fallopian tube
C. A congenital abnormality of the tube
D. A malfunctioning of the placenta
NO.452 A chronic alcoholic client's condition deteriorates, and he begins to exhibit signs of hepatic coma. Which of the following is an early sign of impending hepatic coma?
A. Hiccups
B. Anorexia
C. Mental confusion
D. Fetor hepaticus
NO.453 A mother continues to breast-feed her 3-month-old infant. She tells the nurse that over thepast 3 days she has not been producing enough milk to satisfy the infant. The nurse advises the mother to do which of the following?
A. "Start the child on solid food."
B. "Nurse the child more frequently during this growth spurt."
C. "Provide supplements for the child between breastfeeding so you will have enough milk."
D. "Wait 4 hours between feedings so that your breasts will fill up."
NO.454 The nurse is teaching a client how to perform monthly testicular self-examination (TSE) and states that it is best to perform the procedure right after showering. This statement is made by the nurse based on the knowledge that:
A. The client is more likely to remember to perform the TSE when in the nude
B. When the scrotum is exposed to cool temperatures, the testicles become large and bulky
C. The scrotum will be softer and more relaxed after a warm shower, making the testicles easier to palpate
D. The examination will be less painful at this time
NO.455 A young child has been placed in a spica cast. The chief concern of the nurse during the first few hours is:
A. Prevention of neurovascular complications
B. Prevention of loss of muscle tone
C. Immobilization of the affected limb
D. Using heated fans to dry the cast
NO.456 A client is going to have a pneumonectomy in the morning. She had a previous negative surgical experience, is talking rapidly, and has an increased pulse and respiratory rate. Nursing interventions for this client should include:
A. Providing opportunities to ask questions and talk about concerns
B. Providing distractors such as reading or watching television
C. Telling her that she should not be so nervous and assuring her that everything will be OK
D. Reminding her that this surgery is not as extensive as her past surgery was
NO.457 A 40-year-old client is admitted to the hospital for tests to diagnose cancer. Since his admission, he has become dependent and demanding to the nursing staff. The nurse identifies this behavior as which defense mechanism?
A. Denial
B. Displacement
C. Regression
D. Projection
NO.458 A mother who is breast-feeding her newborn asks the RN, "How can I express milk from my breasts manually?" The RN tells her that the correct method for manual milk expression includes using the thumb and the index finger to:
A. Alternately compress and release each nipple
B. Roll the nipple and gently pull the nipple forward
C. Slide the thumb and index finger forward from the outer border of the areola toward the end of the nipple
D. Compress and release each breast at the outer border of the areola
NO.459 A 37-year-old client has been taking antipsychotic medication for the past 10 days. The nurse observes her walking with a shuffling gait and postural rigidity and notes a masklike expression on her face. Which side effect is this client exhibiting?
A. Dystonia
B. Parkinsonism
C. Tardive dyskinesia
D. Akathesia
NO.460 Cheyne-Stokes respiratory pattern can be associated with which of the following conditions?
A. Diabetic ketoacidosis
B. Fever
C. Increased intracranial pressure
D. Spinal meningitis.
NO.461 A nurse should carefully monitor a client for the following side effect of MgSO4:
A. Visual blurring
B. Tachypnea
C. Epigastric pain
D. Respiratory depression
NO.462 A client had a cardiac catheterization with angiography and thrombolytic therapy with streptokinase. The nurse should initiate which of the following interventions immediately after he returns to his room?
A. Place him on NPO restriction for 4 hours.
B. Monitor the catheterization site every 15 minutes.
C. Place him in a high Fowler position.
D. Ambulate him to the bathroom to void.
NO.463 When evaluating a client with symptoms of shock, it is important for the nurse to differentiate between neurogenic and hypovolemic shock. The symptoms of neurogenic shock differ from hypovolemic shock in that:
A. In neurogenic shock, the skin is warm and dry
B. In hypovolemic shock, there is a bradycardia
C. In hypovolemic shock, capillary refill is less than 2 seconds
D. In neurogenic shock, there is delayed capillary refill
NO.464 A child is admitted with severe headache, fever, vomiting, photophobia, drowsiness, and stiff neck associated with viral meningitis. She will be more comfortable if the nurse:
A. Dims the lights in her room
B. Encourages her to breathe slowly and deeply
C. Offers sips of warm liquids
D. Places a large, soft pillow under her head
NO.465 A 54-year-old client is admitted to the hospital with a possible gastric ulcer. He is a heavy smoker. When discussing his smoking habits with him, the nurse should advise him to:
A. Smoke low-tar, filtered cigarettes
B. Smoke cigars instead
C. Smoke only right after meals
D. Chew gum instead
NO.466 With a geriatric client, the nurse should also assess whether he has been obtaining a yearly vaccination against influenza. Why is this assessment important?
A. Influenza is growing in our society.
B. Older clients generally are sicker than others when stricken with flu.
C. Older clients have less effective immune systems.
D. Older clients have more exposure to the causative agents.
NO.467 A 16-year-old client reports a weight loss of 20% of her previous weight. She has a history of food binges followed by self-induced vomiting (purging). The nurse should suspect a diagnosis of:
A. Anorexia nervosa
B. Anorexia hysteria
C. Bulimia
D. Conversion reaction
NO.468 When administering phenytoin (Dilantin) to a child, the nurse should be aware that a toxic effect of phenytoin therapy is:
A. Stephens-Johnson syndrome
B. Folate deficiency
C. Leukopenic aplastic anemia
D. Granulocytosis and nephrosis
NO.469 The child with iron poisoning is given IV deforoxamine mesylate (Desferal). Following administration, the child suffers hypotension, facial flushing, and urticaria. The initial nursing intervention would be to:
A. Discontinue the IV
B. Stop the medication, and begin a normal saline infusion
C. Take all vital signs, and report to the physician
D. Assess urinary output, and if it is 30 mL an hour, maintain current treatment
NO.470 A male client has been an insulin-dependent diabetic for approximately 30 years. He frequently indulges in highsugar foods and forgets to take his insulin. He has not experienced acute diabetic emergencies over the years but is now beginning to demonstrate symptoms of diabetic peripheral neuropathy. This distresses him because dancing is one of his favorite pastimes. He decides to question his wife's home health nurse about diabetic peripheral neuropathy. The nurse points out his noncompliance to his diabetic diet and insulin regimen. The client answers the nurse,
"It has been my experience that the diabetic diet is very difficult to follow. As far as the insulin, isn't a fellow allowed to forget now and then?" The client's actions and response best demonstrate:
A. Depression
B. Anger
C. Denial
D. Bargaining
NO.471 After 3 weeks of treatment, a severely depressed client suddenly begins to feel better and starts interacting appropriately with other clients and staff. The nurse knows that this client has an increased risk for:
A. Suicide
B. Exacerbation of depressive symptoms
C. Violence toward others
D. Psychotic behavior
NO.472 The most appropriate method of evaluating whether the diet of a child with cystic fibrosis is meeting his caloric needs is:
A. Careful monitoring of weight loss or gain
B. Carefully recording amounts and types of foods ingested
C. Keeping a strict account of the number of calories ingested
D. Keeping a careful account of the amount of pancreatic enzymes ingested
NO.473 A male client seeks counseling after his wife of 19 years threatened to divorce him. For most of their marriage, he has physically and verbally abused her. When asked about his behavior in the process of the nursing assessment, the client states, "I was mean to my wife because she insists on cooking meals and wearing clothes that I do not like." This defense mechanism is an example of:
A. Repression
B. Regression
C. Reaction formation
D. Rationalization
NO.474 Which of the following medications requires close observation for bronchospasm in the client with chronic obstructive pulmonary disease or asthma?
A. Verapamil (Isoptin)
B. Amrinone (Inocor)
C. Epinephrine (Adrenalin)
D. Propranolol (Inderal)
NO.475 Signs and symptoms of an allergy attack include which of the following?
A. Wheezing on inspiration
B. Increased respiratory rate
C. Circumoral cyanosis
D. Prolonged expiration
NO.476 A 4-week-old infant is admitted to the emergency room in respiratory distress. Which of the following statements indicates the nurse's knowledge of the anatomy of the respiratory system in pediatric clients?
A. The diameter of the trachea is much smaller in children than in adults.
B. The tongue is proportionally smaller in children than in adults.
C. The pediatric airway is more rigid than that of the adults.
D. The length of the pediatric airway is longer in children than in adults.
NO.477 While the RN is assessing a mother's perineum on her 2nd postpartum day after having a vaginal delivery, the RN notes a large ecchymotic area located to the left of the mother's perineum. Which one of the following interventions should the RN initiate at this time?
A. Have the client expose the area to air.
B. Apply ice to the perineum.
C. Encourage the client to take warm sitz baths.
D. Inform the physician.
NO.478 A 48-year-old client is being seen in her physician's office for complaints of indigestion, heartburn, right upper quadrant pain, and nausea of 4 days' duration, especially after meals. The nurse realizes that these symptoms may be associated with cholecystitis and therefore would check for which specific sign during the abdominal assessment?
A. Cullen's sign
B. Rebound tenderness
C. Murphy's sign
D. Turner's sign
NO.479 The nurse is caring for a laboring client. Assessment data include cervical dilation 9 cm; contractions every 1-2 minutes; strong, large amount of "bloody show." The most appropriate nursing goal for this client would be:
A. Maintain client's privacy.
B. Assist with assessment procedures.
C. Provide strategies to maintain client control.
D. Enlist additional caregiver support to ensure client's safety.
NO.480 The most important reason to closely assess circumferential burns at least every hour is that they may result in:
A. Hypovolemia
B. Renal damage
C. Ventricular arrhythmias
D. Loss of peripheral pulses
NO.481 A 30-year-old client is exhibiting auditory hallucinations. In working with this client, the nurse would be most effective if the nurse:
A. Encourages the client to discuss the voices
B. Attempts to direct the client's attention to the here and now
C. Exhibits sincere interest in the delusional voices
D. Gives the medication as necessary for the acting-out behavior
NO.482 A client is hyperactive and not sleeping. She will not remain at the table during mealtime. She is getting very limited calories and is using a lot of energy in her hyperactive state. The most therapeutic nursing action is to:
A. Insist that she remain at the table and eat a balanced diet.
B. Order a high-calorie diet with supplements.
C. Provide nutritious finger foods several times a day.
D. Offer to go to the dining room with her and allow her to open the food and inspect what she eats.
NO.483 Which of the following would have the physiological effect of decreasing intracranial pressure (ICP)?
A. Increased core body temperature
B. Decreased serum osmolality
C. Administration of hypo-osmolar fluids
D. Decreased PaCO2
NO.484 An 8-week-old infant has been diagnosed with gastroesophageal reflux. The nurse is teaching the infant's mother to care for the infant at home. Which one of the following statements by the nurse is appropriate regarding the infant's home care?
A. "Lay the infant flat on her left side after feeding."
B. "Feed the infant every 4 hours with half-strength formula."
C. "Antacids need to be given an hour before feeding."
D. "Play activities should be carried out before instead of after feedings."
NO.485 Assessment of a newborn for Apgar scoring includes observation for:
A. Pupil response
B. Respiratory rate
C. Heart rate
D. Babinski's reflex
NO.486 A client presented herself to the mental health center, describing the following symptoms: a weight loss of 20 lb in the past 2 months, difficulty concentrating, repeated absences from work due to "fatigue," and not wanting to get dressed in the morning. She leaves her recorded message on her telephone and has lost interest in answering the phone or doorbell. The nurse's assessment of her behavior would most likely be:
A. Deep depression
B. Psychotic depression
C. Severe anxiety
D. Severe depression
NO.487 A 58-year-old client on a general surgery unit is scheduled for transurethral resection of the prostate (TURP) in 2 hours. The nurse explains to the client that this procedure means:
A. Removal of the prostate tissue by way of a lower abdominal midline incision through the bladder and into the prostate gland
B. Removal of prostate tissue by a resectoscope that is inserted through the penile urethra
C. Removal of the prostate tissue by an open surgical approach through an incision between the ischial tuberosities, the scrotum, and the rectum
D. Removal of prostate tissue by an open surgical approach through a low horizontal incision, bypassing the bladder, to the prostate gland
NO.488 Parents of a child with rheumatic fever express concern that she will always be arthritic. The nurse discusses their concerns and tells them the joint pain usually:
A. Subsides in<3 weeks
B. Is relieved by aspirin
C. Is responsive to ibuprofen (Motrin)
D. Subsides in 3-6 days
NO.489 A 23-year-old college student seeks medical attention at the college infirmary for complaints of severe fatigue. Her skin is pale, and she reports exertional dyspnea. She is admitted to the hospital with possible aplastic anemia. Laboratory values reflect anemia, and the client is prepared for a bone marrow biopsy. She refuses to sign the biopsy consent and states, "Can't you just get the doctor to give me a transfusion and let me go. This weekend begins spring break, and I have plans to go to Florida." At this time the nurse's greatest concern is that:
A. The client may contract an infection as a result of being exposed to large crowds at spring break
B. The client does not grasp the full impact of her illness
C. The client may require transfusion before leaving for spring break
D. The causative agent be identified and treatment begun
NO.490 When giving discharge instructions to a 24-year-old client who had a short-arm cast applied for a fractured right ulna, the nurse recognizes the importance of telling him that the drying time for a plaster of Paris cast is approximately:
A. 30 minutes
B. 1-4 hours
C. 12-24 hours
D. 24-72 hours
NO.491 A client's congestive heart failure has been treated, and he will soon be discharged. Discharge teaching should include instruction to call the physician if he notices a 2-lb weight gain in a 24-hour period. Increased weight gain may indicate:
A. A diet too high in calories and saturated fat
B. Decreasing cardiac output
C. Decreasing renal function
D. Development of diabetes insipidus
NO.492 A mother brings her 3-year-old child who is unconscious but breathing to the ER with an apparent drug overdose. The mother found an empty bottle of aspirin next to her child in the bathroom. Which nursing action is the most appropriate?
A. Put in a nasogastric tube and lavage the child's stomach.
B. Monitor muscular status.
C. Teach mother poison prevention techniques.
D. Place child on respiratory assistance.
NO.493 A client is scheduled for a magnetic resonance imaging (MRI) to locate a cerebral lesion. It is important for the nurse to find out if he has a(n):
A. Allergy to seafood
B. History of seizures
C. Movable metal implant
D. Pin or screw in any bone
NO.494 Decreased pulmonary blood flow, right-to-left shunting, and deoxygenated blood reaching the systemic circulation are characteristic of:
A. Tetralogy of Fallot
B. Ventricular septal defect
C. Patent ductus arteriosus
D. Transposition of the great arteries
NO.495 A female client was recently diagnosed with gastric cancer. She entered the hospital and had a total gastrectomy with esophagojejunostomy. Her postoperative recovery was uneventful. On conducting discharge teaching, the nurse discusses changes in bodily function and lifestyle changes with the client. In order to prevent pernicious anemia, the nurse stresses that the client must:
A. Receive monthly blood transfusions
B. Increase the amount of iron in her diet
C. Eat small quantities several times daily until she is able to tolerate food in moderate portions
D. Understand the need for Vitamin B12 replacement therapy
NO.496 As the nurse assesses a male adolescent with chlamydia, the nurse determines that a sign of chlamydia is:
A. Enlarged penis
B. Secondary lymphadenitis
C. Epididymitis
D. Hepatomegaly
NO.497 Which type of insulin can be administered by a continuous IV drip?
A. Humulin N
B. NPH insulin
C. Regular insulin
D. Lente insulin
NO.498 In the client with a diagnosis of coronary artery disease, the nurse would anticipate the complication of bradycardia with occlusion of which coronary artery?
A. Right coronary artery
B. Left main coronary artery
C. Circumflex coronary artery
D. Left anterior descending coronary artery
NO.499 Which of the following signs might indicate a complication during the labor process with vertex presentation?
A. Fetal tachycardia to 170 bpm during a contraction
B. Nausea and vomiting at 8-10 cm dilation
C. Contraction lasting 60 seconds
D. Appearance of dark-colored amniotic fluid
NO.500 Nursing care of the infant prior to surgical closure of a meningomyelocele would include:
A. Cover sac with dry sterile dressing
B. Cover sac with saline-soaked sterile dressing
C. Do not apply dressing; keep sac open to air
D. Aspirate any fluid from sac
NO.501 A family is experiencing changes in their lifestyle in many ways. The invalid grandmother has moved in with them. The couple have a 2-year-old son by their marriage, and the wife has two children by her previous marriage. The older children are in high school. In applying systems theory to this family, it is important for the nurse to remember which of the following principles?
A. The parts of a system are only minimally related.
B. Dysfunction in one part affects every other part.
C. A family system has no boundaries.
D. Healthy families are enmeshed.
NO.502 The family member of a child scheduled for heart surgery states, "I just don't understand this open-heart or closed-heart business. I'm so confused! Can you help me understand it?" The nurse explains that patent ductus arteriosus repair is:
A. Open-heart surgery. The child will be placed on a heart-lung machine while the surgery is being performed.
B. Closed-heart surgery. It does not require that the child be placed on the heart-lung machine while the surgery is being performed.
C. A pediatric version of the coronary artery bypass graft surgery performed on adults. It is an open- heart surgery.
D. A pediatric version of percutaneous transluminal coronary angioplasty performed on adults. It is a closed-heart surgery.
NO.503 A client is diagnosed with organic brain disorder. The nursing care should include:
A. Organized, safe environment
B. Long, extended family visits
C. Detailed explanations of procedures
D. Challenging educational programs
NO.504 Clinical manifestations seen in left-sided rather than in right-sided heart failure are:
A. Elevated central venous pressure and peripheral edema
B. Dyspnea and jaundice
C. Hypotension and hepatomegaly
D. Decreased peripheral perfusion and rales
NO.505 A 9-month-old infant is being examined in the general pediatric clinic for a routine well-child checkup. His immunizations are up to date, and his mother reports that he has had no significant illnesses or injuries. Which of the following signs would lead the nurse to believe that he has had a cerebral injury?
A. Hyperextension of the neck with evidence of pain on flexion
B. Holding the head to one side and pointing the chin toward the other side
C. Holding the head erect and in the midline when in a vertical position
D. Significant head lag when raised to a sitting position
NO.506 A client's membranes have just ruptured spontaneously. Which of the following nursing actions should take priority?
A. Assess quantity of fluid.
B. Assess color and odor of fluid.
C. Document on fetal monitor strip and chart.
D. Assess fetal heart rate (FHR).
NO.507 A 14-year-old boy has had diabetes for 7 years. He takes 30 U of NPH insulin and 10 U of regular insulin every morning at 7 AM. He eats breakfast at 7:30 AM and lunch at noon. What time should he expect the greatest risk for hypoglycemia?
A. 9 AM
B. 1 PM
C. 11 AM
D. 3 PM
NO.508 A client with bipolar disorder taking lithium tells the nurse that he has ringing in his ears, blurred vision, and diarrhea. The nurse notices a slight tremor in his left hand and a slurring pattern to his speech. Which of the following actions by the nurse is appropriate?
A. Administer a stat dose of lithium as necessary.
B. Recognize this as an expected response to lithium.
C. Request an order for a stat blood lithium level.
D. Give an oral dose of lithium antidote.
NO.509 The initial treatment for a client with a liquid chemical burn injury is to:
A. Irrigate the area with neutralizing solutions
B. Flush the exposed area with large amounts of water
C. Inject calcium chloride into the burned area
D. Apply lanolin ointment to the area
NO.510 A 2-year-old child will undergo a cardiac catheterization tomorrow to evaluate his ventricular septal defect. Based on his developmental stage, the nurse:
A. Uses pictures to explain the procedure to the child and his parents that evening
B. Explains the procedure using simple words and sentences just before the preoperative sedation
C. Asks the parents to explain the procedure to the child after she explains it to them
D. Asks the parents to leave the room while the preoperative medication and instructions are given
NO.511 An 11-month-old infant is admitted with a possible diagnosis of pyloric stenosis. Which of the following best describes the characteristic clinical manifestations of pyloric stenosis?
A. Pain, especially when eating
B. Poor appetite and sucking reflex
C. Increased frequency and quantity of stools
D. Palpable olive-shaped mass in the epigastrium just right of the umbilical cord
NO.512 A client who has sustained a basilar skull fracture exhibits blood-tinged drainage from his nose. After establishing a clear airway, administering supplemental O2, and establishing IV access, the next nursing intervention would be to:
A. Pass a nasogastric tube through the left nostril
B. Place a 4 X 4 gauze in the nares to impede the flow
C. Gently suction the nasal drainage to protect the airway
D. Perform a halo test and glucose level on the drainage
NO.513 A 9-month-old infant visits her pediatrician for a routine visit. A developmental assessment was initiated by the nurse. Which skill would cause the nurse to be concerned about the infant's developmental progression?
A. She sits briefly alone with assistance.
B. She creeps and crawls.
C. She pulls herself to her feet with help.
D. She stands while holding onto furniture.
NO.514 A client has been diagnosed as being preeclamptic. The physician orders magnesium sulfate. Magnesium sulfate (MgSO4) is used in the management of preeclampsia for:
A. Prevention of seizures
B. Prevention of uterine contractions
C. Sedation
D. Fetal lung protection
NO.515 A 9-month-old infant was diagnosed with nonorganic failure to thrive. During her hospitalization, primary nurses were assigned to initiate all infant feedings. The infant's parents question why they cannot feed their own child. Which of the following responses would be most appropriate by the nurse?
A. By assigning the same nurses to the child, the nurses can begin to learn the infant's cues and feeding behaviors.
B. The same nurses will prevent parental fatigue and frustration.
C. The same nurses will prevent infant fatigue and frustration.
D. Primary nurses will ensure privacy.
NO.516 Nursing care for the substance abuse client experiencing alcohol withdrawal delirium includes:
A. Maintaining seizure precautions
B. Restricting fluid intake
C. Increasing sensory stimuli
D. Applying ankle and wrist restraints
NO.517 A 3-year-old child is hospitalized with burns covering her trunk and lower extremities. Which of the following would the nurse use to assess adequacy of fluid resuscitation in the burned child?
A. Blood pressure
B. Serum potassium level
C. Urine output
D. Pulse rate
NO.518 At her first prenatal visit, a 21-year-old woman who is gravida 2, para 0, ab 1, is currently at 32 weeks' gestation and has a history of drug abuse, smoking, and occasional ethyl alcohol use. Fetal ultrasound tests indicate poor fetal growth. The most likely reason for the infant's intrauterine growth retardation is:
A. The client's young age
B. The client's previous abortion
C. The client's history of drug, ethyl alcohol, and tobacco use
D. The client's late prenatal care
NO.519 The nurse is aware that nutrition is an important aspect of care for a client with hepatitis. Which of the following diets would be most therapeutic?
A. High protein and low carbohydrate
B. Low calorie and low protein
C. High carbohydrate and high calorie
D. Low carbohydrate and high calorie
NO.520 A client had a myocardial infarction 5 days ago. His physician has ordered an echocardiogram to determine how his myocardial infarction has affected his ventricular wall motion. When the client asks if this test is painful, an appropriate response is:
A. "No, but you must be able to ride on a stationary bicycle while the test is being performed."
B. "No, but you will have to lie still and the gel that is used may be cool."
C. "Yes, but your physician will be there and will order pain medicine for you."
D. "Your physician has ordered medicine, which you will be given before you go for the test, which will make you sleepy."
NO.521 A 25-year-old outpatient presents with a diagnosis of compulsive personality disorder. His coworkers become annoyed with his rigid, perfectionistic manner and preoccupation with trivial details and schedules. A nursing intervention appropriate for this client would include:
A. Encouraging him to engage in recreational activities
B. Avoiding discussion of his annoying behavior
C. Encouraging the client to set a time schedule and deadlines for himself
D. Contracting with him for the amount of time he will spend on the compulsive behaviors
NO.522 The nurse is assessing and getting a history from a client treated for depression with a monoamine oxidase (MAO) antidepressant. The most serious side effect associated with this antidepressant and the ingestion of tyramine in aged foods may be:
A. Hypertensive crisis
B. Severe rash
C. Severe hypotension
D. Severe diarrhea
NO.523 The nurse is developing a plan of care for a client with an electrolyte imbalance and identifies a nursing diagnosis of decreased physical mobility. Which alteration is most the etiology?
A. Hypernatremia
B. Hypocalcemia
C. Hypokalemia
D. Hypomagnesemia
NO.524 A child is admitted to the emergency room with her mother. Her mother states that she has been exposed to chickenpox. During the assessment, the nurse would note a characteristic rash:
A. That is covered with vesicular scabs all in the macular stage
B. That appears profusely on the trunk and sparsely on the extremities
C. That first appears on the neck and spreads downward
D. That appears especially on the cheeks, which gives a "slapped-cheek" appearance
NO.525 The parents of a 9-year-old child with acute lymphocytic leukemia expressed concern about his alopecia from cranial irradiation. The nurse explains that:
A. Alopecia is an unavoidable side effect.
B. There are several wig makers for children.
C. Most children select a favorite hat to protect their heads.
D. His hair will grow back in a few months.
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Rating:
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Solution: NCLEX-RN Quiz Part 9 (451-525)