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NCLEX Exam Review 2018

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Q:1-Thrombolytic therapy is frequently used in the treatment of suspected stroke. Which of the following is a significant complication associated with thrombolytic therapy?
Mark one answer:

Air embolus.
Cerebral hemorrhage.
Expansion of the clot.
Resolution of the clot.

Q:2-An infant is brought to the clinic by his mother, who has noticed that he holds his head in an unusual position and always faces to one side. Which of the following is the most likely explanation?
Mark one answer:

Torticollis, with shortening of the sternocleidomastoid muscle.
Craniosynostosis, with premature closure of the cranial sutures.
Plagiocephaly, with flattening of one side of the head.
Hydrocephalus, with increased head size.

Q:3-An adolescent brings a physician’s note to school stating that he is not to participate in sports due to a diagnosis of Osgood-Schlatter disease. Which of the following statements about the disease is correct?
Mark one answer:

The condition was caused by the student’s competitive swimming schedule.
The student will most likely require surgical intervention.
The student experiences pain in the inferior aspect of the knee.
The student is trying to avoid participation in physical education.

Q:4-The clinic nurse asks a 13-year-old female to bend forward at the waist with arms hanging freely. Which of the following assessments is the nurse most likely conducting?
Mark one answer:

Spinal flexibility.
Leg length disparity.
Hypostatic blood pressure.

Q:5-A clinic nurse interviews a parent who is suspected of abusing her child. Which of the following characteristics is the nurse LEAST likely to find in an abusing parent?
Mark one answer:

Low self-esteem.
Self-blame for the injury to the child.
Single status.

Q:6-A nurse in the emergency department is observing a 4-year-old child for signs of increased intracranial pressure after a fall from a bicycle, resulting in head trauma. Which of the following signs or symptoms would be cause for concern?
Mark one answer:

Bulging anterior fontanel.
Repeated vomiting.
Signs of sleepiness at 10 PM.
Inability to read short words from a distance of 18 inches.

Q:7-A nonimmunized child appears at the clinic with a visible rash. Which of the following observations indicates the child may have rubeola (measles)?
Mark one answer:

Small blue-white spots are visible on the oral mucosa.
The rash begins on the trunk and spreads outward.
There is low-grade fever.
The lesions have a “teardrop on a rose petal” appearance.

Q:8-A child is seen in the emergency department for scarlet fever. Which of the following descriptions of scarlet fever is NOT correct?
Mark one answer:

Scarlet fever is caused by infection with group A Streptococcus bacteria.
“Strawberry tongue” is a characteristic sign.
Petechiae occur on the soft palate.
The pharynx is red and swollen.

Q:9-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?
Mark one answer:

It is the correct dose.
The dose is too low.
The dose is too high.
The dose should be increased or decreased, depending on the symptoms.

Q:10-The mother of a 2-month-old infant brings the child to the clinic for a well baby check. She is concerned because she feels only one testis in the scrotal sac. Which of the following statements about the undescended testis is the most accurate?
Mark one answer:

Normally, the testes are descended by birth.
The infant will likely require surgical intervention.
The infant probably has with only one testis.
Normally, the testes descend by one year of age.

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