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NCLEX Practice Exam

NCLEX Select All That Apply (SATA) practice exam from NursesLabs covering topics like coagulation tests, polycythemia vera, and metered dose inhaler use—ideal for nursing students preparing for NCLEX-RN exam with multi-response questions.

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NursesLabs.comNCLEX 5e ect All That Apply Practice Exam1 . A p a t i e n t is a d m i t t e d t o t h e s a m e d a y s u r g e r y u n i t for l i v e r b i o p s y . W h i c h o f t h e f o l l o w i n g l a b o r a t o r yt e s t s a s s e s s e s c o a g u l a t i o n ? S e l e c t a l l t h a t a p p l y .1 . Partial t h r om b o p astin time.2 . P r o t h r o m b i n t i m e .3 . P l a t e l e t c o u n t .4 . H e moglocii n5 . Complete B l o o d C o u n t6 . White B l o o d Cell C o u n tA n s w e r : 1 , 2 , a n d 3Frochr e m a i n time., p a r t i a l t h r o m b o a l a s t i n t i m e . a n d a l a t e l e t c o u n t are a I i n c l u d e d i n c o a g u l a t i o n studies. T h e h e m o g o a i nl e v e l , t h o u g h important information p r i o r t o a n i n v a s i v e p r o c e d u r e l i k e l i v e r b i o p s y , d o e s n o t assess c o a g u a t i o n .2 . A p a t i e n t is a d m i t t e d t o t h e h o s p i t a lw i t h s u s p e c t e d p o l y c y t h e m i a v e r a . W h i c h o f t h e f o l l o w i n g s y m p t o m si s c o n s i s t e n t with t h e d i a g n o s i s ? S e l e c t a l l thata p p l y .1 . W e i g h t loss.2 . I n c r e a s e d c l o t t i n g t i m e .3 . H ypertensian.4 . Headaches.A n s w e r : 2 , 3 , a n d 4P o l y c y t h e m i a vera is a c o n d i t i o n i n w h i c h the b o n e m a r r o w p r o d u c e s too m a n y r e d a l o o d c e l s . T h i s causes a n i n c r e a s e i nh e m a t o c r i t a n d v s e o s i t y o f the b o o d . P a t i e n t s c a n e x p e r i e n c e h e a d a c h e s , dizziness, a n d visual d i s t u r b a n c e s .Cardio vascu a r effects i n c l u d e i n c r e a s e d b l o o d pressure a n d d e l a y e d c l o t t i n g t i m e . W e i g h t loss i s n o t a manifestation o fp o l y c y t n e m i a vera.Pafte3 . T h e n u r s e i s t e a c h i n g t h e c l i e n t h o w t ou s e a m e t e r e d d o s e i n h a l e r ( M D I ) t o a d m i n i s t e r a C o r t i c o s t e r o i dd r u g . W h i c h o f t h e f o l l o w i n g c l i e n t a c t i o n s i n d i c a t e s thath e i s u s i n g t h e M D I c o r r e c t l y ? S e l e c t a l l t h a t a p p l y .1 . T h e i n h a l e r is h e l d u p r i g h t .2 . H e a d i s t i l t e d d o w n while i n h a l i n g t h e m e d i c a t i o n3 . C l i e n t v s its 5 m i n u t e s b e t w e e n puffe.4 . M o u t h i s rinsed with water fol o w n g a d m i n i s t r a t i o n5 . C l i e n t lies s u p i n e fa'-1 5 m i n u t e s fo l o w i n g a d m i n i s t r a t i o n .A n s w e r : 1 a n d 4 .4 .T h e n u r s e is t e a c h i n g a c l i e n t with p o l y c y t h e m i a v e r a about p o t e n t i a l c o m p l i c a t i o n s f r o m t h i s d i s e a s e .W h i c h m a n i f e s t a t i o n s w o u l d t h e n u r s e i n c l u d e i n t h e c l i e n t ' s t e a c h i n g p l a n ? S e l e c t a l l thata p p l y .1 . H e a r i n g l o s s2 . V i s u a l disturbance3 . H e a d a c h e4 . O r t h o p n e a5 . G o u t6 . W e i g h t lossA n s i v e r s : 2 , 3 ,4 a n d5 .P o l y c y t h e m i a vera, a c o n d i t i o n i n w h i c h too m a n y RBCs a r e p r o d u c e d in t h e b l o o d s e r u m , c a n l e a d t o a n increase i n theh e m a t o c r i t a n d hypervo e m i a , h y p e r v i s c o s i t y , a n d h y p e r t e n s i o n . S u b s e q u e n t l y , the c l i e n t c a n experience d i z z i n e s s ,t i n n i t u s , visual d i s t u r b a n c e s , h e a d a c h e s , o r a feeling o f f u l l n e s s i n the h e a d . T h e c l i e n t m a y a s o e x p e r i e n c ec a r d i o v a s c u l a r s y m p t o m s s u c h a s h e a r t f a i l u r e { s h o r t n e s s o f b r e a t h a n d o r t h o p n e a ) a n d i n c r e a s e d c l o t t i n g t i m e o rC Ns y m p t o m s o f a n i n c r e a s e d uric a c i d l e v e l s u c h a s p a i n f u l s w o l e n joints ( u s u a l y t h eo i g t o e ) . H e a r i n g loss a n d weight lossare n o t manifestations a s s o c i a t e d with p o y c y t h e m a vera.

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