Published - Fri, 03 Mar 2023

NCLEX-RN Exam Questions - Part 18

1. 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

2. A 55-year-old man is admitted to the hospital with complaints of fatigue, jaundice, anorexia, and clay-colored stools. His admitting diagnosis is 'rule out hepatitis.'Laboratory studies reveal elevated liver enzymes and bilirubin. In obtaining his health history, the nurse should assess his potential for exposure to hepatitis.Which of the following represents a high-risk group for contracting this disease?

A) Heterosexual males
B) Oncology nurses
C) American Indians
D) Jehovah - s Witnesses

3. A diagnosis of hepatitis C is confirmed by a male clients physician. The nurse should be knowledgeable of the differences between hepatitis A, B, and C. Which of the following are characteristics of hepatitis C?

A) The potential for chronic liver disease is minimal.
B) The onset of symptoms is abrupt.
C) The incubation period is 2 - 26 weeks.
D) There is an effective vaccine for hepatitis B, but not for hepatitis C.

4. 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

5. Which of the following nursing orders should be included in the plan of care for a client with hepatitis C?

A) The nurse should use universal precautions when obtaining blood samples.
B) Total bed rest should be maintained until the client is asymptomatic.
C) The client should be instructed to maintain a low semi-Fowler position when eating meals.
D) The nurse should administer an alcohol backrub at bedtime.

1. Right Answer: D
Explanation: (A) Wheezing occurs during expiration when air movement is impaired because of constricted edematous bronchial lumina. (B) Respirations are difficult, but the rate is frequently normal. (C) The circumoral area is usually pale. Cyanosis is not an early sign of hypoxia. (D) Expiration is prolonged because the alveoli are greatly distended and air trapping occurs.

2. Right Answer: B
Explanation: (A) Homosexual males, not heterosexual males, are at high risk for contracting hepatitis. (B) Oncology nurses are employed in high-risk areas and perform invasive procedures that expose them to potential sources of infection. (C) The literature does not support the idea that any ethnic groups are at higher risk. (D)There is no evidence that any religious groups are at higher risk.

3. Right Answer: C
Explanation: (A) Hepatitis C and B may result in chronic liver disease. Hepatitis A has a low potential for chronic liver disease. (B) Hepatitis C and B have insidious onsets.Hepatitis A has an abrupt onset. (C) Incubation periods are as follows: hepatitis C is 226 weeks, hepatitis B is 620 weeks, and hepatitis A is 26 weeks. (D)Only hepatitis B has an effective vaccine.

4. Right Answer: C
Explanation: (A) Protein increases the workload of the liver. Increased carbohydrates provide needed calories and promote palatability. (B) Dietary intake should be adequate to ensure wound healing. (C) Increased carbohydrates provide needed calories. (D) A highcalorie diet is best obtained from carbohydrates because of their palatability. Fats increase the workload of the liver.

5. Right Answer: A
Explanation: (A) The source of infection with hepatitis C is contaminated blood products. (B) Modified bed rest should be maintained while the client is symptomatic. Routine activities can be slowly resumed once the client is asymptomatic. (C) Nausea and vomiting occur frequently with hepatitis C. A high Fowler position may decrease the tendency to vomit. (D) The buildup of bilirubin in the clients skin may cause pruritus. Alcohol is a drying agent.

80% DISCOUNT: NCLEX-RN PRACTICE EXAMS