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NCLEX National Council Licensure Examination(NCLEX-PN) Sample Questions (Q327-Q332):

NEW QUESTION # 327
A nurse is caring for a 10 year-old boy who has just been diagnosed with a congenital heart defect. Which of the following clinical signs does not indicate CHF?

A. Increased body weight
B. Elevated heart rate
C. Lower extremity edema
D. Compulsive behavior

Answer: D

Explanation:
Explanation/Reference:
Explanation:
Compulsive behavior does not indicate CHF.

NEW QUESTION # 328
Which of the following foods needs to avoid a client with urinary tract calculi?

A. apples
B. cheese
C. lettuce
D. broccoli

Answer: B

Explanation:
Section: Physiological Integrity
Explanation:
The client with urinary tract calculi needs to avoid cheese, which has high calcium content.
The other foods do not.

NEW QUESTION # 329
Who should receive the hepatitis A vaccine?

A. infants, who should receive the vaccination at birth
B. children who are 18 months of age
C. individuals who might come into contact with blood
D. people who travel to other countries

Answer: D

Explanation:
Section: Health Promotion and Maintenance
Explanation:
Hepatitis A is for individuals who travel or persons with chronic liver disease.
Infants receive the hepatitis B vaccine at birth.
DTaP is administered at 18 months of age.
Individuals who come into contact with blood should be immunized against hepatitis B.

NEW QUESTION # 330
Which of the following statements is true about syphilis?

A. The cause and mode of transmission is unclear.
B. When the primary lesion heals, the disease is cured.
C. Syphilis can be cured with a course of antibiotic therapy.
D. There is no known cure for the disease.

Answer: C

Explanation:
Explanation/Reference:
Explanation:
Syphilis is an acute and chronic treponemal disease characterized clinically by a primary lesion, a secondary eruption involving skin and mucous membranes, long periods of latency, and late lesions of skin, bone viscera, the CNS, and the cardiovascular system. The primary lesion (chancre) appears about three weeks after exposure as an indurated, painless ulcer with serous exudate at the site of initial invasion. Invasion of the bloodstream precedes development of the initial lesion, and a firm, nonfluctuant, painless lymph node (bubo) commonly follows.
Infection might occur without a clinically evident chancre; that is, it might be in the rectum or on the cervix.
After four-six weeks, even without specific treatment, the chancre begins to involute, and, in approximately one-third of untreated cases, a generalized secondary eruption appears, often accompanied by mild constitutional symptoms.
This symmetrical maculopapular rash involving the palms and soles, with associated lymphadenopathy is classic.
Secondary manifestations resolve spontaneously within weeks to 12 months. Again, about one-third of untreated cases of secondary syphilis become clinically latent for weeks to years. In the early years of latency, infectious lesions of the skin and mucous membranes might recur. Specific treatment includes long-acting penicillin G (benzathine penicillin), 2.4 million units given in a single IM dose on the day that primary, secondary or early latent syphilis is diagnosed. This ensures effective therapy, even if the client fails to return. Serologic testing is important to ensure adequate therapy. Tests are repeated three and six months after treatment and later as needed.
In HIV-infected clients, testing should be repeated one, two, and three months after treatment, and at three-month intervals thereafter. Any fourfold titer rise indicates the need for retreatment. Physiological Adaptation

NEW QUESTION # 331
A diet high in fiber content can help an individual to:

A. lower cholesterol.
B. reduce diabetic ketoacidosis.
C. reduce the need for folate.
D. lose body weight fast.

Answer: A

Explanation:
Fiber-rich foods (such as grains, apples, potatoes, and beans) can help lower cholesterol.
Nonpharmacological Therapies

NEW QUESTION # 332
......

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