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Hcal Exam Questions And Answers. Latest 2023

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Hcal Exam Questions And Answers. Latest 2023.Question 1 A 7 year-old with sickle cell anemia is admitted because of stasis of blood with cell clumping triggered by a viral infection. The episode is characterized by distal ischemia and pain. The sickle cell crisis the child is most likely experiencing relates to an issue of gas exchange and is called aplastic crisis splenic sequestration crisis hyperhemolytic crisis Correct! vasooocculusive crisis Question 2 Which of the following diagnostic test results is used for an adult suspected of having appendicitis? (Select all that apply.) Rectal biopsy with aganglionic cells Barium enema testing positive for structural defect Correct! Increased number of bands Urinalysis containing large amounts of bacteria Correct! Elevated WBC count Increased BUN levels Question 3 An early sign of impending septic shock in an adult patient is Increase in respiratory rate Decrease in temperature Correct Answer! Decrease in blood pressure Increase in heart rate Question 4 A dehydrated child needs his maintenance fluid for re-hydration. If the child weights 12 kg, how much fluid does he need in 24 hours? Correct! 1100 ml Question 5 A child weighing 14kg is receiving maintenance IV fluid. The child should receive how many milliliters per hour? Correct! 50

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Question 1

A 7 year-old with sickle cell anemia is admitted because of stasis of blood with cell clumping triggered by
a viral infection. The episode is characterized by distal ischemia and pain. The sickle cell crisis the child is
most likely experiencing relates to an issue of gas exchange and is called

aplastic crisis

splenic sequestration crisis

hyperhemolytic crisis

Correct! vasooocculusive crisis



Question 2

Which of the following diagnostic test results is used for an adult suspected of having appendicitis?
(Select all that apply.)

Rectal biopsy with aganglionic cells

Barium enema testing positive for structural defect

Correct! Increased number of bands

Urinalysis containing large amounts of bacteria

Correct! Elevated WBC count

Increased BUN levels



Question 3

An early sign of impending septic shock in an adult patient is

Increase in respiratory rate

Decrease in temperature

Correct Answer! Decrease in blood pressure

Increase in heart rate



Question 4

A dehydrated child needs his maintenance fluid for re-hydration. If the child weights 12 kg, how much
fluid does he need in 24 hours?

Correct! 1100 ml

,Question 5

A child weighing 14kg is receiving maintenance IV fluid. The child should receive how many milliliters per
hour?

Correct! 50

5

50.5

55



Question 6

Which of the following does not predispose an adolescent to a urinary tract infection?

Correct! Acidic urine

a short urethra

Urinary reflux

Urinary stasis



Question 7

The nurse is caring for a patient who has developed a central line associated bloodstream infection
(CLABSI). Which diagnostic tests will be used to validate the presence of this infection? (Select all that
apply.)

Correct! WBC differential

Correct! WBC count

Urinalysis

Serum Electrolytes

Correct! Blood culture




Question 8

A nurse is caring for an adult patient with a central line associated bloodstream infection. He is getting
ready to give the first dose of Vancomycin 1250mg in 250 ml NS over 90 minutes. At what rate in ml/hr
will the nurse set the IV pump?

, Correct! 167

Correct Answers

0Between 166.0 and 167.0



Question 9

The nurse is teaching a child care class for mothers of young children. What should the nurse teach as
being the most common mode of transmission of infectious disease?

Children who are playing with the same toy

Children who sit together while eating meals

Correct! Children who do not wash their hands after toileting

Children playing board games



Question 10

The nurse is caring for an older adult patient who had shingles six months ago and complains of chronic
tingling, burning pain across right shoulder blade even when taking oxycodone (OxyContin) twice daily.
When reviewing the orders, which prescribed medication is the best choice for the nurse to administer
as an adjuvant to decrease the patient's pain?

Celecoxib (Celebrex)

Acetaminophen (Tylenol)

Aspirin (Ecotrin)

Correct! Pregabalin (Lyrica)




Question 11

According to Giddens, the major categories representing problems associated with elimination are
control, retention, and discomfort. Match the mechanism or malfunction with the category.



Correct! Urinary Incontinence

Neurogenic bladder

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