NCLEX-RN EXIT EXAM
Comprehensive Questions
(Frequently Tested) with Verified
Answers Graded A+
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A 21-year-old male with Hodgkin’s lymphoma is a senior at the local
,university. He is engaged to be married and is to begin a new job upon
graduation. Which of the following diagnoses would be a priority for this
client?
• A. Sexual dysfunction related to radiation therapy
• B. Anticipatory grieving related to terminal illness
• C. Tissue integrity related to prolonged bed rest
• D. Fatigue related to chemotherapy
Correct Answer: A. Sexual dysfunction related to radiation therapy
Radiation therapy often causes sterility in male clients and would be of
primary importance to this client. The psychosocial needs of the client are
important to address in light of the age and life choices. Hodgkin’s disease,
however, has a good prognosis when diagnosed early. Know the importance
of sex to individual, partner, and patient’s motivation for change. Because
lymphomas often affect the relatively young who are in their productive
years, these people may be affected more by these problems and may be
less knowledgeable about the possibilities of change.
• Option B: Grieving may not be an appropriate diagnosis since
,the client would be experiencing new milestones in his life despite his
condition. Let the patient describe the problem in their own words. Provides
a more accurate picture of patient experience with which to develop a plan
of care.
• Option C: Option B is not applicable since the client is not on bed rest.
Encourage the patient to share thoughts and concerns with his partner and
to clarify values and impact of condition on relationship. Helps the couple
begin to deal with issues that can strengthen or weaken the relationship.
Option D: Fatigue may occur during chemotherapy, but it is not the priority
diagnosis. Identify pre-existing and current stress factors that may be
affecting the relationship. The patient may be concerned about other issues,
such as job, financial, and illness-related problems.
NCLEXRN-08-002
Question Tag: thrombocytopenic purpura
Question Category: Physiological Integrity
A client has autoimmune thrombocytopenic purpura. To determine the
client’s response to treatment, the nurse would monitor:
, • A. Platelet count
• B. White blood cell count
• C. Potassium levels
• D. Partial prothrombin time (PTT)
Correct Answer: A. Platelet count
Clients with autoimmune thrombocytopenic purpura (ATP) have low platelet
counts, making answer A the correct answer. The laboratory tests will show
low platelet count, usually <40×10^9/L for over three months. Blood film
shows large platelets and tiny platelet fragments. Bone marrow examination
shows an increased number of megakaryocytes.
• Option B: Often associated with the CBC is a differential, which refers
to the relative amounts of white blood cell types (i.e., neutrophil,
lymphocyte, eosinophil, etc.) as a percentage of the total number of WBCs.
Of note, if a subtype of white blood cells seems to be elevated based on the
differential, the actual value of the type of white blood cells should be
calculated by
Comprehensive Questions
(Frequently Tested) with Verified
Answers Graded A+
Professional Academic Assistance Services
Services Offered
• Proctored Exam Assistance
• Online Class Management (Full Course Support)
• Exam Preparation & Study Materials
• Assignments and Coursework Support
• Essay and Research Paper Writing
• Discussion Posts & Responses
• Editing and Proofreading
• Confidential Academic Consultation
Helping Students Achieve Academic Excellence
A 21-year-old male with Hodgkin’s lymphoma is a senior at the local
,university. He is engaged to be married and is to begin a new job upon
graduation. Which of the following diagnoses would be a priority for this
client?
• A. Sexual dysfunction related to radiation therapy
• B. Anticipatory grieving related to terminal illness
• C. Tissue integrity related to prolonged bed rest
• D. Fatigue related to chemotherapy
Correct Answer: A. Sexual dysfunction related to radiation therapy
Radiation therapy often causes sterility in male clients and would be of
primary importance to this client. The psychosocial needs of the client are
important to address in light of the age and life choices. Hodgkin’s disease,
however, has a good prognosis when diagnosed early. Know the importance
of sex to individual, partner, and patient’s motivation for change. Because
lymphomas often affect the relatively young who are in their productive
years, these people may be affected more by these problems and may be
less knowledgeable about the possibilities of change.
• Option B: Grieving may not be an appropriate diagnosis since
,the client would be experiencing new milestones in his life despite his
condition. Let the patient describe the problem in their own words. Provides
a more accurate picture of patient experience with which to develop a plan
of care.
• Option C: Option B is not applicable since the client is not on bed rest.
Encourage the patient to share thoughts and concerns with his partner and
to clarify values and impact of condition on relationship. Helps the couple
begin to deal with issues that can strengthen or weaken the relationship.
Option D: Fatigue may occur during chemotherapy, but it is not the priority
diagnosis. Identify pre-existing and current stress factors that may be
affecting the relationship. The patient may be concerned about other issues,
such as job, financial, and illness-related problems.
NCLEXRN-08-002
Question Tag: thrombocytopenic purpura
Question Category: Physiological Integrity
A client has autoimmune thrombocytopenic purpura. To determine the
client’s response to treatment, the nurse would monitor:
, • A. Platelet count
• B. White blood cell count
• C. Potassium levels
• D. Partial prothrombin time (PTT)
Correct Answer: A. Platelet count
Clients with autoimmune thrombocytopenic purpura (ATP) have low platelet
counts, making answer A the correct answer. The laboratory tests will show
low platelet count, usually <40×10^9/L for over three months. Blood film
shows large platelets and tiny platelet fragments. Bone marrow examination
shows an increased number of megakaryocytes.
• Option B: Often associated with the CBC is a differential, which refers
to the relative amounts of white blood cell types (i.e., neutrophil,
lymphocyte, eosinophil, etc.) as a percentage of the total number of WBCs.
Of note, if a subtype of white blood cells seems to be elevated based on the
differential, the actual value of the type of white blood cells should be
calculated by
