Chronic Illness NCLEX Questions

Chronic Illness NCLEX Questions Related

Review Chronic Illness NCLEX Questions related questions and content

The nurse understands that the physician would need to be notified regarding a chemotherapy dose if the client experiences:

  • A. Fatigue
  • B. Nausea and vomiting
  • C. Stomatitis
  • D. Bone marrow suppression
Correct Answer: D

Rationale: Chemotherapy's marrow hit bone marrow suppression drops counts like neutrophils or platelets, risking infection or bleeding, a dose-limiting toxicity needing physician review to adjust or pause treatment. Fatigue, nausea, and stomatitis are common, manageable with nursing care rest, antiemetics, mouth rinses unless extreme. Suppression's severity, tied to labs (e.g., ANC <500), halts therapy to protect the client, a critical threshold nurses monitor, distinguishing it from routine side effects, ensuring safety in this marrow-bashing regimen.

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Which does not cause genital ulceration?

  • A. syphilis
  • B. herpes simplex infection
  • C. HIV
  • D. lymphogranuloma venereum
Correct Answer: C

Rationale: HIV no direct ulcers; syphilis, herpes, LGV, chancroid carve sores. Nurses rule this chronic outlier.

What does the abbreviation DALY stand for?

  • A. Definition of anticipated life years
  • B. Diabetes-affected life years
  • C. Disability-adjusted life years
  • D. Disease-affected life years
Correct Answer: C

Rationale: DALY disability-adjusted life years tallies lost health, not diabetes alone or vague terms. Nurses use this, a chronic burden metric.

A nurse in a hematology clinic is working with four clients who have polycythemia vera. Which client should the nurse see first?

  • A. A client with a swollen and painful left great toe
  • B. Client who reports dyspnea
  • C. Client with a blood pressure of 180/98 mm Hg
  • D. Client who reports calf tenderness and swelling
Correct Answer: B

Rationale: Polycythemia vera thickens blood, risking clots dyspnea signals possible pulmonary embolism, a life-threatening emergency needing instant assessment per ABCs. Toe pain suggests gout, common but less acute. Hypertension, a chronic issue here, waits behind respiratory distress. Calf tenderness hints at DVT, urgent but not immediately fatal like embolism. Nurses triage dyspnea first, ensuring airway and oxygenation, a critical call in this hyperviscous condition prone to thrombotic crises.

Epigenetic changes play a role in the development of type 2 diabetes mellitus. Question: Which of the following statements about epigenetics is correct?

  • A. Epigenetic modifications lead to mutations in DNA
  • B. Mutations in DNA lead to epigenetic modifications
  • C. Epigenetic modifications only take place at a young age
  • D. None of the statements provided above is correct
Correct Answer: D

Rationale: Epigenetics tweaks gene dials no mutations, not from mutations, not age-locked. Diet, stress flip switches anytime, a chronic type 2 player nurses note this, no false leads fit.

Which of the following condition has low risk of progression to liver cirrhosis:

  • A. Hepatic steatosis
  • B. Hepatic steatohepatitis
  • C. Hepatic steatohepatitis with fibrosis
  • D. Chronic hepatitis
Correct Answer: A

Rationale: Steatosis fat sits, low cirrhosis odds; steatohepatitis, fibrosis, chronic, booze burn scar. Nurses mark this chronic liver lite.

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