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 experie...
a 7 year old with sickle cell anemia is admitted b
which of the following diagnostic test results is
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Indiana University- Northwest
NURSING 325
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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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