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National Council Licensure Examination(NCLEX-PN) Questions 496–500 (page: 101)

Updated On: 9-Feb-2026

Medical records indicate a patient has developed a condition of respiratory alkalosis. Which of the following clinical signs would not apply to a condition of respiratory alkalosis?

  1. Muscle tetany
  2. Syncope
  3. Numbness
  4. Anxiety

Answer(s): D

Explanation:

Anxiety is a clinical sign associated with respiratory acidosis.



Which of the following lab values would indicate symptomatic AIDS in the medical chart? (T4 cell count per deciliter)

  1. Greater than 1000 cells per deciliter.
  2. Less than 500 cells per deciliter.
  3. Greater than 2000 cells per deciliter.
  4. Less than 200 cells per deciliter.

Answer(s): D

Explanation:

< 200 T4 cells/deciliter



A nurse is assessing a patient that has undergone a recent CABG. The nurse notices a mole with irregular edges with a bluish color.

The nurse should ______________.

  1. recommend a dermatological consult to the MD
  2. note the location of the mole and contact the physician via the telephone
  3. note the location of the mole and follow-up with the attending physician via the medical record and phone call
  4. remove the mole with a sharp’s debridement technique, following charge nurse approval

Answer(s): C

Explanation:

Contacting the attending physician via the medical record is appropriate due to the possibility of melanoma.



A nurse is assessing an 18-year-old female who has recently suffered a TBI. The nurse notes a slower pulse and impaired respiration.

The nurse should report these findings immediately to the physician, due to the possibility the patient is experiencing ______________conditions.

  1. increased intracranial pressure
  2. increased function of cranial nerve X
  3. sympathetic response to activity
  4. meningitis

Answer(s): A

Explanation:

The patient is at high risk of developing increased intracranial pressure (ICP).



A nurse taking a patient’s history realizes the patient is complaining of SOB and weakness in the lower extremities. The patient has a history of hyperlipidemia, and hypertension.

Which of the following may be occurring?

  1. The patient is developing CHF.
  2. The patient may be having a MI.
  3. The patient may be developing COPD.
  4. The patient may be having an onset of PV

Answer(s): B

Explanation:

Myocardial infarction may be associated with SOB and muscle weakness.



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