UWorld – NCLEX Questions and
Answers Graded A+
Hemophilia ✔✔A hereditary disease where blood does not coagulate to stop bleeding
Primarily seen in males and is due to clotting factors
Symptoms include spontaneous ble
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UWorld – NCLEX Questions and
Answers Graded A+
Hemophilia ✔✔A hereditary disease where blood does not coagulate to stop bleeding
Primarily seen in males and is due to clotting factors
Symptoms include spontaneous bleeding (HEMARTHROSIS) into the joints, especially the
knees, ankle, or elbow.
Treatment: replace missing clotting factor VIII - Desmopressin (DDAVP) stimulates its release.
Sickle Cell Disease ✔✔A group of disorders that cause red blood cells to become misshapen and
break down.
Ischemic strokes are more common in children with sickle cell disease
Most common presentation of ischemic stroke is the sudden onset of numbness or weakness of
an arm or leg
intussusception ✔✔the slipping of one part of bowel inside another to cause obstruction
It is the frequent cause of intestinal obstruction during infancy
Onset is abrupt, initially with pain and brown stool - then progresses to bilious emesis, palpable
abdominal mass, and stools with a red "currant jelly appearance" due to blood and mucus
Meningitis ✔✔inflammation of the meninges
Can cause fever, headache, and meningeal signs (neck stiffness)
Acute pyelonephritis ✔✔A severe bacterial infection of the kidney that causes it to swell
It can lead to permanent scarring of the kidney and can be life-threatening
Initial treatment includes vigorous par Enteral IV fluids & IV antibiotics
A patent IV line is a priority
Chewy ne-Stokes respiration ✔✔A cyclic tachypnea to blow off carbon dioxide that decreases
into apnea until the carbon dioxide builds up enough to stimulate the respiration increase again
S.T.A.R.T. ✔✔Simple Triage and Rapid Transport
It makes a rapid assessment (<1 minute) looking at circulation, respirations, and mental status to
determine category for a client in a mass casualty incident (or disaster)
Clinical sign of hip fracture ✔✔Leg abducted
Externally rotated
Shortened due to muscles pull
Hypovolemia ✔✔decreased blood volume
S/S: thready tachycardia
New Nurse ✔✔Should be competent in performing the basic skills needed to care for a client
with a musculoskeletal injury (eg, pain and neurovascular assessments)
Peak expiratory flow rate ✔✔Having less than 50% of personal best on peak flow meter requires
emergency intervention
Antibiotic-related Allergic Reaction ✔✔S/S: dyspnea and a maculopapular drug rash (rash all
over body)
Reaction can range from mild to life-threatening anaphylaxis
Spleen ✔✔Part of the immune system and functions as a filter to purify the blood and remove
specific microorganisms that cause infections (eg, pneumococcal pneumonia, meningococcal
meningitis)
Overwhelming postsplenectomy bacterial infection or rapid-onset sepsis are major life long
complications in a client w/o a functioning spleen
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