A 5-year-old boy was diagnosed with Duchenne muscular dystrophy less than 18 months ago.

The client presents with fatigue, and muscular weakness and is having difficulty running, and often falls majority of his attempts.

Which of the following would the nurse expect to be elevated in Duchenne muscular dystrophy?

Lactate Dehydrogenase.

C-Reactive Protein.

Erythrocyte sedimentation rate.

Creatine kinase.

Answer and Explanation

The Correct Answer is D

In patients with Duchenne muscular dystrophy (DMD), creatine kinase levels are often increased to levels that are 50-100 times the reference range.

Choice A is incorrect because lactate dehydrogenase is not typically elevated in DMD.
Choice B is incorrect because C-reactive protein is not typically elevated in DMD.
Choice C is incorrect because the erythrocyte sedimentation rate is not typically elevated in DMD.

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Correct Answer is B

Explanation

Acetaminophen can be used to reduce fever during pregnancy.
Choice A is incorrect because misoprostol is not used to treat fever during labor.
Choice C is incorrect because the placement of an intrauterine pressure catheter is not used to treat fever during labor.
Choice D is incorrect because simply rechecking the client’s temperature in 2 hours does not address the issue of the client’s fever.

A. The child does not make eye contact. B. The child sits quietly in the caregiver's lap during the interview. C. The child smiles when the caregiver shows her a stuffed animal. D. The child cries and runs to the door when the caregiver leaves the room.

Correct Answer is A

Explanation

One of the common symptoms of autism spectrum disorder (ASD) is difficulty with social communication and interaction, which can include avoiding or not keeping eye contact.

Choice B is not an answer because sitting quietly in the caregiver’s lap during the interview is not a typical symptom of ASD.
Choice C is not an answer because smiling when shown a stuffed animal is not a typical symptom of ASD.
Choice D is not an answer because crying and running to the door when the caregiver leaves the room is not typical symptom of ASD.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who is in early labor with intact membranes and a temperature of 38.9°C (102°F). After notifying the provider, which of the following actions should the nurse take?

Correct Answer is B

Explanation

The nurse is collecting data on an 18-month-old child with a diagnosis of autism spectrum disorder (ASD). What clinical manifestation would likely have been noted in the child with this diagnosis?

Correct Answer is A

Explanation

A nurse is assisting with the care of a newly-admitted client who has acute osteomyelitis. Which of the following interventions is the priority for the nurse to implement?

A nurse is discussing the importance of good nutrition to a young pregnant client. The nurse would point out that the growing fetus is getting nutrition from the mother via which structure?

A nurse is caring for a toddler who had a cast applied 2 hours ago due to multiple fractures of the right hand. Which of the following findings should the nurse report immediately to the charge nurse?

A pregnant woman is experiencing nausea in the early morning. What recommendations would the nurse offer to alleviate this symptom?

A client arrives at the clinic very excitedly and reports a positive home pregnancy test. The nurse cautions that the home pregnancy test is considered a presumptive sign and will assess the client for which sign to confirm pregnancy.

A client at 27 weeks' gestation still walks daily but reports 'terrible' heartburn at night. Which action should the nurse recommend to best address this situation?

A nurse is caring for a 2-week-old infant whose mother requests additional information about sudden infant death syndrome (SIDS). Which of the following responses should the nurse make?