The nurse is assessing a patient with suspected neurological issues. The patient's speech is delivered with normal rhythm but filled with words that do not form any meaningful statements.

The patient is also unable to write or repeat back words and does not appear to understand the nurse's instructions or questions. The nurse would recognize these symptoms as:

Expressive aphasia

Broca's aphasia

Global aphasia

Wernicke's aphasia

Answer and Explanation

The Correct Answer is D

Choice A rationale: Expressive aphasia is a type of non-fluent aphasia that affects the

ability to produce language. It is caused by damage to the anterior part of the left frontal lobe, which is responsible for motor planning and execution of speech. Patients with expressive aphasia can understand language but have difficulty speaking, writing, or naming objects. They often produce short, halting, and grammatically incorrect sentences with word-finding difficulties.

Choice B rationale: this is another term for expressive aphasia. The patient can

understand language but have difficulty speaking, writing, or naming objects. They often produce short, halting, and grammatically incorrect sentences with word-finding difficulties.

Choice C rationale: Global aphasia is a severe form of aphasia that affects both

comprehension and production of language. It is caused by extensive damage to the left hemisphere of the brain, which is dominant for language functions in most people.

Patients with global aphasia have little or no ability to speak, write, read, or understand language.

Choice D rationale: Wernicke's aphasia is a type of receptive aphasia that affects the

comprehension and production of language. It is caused by damage to the posterior part of the left temporal lobe, which is responsible for processing auditory and visual

information. Patients with Wernicke's aphasia can speak fluently but nonsensically, using words that are irrelevant, invented, or distorted. They also have difficulty understanding spoken or written language and following commands.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Choice A rationale: This is because removing a large amount of fluid from the abdominal cavity can cause a sudden decrease in intra-abdominal pressure, which can lead to hypovolemia and hypotension. The body compensates by increasing the heart rate to maintain cardiac output and perfusion.

Choice B rationale: This is not directly related to paracentesis and may indicate other conditions.

Choice C rationale: This is not directly related to paracentesis and may indicate other conditions.

Choice D rationale: This is not directly related to paracentesis and may indicate other conditions.

A. Cri du chat "cry of the cat," B. Klinefelter syndrome C. Patau syndrome D. Turner's syndrome

Correct Answer is A

Explanation

Choice A rationale: Cri du chat syndrome involves a high-pitched cry in infants and other distinct physical and developmental features, but it doesn't present with the described symptoms.

Choice B rationale: Klinefelter syndrome, characterized by an extra X chromosome (XXY) in males, typically presents with small testicles, gynecomastia (enlarged breast tissues), sexual dysfunction, and altered body proportions, such as long legs and a shorter trunk, aligning with the client's symptoms.

Choice C rationale: Patau syndrome (Trisomy 13) manifests with severe developmental issues, facial abnormalities, and other physical malformations, but the described symptoms are not typically associated with this syndrome.

Choice D rationale: Turner syndrome involves females with a missing or partially missing X chromosome (45, X), resulting in specific physical features and medical problems not consistent with the described symptoms in a male client.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The healthcare provider performs a paracentesis on a client with ascites and 3 liters of fluid are removed. Which assessment parameter is most critical for the nurse to monitor following the procedure?

Correct Answer is A

Explanation

While assessing a male client, a nurse observes that the client has a small penis, long legs, short trunk, enlarged breast tissues, small testicles, and sexual dysfunction. What diagnosis does the nurse suspect from these findings?

Correct Answer is A

Explanation

A 40-year-old female presents with cramping and excessive vaginal bleeding. Ultrasound reveals benign uterine tumors in the smooth muscle cells of the myometrium. These tumors are commonly called:

A nurse notes that a client's serum potassium level is 5.9 mEq/L. The nurse interprets this as an expected finding in the client with:

ADH release from the posterior pituitary is stimulated by which process?

After a breast examination, the nurse is documenting assessment findings that indicate possible breast cancer. Which abnormal findings need to be included as part of the client's electronic medical record? (Select all that apply.)

When providing care for a client receiving peritoneal dialysis. While draining the dialysate the nurse notices that the efluent is cloudy. Which intervention is most important for the nurse to carry out at this moment?

The nurse is caring for a client with Cushing's triad. The nurse expects the client to have:

After reviewing the laboratory reports of a client, a nurse finds that the client has chronic pelvic inflammatory disorder (PID). Which condition should the nurse anticipate in the client?

The nurse observes a novice nurse caring for a client experiencing status epilepticus. It will require immediate intervention if the novice nurse does which of the following?