NCLEX Exam NCLEX-RN Topic 2 Question 8 Discussion

Actual exam question for NCLEX's NCLEX-RN exam

Question #: 8
Topic #: 2

An 8-year-old child comes to the physician's office complaining of swelling and pain in the knees. His mother says, ''The swelling occurred for no reason, and it keeps getting worse.'' The initial diagnosis is Lyme disease. When talking to the mother and child, questions related to which of the following would be important to include in the initial history?

AA decreased urinary output and flank pain

BA fever of over 103F occurring over the last 2--3 weeks

CRashes covering the palms of the hands and the soles of the feet

DHeadaches, malaise, or sore throat

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Suggested Answer: D

(A) Urinary tract symptoms are not commonly associated with Lyme disease. (B) A fever of 103F is not characteristic of Lyme disease. (C) The rash that is associated with Lyme diseasedoes not appear on the palms of the hands and the soles of the feet. (D) Classic symptoms of Lyme disease include headache, malaise, fatigue, anorexia, stiff neck, generalized lymphadenopathy, splenomegaly, conjunctivitis, sore throat, abdominal pain, and cough.

by Cristina at Jul 14, 2025, 02:40 AM

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Denae

7 days ago

Definitely D, headaches, malaise, and sore throat are classic signs of Lyme disease. The initial history should focus on those symptoms.

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