NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A client, age 28, was recently diagnosed with Hodgkin's disease. After staging, therapy is planned to include combination radiation therapy and systemic chemotherapy with MOPP—nitrogen mustard, vincristine (Oncovin), prednisone, and procarbazine. In planning care for this client, the nurse should anticipate which of the following side effects to contribute to a sense of altered body image?
Correct Answer: B
Rationale: Alopecia, or hair loss, is a common side effect of chemotherapy (e.g., vincristine) and radiation, significantly affecting body image. Pathologic fractures are not typical, and sterility or cushingoid appearance have less direct impact on body image. Physiological Adaptation
Question 2 of 5
An older man is seen in the outpatient clinic for treatment of an acute attack of gout. Which of the following nursing interventions would be MOST beneficial in decreasing the client's pain during ambulation?
Correct Answer: B
Rationale: Partial weight bearing reduces pressure on the inflamed joint, alleviating gout pain during ambulation. Passive exercises (
A) may worsen pain, immobilization (
C) increases stiffness, and restricting walking (
D) does not directly relieve pain.
Question 3 of 5
Which detail of a client's drug therapy is the nurse legally responsible for documenting?
Correct Answer: D
Rationale: The nurse legally must document the client's reaction to the drug in addition to the time the drug was administered and the dosage given. The nurse isn't legally responsible for documenting the peak concentration time of the drug, safe drug ranges, or the client's socioeconomic data.
Question 4 of 5
Which of the following conditions is mammography used to detect?
Correct Answer: B
Rationale: Mammography is a screening tool used to detect breast tumors or cysts. It does not diagnose pain, edema, or epilepsy. Reduction of Risk Potential
Question 5 of 5
A client is receiving chemotherapy for cancer and develops thrombocytopenia. What should the nurse include in the client's plan of care because of the thrombocytopenia?
Correct Answer: C
Rationale: Thrombocytopenia increases bleeding risk; avoiding injections prevents hematomas or hemorrhage. Positioning, fluid limits, or exercise don't address bleeding risk.