NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A client is admitted to the health care facility with bowel obstruction secondary to colon cancer. The nurse obtains a health history, measures vital signs, and auscultates for bowel sounds. Which step of the nursing process is the nurse performing?
Correct Answer: B
Rationale: During the data collection step of the nursing process, the nurse obtains the client's health history, measures vital signs, and performs a physical examination to gather data for use in formulating the nursing diagnoses. During the planning step, the nurse designs methods to help resolve client problems and meet client needs. During evaluation, the nurse determines the effectiveness of nursing interventions in achieving client goals. During implementation, the nurse takes actions to meet the client's needs.
Question 2 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
Extract:
A client with tuberculosis has been receiving INH as part of the chemotherapeutic therapy protocol.
Question 3 of 5
During a subsequent clinic visit the nurse should recognize that prompt intervention is required when the client develops
Correct Answer: A
Rationale: Yellow sclera indicates jaundice, a sign of INH-induced hepatotoxicity requiring immediate intervention.
Extract:
Question 4 of 5
Which activity should not be assigned to an unlicensed person?
Correct Answer: D
Rationale: Completing the 24-hour intake and output record involves calculation and analysis, beyond the scope of unlicensed personnel, requiring nursing judgment.
Question 5 of 5
Oxygen has been ordered for a client who was admitted to the hospital with congestive heart failure. Which assessment finding indicates that the oxygen has been effective?
Correct Answer: B
Rationale: A decreased respiratory rate indicates improved oxygenation, alleviating respiratory distress in congestive heart failure.