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Questions 160

NCLEX-PN

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Question 1 of 5

A client newly diagnosed with cancer receives external radiation therapy. Which of the nurse's instructions regarding bathing is most appropriate?

Correct Answer: D

Rationale: Using a soft cloth minimizes irritation to the sensitive, irradiated skin, promoting comfort and preventing skin breakdown.

Question 2 of 5

Which of the following clients is at the greatest risk of developing maternal and fetal complications during pregnancy? Select all that apply.

Correct Answer: A,D,E

Rationale: Restricting food intake can lead to malnutrition, increasing fetal risks. Advanced maternal age (36) increases complications like gestational diabetes. Refusing prenatal vitamins can cause deficiencies, affecting fetal development.

Question 3 of 5

If a known substance abuser presents to the emergency department with tachycardia and chest pain, what is the most appropriate question for the nurse to ask?

Correct Answer: A

Rationale: Cocaine is most likely to cause tachycardia and chest pain due to its stimulant effects, making this the most relevant question.

Question 4 of 5

The client, with known benign prostatic hyperplasia (BPH), telephones the clinic nurse with concerns of increased urinary frequency and urgency after having a cold that started a few days ago- Which question should the nurse immediately ask the client?

Correct Answer: C

Rationale: A. Clients with BPH should maintain fluid intake at normal levels to prevent dehydration. Drinking large amounts of water, however, could lead to bladder distention, which would result in abdominal discomfort. B. Increased exercise will not alter BPH symptoms. C. Compounds found in common cough and cold remedies, such as pseudoephedrine and phenylephrine, are alpha-adrenergic agonists that cause smooth muscle contraction. Since the bladder is a smooth muscle, these medications may increase symptoms of urinary urgency and frequency. D. Increased amounts of alcohol and caffeine can increase BPH symptoms, but dairy products should not affect BPH symptoms.

Question 5 of 5

Laboratory data for an adult client diagnosed with Pneumocystis carinii pneumonia indicate immunosuppression. Which is the most important in determining the client's susceptibility to this infection?

Correct Answer: D

Rationale: Pneumocystis carinii pneumonia is associated with immunosuppression, often linked to HIV, which is commonly transmitted through sexual practices.

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