Questions 151

NCLEX-RN

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Question 1 of 5

A client with a history of chronic renal failure is prescribed epoetin alfa (Epogen). The nurse should monitor the client for which of the following side effects?

Correct Answer: B

Rationale: Epoetin alfa can cause hypertension due to increased red blood cell production, requiring close monitoring.

Question 2 of 5

A nurse is planning care for a 7-year-old who is hospitalized for a hernia repair. The nurse should assess the client for which of the following fears common in this age group?

Correct Answer: C

Rationale: School-age children (7 years) commonly fear injury and pain, especially in medical settings, due to their growing awareness of bodily harm.

Question 3 of 5

A nurse is assessing a client with metastatic lung cancer. The nurse should assess the client for:

Correct Answer: C

Rationale: Hoarseness is a common symptom of metastatic lung cancer due to tumor effects on the larynx or recurrent laryngeal nerve. Constipation, diarrhea, and weight gain are less specific.

Question 4 of 5

A client with a history of cardiac problems is having severe chest pain. What should be nurse's first response?

Correct Answer: C

Rationale: Assessing the client's chest pain is the first step to determine its nature and severity, guiding further actions like notifying the physician or administering oxygen or analgesics.

Question 5 of 5

The nurse is caring for a client post-cataract surgery. Which instruction should the nurse include in discharge teaching?

Correct Answer: A

Rationale: Avoiding bending at the waist prevents increased intraocular pressure, which could complicate recovery post-cataract surgery.

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