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Questions 160

NCLEX-PN

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Extract:


Question 1 of 5

A client with a history of peptic ulcer disease reports epigastric pain. Which instruction should the nurse provide?

Correct Answer: B

Rationale: Small, frequent meals reduce gastric acid irritation in peptic ulcer disease.

Question 2 of 5

Which nursing action is most appropriate when a chest tube is inadvertently pulled from its insertion site?

Correct Answer: A

Rationale: Covering the opening prevents air entry, reducing the risk of pneumothorax until medical intervention is available.

Question 3 of 5

A client with a history of breast cancer is receiving tamoxifen. Which side effect should the nurse monitor for?

Correct Answer: A

Rationale: Hot flashes are a common side effect of tamoxifen due to its anti-estrogenic effects.

Question 4 of 5

The 45-year-old diagnosed with HIV presents to the clinic requesting to receive herpes zoster vaccine live. Which statement by the nurse is accurate concerning administration of zoster vaccine live to this client?

Correct Answer: B

Rationale: A. Zoster vaccine live (Zostavax) is indicated for clients starting at age 55; the client is 45. B. Since the client is immunocompromised from HIV infection, the live vaccine would be contraindicated. C. Zostavax is not given to children. D. Zostavax is used in the prevention of shingles, not chicken pox. Shingles occurs in individuals who already have had chicken pox. The virus associated with chicken pox lies dormant inside the nerve cell and can be reactivated later in life.

Question 5 of 5

A client with a history of chronic kidney disease is prescribed a low-potassium diet. Which food should the nurse instruct the client to avoid?

Correct Answer: B

Rationale: Bananas are high in potassium, which should be avoided in chronic kidney disease.

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