NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A menopausal woman is taking hormone replacement therapy. The nurse teaches the client that a warning sign for endometrial cancer that needs to be reported is:
Correct Answer: B
Rationale: Vaginal bleeding in a postmenopausal woman on hormone replacement therapy is a warning sign for endometrial cancer and must be reported. Hot flashes, breast tenderness, and mood swings are common side effects, not cancer indicators.
Question 2 of 5
A client with a history of alcohol abuse is admitted with confusion and tremors. The nurse should prepare to administer which medication?
Correct Answer: A
Rationale: Thiamine is administered to prevent Wernicke's encephalopathy, a neurological complication of alcohol withdrawal associated with confusion and tremors.
Question 3 of 5
A client with a head injury and a feeding tube continuously tries to remove the tube. The nurse contacts the primary health care provider who prescribes the use of restraints. After checking the agency's policy and procedure regarding the use of restraints, the nurse uses which method in restraining the client?
Correct Answer: D
Rationale: Mitten restraints are useful for this client because the client cannot pull against them, creating resistance that could lead to increased intracranial pressure (ICP). Belt and waist restraints prevent the client from getting up or falling out of bed or off a stretcher but do nothing to limit hand movement. Wrist restraints cause resistance.
Question 4 of 5
Select the law that is accurately paired with its description in terms of client rights.
Correct Answer: D
Rationale: HIPAA ensures the privacy and security of technological medical information. The PSDA relates to advance directives, not choosing the level of care or mental health coverage . The Mental Health Parity Act addresses insurance coverage, not privacy .
Question 5 of 5
The nurse is teaching a client with hypertension about lifestyle modifications. Which of the following should the nurse include? Select all that apply.
Correct Answer: A, B, D, E
Rationale: Reducing sodium, regular aerobic exercise, maintaining healthy weight, and stress management help control hypertension. Moderate alcohol is acceptable, not total avoidance.