Questions 151

NCLEX-RN

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Extract:


Question 1 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 2 of 5

The nurse is caring for a client who has just undergone a splenectomy. Which of the following complications should the nurse monitor for in the immediate postoperative period?

Correct Answer: A

Rationale: Splenectomy increases infection risk due to impaired immune function, requiring close monitoring.

Question 3 of 5

The nurse is teaching a client with a new diagnosis of hypertension about dietary modifications. Which of the following recommendations is most effective?

Correct Answer: B

Rationale: Reducing saturated fat intake lowers cholesterol and blood pressure, benefiting hypertension management.

Question 4 of 5

A client with a history of depression is prescribed paroxetine (Paxil). The nurse should instruct the client to report which of the following side effects immediately?

Correct Answer: B

Rationale: Suicidal thoughts are a serious side effect of paroxetine, requiring immediate reporting to ensure client safety.

Question 5 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.

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