NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A postmastectomy client has been found to have an estrogen receptor-positive tumor. The nurse interprets after reading this information in the pathology report that the client will most likely have which common follow-up treatment prescribed?
Correct Answer: C
Rationale: A common treatment for women with estrogen receptor-positive breast tumors is follow-up treatment with tamoxifen. This medication is classified as an antineoplastic agent and competes with estrogen for binding sites in the breast and other tissues. The medication may be administered for years after surgery. The remaining options suggest incorrect treatments.
Question 2 of 5
A client with newly diagnosed breast cancer asks the nurse why she needs to have chemotherapy after her breast was removed. Which of the following responses by the nurse is most appropriate?
Correct Answer: A
Rationale: Chemotherapy is used post-mastectomy to target any residual cancer cells, reducing the risk of recurrence.
Question 3 of 5
The nurse is performing a physical assessment on a client with rheumatoid arthritis. The nurse assesses the client's hands and notes which characteristic deformities? Refer to the figure.
Correct Answer: A
Rationale: Ulnar drift occurs when synovitis stretches and damages the tendons, and eventually the tendons become shortened and fixed. This damage causes subluxation (drift) of the joints. All of the conditions that are identified in the options can occur in rheumatoid arthritis; however, the figure pictures ulnar drift.
Question 4 of 5
The nurse delegates the care of a multiparous client who delivered a viable term neonate vaginally 30 hours ago and is preparing to be discharged to a licensed practical nurse (LPN). The nurse should instruct the LPN to notify the nurse if the client exhibits which of the following?
Correct Answer: A
Rationale: A pulse rate of 100 bpm may indicate postpartum complications like hemorrhage or infection, requiring nurse notification.
Question 5 of 5
The nurse is preparing to give an I.M. injection. Which of the following sites has the least amount of blood vessels and major nerves located in the area?
Correct Answer: C
Rationale: The vastus lateralis has fewer blood vessels and nerves compared to the deltoid, dorsogluteal, or triceps, making it a safer site for I.M. injections.