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 type I diabetes mellitus is scheduled to have surgery. The client has been NPO since midnight. In the morning, the nurse notices the client's daily insulin has not been ordered. The nurse should:
Correct Answer: B
Rationale: Contacting the physician for insulin orders is critical, as NPO status and surgery alter glucose needs, requiring individualized dosing.
Question 3 of 5
You are caring for a client who has been taking illicit amphetamines and states that they continue to use this illicit drug because they 'suffer and feel lousy' when they try to stop taking it. Which nursing diagnosis is the most appropriate for this client?
Correct Answer: D
Rationale: The client's symptoms of feeling 'lousy' when stopping the drug indicate physical dependence, as the body has adapted to the presence of amphetamines, leading to withdrawal symptoms upon cessation.
Question 4 of 5
Select the risk factor that is accurately paired with its disorder.
Correct Answer: C
Rationale: Hyperkalemia is associated with ketoacidosis, as metabolic acidosis can cause potassium to shift out of cells, elevating serum levels.
Question 5 of 5
The nurse is preparing a client for a colonoscopy. Which instruction is most important?
Correct Answer: B
Rationale: A clear liquid diet the day before ensures the colon is clear for accurate visualization during the colonoscopy.