NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
In evaluating the client with cancer, what best indicates that the nutritional status is adequate?
Correct Answer: B
Rationale: Stable weight reflects adequate nutritional intake and absorption, a key indicator of nutritional status in cancer patients.
Question 2 of 5
A female client has an abdominal hysterectomy to remove a uterine fibroid. Which action should the nurse include when caring for the client postoperatively?
Correct Answer: A
Rationale: A. Monitoring the perineal pad will alert the nurse to any increase in vaginal bleeding. Infection and hemorrhage are the major risks following a hysterectomy. B. HRT is needed only if the ovaries have been removed (oophorectomy). C. The client should be encouraged to ambulate in the early postoperative period, rather than remain on bedrest. Development of DVT is a concern after abdominal hysterectomy. D. Peristalsis is typically suppressed after abdominal hysterectomy, and the client will be on restricted oral intake until physical signs indicate the return of peristalsis.
Question 3 of 5
The HCP recommends tamoxifen for the female client because she is at high risk for developing breast cancer. The client asks the nurse to explain how this drug will help avoid developing breast cancer. Which information about tamoxifen should be the basis for the nurse's response?
Correct Answer: D
Rationale: A. Tamoxifen does not have anti-inflammatory properties. B. Tamoxifen is a hormonal rather than a chemotherapeutic agent. C. A major side effect of tamoxifen is that it increases the risk of developing endometrial cancer. D. Tamoxifen (Soltamox) blocks estrogen receptors on tumor cells, and thus the cell growth declines and the tumor regresses.
Question 4 of 5
Following withdrawal from alcohol, a client is to receive disulfiram (Antabuse). The medication is prescribed for which of these purposes?
Correct Answer: D
Rationale: Disulfiram causes severe discomfort if alcohol is consumed, acting as a deterrent to help the client abstain from drinking.
Question 5 of 5
The client has been receiving chemotherapy for cancer and has stomatitis. What nursing care is indicated because the client has stomatitis?
Correct Answer: D
Rationale: Viscous lidocaine mouthwash relieves pain from stomatitis, encouraging eating and improving comfort without irritating the oral mucosa.