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NCLEX-PN

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Question 1 of 5

The client who is receiving cancer chemotherapy asks why the physician recommended she take it in the evening. The nurse's response should include which information?

Correct Answer: B

Rationale: Evening chemotherapy minimizes nausea impact during waking hours, aligning side effects with sleep, improving tolerance.

Question 2 of 5

An adult who has Bell's palsy says to the nurse, 'Will I always look this weird?' How should the nurse reply?

Correct Answer: B

Rationale: Bell's palsy often resolves completely within weeks to months, so reassuring the client of potential full recovery is accurate and supportive.

Question 3 of 5

The nurse is talking with a client who has just had an ECG. The client says to the nurse, 'The doctor said I had a sinus rhythm. What does that mean?' Which response to the client is best?

Correct Answer: B

Rationale: Sinus rhythm originates from the sinoatrial node, the heart's normal pacemaker, indicating a healthy rhythm. This explanation is accurate and educational without causing alarm or implying unnecessary monitoring.

Question 4 of 5

The physician has ordered crutches and specified that the client use a four-point gait. Which action by the client indicates an understanding of the four-point gait?

Correct Answer: D

Rationale: Four-point gait alternates each crutch and foot (left foot, right crutch, right foot, left crutch), providing maximum stability.

Question 5 of 5

Three days after a cast is applied to a fracture of the right lower leg the client begins to complain of pain beneath the cast. The nurse should give priority to:

Correct Answer: D

Rationale: Pain beneath a cast may indicate complications like compartment syndrome, requiring immediate physician notification. Elevation or medication may help but are secondary. Pain is not normal .

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