Questions 150

NCLEX-RN

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Question 1 of 5

The nurse is caring for a client with a history of breast cancer who is receiving tamoxifen (Nolvadex). The nurse should monitor the client for which of the following adverse effects?

Correct Answer: A

Rationale: Tamoxifen increases the risk of endometrial cancer, requiring monitoring for abnormal vaginal bleeding.

Question 2 of 5

The nurse is caring for a client who has just received a diagnosis of terminal cancer. The client says, 'I don't want to tell my family yet.' Which of the following responses by the nurse is most appropriate?

Correct Answer: B

Rationale: Respecting the client's autonomy while offering support is the most appropriate response, honoring their decision about disclosure.

Question 3 of 5

A client with chronic obstructive pulmonary disease is bedridden at home and gets little exercise. The nurse should assess the client for which of the following?

Correct Answer: B

Rationale: Prolonged immobility in COPD increases calcium excretion due to bone resorption, risking osteoporosis. The other options are not directly related to immobility.

Question 4 of 5

A child with meningococcal meningitis is being admitted to the pediatric unit. In preparation for the child's arrival, the nurse should first?

Correct Answer: A

Rationale: Meningococcal meningitis is transmitted via droplets, so instituting precautions is the priority to prevent spread.

Question 5 of 5

The nurse is assessing a client with a suspected appendicitis. Which of the following findings is most indicative of this condition?

Correct Answer: A

Rationale: Right lower quadrant pain is a hallmark sign of appendicitis due to localized peritoneal irritation.

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