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Questions 160

NCLEX-PN

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Question 1 of 5

The nurse is caring for a client with a pressure ulcer. Which dressing is most appropriate for a stage 2 ulcer?

Correct Answer: B

Rationale: A hydrocolloid dressing promotes a moist environment for healing in stage 2 pressure ulcers.

Question 2 of 5

The female client has been diagnosed with genital warts. Which assessment findings should the nurse associate with genital warts?

Correct Answer: C

Rationale: A. Painful vesicles on the labia, perineum, or anus describe the lesions of genital herpes (herpes simplex virus 2). B. Painful ulcerations of the vagina, labia, or perineum describe the lesions of genital herpes (herpes simplex virus 2). C. In females, genital warts appear as painless lesions near the vaginal opening, anus, vagina, or cervix. The lesions are textured, cauliflower appearing, and remain unchanged over time. D. A chancre is associated with syphilis, not genital warts.

Question 3 of 5

A client with a history of hypothyroidism is prescribed levothyroxine. Which instruction should the nurse include?

Correct Answer: A

Rationale: Taking levothyroxine on an empty stomach enhances absorption.

Question 4 of 5

At the time of a retinal detachment, the client will most likely experience which effects? Select all that apply.

Correct Answer: A,F

Rationale: Retinal detachment causes flashes of light due to retinal traction and wavy vision (floaters or curtain-like vision) due to retinal separation. Severe pain or inability to see light is not typical.

Question 5 of 5

A client with a history of breast cancer is receiving tamoxifen. Which side effect should the nurse monitor for?

Correct Answer: A

Rationale: Hot flashes are a common side effect of tamoxifen due to its anti-estrogenic effects.

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