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Questions 176

NCLEX-PN

NCLEX-PN Test Bank

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Extract:


Question 1 of 5

The nurse is caring for a client with leukemia who is receiving the drug doxorubicin (Adriamycin). Which, if occurred, would be reported to the charge nurse immediately due to the toxic effects of this drug?

Correct Answer: A

Rationale: This drug can cause cardiotoxicity exhibited by changes in the ECG and congestive heart failure. Rales and distended neck veins are clinical manifestations of congestive heart failure, so answer A is correct. A reddish discoloration to the urine is a harmless side effect, so answer B is incorrect. An elevated BUN and dry, flaky skin are not specific to this drug, so answers C and D are incorrect.

Question 2 of 5

The nurse is caring for a client with leukemia who is receiving the drug doxorubicin (Adriamycin). Which, if occurred, would be reported to the charge nurse immediately due to the toxic effects of this drug?

Correct Answer: A

Rationale: This drug can cause cardiotoxicity exhibited by changes in the ECG and congestive heart failure. Rales and distended neck veins are clinical manifestations of congestive heart failure, so answer A is correct. A reddish discoloration to the urine is a harmless side effect, so answer B is incorrect. An elevated BUN and dry, flaky skin are not specific to this drug, so answers C and D are incorrect.

Question 3 of 5

What would the nurse expect to see while assessing the growth of children during their school age years?

Correct Answer: D

Rationale: School age children gain about 5.5 pounds each year and increase about 2 inches in height.

Question 4 of 5

The client with hyperparathyroidism will exhibit signs of:

Correct Answer: C

Rationale: Hyperparathyroidism increases parathyroid hormone, causing hypercalcemia by mobilizing calcium from bones and increasing absorption. Hypokalemia , hyponatremia , and hyperphosphatemia are not typically associated.

Question 5 of 5

Which of the following behaviors is characteristic of the client with schizoid personality disorder?

Correct Answer: C

Rationale: Social detachment is a key characteristic of schizoid personality disorder, with individuals preferring solitude and showing little interest in relationships.

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