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Questions 149

NCLEX-PN

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Best NCLEX-PN Practice Questions Questions

Extract:


Question 1 of 5

The nurse is completing a health assessment of the female client with menorrhagia of unknown origin. Which serum laboratory result should the nurse carefully review?

Correct Answer: C

Rationale: A. Calcium should not be affected by menorrhagia. B. BUN should not be affected by menorrhagia. C. Persistent heavy bleeding can result in anemia, which would be reflected in the client's Hgb level. D. WBCs should not be affected by menorrhagia.

Question 2 of 5

The adolescent diagnosed with hepatitis is reporting pruritus. Which therapy should the nurse suggest?

Correct Answer: C

Rationale: Cool, moist compresses relieve pruritus in hepatitis by soothing the skin without causing irritation.

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

A client is receiving cancer chemotherapy. Metoclopramide (Reglan) is also ordered. The client asks the nurse why she is receiving Reglan. What nursing response is most accurate?

Correct Answer: D

Rationale: Metoclopramide (Reglan) is an antiemetic, prescribed to control chemotherapy-induced nausea and vomiting, improving patient comfort.

Question 5 of 5

A woman has been having auditory hallucinations. When the nurse approaches her, she whispers, 'Did you hear that terrible man? He is scary!' Which would be the best response for the nurse to take initially?

Correct Answer: D

Rationale: Acknowledging her fear while gently noting the nurse's perception validates her emotions without reinforcing the hallucination.

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