Questions 150

NCLEX-RN

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Question 1 of 5

The nurse is teaching a client with a new diagnosis of osteoporosis about dietary management. Which of the following foods should the nurse recommend?

Correct Answer: A

Rationale: Yogurt is high in calcium, essential for bone health in osteoporosis.

Question 2 of 5

A 6-year-old child is admitted with suspected appendicitis. Which symptom should the nurse prioritize when assessing this child?

Correct Answer: C

Rationale: Rebound tenderness in the right lower quadrant is a hallmark sign of appendicitis, indicating peritoneal irritation and requiring urgent surgical evaluation.

Question 3 of 5

A client with a history of type 2 diabetes is prescribed exenatide (Byetta). The nurse should instruct the client to:

Correct Answer: A, B

Rationale: Exenatide is taken before meals to control postprandial glucose, and hypoglycemia is a risk.

Question 4 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 5 of 5

The nurse notes that the primary health care provider has written a prescription for prednisone for a client. The nurse contacts the primary health care provider about revision of the client's medication plan if which medication is noted on the client's medication record?

Correct Answer: D

Rationale: Prednisone, a glucocorticoid, is irritating to the gastrointestinal (GI) tract, which could be worsened by the use of other products that have the same side effect.
Therefore, products such as aspirin (acetylsalicylic acid) and nonsteroidal antiinflammatory drugs are not used during corticosteroid therapy.

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