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Questions 160

NCLEX-PN

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Extract:


Question 1 of 5

Which culturally sensitive nursing technique is best for determining whether a male Jewish client follows the religious orthodox customs?

Correct Answer: B

Rationale: Inquiring about dietary preferences (e.g., kosher laws) is a sensitive way to assess adherence to Orthodox Jewish customs.

Question 2 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.

Question 3 of 5

In an adult client, the nurse plans to administer 2 mL of medication I.M. Which technique is most accurate?

Correct Answer: C

Rationale: The deltoid muscle is appropriate for 2 mL IM injections in adults, using a 1-1.5" needle at a 90-degree angle for proper muscle penetration.

Question 4 of 5

The nurse is assessing a client with suspected hypokalemia. Which finding supports this diagnosis?

Correct Answer: A

Rationale: Muscle weakness is a common sign of hypokalemia due to impaired muscle function.

Question 5 of 5

A client with a history of pancreatitis reports severe abdominal pain. Which position should the nurse encourage?

Correct Answer: B

Rationale: Side-lying with knees flexed reduces tension on the pancreas, alleviating pain.

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