NCLEX-RN
Adult Health Med Surg NCLEX Test Bank Questions
Extract:
Question 1 of 5
A 38-year-old male client with testicular cancer is concerned about his fertility after treatment. The nurse should inform him about:
Correct Answer: A
Rationale: Sperm banking before treatment is a proactive option for preserving fertility, as testicular cancer treatments like chemotherapy or surgery may impair sperm production.
Question 2 of 5
A client is about to undergo bone marrow aspiration of the sternum. Which of the following statements should the nurse include to provide information to the client about what the client will feel during the procedure?
Correct Answer: C
Rationale: During sternal bone marrow aspiration, the client may feel a brief pulling or pressure sensation as the marrow is aspirated. The antiseptic solution is not applied over such a large area, local anesthetic is injected (not sprayed), and a bandage is applied to the site, not around the chest.
Question 3 of 5
A nurse is teaching a client about taking antihistamines. Which of the following instructions should the nurse include in the teaching plan? Select all that apply.
Correct Answer: A,D,E
Rationale: Antihistamines have an anticholinergic action and a drying effect and reduce nasal, salivary, and lacrimal gland hypersecretion (runny nose, tearing, and itching eyes). An adverse effect is drowsiness, so operating machinery and driving are not recommended. There is also an additive depressant effect when alcohol is combined with antihistamines, so alcohol should be avoided during antihistamine use. The client should ensure adequate fluid intake of at least 8 glasses per day due to the drying effect of the drug.
Question 4 of 5
Which of the following statements would provide the best guide for activity during the rehabilitation period for a client who has been treated for retinal detachment?
Correct Answer: A
Rationale: Gradual resumption of activity over 5 to 6 weeks allows the retina to heal properly while minimizing the risk of re-detachment or complications.
Question 5 of 5
A 38-year-old male client with testicular cancer is concerned about his fertility after treatment. The nurse should inform him about:
Correct Answer: A
Rationale: Sperm banking before treatment is a proactive option for preserving fertility, as testicular cancer treatments like chemotherapy or surgery may impair sperm production.