NCLEX-PN
NCLEX-PN Quizlet 2023 Questions
Extract:
Question 1 of 5
A client receives a cervical intracavity radium implant as part of her therapy. A common side effect of a cervical implant is:
Correct Answer: A
Rationale: The correct answer is 'creamy, pink-tinged vaginal drainage.' This side effect persists for 1 to 2 months after the removal of a cervical implant. Diarrhea, not constipation, is usually a side effect of cervical implants. Stomatitis and xerostomia are local side effects of radiation to the mouth, not associated with cervical implants.
Therefore, choices B, C, and D are incorrect.
Question 2 of 5
High uric acid levels can develop in clients who are receiving chemotherapy. This can be caused by:
Correct Answer: B
Rationale: The correct answer is 'rapid cell catabolism.' During chemotherapy, rapid cell destruction occurs, leading to an increase in uric acid levels as a byproduct of cell breakdown. High uric acid levels are primarily a result of the rapid breakdown of cells during chemotherapy, not due to the kidneys' inability to excrete drug metabolites (
Choice
A). The prophylactic antibiotics given concurrently do not directly cause high uric acid levels (
Choice
C). The altered blood pH from the acidic nature of the drugs (
Choice
D) is not a direct cause of elevated uric acid levels; the main mechanism is the rapid cell catabolism that occurs during chemotherapy.
Question 3 of 5
When administering intravenous electrolyte solution, what precaution should the nurse take?
Correct Answer: C
Rationale: When administering intravenous electrolyte solutions, preventing the infiltration of calcium is crucial to avoid tissue necrosis and sloughing, making choice C the correct answer.
Choice A is revised to 'Infuse hypertonic solutions cautiously' because hypertonic solutions should be infused cautiously to prevent adverse effects.
Choice B is corrected to 'Mix no more than 60 mEq of potassium per liter of fluid' as exceeding this limit can lead to hyperkalemia.
Choice D is modified to 'Monitor the client's digitalis dosage for adjustments due to IV calcium' as it is essential to monitor the digitalis dosage for potential adjustments when IV calcium is administered; however, this choice is incorrect here as it inaccurately suggests adjusting the digitalis dosage due to IV calcium, which could lead to harmful effects.
Question 4 of 5
A client, age 28, was recently diagnosed with Hodgkin's disease. After staging, therapy is planned to include combination radiation therapy and systemic chemotherapy with MOPP"?nitrogen mustard, vincristine (Onconvin), prednisone, and procarbazine. In planning care for this client, the nurse should anticipate which of the following side effects to contribute to a sense of altered body image?
Correct Answer: B
Rationale: The correct answer is B: Alopecia. Chemotherapy drugs like vincristine can cause alopecia, which is hair loss. This side effect can significantly impact a patient's body image. While Cushingoid appearance (
A) can be a side effect of long-term steroid use, temporary or permanent sterility (
C) may affect a patient's future fertility but not necessarily alter body image. Pathologic fractures (
D) are not common side effects of Hodgkin's disease or its treatment and do not directly contribute to a sense of altered body image in the same way as alopecia does.
Question 5 of 5
A patient has recently been prescribed Zidovudine (Retrovir). The patient has AIDS. Which of the following side effects should the patient specifically watch out for?
Correct Answer: B
Rationale: The correct answer is 'Fever and anemia.' Zidovudine (Retrovir) is known to cause anemia as a side effect due to its impact on the bone marrow. Fever is also a common side effect associated with Zidovudine use.
Therefore, the patient should watch out for these specific side effects.
Choice A (Weakness and SO
B) is incorrect as shortness of breath (SO
B) is not a commonly reported side effect of Zidovudine.
Choice C (Hypertension and SO
B) and
Choice D (Fever and hypertension) are unrelated to the known side effects of Zidovudine, making them incorrect.