Questions 118

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Med Surg Questions Questions

Extract:


Question 1 of 5

A nurse is making follow-up phone calls to clients being treated for cancer. Place the options below in the order of priority that the nurse should return the calls.

Order the Items

Source Container

The client receiving chemotherapy who complains of a loss of appetite.
The client who underwent a mastectomy 2 weeks ago who called for information on the Reach for Recovery program.
The client receiving spinal radiation for bone cancer metastases who complains of urinary incontinence.
The client with colon cancer who has questions about a high-fiber diet.

Correct Answer: C,A,B,D

Rationale: Urinary incontinence (
C) may indicate a serious complication like spinal cord compression, requiring immediate attention. Loss of appetite (
A) during chemotherapy can lead to malnutrition, followed by the mastectomy client's support needs (
B), and then dietary questions (
D).

Question 2 of 5

In setting goals for a client with advanced liver cancer who has poor nutrition, the nurse determines that which of the following is a realistic desired outcome for the client? The client will:

Correct Answer: D

Rationale: Maintaining current weight is a realistic goal for a client with advanced liver cancer and poor nutrition, as weight gain or normalized albumin may be unachievable due to disease progression.

Question 3 of 5

The nurse is assessing a client with anemia. In order to plan nursing care, the nurse should focus the assessment on which of the following?

Correct Answer: C

Rationale: Cold intolerance is a common symptom of anemia due to reduced oxygen-carrying capacity, and assessing it helps plan supportive care.

Question 4 of 5

The nurse should expect single-donor platelets to be ordered for which of the following clients?

Correct Answer: D

Rationale: Single-donor platelets are used for clients refractory to random-donor platelets to reduce the risk of alloimmunization and improve transfusion efficacy.

Question 5 of 5

A nurse is caring for a client at home on hospice care for terminal renal cancer. People are calling the nurse to inquire about the client's condition. The nurse should tell the callers:

Correct Answer: C

Rationale: Directing callers to the client's sister respects privacy and ensures consistent communication, aligning with the family's preferences in hospice care.

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