NCLEX-RN
Adult Health Med Surg NCLEX Test Bank Questions
Extract:
Question 1 of 5
Which of the following client situations would require the most intensive nursing interventions for immobility?
Correct Answer: C
Rationale: A 75-year-old man with a pathologic femur fracture requires the most intensive nursing interventions for immobility due to pain, risk of further injury, and need for mobility aids and rehabilitation.
Question 2 of 5
A 36-year-old male with lymphoma is assessing a client who reports distress 9 days after chemotherapy. Because of the risk for septic shock, the nurse should assess the client for which cluster of symptoms?
Correct Answer: C
Rationale: Elevated temperature, oliguria, and hypotension are critical signs of septic shock, a life-threatening complication in chemotherapy patients due to neutropenia.
Question 3 of 5
Which of the following nursing interventions will be most effective when caring for a client who is experiencing powerlessness?
Correct Answer: D
Rationale: Including the client in decision-making empowers them, reducing feelings of powerlessness by restoring a sense of control.
Question 4 of 5
A 56-year-old cancer survivor feels guilty at the 'I Can Cope' meetings. The nurse can help him manage his feelings of guilt by pointing out that:
Correct Answer: D
Rationale: Survivor guilt is a normal reaction for cancer survivors, especially in support groups, and acknowledging this helps the client process their emotions.
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.