NCLEX-RN Style Questions

NCLEX-RN Style Questions

NUR 211: Module 7 Evaluate

Question 1: Multiple Answer- 10 points

The optimum use of chemotherapy drugs in combination is based on which premise(s)? Select all that apply.a.Drugs should have different mechanisms of action.b.Each medication should be effective by itself.c.Toxicity should concentrate in one body tissue.d.Overlappping toxicity among the agents should be minimal.e.Each drug should have the same mechanism of action.Rationale: Different mechanisms of action is the greatest benefit of combination drug therapy in cancer because different chemo drugs affect the cancer cell in different time of the cycle and in a different way so, its decrease the resistance of cancer cell which decreases the chance of survival of cancer cells. Minimal toxicity is the main focus during the use of combined chemotherapy because of its increases the chance of drug interaction, which becomes toxic for the body.Reference: Frei E III, Eder JP. Combination Chemotherapy. In: Kufe DW, Pollock RE, Weichselbaum RR, et al., editors. Holland-Frei Cancer Medicine. 6th edition. Hamilton (ON): BC Decker; 2003. Available from: https://www.ncbi.nlm.nih.gov/books/NBK13955/

Question 2: Multiple Answer- 10 points

A client develops neutropenia after receiving chemotherapy. Which information about ways to prevent infection will the nurse include in the teaching plan? Select all that apply.a.Cook food thoroughly before eating.b.Choose low fiber, low residue foods.c.Avoid public transportation such as buses.d.Use rectal suppositories if needed for constipation.e.Talk to the oncologist before having any dental work.Rationale: Chemotherapy-induced neutropenia is a major concern to the oncologists. In neutropenia, there is a decreased level of the neutrophils, making a person weak with poor immunity 1 © Excelsior College 2019 This study source was downloaded by 100000803505854 from CourseHero.com on 07-30-2022 13:58:05 GMT -05:00

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NCLEX-RN Style Questions

NUR 211: Module 7 Evaluate

and poor ability to fight against the possible infections. The nurse should advise the patient to cook food properly before eating to prevent the chance of food borne infection, the patient should also avoid the public transportation, as he/she may get easily infected due to low immunity, also in case of any dental work, he/she should consult to the oncologist, to prevent the chances of infection.Reference: Hinkle, J., & Cheever, K. (2018). Brunner and Suddarth’s textbook of

medical-surgical nursing (14th ed.). Philadelphia, PA: Wolters Kluwer Health.

Question 3: Multiple Choice- 10 points

Which dietary selections should the client make who wants to reduce the risk of colon cancer?a.croissant, granola and peanut butter squares, whole milk.b.bran muffin, skim milk, steamed broccoli.c.granola, bagel with cream cheese, cauliflower salad.d.oatmeal raisin cookies, baked potato with sour cream, turkey sandwich.Rationale: A diet with have high fiber and low fat is used to reduce the risk of colon cancer.Therefore, oatmeal raisin cookies, baked potato with sour cream, turkey sandwich is used to reduce the risk of colon cancer.Reference: Hou, N., Huo, D., & Dignam, J. J. (2013). Prevention of colorectal cancer and dietary management. Chinese clinical oncology, 2(2), 13. https://doi.org/10.3978/j.issn.2304-3865.2013.04.03

Question 4: Multiple Choice- 10 points

The RN and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. Which information provided by the UAP warrants immediate intervention by the RN?a.The client diagnosed with cancer of the lung has a small amount of blood in the sputum collection cup.b.The client diagnosed with chronic emphysema is sitting on the side of the bed and leaning over the bedside table.2 © Excelsior College 2019 This study source was downloaded by 100000803505854 from CourseHero.com on 07-30-2022 13:58:05 GMT -05:00

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NCLEX-RN Style Questions

NUR 211: Module 7 Evaluate

c.The client receiving a biologic response modifier, has a temp of 99.2 F, P 68, R 24 and a B/P of 198/102.d.The client receiving prednisone is complaining of an upset stomach after eating breakfast.Rationale: The blood pressure is extremely high. It is because the clients who receive biologic response modifiers has a chance of increase in blood pressure to a dangerous levels due to the stimulation of the bone marrow by the medication effect.Reference: Hinkle, J., & Cheever, K. (2018). Brunner and Suddarth’s textbook of

medical-surgical nursing (14th ed.). Philadelphia, PA: Wolters Kluwer Health.

Question 5: Multiple Choice- 5 points

The RN is assessing a client for complaints of numbness of the tongue, loss of taste and a non- healing sore in the client’s mouth. The RN should consider a referral to which member of the health care team?a.Pharmacist b.Registered Dietician c.Occupational therapist d.Physical therapist Rationale: The client experiences problems in his mouth so he needs a referral to dietician to get appropriate diet based on patients’ condition and the ability to eat comfortably Reference: Hinkle, J., & Cheever, K. (2018). Brunner and Suddarth’s textbook of

medical-surgical nursing (14th ed.). Philadelphia, PA: Wolters Kluwer Health.

Question 6: Multiple Choice – 10 points

The RN is caring for a post-op client who had a lobectomy for lung cancer. The client has a chest tube and a three- chamber water-seal drainage system connected to suction. Which occurrence would require intervention by the RN?3 © Excelsior College 2019 This study source was downloaded by 100000803505854 from CourseHero.com on 07-30-2022 13:58:05 GMT -05:00

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NCLEX-RN Style Questions

NUR 211: Module 7 Evaluate

a.There is continuous bubbling in the suction control chamber.b.The fluid in the chest tube fluctuates with inspiration and expiration.c.The collection container contains 100mL of serosanguinous fluid.d.There is continuous bubbling in the water-seal chamber.Rationale: if there is continuous bubbling in the water seal drainage which indicates that air leakage present in the chamber needs immediate attention otherwise air will enter into the lungs causing lung collapse.Reference: Hinkle, J., & Cheever, K. (2018). Brunner and Suddarth’s textbook of

medical-surgical nursing (14th ed.). Philadelphia, PA: Wolters Kluwer Health.

Question 7: Multiple Choice- 10 points

The RN is caring for a client with a radium implant for treatment of cervical cancer. T0 care for

this client, the RN should:

a.Limit time spent in the room to 30 minutes each shift.b.Require that all family members wear a lead apron.c.Keep the used linen in the room until the implant is removed.d.Monitor the client’s output in the bedside commode.Rationale: Patient and body fluids will be radioactive if received unsealed internal radiation therapy and even after few days after the treatment. Reduce your time exposed, 6 ft or more distance during exposure or use of oral conversation from doorway and use of lead apron, and lead gloves during direct care.Reference: Hinkle, J., & Cheever, K. (2018). Brunner and Suddarth’s textbook of

medical-surgical nursing (14th ed.). Philadelphia, PA: Wolters Kluwer Health.

4 © Excelsior College 2019 This study source was downloaded by 100000803505854 from CourseHero.com on 07-30-2022 13:58:05 GMT -05:00

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