Class Session 4 NCLEX questions
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20 Terms
A 67 yr old client with normal PAP results for 12 yrs and no history of serious cancer calls to schedule a Pap test. Which nursing response is appropriate?
Due to your history and age, you no longer need to have this test done.
3 multiple choice options
The nurse is scheduling a transrectal ultrasound for a client. When reviewing the electronic health record, which of the following food allergies would the nurse identify to immediately discuss with the client? SATA
Banana, Avocado
2 multiple choice options
A client who underwent a hysterosalphingogram 5 days ago calls the telehealth nurse to report a heart rate of 110 bpm, LLQ discomfort, scant bleeding, and intermittent chills. Which of the following responses would the nurse provide?
Seek emergency care immediateley
3 multiple choice options
A client who had a prostate biopsy contacts the telehealth nurse. Which symptom would the nurse report to the primary health care provider?
Swelling at the biopsy site 2 days postbiopsy
3 multiple choice options
A client having a Pap smear today reports having had sexual intercourse and douching right before coming to the appointment. Which nursing action is appropriate?
Reschedule the Pap smear for the next month
3 multiple choice options
The nurse is caring for a female client. Which client statement requires nursing intervention?
My spouse will be upset if I talk about our sex life.
3 multiple choice options
A client has been scheduled for transvaginal ultrasound. Which teaching will the nurse provide?
A transducer covered in a condom will be used
3 multiple choice options
Which teaching will the nurse provide to a client scheduled for a PSA test?
This test requires a blood draw
3 multiple choice options
The nurse is assessing people at a community health fair. Which person would the nurse identify as being at the highest risk for development of breast cancer?
47 yr old female whose mother and aunt had breast cancer
3 multiple choice options
A 28 yr old client is seeing the health care provider for an annual wellness visit. Which assessment finding would the nurse report to the provider
Firm and moveable lump in the left breast
3 multiple choice options
The nurse is caring for a client with breast cancer who just underwent a radical left mastectomy. Which intervention is appropriate postoperatively?
Administer analgesics for reported pain level
3 multiple choice options
The nurse is caring for a young client with breast cancer who will start chemotherapy soon. Which of the following nursing interventions are appropriate?
Refer to support groups for people with breast cancer
provide self-care resources before chemotherapy begins
teach client about birth control options that are available
ask if there are sexuality concerns the client wishes to discuss.
Which assessment finding in a client who underwent a left mastectomy yesterday would the nurse communicate to the health care provider?
Numbness in the left arm
3 multiple choice options
The nurse is taking a history for a 66 yr old female client whose mother has breast cancer. She is married and has never been pregnant. History reveals smoking 1/2 pack daily and drinking 2 glasses of wine each night with dinner.
What factors place this client at risk for breast cancer?
Age is the primary factor. Family history, nulliparity, smoking, alcoholic consumption.
What information will the nurse include when teaching this client about breast cancer?
Notify provider if you notice any charges in the breast
The provider can perform a clinical exam (CBE) at visit
3 multiple choice options
A year later the client returns reporting lump in her left breast. Upon examination, a small mass is palpitated. A diagnostic mammogram is ordered and confirms the presence of a 2x2 cm mass. The client is scheduled for a surgical excisional biopsy.
How will the nurse describe the procedure to the client?
An excisional biopsy removes the mass for histologic cellular evaluation for cancer.
Pathologic exam of the removed breast lump tissue reveals malignancy. The client undergoes a modified radical mastectomy with lymph node dissection, to be followed by radiation and chemotherapy.
Which immediate postoperative intervention will the nurse delegate to the AP?
Measure the Jackson-Pratt tube drainage
3 multiple choice options
The nurse is caring for four female clients. Which client does the nurse identify at the highest risk for triple negative breast cancer.
32 yr old black american with early menarche
3 multiple choice options
The nurse is caring for a client who just had a bilateral mastectomy. When the client states, "my partner is going to hate how i look",
Which nursing response is appropriate?
It sounds like you are concerned about how your body looks after surgery
3 multiple choice options
The nurse is caring for a client who has been recently diagnosed with fibrocystic changes (FCCs).
Which teaching will the nurse provide?
Use analgesics for pain control
3 multiple choice options
