Case Study NCLEX Questions 2024

Case Study NCLEX Questions 2024 Treatment modalities for estrogen-receptor positive tumors include (select all that apply): A. Estrogen-receptor downregulators (ERDs) B. Selective estrogen-receptor response modulators (SERMs) C. Hormone therapy D. Aromatase inhibitors A, B, D Stage IIIB describes invasive breast cancer in which: A. The tumor measures up to 2 cm and has not spread outside the breast B. No tumor is found in the breast C. Cancer may have spread to up to 9 axillary lymph nodes causing swelling D. The cancer has metastasized to other organs lymph nodes causing swelling C. Cancer may have spread to up to 9 axillary In stage IIIB carcinoma of the breast the cancer may have spread to up to 9 axillary lymph nodes. Ms. T has 8 of 12 lymph nodes affected. Answers A or B may occur in stage I, and answer choice D describes stage IV 3.Which of the following are important interventions when caring for a patient with Cushing syndrome? (Select all that apply) A. Increase carbohydrate intake B. Monitoring blood glucose levels C. Observing for signs of hypotension D. Protecting patient from exposure to infection B, D Hyperglycemia occurs with Cushing disease because of glucose intolerance (associated with cortisol induced insulin resistance) and increased gluconeogenesis by the liver. High levels of corticosteroids increase susceptibility to infection and delay wound healing. In a 29-year-old female client who is being successfully treated for Cushing's syndrome, nurse Lyzette would expect a decline in: A. Menstrual flow B. Bone mineralization C. Hair loss D. Serum glucose level D. Serum glucose level Serum glucose levels tend to be high in patients with Cushing's Syndrome due to excess corticosteroids in the body. When Cushing's syndrome is being treated successfully, a nurse should expect a decline in the patient's serum glucose level Mr. A has been admitted to the hospital with a diagnosis of acute pancreatitis and the nurse is assessing his pain. What type of pain is associated with this diagnosis? A. Burning and aching, located in the left lower quadrant and radiating to the leg B. Severe and unrelenting, located in the epigastric area and radiating to the back C. Burning and aching, located in the epigastric area and radiating to the umbilicus D. Severe and unrelenting, located in the left lower quadrant and radiating to the hip and unrelenting, located in the epigastric area and radiating to the back B. Severe The pain associated with acute pancreatitis is often severe and unrelenting, is located in the epigastric region, and radiates to the back. It is also described as sudden onset, deep piercing, continuous or steady. The other options are incorrect. The nurse is reviewing the prescription for Mr. A., a 55 year-old male admitted to the hospital with a diagnosis of acute pancreatitis. Which interventions would the nurse expect to be prescribed for the client? Select all that apply. A. Administer antacids as prescribed B. Encourage coughing and deep breathing C. When food is allowed follow a high-carbohydrate, low-fat, high-protein diet D. Maintain the client in a supine and flat position. E. Give Demerol or Dilaudid as prescribed for pain. A, B, C, E Because abdominal pain is a prominent symptom of pancreatitis, pain medication such as Demerol or Dilaudid should be administered as prescribed. The client is susceptible to respiratory infections because the retroperitoneal fluid raises the diaphragm, which causes the client to take shallow, guarded abdominal breaths. Therefore measures such as turning, coughing, and deep breathing should be instituted. Antacids may be prescribed to suppress gastrointestinal secretions. The diet is usually high in carbohydrates since it is less stimulating the exocrine portion of the pancreas. A patient comes into the clinic with complaints of joint stiffness and pain. For which symptom might the nurse assess to distinguish rheumatoid arthritis from other connective tissue disorders? A. The patient has unilateral joint involvement B. Morning stiffness that lasts more than one hour C. Inflammation of the great toe D. Dry mouth and dry eyes B. Morning stiffness that lasts more than one hour You are providing education to a patient diagnosed with Rheumatoid Arthritis about how to manage her disease at home. Which statement by the patient would indicate understanding? A. "I should place a pillow under my knees before I sleep." B. "I will add weight lifting to my exercise routine." C. "When I'm having painful inflammation, I should resume total bed rest." D. "I may need 8-10 hours of sleep and daytime naps to help with fatigue." hours of sleep and daytime naps to help with fatigue." Which of the following are symptoms of a ruptured AAA? Select all that apply: