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MDC 2 Exam 1 NCLEX Style Exam Questions with verified answers

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MDC 2 Exam 1 NCLEX Style Exam Questions with verified answers

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Subido en
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MDC 2 Exam 1 NCLEX Style Exam Questions with ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




verified answers ||\\//||




A client is receiving chemotherapy to treat breast cancer. Which assessment finding indicates
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




a chemotherapy-induced complication?
||\\//|| ||\\//|| ||\\//||




Urine output of 400 ml in 8 hours ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Serum potassium level of 2.6 mEq/L ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Blood pressure of 120/64 to 130/72 mm HgSodium level of 142 mEq/L, - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




answer✔✔Serum potassium level of 2.6 mEq/L ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




A client receiving external radiation to the left thorax to treat lung cancer has a nursing
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diagnosis of Risk for impaired skin integrity. Which intervention should be part of this client's
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




care plan?
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Avoiding using soap on the irradiated areas Applying talcum powder to the irradiated areas
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




daily after bathing ||\\//|| ||\\//||




Wearing a lead apron during direct contact with the client ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Removing thoracic skin markings after each radiation treatment, - correct answer✔✔Avoiding ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




using soap on the irradiated areas
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




A nurse is caring for a client who is receiving chemotherapy and has a platelet count of
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




30,000/mm3. Which statement by the client indicates a need for additional teaching? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




"I floss my teeth every morning."
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




"I use an electric razor to shave."
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"I take a stool softener every morning."
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,"I removed all the throw rugs from the house.", - correct answer✔✔"I floss my teeth every
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




morning."



A nurse is caring for a client receiving chemotherapy. Which assessment finding places the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




client at the greatest risk for an infection?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




White blood cell (WBC) count of 9,000 cells/mm3 ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Stage 3 pressure ulcer on the left heel ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Temperature of 98.3° F (36.8° C) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Ate 75% of all meals during the day, - correct answer✔✔Stage 3 pressure ulcer on the left
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




heel



A client received chemotherapy 24 hours ago. Which precautions are necessary when caring
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




for the client?
||\\//|| ||\\//||




Wear sterile gloves. ||\\//|| ||\\//||




Place incontinence pads in the regular trash container.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Wear personal protective equipment when handling blood, body fluids, and feces.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Provide a urinal or bedpan to decrease the likelihood of soiling linens., - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




answer✔✔Wear personal protective equipment when handling blood, body fluids, and feces. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Palliation refers to ||\\//|| ||\\//||




The spread of cancer cells from the primary tumor to distant sites.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Hair loss related to the treatment of cancer.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Relief of symptoms associated with disease and promotion of comfort and quality of life.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||

,The lowest point of white blood cell depression after therapy that has toxic effects on bone
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




marrow., - correct answer✔✔Relief of symptoms associated with disease and promotion of||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




comfort and quality of life. ||\\//|| ||\\//|| ||\\//|| ||\\//||




Which is a sign or symptom of septic shock? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Hypertension

Warm, moist skin ||\\//|| ||\\//||




Altered mental status ||\\//|| ||\\//||




Increased urine output, - correct answer✔✔Altered mental status ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




A client is receiving radiation therapy and asks the nurse about oral hygiene. What teaching
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




specific to the client's situation should the nurse include? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Gargle after each meal. ||\\//|| ||\\//|| ||\\//||




Floss before going to bed. ||\\//|| ||\\//|| ||\\//|| ||\\//||




Treat cavities immediately. ||\\//|| ||\\//||




Use a soft toothbrush and allow it to air dry before storing., - correct answer✔✔Use a soft
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




toothbrush and allow it to air dry before storing. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




The nurse is providing client teaching for a client undergoing chemotherapy. What dietary
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




modifications should the nurse advise? ||\\//|| ||\\//|| ||\\//|| ||\\//||




Eat wholesome meals.
||\\//|| ||\\//||




Avoid spicy and fatty foods. ||\\//|| ||\\//|| ||\\//|| ||\\//||




Avoid intake of fluids. ||\\//|| ||\\//|| ||\\//||




Eat warm or hot foods., - correct answer✔✔Avoid spicy and fatty foods.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||

, An oncology nurse is caring for a client who relates that certain tastes have changed. The
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




client states that "meat tastes bad." What nursing intervention can be used to increase
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




protein intake for a client with taste changes? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Stay away from protein beverages. Encourage maximum fluid intake.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Encourage eating cheese, eggs, and legumesSuck on hard candy during treatment., - correct ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




answer✔✔Encourage eating cheese, eggs, and legumes ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




You are a clinic nurse. One of your clients has found she is at high risk for breast cancer. She
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




asks you what can be done to reduce her risk. What is a means of reducing the risk for
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




breast cancer? ||\\//||




Palliative surgery ||\\//||




Prophylactic surgery ||\\//||




Curative surgery ||\\//||




Reduction surgery, - correct answer✔✔Prophylactic surgery ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Which oncologic emergency involves the accumulation of fluid in the pericardial space?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Cardiac tamponade ||\\//||




Disseminated intravascular coagulation (DIC) ||\\//|| ||\\//|| ||\\//|| ||\\//||




Syndrome of inappropriate antidiuretic hormone release (SIADH) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Tumor lysis syndrome, - correct answer✔✔Cardiac tamponade
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




What should the nurse tell a client who is about to begin chemotherapy and is anxious
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




about hair loss? ||\\//|| ||\\//||
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