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NCLEX-PN Exam Questions - Part 38

Jenny Clarke

Wed, 26 Mar 2025

1. High uric acid levels can develop in clients who are receiving chemotherapy. This can be caused by:

A) the inability of the kidneys to excrete the drug metabolites.
B) rapid cell catabolism.
C) toxic effects of the prophylactic antibiotics that are given concurrently.
D) the altered blood pH from the acid medium of the drugs.



2. The drug of choice to decrease uric acid levels is:

A) prednisone (Colisone).
B) allopurinol (Zyloprim).
C) indomethacin (Indocin).
D) hydrochlorothiazide (HydroDiuril).



3. A client recently lost a child due to poisoning. The client tells the nurse, 'I don - t want to make any new friends right now.' This is an example of which of the following indicators of stress?

A) emotional behavioral indicator
B) spiritual indicator
C) sociocultural indicator
D) intellectual indicator



4. A corporate executive works 6080 hours a week. The client is experiencing some physical signs of stress. The nurse teaches the client biofeedback techniques.This is an example of which of the following health-promotion interventions?

A) structure
B) relaxation technique
C) time management
D) regular exercise



5. In an emergency situation, the nurse determines whether a client has an airway obstruction. Which of the following does the nurse assess?

A) ability to speak
B) ability to hear
C) oxygen saturation
D) adventitious breath sounds



1. Right Answer: B
Explanation: Chemotherapy causes damage to cells, and uric acid is a cell metabolite. Physiological Adaptation

2. Right Answer: B
Explanation: Allopurinol is a drug used to treat gout, and it decreases uric acid formation. Prednisone is a corticosteroid used to decrease inflammation. Indomethacin is an analgesic, anti-inflammatory, and antipyretic agent. Hydrochlorothiazide is a thiazide diuretic used to treat hypertension and edema. Physiological Adaptation

3. Right Answer: C
Explanation: Stress can alter a persons relationships with others. Psychosocial Integrity

4. Right Answer: B
Explanation: Biofeedback techniques can be used to quiet the mind, release tension, and counteract responses of general adaptation syndrome or stress syndrome. Nurses teaching relaxation techniques should encourage use of these techniques in stressful situations. Psychosocial Integrity

5. Right Answer: A
Explanation: Ability to speak is a major way to identify an airway obstruction. Safety and Infection Control

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