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NCLEX-PN Exam Questions - Part 80
1. When teaching a woman about possible side effects of hormone replacement therapy, the nurse should include information about all of the following except:
A) Hypoglycemia in diabetic women.
B) The possible return of monthly menses when taking combination hormones.
C) Increased risk of gallbladder disease.
D) Increased risk of breast, cervical, and ovarian cancer with long-term use.
2. After 12 months of cessation of menses, which of the following assessment findings in a client who is taking hormone replacement therapy should the nurse report to the physician immediately?
A) breast tenderness
B) weight gain
C) fluid retention
D) uterine bleeding
3. Which of the following statements by a client indicates adequate preparation for magnetic resonance imaging?
A) 'I can leave my metal jewelry on during the test.'
B) 'I need to wear earplugs during the test.'
C) 'I can have the test even though I have a pacemaker.'
D) 'I can have the test even though I have an artificial hip.'
4. A client expresses anxiety about having magnetic resonance imaging performed. Which of the following is an appropriate response by the nurse?
A) 'You can receive a sedative to help you relax during the test.'
B) 'There is absolutely nothing to worry about.'
C) 'There is no discomfort with this test, so don - t be anxious.'
D) 'The test won - t last long, so you can handle it.'
5. Which of the following is an indication for electroencephalography?
A) paralysis
B) neuropathy
C) seizure disorder
D) myocardial infarction
A) Hypoglycemia in diabetic women.
B) The possible return of monthly menses when taking combination hormones.
C) Increased risk of gallbladder disease.
D) Increased risk of breast, cervical, and ovarian cancer with long-term use.
2. After 12 months of cessation of menses, which of the following assessment findings in a client who is taking hormone replacement therapy should the nurse report to the physician immediately?
A) breast tenderness
B) weight gain
C) fluid retention
D) uterine bleeding
3. Which of the following statements by a client indicates adequate preparation for magnetic resonance imaging?
A) 'I can leave my metal jewelry on during the test.'
B) 'I need to wear earplugs during the test.'
C) 'I can have the test even though I have a pacemaker.'
D) 'I can have the test even though I have an artificial hip.'
4. A client expresses anxiety about having magnetic resonance imaging performed. Which of the following is an appropriate response by the nurse?
A) 'You can receive a sedative to help you relax during the test.'
B) 'There is absolutely nothing to worry about.'
C) 'There is no discomfort with this test, so don - t be anxious.'
D) 'The test won - t last long, so you can handle it.'
5. Which of the following is an indication for electroencephalography?
A) paralysis
B) neuropathy
C) seizure disorder
D) myocardial infarction
1. Right Answer: A
Explanation: When taking estrogen, there is an increased risk of diabetes or hyperglycemia due to lowered glucose tolerance. It is true that monthly menses might return when taking combination hormones. The progestin is responsible for this. There is also a risk of gallbladder disease. It is also true that there is an increased risk of breast, cervical, and ovarian cancer with long-term hormone replacement therapy. Health Promotion and Maintenance
2. Right Answer: D
Explanation: Uterine bleeding on combination hormone replacement therapy, after 12 months of menses cessation, indicates an increased risk of carcinoma and should be reported to the physician immediately. Breast tenderness, weight gain, and fluid retention are all routine side effects of hormone replacement therapy. They should be noted in the record and reported to the physician, but they are not urgent.Health Promotion and Maintenance
3. Right Answer: B
Explanation: Due to the loud noises from the scanner moving to obtain images, earplugs need to be worn. No metal objects are allowed, including jewelry, pacemakers, and artificial joints. Reduction of Risk Potential
4. Right Answer: A
Explanation: This statement reassures the client that there is a solution for relief of his anxiety. The other responses minimize the clients feelings. Reduction of Risk Potential
5. Right Answer: C
Explanation: Electroencephalography is indicated for assessing clients with a seizure disorder. Reduction of Risk Potential
Explanation: When taking estrogen, there is an increased risk of diabetes or hyperglycemia due to lowered glucose tolerance. It is true that monthly menses might return when taking combination hormones. The progestin is responsible for this. There is also a risk of gallbladder disease. It is also true that there is an increased risk of breast, cervical, and ovarian cancer with long-term hormone replacement therapy. Health Promotion and Maintenance
2. Right Answer: D
Explanation: Uterine bleeding on combination hormone replacement therapy, after 12 months of menses cessation, indicates an increased risk of carcinoma and should be reported to the physician immediately. Breast tenderness, weight gain, and fluid retention are all routine side effects of hormone replacement therapy. They should be noted in the record and reported to the physician, but they are not urgent.Health Promotion and Maintenance
3. Right Answer: B
Explanation: Due to the loud noises from the scanner moving to obtain images, earplugs need to be worn. No metal objects are allowed, including jewelry, pacemakers, and artificial joints. Reduction of Risk Potential
4. Right Answer: A
Explanation: This statement reassures the client that there is a solution for relief of his anxiety. The other responses minimize the clients feelings. Reduction of Risk Potential
5. Right Answer: C
Explanation: Electroencephalography is indicated for assessing clients with a seizure disorder. Reduction of Risk Potential
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