Use the table below to answer questions 1 to 3.The nurse is... | NCLEX-RN Practice Exam 2

Practice Question

Use the table below to answer questions 1 to 3.The nurse is reviewing laboratory values of a 52-year-old male client who recently completed his first cycle of chemotherapy infusion for small cell lung cancer treatment.

Answer Choices:

A. Hyperaldosteronism

B. Adrenal insufficiency

C. Hyperpituitarism

D. Syndrome of inappropriate antidiuretic hormone ✓ Correct Answer

Correct Answer:

Syndrome of inappropriate antidiuretic hormone

Rationale:

💧The client’s low sodium (126 mEq/L), low serum osmolality (268 mOsm/kg), and high urine sodium (126 mEq/L) are consistent with SIADH, which leads to water retention and dilutional hyponatremia.

🧪The normal ANC and elevated WBC suggest no neutropenic infection, and other labs do not support adrenal or pituitary disorders.

🌊SIADH is commonly associated with small cell lung cancer and the paraneoplastic syndrome it induces.

🩺Adrenal insufficiency would show low sodium too but usually with high potassium, which is not seen here.

📌Core Message

SIADH causes dilutional hyponatremia and is common in small cell lung cancer.

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This question is from NCLEX-RN Practice Exam 2 which contains 122 questions.

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Question 2 of 3.A nurse is working in an alcohol rehabilitation facility. A client she is caring for asks for a referral to a support group in the community that can help him maintain his sobriety. How should the nurse respond?

Answer Choices:

A. "Here are the phone numbers and meeting locations for Alcoholics Anonymous and SMART Recovery."

B. "I will help you enlist support from your loved ones."

C. "I will refer you to a primary care physician knowledgeable in caring for alcoholics."

D. "You will need to have your friends’ support."

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Question 3 of 3.A nurse is caring for an elderly client who lives alone. Upon assessment, the nurse notes that the client has poor hygiene. Which is the most appropriate referral for this client?

Answer Choices:

A. Adult protective services

B. Primary care physician

C. Social worker

D. Psychologist

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A nurse is performing a fundal assessment on a client two days after delivery. Where in the abdomen would the nurse expect the fundal height to be located?

Answer Choices:

A. C

B. D

C. B

D. A

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A nurse is caring for a client with free-floating anxiety. Which of the following symptoms would the nurse expect the client to exhibit?

Answer Choices:

A. chronic worry or fear

B. fear about what will happen next

C. repetitive behavior

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A client is receiving intravenous (IV) heparin for treatment of deep vein thrombosis (DVT). Which of the following precautions should the nurse incorporate into the client’s plan of care as a result of receiving IV heparin?

Answer Choices:

A. Check the client’s activated partial thromboplastin time (aPTT) values daily to monitor for therapeutic anticoagulation.

B. Establish a separate intravenous infusion line for the administration of other prescribed medications.

C. Have a vitamin K injection available at the client’s bedside as an antidote to potential heparin overdose.

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NCLEX-RN Practice Exam 2

122 Questions

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Question Details

Category: NCLEX RN
Subcategory: NCLEX-RN-Practice Exams
Domain: NCLEX RN (Practice Exams)
Answer Choices: 4

Rhenis Nursing

Practice Question

Use the table below to answer questions 1 to 3.The nurse is reviewing laboratory values of a 52-year-old male client who recently completed his first cycle of chemotherapy infusion for small cell lung cancer treatment.

Correct Answer:

Rationale:

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More Questions from This Exam

Question 2 of 3.A nurse is working in an alcohol rehabilitation facility. A client she is caring for asks for a referral to a support group in the community that can help him maintain his sobriety. How should the nurse respond?

Question 3 of 3.A nurse is caring for an elderly client who lives alone. Upon assessment, the nurse notes that the client has poor hygiene. Which is the most appropriate referral for this client?

A nurse is performing a fundal assessment on a client two days after delivery. Where in the abdomen would the nurse expect the fundal height to be located?

A nurse is caring for a client with free-floating anxiety. Which of the following symptoms would the nurse expect the client to exhibit?

A client is receiving intravenous (IV) heparin for treatment of deep vein thrombosis (DVT). Which of the following precautions should the nurse incorporate into the client’s plan of care as a result of receiving IV heparin?

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NCLEX-RN Practice Exam 2

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