Case Study NCLEX Questions with 100%
Correct Answers (Success)
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 - ✔️✔️C. Cancer may have spread to up
to 9 axillary lymph nodes causing swelling
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 -
✔️✔️B. Severe and unrelenting, located in the epigastric area and radiating to the back
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
3
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller OliviaWest. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
