A female client is scheduled to begin chemotherapy for breast cancer. She tells the practical nurse (PN) that the healthcare provider explained that her hair is likely to fall out as a result of the treatment. The client asks the PN if her hair will grow back. Which response is best for the

"We can never tell. People with cancer react differently to chemotherapy."

"It depends on the amount of drug you receive with your particular treatment."

"Hair loss is not usually permanent, but the color and texture may change when it grows back."

"It is likely that your hair will grow back, but if it does not there are very good wigs available."

Answer and Explanation

The Correct Answer is C

A. This response is too vague and does not provide reassurance or accurate education for the client.
B. While the amount and type of drug can influence side effects, this response does not directly answer the client’s concern about regrowth.
C. Hair typically grows back after chemotherapy, although changes in color or texture are common. This response provides realistic reassurance and accurate information.
D. Although offering wigs may be helpful, this response does not address the client’s direct concern about whether her hair will return.

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Correct Answer is B

Explanation

A. Requesting that the man leave violates the patient's right to privacy and intimacy.
B. In this situation, the practical nurse (PN) shouldexit the room and quietly close the door. This approach respects the privacy and dignity of the older female client and her male friend while maintaining professionalism and discretion. It avoids embarrassing or shaming the couple and allows them their personal space.
C. Asking when the nurse should return doesn't handle the immediate situation effectively.
D. Reporting the incident to the family might be an option, but the immediate action is to maintain appropriate boundaries by asking the man to leave.

A. Cleanse the site and cover with a sterile towel. B. Gather the procedure tray and equipment. C. Place the client in an orthopneic position. D. Keep the client NPO and encourage to void.

Correct Answer is B

Explanation

A. Cleansing the site and covering with a sterile towel is typically done by the healthcare provider performing the procedure.
B. Gathering the procedure tray and equipment ensures everything necessary for the thoracentesis is ready.
C. Placing the client in an orthopneic position may be part of the positioning during the procedure but is not the primary preparation.
D. Keeping the client NPO and encouraging voiding might be necessary for some procedures but isn't specific to thoracentesis preparation.

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A female client is scheduled to begin chemotherapy for breast cancer. She tells the practical nurse (PN) that the healthcare provider explained that her hair is likely to fall out as a result of the treatment. The client asks the PN if her hair will grow back. Which response is best for the

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Naxlex Comprehensive Predictor Exams

An older female client who resides in a long-term care facility has a male friend who often visits her in the evenings. The practical nurse (PN) enters the room to administer medications and finds the couple in bed together. What action should the PN take?

Correct Answer is B

Explanation

A client is scheduled for a thoracentesis that will be done at the bedside. What should the practical nurse (PN) prepare before the healthcare provider arrives on the unit to perform the procedure?

Correct Answer is B

Explanation

A female client with immune thrombocytopenic purpura (ITP) is transferred to a long-term care facility for physical rehabilitation. To prevent injury, which action is most important for the practical nurse to implement?

When a small fire breaks out in the kitchen of a long-term care facility, which task should be performed by the practical nurse (PN) rather than the unlicense assistive personnel (UAP)?

At bedtime, a female client with dementia becomes increasingly confused and agitated because she believes that someone is standing behind the privacy curtain. Which action should the practical nurse (PN) take?

A mother asks the practical nurse (PN) about the immunization schedule for whooping cough. Which is the recommended schedule that the PN should convey?

A female client who has migraine headaches wants to decrease her intake of foods high in tyramine to see if that will reduce the occurrence of headaches. Which snack choice should the practical nurse recommend that she eliminate from her diet?

Which intervention should the practical nurse (PN) reinforce for a client with pruritus?