Chronic Illness NCLEX Questions

Chronic Illness NCLEX Questions Related

Review Chronic Illness NCLEX Questions related questions and content

Percutaneous cervical cordotomy:

  • A. Is performed under general anaesthesia.
  • B. Occurs by entry of a needle into the intervertebral foramen between cervical vertebrae C4 and C5.
  • C. Involves thermoablation of the anterior spinothalamic tract.
  • D. Is performed on the same side as the pain.
Correct Answer: C

Rationale: Percutaneous cervical cordotomy (PCC) relieves cancer pain via targeted nerve destruction. It's done under local anesthesia with sedation, not general, to monitor patient response (e.g., pain relief, side effects) during stimulation. The needle enters at C1-C2, not C4-C5, targeting the lateral spinothalamic tract contralateral to the pain not the anterior tract explicitly, though terminology varies. Thermoablation destroys pain fibers, confirmed by test stimulation. It's performed opposite the pain side due to crossed spinothalamic pathways. Complete numbness isn't typical; sensory loss is partial. Thermoablation's specificity using radiofrequency to interrupt pain transmission defines PCC's efficacy, minimizing damage to adjacent motor tracts while achieving analgesia.

You may also like to solve these questions

The nurse is caring for four clients on a post-surgical unit. The nurse understands that monitoring the client for which post-operative complication takes priority?

  • A. Nausea
  • B. Constipation
  • C. Pneumonia
  • D. Urinary retention
Correct Answer: C

Rationale: Post-op lungs falter pneumonia from atelectasis or aspiration tops risks, a breathing threat per ABCs over nausea's discomfort. Constipation or retention nag, not kill. Nurses watch breathing, pushing incentive spirometry, a priority catch in this surgical haze.

Which is the most common organism infecting coral cuts?

  • A. non-cholera vibrio
  • B. mycobacterium marinum
  • C. aeromonas species
  • D. strep pyogenes
Correct Answer: D

Rationale: Coral cuts strep pyogenes streaks in, not vibrio, mycobacterium, aeromonas, or E. coli's swim. Nurses hit this chronic skin ripper.

Which of the following is a treatment option for a client with sickle cell disease?

  • A. NPO diet
  • B. Blood product administration
  • C. Pain management with nonsteroidal anti-inflammatory drugs (NSAIDs) only
  • D. Arthrocentesis
Correct Answer: B

Rationale: Sickle cell's vaso-occlusion and anemia crave blood transfusions boost oxygen, unsickling cells, a go-to fix. NPO starves, NSAIDs alone weak for crisis pain, arthrocentesis irrelevant. Nurses bank on blood, easing hypoxia, a lifeline in this hemoglobin havoc, trumping lesser aids.

The clinic nurse is caring for a patient whose grandmother and sister have both had breast cancer. She requested a screening test to determine her risk of developing breast cancer and it has come back positive. The patient asks you what she can do to help prevent breast cancer from occurring. What would be your best response?

  • A. Research has shown that eating a healthy diet can provide all the protection you need against breast cancer
  • B. Research has shown that taking the drug tamoxifen can reduce your chance of breast cancer
  • C. Research has shown that exercising at least 30 minutes every day can reduce your chance of breast cancer
  • D. Research has shown that there is little you can do to reduce your risk of breast cancer if you have a genetic predisposition
Correct Answer: B

Rationale: With a positive screening test and family history, she's high-risk tamoxifen, a SERM, cuts breast cancer odds by 50% in such cases, per NCI trials. It blocks estrogen fueling tumors, a proven chemoprevention move. Diet helps (antioxidants, less fat), but it's not enough solo. Exercise (30 min/day) trims risk via weight control, but tamoxifen's got stronger data here. Saying little can be done' ignores options genetics load the gun, but lifestyle and drugs can unload it. Nurses in oncology push tamoxifen for its edge, tailoring advice to her risk profile.

Proven treatment for patients with noncirrhosis from NAFLD include the following except:

  • A. Liver transplant
  • B. Bariatric surgery
  • C. Vitamin E
  • D. Weight loss
Correct Answer: A

Rationale: Noncirrhotic NAFLD bends to weight loss, bariatric cuts, and Vitamin E's antioxidant punch proven aids. Transplant's endgame for cirrhosis, not here. Metformin flops for fat, despite diabetes use. Clinicians skip this organ swap, leaning on lifestyle and pills, a chronic fix before scars hit.

Copyright © 2025 Nokea. All rights reserved.