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Cancer screenings are essential even in the absence of symptoms. Option A, B, and D are correct preventive strategies. This falls under Health Promotion and Maintenance—Screenings and Preventive Health. NCLEX emphasizes nurse-led education on modifiable risk factors and the importance of regular screening for early detection. Nurses must address misconceptions and stress evidence-based guidelines to empower clients in cancer prevention.

After hip replacement surgery, preventing hip dislocation is a priority under Management of Care. Nurses must provide discharge teaching about hip precautions. The most critical instruction is to avoid hip flexion beyond 90 degrees, internal rotation, or adduction. Using a raised toilet seat prevents excessive hip flexion when sitting, thereby minimizing the risk of dislocation. Options A and C are incorrect because crossing legs or sleeping on the surgical side increases stress on the hip joint. Option D is unsafe, as bending forward places undue stress and flexion on the joint. NCLEX-RN emphasizes safe discharge planning, client education, and prevention of postoperative complications. Proper home modifications and reinforcement of precautions align with Safe and Effective Care Environment principles, ensuring continuity of care, injury prevention, and optimal rehabilitation. Nurses must assess learning readiness, provide written instructions, and evaluate understanding before discharge, as these are core competencies tested on the exam.

The priority is to protect clients by reporting to the supervisor according to facility policy. Option A may escalate conflict. Option C endangers clients. Option D violates confidentiality. This falls under Safe and Effective Care Environment—Legal and Ethical Practice. NCLEX emphasizes professional accountability, chain of command, and prioritizing client safety when impairment is suspected.

The priority is preventing transmission. Clients with TB must be placed in a private negative-pressure room with airborne precautions. Option B is appropriate but follows isolation. Option C cannot begin until orders are verified and specimens are collected. Option D is important but not first. This falls under Safe and Effective Care Environment—Safety and Infection Control. NCLEX emphasizes prioritization to prevent disease spread and protect healthcare workers and other clients.

Lisinopril (an ACE inhibitor) commonly causes a dry, persistent cough. The provider may switch the client to an ARB (angiotensin receptor blocker). Option A ignores a significant side effect. Option B does not address the cause. Option D will not resolve the issue. This falls under Physiological Integrity—Pharmacological Therapies. NCLEX tests recognition of medication side effects requiring provider notification. Nurses must monitor, document, and advocate for safe alternatives to ensure adherence and effectiveness of treatment.