NCLEX Questions, Best NCLEX-PN Practice Questions Questions,

Extract:

Question 1 of 5

A 15-year-old client's mother asks the nurse why the I-ICP prescribed oral contraceptives (OCPs) for treating her daughter's dysmenorrhea. Before responding to the mother, which fact about oral contraceptives should the nurse consider?

Correct Answer: D

Rationale: A. OCPs do not inhibit inflammation. B. OCPs do not increase uterine blood flow; the amount of menstrual discharge may decrease with OCP usage as a result of decreased endometrial stimulation. C. OCPs do inhibit progesterone production, but it is not progesterone that stimulates uterine contractions and pain; rather, it is prostaglandins. D. OCPs block ovulation by preventing the release of follicle stimulating hormone from the pituitary. The absence of ovulation decreases the sequential stimulation of the endometrium by estrogen and progesterone. This results in a decrease in the prostaglandin production by the endometrium and thus a decrease in pain.

Question 2 of 5

The nurse is caring for the 2-month-old newly hospitalized with pertussis (whooping cough). Which interventions, if prescribed, should the nurse implement? Select all that apply.

A. Erythromycin 15 mg/kg IV q6h. B. Administer pertussis immune globulin. C. Implement airborne isolation precautions. D. Place suction equipment at the child's bedside. E. Report the pertussis to the state health department.

Correct Answer: A,B,D

Rationale: Erythromycin treats pertussis, immune globulin may be used in infants, and suction equipment manages secretions. Airborne precautions are not required (droplet is sufficient), and reporting is typically done by the HCP.

Question 3 of 5

An 88-year-old woman in a long-term care facility is having difficulty remembering where her room is. Which of the following solutions would best help her?

A. Put a light-blue painting on the door to her room. B. Assign her a buddy who will help her when she gets lost. C. Put her picture and her name in large letters on the door to her room. D. Assign her the room next to the nurses' station so that the staff can assist her.

Correct Answer: C

Rationale: A picture and name in large letters provide a clear, recognizable cue for the woman to identify her room, supporting independence despite memory challenges.

Question 4 of 5

An adult client with newly diagnosed cancer says, 'I'm really afraid of dying. Who's going to take care of my children?' What is the best initial response for the nurse to make?

A. What makes you think you are going to die?' B. How old are your children?' C. This must be a difficult time for you.' D. Most people with your kind of cancer live a long time.'

Correct Answer: C

Rationale: An empathetic response acknowledging the client's fear opens communication, validating emotions without dismissing concerns or making assumptions.

Question 5 of 5

While caring for the 2-year-old child who has a colostomy, the nurse observes small threadlike objects on and around the stoma. Which statement correctly reflects the nurse's thinking about these objects?

A. These are possible signs of a wound infection. B. The objects may be indicative of hookworm. C. The objects may be indicative of pinworms. D. These are fibers left from the surgical procedure.

Correct Answer: C

Rationale: Pinworms can appear as small, threadlike objects around the perianal area or stoma, consistent with this description.