NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A 15-year-old girl is brought to the hospital by her parents. She is 5 feet, 7 inches tall and weighs 80 pounds. Her parents report that she eats very little. This evening, she is very difficult to arouse and had to be carried into the emergency room. A diagnosis of anorexia nervosa is made. Which of the following is the nurse most likely to observe/measure when assessing this client?
Correct Answer: D
Rationale: Tachycardia is common in severe anorexia due to dehydration and electrolyte imbalances, reflecting cardiovascular stress.
Question 2 of 5
The nurse can expect a client with a platelet count of 8000 and a WBC count of 8000 to be placed:
Correct Answer: C
Rationale: A platelet count of 8000 indicates a high risk of bleeding, necessitating bleeding precautions to prevent hemorrhage.
Question 3 of 5
The morning after admission for withdrawal from alcohol, a client is restless, tremulous, and somewhat agitated. The nurse should take which of these actions at this time?
Correct Answer: B
Rationale: Close observation monitors for worsening withdrawal symptoms, ensuring timely intervention without unnecessary measures like restraints.
Question 4 of 5
The client with newly diagnosed breast cancer asks the nurse to explain the advantages of a sentinel lymph node biopsy (SLNB). Which explanation should the nurse state to the client?
Correct Answer: B
Rationale: A. The SLNB will not improve the ability of the surgeon to remove all of the tumor. B. An SLNB uses a radioactive substance or dye to help to identify axillary lymph node involvement before axillary dissection has occurred. If the sentinel node is identified and is found to be negative for tumor cells, then further axillary lymph node dissection is unnecessary. Thus the lymph drainage of the involved arm can be preserved. C. The SLNB will not make breast reconstruction easier to perform. D. The use of hormonal therapy for breast cancer treatment is determined by the receptor status of the tumor, not by the SLNB results.
Question 5 of 5
A female client has an abdominal hysterectomy to remove a uterine fibroid. Which action should the nurse include when caring for the client postoperatively?
Correct Answer: A
Rationale: A. Monitoring the perineal pad will alert the nurse to any increase in vaginal bleeding. Infection and hemorrhage are the major risks following a hysterectomy. B. HRT is needed only if the ovaries have been removed (oophorectomy). C. The client should be encouraged to ambulate in the early postoperative period, rather than remain on bedrest. Development of DVT is a concern after abdominal hysterectomy. D. Peristalsis is typically suppressed after abdominal hysterectomy, and the client will be on restricted oral intake until physical signs indicate the return of peristalsis.