NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A 21-year-old client starts crying during a clinic visit and says to the nurse, "I found a lump in my breast last night; I'm scared I might have cancer!" Which fact should the nurse consider when formulating a response to the client?
Correct Answer: C
Rationale: A. Breast cancer is diagnosed most commonly in women older than 50 years. B. A nondiscrete possible mass or thickening has a lower (not higher) index of suspicion for breast cancer. C. Fibroadenomas are the most common benign breast neoplasm and most often occur in women younger than 25 years. D. Mastitis is a bacterial infection of the breast tissue and is not contagious, and therefore it would not be spread by dormitory living.
Question 2 of 5
The nurse is assessing the adolescent involved in an MVA and notes the lesion illustrated and a rash on the client's trunk. What precaution should the nurse use to prevent the spread of this infection?
Correct Answer: C
Rationale: Syphilis lesions are infectious. Gloves prevent transmission during direct contact with skin lesions.
Question 3 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 4 of 5
Following withdrawal from alcohol, a client is to receive disulfiram (Antabuse). The medication is prescribed for which of these purposes?
Correct Answer: D
Rationale: Disulfiram causes severe discomfort if alcohol is consumed, acting as a deterrent to help the client abstain from drinking.
Question 5 of 5
The adolescent client diagnosed with HIV has a CD4-positive T-lymphocyte count of 160 mcL. The nurse evaluates that interventions have been most effective when which outcome in the client's plan of care is achieved?
Correct Answer: C
Rationale: A CD4 count of 160 mcL indicates severe immunosuppression; preventing opportunistic infections is the most critical outcome.