NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A client is admitted to the health care facility with bowel obstruction secondary to colon cancer. The nurse obtains a health history, measures vital signs, and auscultates for bowel sounds. Which step of the nursing process is the nurse performing?
Correct Answer: B
Rationale: During the data collection step of the nursing process, the nurse obtains the client's health history, measures vital signs, and performs a physical examination to gather data for use in formulating the nursing diagnoses. During the planning step, the nurse designs methods to help resolve client problems and meet client needs. During evaluation, the nurse determines the effectiveness of nursing interventions in achieving client goals. During implementation, the nurse takes actions to meet the client's needs.
Question 2 of 5
A client, age 28, was recently diagnosed with Hodgkin's disease. After staging, therapy is planned to include combination radiation therapy and systemic chemotherapy with MOPP—nitrogen mustard, vincristine (Oncovin), prednisone, and procarbazine. In planning care for this client, the nurse should anticipate which of the following side effects to contribute to a sense of altered body image?
Correct Answer: B
Rationale: Alopecia, or hair loss, is a common side effect of chemotherapy (e.g., vincristine) and radiation, significantly affecting body image. Pathologic fractures are not typical, and sterility or cushingoid appearance have less direct impact on body image. Physiological Adaptation
Question 3 of 5
A woman has been recently diagnosed with systemic lupus and shares with the nurse, 'I am thinking about getting pregnant, but I don't know how I will be able to tolerate a pregnancy since I have lupus.' Which of the following responses by the nurse is BEST?
Correct Answer: B
Rationale: Systemic lupus erythematosus (SLE) increases maternal morbidity and mortality during pregnancy, and active disease can exacerbate complications. Pregnancy is safest when SLE is in remission for at least 5–6 months prior to conception. Asking about remission status assesses the client’s disease activity, which is critical for planning a safe pregnancy.
Choice A is inaccurate, as SLE symptoms may worsen; choice C is false, as gestation length is unaffected; and choice D is incorrect, as conception is recommended after 2 years of stable disease.
Question 4 of 5
The nurse is caring for a client who is prescribed cholestyramine (Questran). Which comment by the client is of most concern to the nurse?
Correct Answer: B
Rationale: Muscle fatigue may indicate myopathy, a rare but serious side effect of cholestyramine, requiring immediate evaluation. Grapefruit, weight loss, and bruising are not directly related to cholestyramine risks.
Extract:
A patient is awaiting surgery for a ruptured lumbar nucleus pulposus.
Question 5 of 5
The nurse's teaching should include that the pain will most likely increase if the patient:
Correct Answer: C
Rationale: Coughing increases intrathecal pressure, exacerbating pain from a ruptured disc.