NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
A client with a history of gout is prescribed allopurinol. Which instruction should the nurse include?
Correct Answer: A
Rationale: Taking allopurinol with food reduces gastrointestinal irritation.
Question 2 of 5
Which nursing action best determines if a client has a fecal impaction?
Correct Answer: D
Rationale: A digital rectal exam directly confirms the presence of hard, impacted stool in the rectum.
Question 3 of 5
The client is informed that he will require a right orchiectomy as part of his treatment of testicular cancer. The client asks the nurse if he will be infertile after this procedure. Which response by the nurse is best?
Correct Answer: B
Rationale: A. The client's fertility can be affected to varying degrees, so it is inappropriate to say the client will be infertile. B. The impact of treatment for testicular cancer on fertility varies. The involvement of chemotherapy, lymph node removal, and/or radiation in the treatment plan may all impact the client's ability to procreate. Clients should be encouraged to consider cryopreservation of sperm in a sperm bank before beginning testicular cancer treatment. C. The client's fertility can be affected to varying degrees, so it is inappropriate to say the client will not be infertile. D. Telling the client that the question can't be answered dismisses the client's concern and is not the best response. It may block further communication with the nurse about the client's concerns.
Question 4 of 5
The nurse is teaching a client about managing hypertension. Which instruction is most appropriate?
Correct Answer: A
Rationale: Limiting sodium to 2 g/day helps reduce blood pressure in hypertension.
Question 5 of 5
A non-English-speaking Hispanic client is admitted to the hospital to rule out myocardial infarction. The nurse performs a cultural assessment. Which information should be included? Select all that apply.
Correct Answer: A,C,E,F
Rationale: Food preferences, primary language, religion, and pain status are relevant for culturally sensitive care and effective communication.