NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A client with newly diagnosed breast cancer asks the nurse, 'Why me? I've always been a good person. What have I done to deserve this?' Which response by the nurse would be most therapeutic?
Correct Answer: D
Rationale: Listening, responding quickly, and providing support promote therapeutic communication. Offering to talk about the client's feelings validates those feelings and allows the client to express them. Options 1 and 2 ignore the client's feelings. Option 3 identifies the client's feelings but doesn't follow through by exploring them.
Question 2 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 3 of 5
A client is scheduled for an excretory urography at 10 a.m. An order states to insert a saline lock I.V. device at 9:30 a.m.. The client requests a local anesthetic for the I.V. procedure and the physician orders lidocaine-prilocaine cream (EMLA cream). The nurse should apply the cream at:
Correct Answer: A
Rationale: It takes up to 2 hours for lidocaine-prilocaine cream (EMLA cream) to reach its maximum effectiveness.
Therefore, if the cannulation is scheduled for 9:30 a.m., EMLA cream should be applied at 7:30 a.m. Applying EMLA at 6:30 a.m. is too early. The other time options are too late for the local anesthetic to be effective.
Question 4 of 5
A newly hired licensed practical nurse (LPN) is helping the charge nurse admit a client. The charge nurse asks the LPN if she understands the facility's rules of ethical conduct. Which statement by the LPN indicates the need for further teaching?
Correct Answer: D
Rationale: The law mandates that health care agencies ask all clients if they have an advance directive.
Therefore, the LPN must address this question regardless of whether the client initiates a conversation about it. Nurses must always act in the best interest of their clients, maintain confidentiality, and support the Patient's Bill of Rights.
Question 5 of 5
The nurse is caring for a client with a history of Parkinson’s disease who is prescribed levodopa-carbidopa (Sinemet). Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: High-protein meals can interfere with levodopa absorption, so avoiding them with doses improves efficacy. Taking on an empty stomach (
A) is ideal but not mandatory, vitamin B6 (
C) enhances metabolism (reducing effect), and stopping for dizziness (
D) requires physician consultation.