NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client with severe anxiety manifested by many somatic complaints starts psychotherapy. She becomes increasingly anxious, and her physical symptoms intensify. The nurse should make which of these interpretations of her observations?
Correct Answer: C
Rationale: Increased anxiety and symptoms are common early in psychotherapy as clients confront underlying issues, an expected response.
Question 2 of 5
An adult says to the nurse, 'The doctor said I have a carcinoma, and my friend has a sarcoma. What is the difference?' What should the nurse include in the response?
Correct Answer: B
Rationale: Carcinomas arise from epithelial tissues (e.g., GI tract, breast), while sarcomas originate from connective tissues (e.g., bone), accurately distinguishing their tissue origins.
Question 3 of 5
The nurse overheats the client talking with her husband about her new diagnosis of stage 1 breast cancer. Which statement by the client indicates that she does not fully understood the diagnosis?
Correct Answer: A
Rationale: A. Ninety percent of women with localized tumors (stage 1 and 2) can be expected to achieve long-term disease-free survival. This statement indicates she did not understand the diagnosis of stage 1 breast cancer. B. Both chemotherapy and radiation are recommended for stage 1 and 2 breast cancer. C. Both chemotherapy and radiation are recommended for stage I and 2 breast cancer. D. Stage 1 cancer means that it was contained in the area where the first abnormal cells began to develop.
Question 4 of 5
Mr. S. is a man who has not spoken for years. He is diagnosed as having paranoid schizophrenia. One day, when Ms. J., another client, was standing facing the elevator, the man approached her from behind and reached for her as if to strangle her. What is the most appropriate action for the nurse to take at this time?
Correct Answer: D
Rationale: Getting his attention and calling for help ensures safety for all involved without escalating the situation through physical intervention.
Question 5 of 5
The client tells the nurse that she is considering breast reduction but wants to know if she could breastfeed in the future after this procedure. Which response by the nurse is correct?
Correct Answer: B
Rationale: A. Breast reduction has the potential to negatively affect lactation (breastfeeding) if large amounts of breast tissue are removed. B. Lactation can usually be accomplished if the nipples are left connected to breast tissue. C. The amount of breast tissue removed will determine whether or not lactation is possible. D. The nipple structure is not changed with breast reduction; however, some surgeries may necessitate relocation of the nipple.