NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A female client has an abdominal hysterectomy to remove a uterine fibroid. Which action should the nurse include when caring for the client postoperatively?
Correct Answer: A
Rationale: A. Monitoring the perineal pad will alert the nurse to any increase in vaginal bleeding. Infection and hemorrhage are the major risks following a hysterectomy. B. HRT is needed only if the ovaries have been removed (oophorectomy). C. The client should be encouraged to ambulate in the early postoperative period, rather than remain on bedrest. Development of DVT is a concern after abdominal hysterectomy. D. Peristalsis is typically suppressed after abdominal hysterectomy, and the client will be on restricted oral intake until physical signs indicate the return of peristalsis.
Question 2 of 5
In planning care for a client with a platelet count of 8000 and a WBC of 8000, the nurse can expect to:
Correct Answer: C
Rationale: A low platelet count (8000) increases bleeding risk, but strict hand washing is critical for infection prevention, as WBC of 8000 is normal but still warrants vigilance.
Question 3 of 5
When teaching and preparing a client for a bone marrow biopsy, the nurse should:
Correct Answer: C
Rationale: Obtaining a signed consent form is essential to ensure the client understands and agrees to the bone marrow biopsy procedure.
Question 4 of 5
A 23-year-old premedical student is admitted to a psychiatric hospital in a withdrawn, catatonic state. For two days prior to admission, she remained in one position without moving or speaking. On the unit, she continues to exhibit waxy flexibility as she sits all day. What is the first priority for the nurse during the initial phase of hospitalization?
Correct Answer: A
Rationale: Prolonged immobility in catatonia risks edema and cyanosis, making monitoring extremities the priority to prevent physical complications.
Question 5 of 5
The clinic nurse is assessing the 12-year-old who has multiple scaly-ringed lesions on the face, neck, and arms. Which is the most important question that the nurse should ask?
Correct Answer: C
Rationale: Scaly-ringed lesions suggest ringworm, often transmitted from pets, making animal exposure a key question.