NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
A homeless person has an enlarged, tender liver, and a hepatitis B infection is suspected. Which information in the client's history is most likely the etiologic factor for the disease?
Correct Answer: D
Rationale: Hepatitis B is primarily transmitted through blood, such as via shared needles, making this the most likely etiologic factor.
Question 2 of 5
The 45-year-old diagnosed with HIV presents to the clinic requesting to receive herpes zoster vaccine live. Which statement by the nurse is accurate concerning administration of zoster vaccine live to this client?
Correct Answer: B
Rationale: A. Zoster vaccine live (Zostavax) is indicated for clients starting at age 55; the client is 45. B. Since the client is immunocompromised from HIV infection, the live vaccine would be contraindicated. C. Zostavax is not given to children. D. Zostavax is used in the prevention of shingles, not chicken pox. Shingles occurs in individuals who already have had chicken pox. The virus associated with chicken pox lies dormant inside the nerve cell and can be reactivated later in life.
Question 3 of 5
The nurse reviews the laboratory results exhibited of the client hospitalized with testicular cancer. Which conclusion by the nurse is most accurate?
Correct Answer: D
Rationale: A. The WBCS are WNL; there is no indication of a developing infection. B. There is no information in the stem about nutritional intake and the serum albumin or prealbumin is not reported in the laboratory results to make a judgment about Whether the client's nutrient intake is inadequate. C. The elevated glucose level is likely related to the body's physiological response to stress. D. The decreased Hgb indicates anemia, and the liver enzymes are elevated (AST, ALT). These changes occur when testicular cancer has metastasized.
Question 4 of 5
Which assessment finding provides the best evidence that a client with a long history of smoking is experiencing respiratory difficulty?
Correct Answer: A
Rationale: A pulse oximeter reading of 85% indicates low oxygen saturation, a direct sign of respiratory difficulty in a smoker.
Question 5 of 5
The client asks the nurse if there is anything he could do to impregnate his wife because his sperm count is "only 40 million." In responding to the client, which factor should the nurse consider?
Correct Answer: D
Rationale: A. Gonadotoxins are chemicals, drugs, or other substances that have a toxic or suppressive effect on sperm production, motility, or morphology. It is premature to examine the client's lifestyle because the client's sperm count is adequate. B. Although 40 million sperm/mL of semen is less than the normal of 60 to 100 million, the number is adequate for fertilization through intercourse. C. There is no need to utilize testosterone supplements for this client. D. The incidence of impregnation is lessened only when the sperm count decreases to less than 20 million/mL. The client should be reassured. The normal sperm count is 60 to 100 million sperm/mL of semen.