NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 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.
Question 2 of 5
Which nursing action is most appropriate when a chest tube is inadvertently pulled from its insertion site?
Correct Answer: A
Rationale: Covering the opening prevents air entry, reducing the risk of pneumothorax until medical intervention is available.
Question 3 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.
Question 4 of 5
If a known substance abuser presents to the emergency department with tachycardia and chest pain, what is the most appropriate question for the nurse to ask?
Correct Answer: A
Rationale: Cocaine is most likely to cause tachycardia and chest pain due to its stimulant effects, making this the most relevant question.
Question 5 of 5
The nurse is caring for a client with a new colostomy. Which statement by the client indicates a need for further teaching?
Correct Answer: B
Rationale: High-fiber foods can cause blockages in a new colostomy; low-residue foods are recommended initially.