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Best NCLEX-PN Practice Questions Questions

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Question 1 of 5

A woman who has had surgery for colon cancer asks the nurse why the doctor has her come back for a blood test called CEA. What is the best response for the nurse to make?

Correct Answer: B

Rationale: CEA (carcinoembryonic antigen) is a tumor marker; low levels post-surgery suggest no recurrence of colon cancer, explaining the test's purpose.

Question 2 of 5

The HCP writes orders for the client who is 24 hours postvulvectomy. Which order should the nurse question?

Correct Answer: B

Rationale: A. The perineal wound is cleansed with saline, or the client is given sitz baths for cleansing to promote healing and prevent infection. B. A high Fowler's position places pressure on the perineal area and will increase discomfort. The client should be placed in a low Fowler's position to decrease tension on the suture line and promote comfort. C. A low-residue diet prevents straining at stool and wound contamination. D. Antiembolic stockings increase venous return to decrease the risk of DVT and to assist in the development of collateral pathways for lymph drainage.

Question 3 of 5

The clinic nurse is teaching the mother of a child with head lice how to apply permethrin. Place the steps in the order that they should be performed.

Order the Items

Source Container

Comb hair with fine-tooth or nit comb.
Thoroughly wet hair and scalp with permethrin lotion.
Ensure that the scalp and hair are dry.
Allow permethrin lotion to remain on hair for 10 minutes.
Massage permethrin into the hair one section at a time.

Correct Answer: C,B,E,D,A

Rationale: Permethrin is applied to dry hair, massaged in, left for 10 minutes, rinsed, and then nits are combed out.

Question 4 of 5

The high school student is crying and says to the school nurse, "I had unprotected sex last week with someone who has been doing IV drugs; now I'm scared I might have HIV!" Which is the nurse's best initial response?

Correct Answer: D

Rationale: Acknowledging the student's fear validates their emotions and opens a supportive dialogue for further guidance.

Question 5 of 5

Two nights after admission for alcohol withdrawal, the client runs out of her room. She is confused and disoriented and says, 'Let me out of here. Bugs are crawling all over that room.' The nurse should take which of these actions?

Correct Answer: D

Rationale: Hallucinations during alcohol withdrawal indicate delirium tremens, requiring immediate medical attention and supervision for safety.

Similar Questions

Which instruction is appropriate for the nurse to give the client who is undergoing external radiation therapy?
The nurse is cleansing the skin of the hospitalized child with impetigo. Which action is most important for the nurse to take?
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?
An adult woman is scheduled to start chemotherapy next week. In anticipation of alopecia, which recommendation is appropriate?
A man who is severely depressed following the death of his wife sits in the dayroom for hours at a time, not speaking to anyone and showing no interest in unit activities. He does not answer when spoken to. Which action should the nurse take to help him at this time?

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