NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
After a 6-year-old child undergoes a tonsillectomy, the nurse instructs the parents to avoid giving the child aspirin or aspirin products. What is the best explanation for the nurse's instruction?
Correct Answer: B
Rationale: Aspirin is linked to Reye's syndrome in children, a rare but serious condition, especially post-viral infections.
Question 2 of 5
The otherwise healthy client who is menopausal tells the nurse that she has been experiencing vaginal itching and burning and increased vaginal infections over the last 2 years. Which statement is the nurse's best response?
Correct Answer: D
Rationale: A. Vaginal infections do not predispose a female to vulvar cancer. B. Although vaginal itching may be related to a contact allergy, it is not the best response. C. Acidic secretions would have a low pH value; the pH increases during menopause. D. Decreased estrogen in menopausal women causes thinning of the vaginal mucosa and an increase in pH of vaginal secretions. As a result, the vagina is easily traumatized and more susceptible to infection.
Question 3 of 5
Which assessment finding best indicates that Bryant's traction is applied properly to a small child?
Correct Answer: C
Rationale: Bryant's traction for pediatric femoral fractures requires the child's buttocks to be slightly elevated off the mattress to maintain proper alignment and traction force.
Question 4 of 5
The nurse teaches the client with erectile dysfunction about the use of alprostadil via subcutaneous penile injection. Which statement indicates the client needs further teaching?
Correct Answer: B
Rationale: A. The client is correct in using sterile technique for the injection. B. The nurse should correct the statement about an erection not lasting long. Alprostadil (Caverject) injection therapy has the potential of producing a prolonged erection. C. Alprostadil will begin to produce the desired effect within 30 minutes. D. Dizziness is a side effect of alprostadil and should be reported.
Question 5 of 5
The client, who is postmenopausal, reports pain with sexual intercourse. Which effective treatments should the nurse review with the client? Select all that apply.
Correct Answer: A,B,E
Rationale: A. Estradiol vaginal tablets increase vaginal lubrication production and have been shown to be effective for vaginal dryness and pain with intercourse. B. Increased blood flow to the vagina through regular intercourse effectively helps to prevent further tissue atrophy. C. Fragrant bath oil or bubble bath will cause further drying of vaginal tissues. D. Feminine cleansing cloths or douches will cause further drying of vaginal tissues. E. Vaginal lubricants have been shown to be effective for vaginal dryness and pain with intercourse.