NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
Allopurinol (Zyloprim) is ordered for the client who is receiving cancer chemotherapy. What instruction should the nurse give the client because allopurinol is ordered?
Correct Answer: A
Rationale: Allopurinol prevents uric acid buildup from chemotherapy; increased water intake promotes excretion, reducing kidney damage risk.
Question 2 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.
Question 3 of 5
The nurse is caring for a client who is being treated for cancer. Which question by the client indicates that the client is not ready for teaching?
Correct Answer: B
Rationale: Asking about a second opinion suggests denial or doubt about the diagnosis, indicating the client is not ready to engage in teaching about treatment.
Question 4 of 5
A woman has been having auditory hallucinations. When the nurse approaches her, she whispers, 'Did you hear that terrible man? He is scary!' Which would be the best response for the nurse to take initially?
Correct Answer: D
Rationale: Acknowledging her fear while gently noting the nurse's perception validates her emotions without reinforcing the hallucination.
Question 5 of 5
A 21-year-old client starts crying during a clinic visit and says to the nurse, "I found a lump in my breast last night; I'm scared I might have cancer!" Which fact should the nurse consider when formulating a response to the client?
Correct Answer: C
Rationale: A. Breast cancer is diagnosed most commonly in women older than 50 years. B. A nondiscrete possible mass or thickening has a lower (not higher) index of suspicion for breast cancer. C. Fibroadenomas are the most common benign breast neoplasm and most often occur in women younger than 25 years. D. Mastitis is a bacterial infection of the breast tissue and is not contagious, and therefore it would not be spread by dormitory living.