NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
An adult is undergoing diagnostic tests for possible cancer. A liver scan is scheduled. The client asks whether she will need to stay away from people because she is radioactive following the test. What should be included in the nurse's response?
Correct Answer: B
Rationale: Liver scans use small doses of radioisotopes that decay quickly, posing no significant risk to others, reassuring the client.
Question 2 of 5
The nurse is planning care for the client who had a TRAM (transrectus abdominis myocutaneous) flap breast reconstruction. Which actions should the nurse include?
Correct Answer: B
Rationale: A. Upper-extremity exercise and ROM are restricted to reduce strain on the incision site. B.
To monitor for viability and adequacy of blood supply to the TRAM flap, the flap must be assessed hourly for the first 24 hours. C. Pressure over the flap is avoided until healing is complete. D. The affected arm should be elevated to promote venous return.
Question 3 of 5
When the nurse detects that a client is using defense mechanisms, the nurse should make which of these interpretations of the client's behavior?
Correct Answer: A
Rationale: Defense mechanisms are unconscious strategies used to cope with stress and maintain emotional balance, helping the client restore equilibrium.
Question 4 of 5
In evaluating the client with cancer, what best indicates that the nutritional status is adequate?
Correct Answer: B
Rationale: Stable weight reflects adequate nutritional intake and absorption, a key indicator of nutritional status in cancer patients.
Question 5 of 5
At 0800 hours the nurse assesses the 3-year-old with rubeola and finds that the child is restless, hard to calm, feverish, reporting pain, is tachycardic, and has crackles and rhonchi in the lung bases. The nurse compares the 0800-hour VS to the previously obtained VS (See VS chart). Acetaminophen was last given at 0600 hours. What should be the nurse's priority?
Correct Answer: C
Rationale: Crackles and rhonchi suggest possible pneumonia, a serious complication of rubeola. Notifying the HCP is critical for timely intervention.