NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
An adult says to the nurse, 'The doctor said I have a carcinoma, and my friend has a sarcoma. What is the difference?' What should the nurse include in the response?
Correct Answer: B
Rationale: Carcinomas arise from epithelial tissues (e.g., GI tract, breast), while sarcomas originate from connective tissues (e.g., bone), accurately distinguishing their tissue origins.
Question 2 of 5
The nurse is caring for the 30-year-old female client. Which concems stated by the client should alert the nurse to the possibility of endometriosis? Select all that apply.
Correct Answer: C,D,E
Rationale: A. Vaginal dryness is not a symptom of endometriosis. B. Premenstrual tension headache is not a symptom of endometriosis. C. Endometriosis is the presence of normal endometrial tissue in sites outside the endometrial cavity. The tissue responds to hormonal influence, and therefore during menstruation the tissue bleeds. This bleeding causes inflammation and pain at the time of menstruation. D. Women with endometriosis are at increased risk for infertility, although the exact reason is unknown. E. Depending on the location of the endometrial tissue, clients may experience pain with intercourse.
Question 3 of 5
Three days after admission for treatment of Valium addiction, a young woman briefly left the hospital to talk to a visitor. Her psychiatrist has threatened to discharge her for noncompliance with the treatment program. The client seems very despondent, refusing to get out of bed. The evening nurse finds the client crying, 'I've screwed everything up. It's hopeless. It's no use.' In responding to the client, which of the following would be most appropriate?
Correct Answer: D
Rationale: Acknowledging her sadness and assessing for suicidal ideation addresses her emotional state and ensures safety, given her despondency.
Question 4 of 5
Which statement made by the client indicates understanding of the needs related to external radiation therapy?
Correct Answer: B
Rationale: Not washing off radiation marks ensures accurate targeting during therapy, showing the client understands external radiation care.
Question 5 of 5
The client tells the nurse that she has been having breast pain and has had several diagnostic procedures that all have been negative. Which suggestions should the nurse include when the client asks for advice on controling this breast pain? Select al that apply.
Correct Answer: C,D,E
Rationale: A. There is no evidence that placing a towel wet with primrose oil over the breasts will reduce pain. Taking evening primrose oil orally may help, but its use is controversial. B. The women should be taught to wear a support bra, not to go Without a bra. C. Reducing caffeine has been shown by some to reduce breast pain. D. B complex vitamins have been shown by some to reduce breast pain. E. Applying hot packs to the breasts for 20 minutes has been shown by some to reduce breast pain.