NCLEX Questions, Best NCLEX-PN Practice Questions Questions,

Extract:

Question 1 of 5

An adult woman is admitted to the detoxification unit for alcohol withdrawal. Her husband tells the nurse that he is fed up. Either she gets treatment or he is leaving her. Two days later, the woman develops delirium tremens. At this time, which of these nursing diagnoses should be given priority in caring for this client?

Correct Answer: A

Rationale: Delirium tremens increases impulsiveness and disorientation, posing a high risk for injury, which takes priority over other diagnoses.

Question 2 of 5

The client has been receiving chemotherapy for cancer and has stomatitis. What nursing care is indicated because the client has stomatitis?

A. Have the client rinse his or her mouth well with Listerine or other mouthwash before and after eating. B. Use meticulous care when cleaning the stoma and applying the drainage bag. C. Maintain NPO status until the condition improves. D. Encourage the client to use viscous lidocaine mouthwash as needed.

Correct Answer: D

Rationale: Viscous lidocaine mouthwash relieves pain from stomatitis, encouraging eating and improving comfort without irritating the oral mucosa.

Question 3 of 5

A 17-year-old female receives treatment for primary amenorrhea caused by hyperthyroidism. Which finding during a clinic visit should indicate to the nurse that treatment for amenorrhea was effective?

A. Weight increased by 10 pounds B. Denies having menstrual cramps C. States just started having her menses D. No longer has a fine hand tremor

Correct Answer: C

Rationale: A. An increased weight may help with initiating a menstrual cycle if the cause is a body fat composition of less than 10%, but this does not indicate that the woman has started her menstrual cycle. B. If the client is not menstruating (amenorrhea), she will not have menstrual cramps. C. Hyperthyroidism and a body fat composition of less than 10% can be contributing factors to amenorrhea (absence of menses). The start of a menstrual cycle indicates that treatment of the underlying cause of amenorrhea is effective. D. The absence of a fine hand tremor may indicate treatment is effective for the hyperthyroidism. It does not indicate that the primary amenorrhea is resolved.

Question 4 of 5

A young woman is admitted for the first time with a diagnosis of catatonic schizophrenia and is receiving chlorpromazine (Thorazine) daily. She is to go home for a weekend pass. What is the most important instruction to give her relative to her medications?

A. Use a sunscreen lotion, and do not drink alcoholic beverages.' B. Do not drink wine or beer or eat hard cheeses.' C. Stay away from persons with colds and infections, and report any rashes immediately.' D. Drink plenty of orange juice, and take your pills with milk.'

Correct Answer: A

Rationale: Chlorpromazine causes photosensitivity and interacts dangerously with alcohol, necessitating sunscreen use and alcohol avoidance.

Question 5 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?

A. You should ask your physician about specific tests.' B. High levels of CEA are found in cancers of the colon; continued low levels after surgery indicate that there is probably not a recurrence.' C. CEA is used to monitor your blood to be sure you are not having side effects from the treatment.' D. CEA levels should increase as your general health increases.'

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.