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Best NCLEX-PN Practice Questions Questions

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Question 1 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.

Question 2 of 5

The adolescent diagnosed with hepatitis is reporting pruritus. Which therapy should the nurse suggest?

Correct Answer: C

Rationale: Cool, moist compresses relieve pruritus in hepatitis by soothing the skin without causing irritation.

Question 3 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.

Question 4 of 5

The 17-year-old student visits the high school nurse's office experiencing a sore throat, headache, fever of 101°F (38.3°C), malaise, and abdominal pain. How should the nurse plan to proceed?

Correct Answer: D

Rationale: These symptoms may indicate a serious infection (e.g., mononucleosis, strep throat). Sending the student home with a recommendation to see an HCP ensures proper evaluation.

Question 5 of 5

The mother of the 13-year-old female tells the clinic nurse, "I hope that no one tries to get me to agree to have my daughter get that new vaccine that is supposed to prevent some STIs. My daughter is not and will not be having sex until she is married." What is the nurse's best response?

Correct Answer: C

Rationale: Exploring the mother's knowledge about the HPV vaccine (Gardasil) opens a dialogue to address misconceptions and provide education.

Similar Questions

A client with severe anxiety manifested by many somatic complaints starts psychotherapy. She becomes increasingly anxious, and her physical symptoms intensify. The nurse should make which of these interpretations of her observations?
The nurse is caring for an elderly woman admitted with chronic organic brain disease. When her daughter visits, she asks, 'Are you my maid?' How should the nurse describe the client's behavior?
The clinic nurse is assessing the 17-year-old male and observes multiple lesions on both upper arms. Some of these lesions are covered with a honey-colored crust. Based on this assessment, which skin condition should the nurse consider?
A woman who is severely depressed begins to improve. Which of these behaviors may be indicative of an impending suicide attempt?
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?

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