NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
During the first stage of a client's labor, the nurse finds that the fetal heart rate decreases during a contraction and returns to normal at the end of the contraction. Which action is the most appropriate in response to the assessment finding?
Correct Answer: A
Rationale: A temporary fetal heart rate decrease during contractions (early deceleration) is normal, indicating head compression, and requires no action.
Question 2 of 5
The client is informed that he will require a right orchiectomy as part of his treatment of testicular cancer. The client asks the nurse if he will be infertile after this procedure. Which response by the nurse is best?
Correct Answer: B
Rationale: A. The client's fertility can be affected to varying degrees, so it is inappropriate to say the client will be infertile. B. The impact of treatment for testicular cancer on fertility varies. The involvement of chemotherapy, lymph node removal, and/or radiation in the treatment plan may all impact the client's ability to procreate. Clients should be encouraged to consider cryopreservation of sperm in a sperm bank before beginning testicular cancer treatment. C. The client's fertility can be affected to varying degrees, so it is inappropriate to say the client will not be infertile. D. Telling the client that the question can't be answered dismisses the client's concern and is not the best response. It may block further communication with the nurse about the client's concerns.
Question 3 of 5
Which nursing action is most appropriate when a chest tube is inadvertently pulled from its insertion site?
Correct Answer: A
Rationale: Covering the opening prevents air entry, reducing the risk of pneumothorax until medical intervention is available.
Question 4 of 5
The nurse is caring for a client with a new colostomy. Which statement by the client indicates a need for further teaching?
Correct Answer: B
Rationale: High-fiber foods can cause blockages in a new colostomy; low-residue foods are recommended initially.
Question 5 of 5
A client with a burn injury is at risk for infection. Which nursing action is most effective in preventing infection?
Correct Answer: A
Rationale:
Topical antibiotics directly prevent bacterial growth in burn wounds, reducing infection risk.