NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 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 2 of 5
The nurse is caring for four pediatric clients who have the skin conditions illustrated. For which client should the nurse expect to administer acyclovir orally?
Correct Answer: B
Rationale: Acyclovir is used for herpes simplex virus (HSV) infections, which present with grouped vesicles, as likely shown in image B.
Question 3 of 5
The nurse is reviewing the serum laboratory results for the 10-year-old diagnosed with chicken pox. Which value should be most concerning to the nurse? Place an X next to the value that is most concerning.
Correct Answer: B
Rationale: This question requires the nurse to identify abnormal lab values, such as elevated liver enzymes (e.g., AST/ALT) or thrombocytopenia, which could indicate complications like hepatitis or bleeding risk in chickenpox.
Question 4 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 5 of 5
The nurse is discharging the client after an elective abortion by suction curettage. Which statement should the nurse include in the client's discharge instructions?
Correct Answer: C
Rationale: A. Sexual intercourse should not resume until the client is reexamined in about 2 weeks. B. Vaginal douching is not recommended. C. Foul-smelling vaginal discharge is a sign of vaginal infection and/or retained tissue and should be reported as soon as it is noted by the client. D. There is no evidence to support the need to wait a week before returning to work. Many women resume their usual activities the same day as the abortion.