NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
Laboratory data for an adult client diagnosed with Pneumocystis carinii pneumonia indicate immunosuppression. Which is the most important in determining the client's susceptibility to this infection?
Correct Answer: D
Rationale: Pneumocystis carinii pneumonia is associated with immunosuppression, often linked to HIV, which is commonly transmitted through sexual practices.
Question 2 of 5
The otherwise healthy client who is menopausal tells the nurse that she has been experiencing vaginal itching and burning and increased vaginal infections over the last 2 years. Which statement is the nurse's best response?
Correct Answer: D
Rationale: A. Vaginal infections do not predispose a female to vulvar cancer. B. Although vaginal itching may be related to a contact allergy, it is not the best response. C. Acidic secretions would have a low pH value; the pH increases during menopause. D. Decreased estrogen in menopausal women causes thinning of the vaginal mucosa and an increase in pH of vaginal secretions. As a result, the vagina is easily traumatized and more susceptible to infection.
Question 3 of 5
After a 6-year-old child undergoes a tonsillectomy, the nurse instructs the parents to avoid giving the child aspirin or aspirin products. What is the best explanation for the nurse's instruction?
Correct Answer: B
Rationale: Aspirin is linked to Reye's syndrome in children, a rare but serious condition, especially post-viral infections.
Question 4 of 5
A homeless person has an enlarged, tender liver, and a hepatitis B infection is suspected. Which information in the client's history is most likely the etiologic factor for the disease?
Correct Answer: D
Rationale: Hepatitis B is primarily transmitted through blood, such as via shared needles, making this the most likely etiologic factor.
Question 5 of 5
The nurse is assessing a client with suspected anaphylactic shock. Which finding is most concerning?
Correct Answer: A
Rationale: Wheezing indicates airway constriction, a life-threatening sign in anaphylactic shock.