NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 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 2 of 5
A 40-year-old man is admitted to the psychiatric unit for treatment of anxiety neurosis. For several weeks, he has had increasingly frequent periods of palpitations, sweating, chest pain, and choking. His nursing diagnosis is 'severe anxiety, stressor unidentified.' Which of these measures is appropriate during the client's attacks?
Correct Answer: A
Rationale: Providing support and safety during anxiety attacks helps reduce distress and ensures the client feels secure.
Question 3 of 5
The HCP recommends tamoxifen for the female client because she is at high risk for developing breast cancer. The client asks the nurse to explain how this drug will help avoid developing breast cancer. Which information about tamoxifen should be the basis for the nurse's response?
Correct Answer: D
Rationale: A. Tamoxifen does not have anti-inflammatory properties. B. Tamoxifen is a hormonal rather than a chemotherapeutic agent. C. A major side effect of tamoxifen is that it increases the risk of developing endometrial cancer. D. Tamoxifen (Soltamox) blocks estrogen receptors on tumor cells, and thus the cell growth declines and the tumor regresses.
Question 4 of 5
After receiving multiple mosquito bites and experiencing flu-like symptoms, the adolescent consults the school nurse and asks whether West Nile virus is a concern and whether an HCP appointment is necessary. Which statement should be the basis for the nurse's response?
Correct Answer: B
Rationale: West Nile virus can cause mild to severe symptoms, including encephalitis, warranting medical evaluation.
Question 5 of 5
Three days after admission for treatment of Valium addiction, a young woman briefly left the hospital to talk to a visitor. Her psychiatrist has threatened to discharge her for noncompliance with the treatment program. The client seems very despondent, refusing to get out of bed. The evening nurse finds the client crying, 'I've screwed everything up. It's hopeless. It's no use.' In responding to the client, which of the following would be most appropriate?
Correct Answer: D
Rationale: Acknowledging her sadness and assessing for suicidal ideation addresses her emotional state and ensures safety, given her despondency.