NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
The client asks the nurse if there is anything he could do to impregnate his wife because his sperm count is "only 40 million." In responding to the client, which factor should the nurse consider?
Correct Answer: D
Rationale: A. Gonadotoxins are chemicals, drugs, or other substances that have a toxic or suppressive effect on sperm production, motility, or morphology. It is premature to examine the client's lifestyle because the client's sperm count is adequate. B. Although 40 million sperm/mL of semen is less than the normal of 60 to 100 million, the number is adequate for fertilization through intercourse. C. There is no need to utilize testosterone supplements for this client. D. The incidence of impregnation is lessened only when the sperm count decreases to less than 20 million/mL. The client should be reassured. The normal sperm count is 60 to 100 million sperm/mL of semen.
Question 2 of 5
A friend shares with a nurse about being engaged to be married. The nurse knows that the friend's fiancé has tested positive for human immunodeficiency virus (HIV). What is the nurse legally obligated to do?
Correct Answer: D
Rationale: HIPAA mandates confidentiality of the fiancé's HIV status, requiring the nurse to safeguard this information.
Question 3 of 5
When a client becomes angry and shouts at the nurse because of a dislike for food that was served, which response by the nurse is most appropriate?
Correct Answer: B
Rationale: Listening attentively allows the client to vent frustrations, de-escalates the situation, and fosters therapeutic communication.
Question 4 of 5
A client with diabetes comes to the emergency department. The nurse obtains a blood glucose measurement with a result of 650 mg/dL. The physician orders I.V. insulin. Which type of insulin can be given both intravenously and subcutaneously?
Correct Answer: A
Rationale: Regular insulin is safe for both IV and subcutaneous administration due to its rapid onset and short duration.
Question 5 of 5
Which assessment finding provides the best evidence that a client with a long history of smoking is experiencing respiratory difficulty?
Correct Answer: A
Rationale: A pulse oximeter reading of 85% indicates low oxygen saturation, a direct sign of respiratory difficulty in a smoker.