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
If a client has been taking corticosteroid medication for a prolonged period, which statement provides the best indication that the danger related to this medication is understood?
Correct Answer: A
Rationale: Abruptly stopping corticosteroids can cause adrenal insufficiency, a life-threatening condition, indicating the client understands this risk.
Question 3 of 5
A client diagnosed with a GI bleed has received an order for a blood transfusion. Place the nursing actions in the correct order for administering the blood transfusion.
Order the Items
Source Container
Correct Answer: B,E,A,C,D
Rationale: 1. Obtain baseline vital signs to assess for changes. 2. Prime IV tubing with normal saline to ensure compatibility. 3. Verify identity and blood product to prevent errors. 4. Start transfusion slowly to monitor for reactions. 5. Monitor for transfusion reactions throughout.
Question 4 of 5
The nurse is preparing to administer a tuberculin skin test. Which site is most appropriate?
Correct Answer: A
Rationale: The inner forearm provides a clear, accessible site for reading the tuberculin skin test reaction.
Question 5 of 5
A client with a history of migraines reports an impending headache. Which nursing intervention is most appropriate?
Correct Answer: B
Rationale: A quiet, dark environment reduces stimuli that trigger or worsen migraines.